Clinical Nurse IV Leader - Duke Flight; Smithfield
Listed on 2025-12-09
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Nursing
Clinical Nurse Specialist, Healthcare Nursing, Nurse Educator, Director of Nursing
Clinical Nurse IV Leader – Duke Life Flight (Smithfield)
Apply for the Clinical Nurse IV Leader – Duke Life Flight (Smithfield) role at Duke University Health System.
At Duke Health, we are driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the broader community. Join us to advance health together.
About Duke Life FlightDuke Life Flight is Duke Health's critical care and emergency air and ground transport team, accredited by the Commission on Accreditation of Medical Transport Systems. The team includes paramedics, nurses, respiratory therapists, emergency medical technicians, and communications specialists who work quickly to provide compassionate care and transport services to critically ill patients of all ages. Duke Life Flight also maintains a Code Blue Response Team and assists with event medicine needs.
DukeNursing Highlights
- Duke University Health System is a Magnet organization.
- Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
- Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy.
- Duke University Health System has over 6,000 registered nurses.
- Quality of Life:
Living in the Triangle! - Relocation Assistance (based on eligibility).
The Clinical Nurse IV (CN IV) Leader reports directly to the Nurse Manager and collaborates with interdisciplinary teams to oversee nursing operations and patient care standards.
Occupational SummaryThe CN IV Leader oversees daily operations, coordinates program initiatives, and manages clinical personnel. The role is split 40 % administrative and 60 % clinical, ensuring high‑quality patient care and compliance with institutional and regulatory standards.
Clinical Duties- Provides shift coordination or direct patient care for a minimum of 2–12‑hour shifts per week.
- Responsible for the Smithfield base and operates in both Smithfield and Golden Drive.
- Travels to satellite locations as needed to support program operations.
- Education:
Bachelor of Science in Nursing (BSN) required. - Experience:
Minimum of 5 years in a critical care setting; leadership experience preferred. Prior critical care transport experience is required. - Licensure/Certification:
Current RN licensure in North Carolina or a compact state; BLS, ACLS, PALS, NRP (Neonatal Resuscitation), TNCC/TPATC (Trauma Certification) required. - Future Certification: CFRN within 2 years of hire and EMT‑B within 12 months of hire.
- Oversees daily transport and clinical operations, ensuring compliance with policies and procedures.
- Monitors and maintains licensure requirements for all staff in collaboration with the Supervisor/Educator.
- Manages staffing and scheduling for assigned personnel in collaboration with the unit Supervisor/Educator.
- Leads orientation and training programs.
- Provides mentorship and guidance to team members.
- Conducts performance evaluations and manages professional development initiatives for all assigned employees. Available to lead and supervise all employees on the team.
- Leads and manages staff schedules in collaboration with the Schedule Committee and leadership team members for all staffing unit needs.
- Serves as a resource for clinical decision‑making and patient care management.
- Reviews patient charts and provides feedback for continuous quality improvement.
- Ensures adherence to evidence‑based practice guidelines and institutional protocols.
- Ensures compliance with The Joint Commission (TJC), CAMTS, GAMUT, Magnet and other accrediting bodies.
- Monitors adherence to hospital‑wide policies and standards of care.
- Oversees credentialing and competency validation for clinical staff.
- Collaborates with multidisciplinary teams to analyze patient care data and identify areas for improvement.
- Engages in research initiatives and quality assurance projects.
- Leads performance improvement initiatives to enhance patient safety and operational efficiency.
- Develops and delivers…
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