Clinical Nurse IV Leader - Duke Flight

Clinical Nurse IV Leader - Duke Life Flight

Work Arrangement: On‑Site

Requisition Number: 263928

Regular or Temporary: Regular

Location: Smithfield, NC, 27577

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. The role is divided between administrative (40 %) and clinical (60 %) responsibilities, ensuring high‑quality patient care and compliance with institutional and regulatory standards.

Location: Duke Life Flight at 3223 Swift Creek Rd, Smithfield, NC 27577

Relocation Assistance: Up to $8,000 (includes a $1,000 lump sum and up to $7,000 managed budget).

• Provides Shift Coordinator 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 Dr.
• Travels to satellite locations (Durham, NC and Smithfield, NC) as necessary to support program operations.

• Education: Bachelor of Science in Nursing (BSN) required.
• Experience: Minimum of 5 years of nursing experience in a critical‑care setting; leadership experience preferred. Prior critical‑care transport experience is required.
• Licensure/Certification: Must hold current RN licensure in North Carolina or a compact state; BLS, ACLS, PALS, NRP, TNCC/TPATC certification required.
• Future Certification required: CFRN within 2 years of hire and EMT‑B within 12 months of hire.

Program and Team Management

• Oversees daily transport and clinical operations, ensuring compliance with policies and procedures.
• Monitors and maintains up‑to‑date licensure requirements for all staff in collaboration with the supervisor/educator.
• Manages staffing and scheduling for assigned personnel; leads orientation and training programs.
• Provides mentorship and guidance; conducts performance evaluations and manages professional development initiatives.
• Leads and manages staff schedules in collaboration with the schedule committee and leadership team members for all staffing unit needs.

Clinical Oversight & Patient Care

• 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.

Compliance & Regulatory Standards

• 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.

Quality Improvement & Research

• 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.

Education & Team Development

• Develops and delivers in‑service training and continuing‑education programs.
• Serves as mentor and preceptor for nursing students and new hires.
• Works with clinical educators to assess training needs and implement educational initiatives.

Operational & Budgetary Responsibilities

• Assists in budget planning, resource allocation and payroll activity as assigned.
• Provides recommendations for equipment and technology enhancements.
• Ensures cost‑effective management of resources while maintaining high standards of care.

Transport Program Oversight

• Works in conjunction with pilots and fleet coordinators to maintain safe and efficient transport operations.
• Establishes and nurtures relationships with affiliate hospitals and emergency response teams.
• Participates in emergency preparedness planning and response coordination.

Leadership & Professional Growth

• Leads department initiatives to enhance patient experience and quality of care.
• Represents the unit in institutional committees and external professional organizations.
• Assists in preparing and leading staff meetings, committee meetings and formal team initiatives as assigned.
• Engages in professional development opportunities to stay current with best practices and industry advancements.
• Ma…