Clinical Nurse IV Leader - PICU - Night Shift
Company: Duke Health
Location: Durham
Posted on: January 18, 2026
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Job Description:
At Duke Health, we're driven by a commitment to compassionate
care that changes the lives of patients, their loved ones, and the
greater community. No matter where your talents lie, join us and
discover how we can advance health together. About Duke University
Hospital Pursue your passion for caring with Duke University
Hospital in Durham, North Carolina, which is consistently ranked
among the best in the United States. The largest of Duke Health's
four hospitals with 1062 patient beds, it features comprehensive
diagnostic and therapeutic facilities, including a regional
emergency/trauma center, an endo-surgery center, and more. What you
will do: Plan and provide advanced and/or specialized nursing care
for patients in accordance with guidelines established within the
Discipline of Nursing Clinical Ladder Program and the North
Carolina Board of Nursing. The position will provide local level
leadership in the areas of administration, education, informatics
and quality. Identify care needs for patient populations across the
continuum of care. Collaborate and provide leadership in the
development of standards of care, patient/family education and
staff education to address the needs of specific populations.
Collaborate with multidisciplinary team and provide leadership
within the delivery of patient care. Provide leadership in
educational activities, departmental committees, research projects
and other health-related projects. Provide evaluation, direction
and guidance in the proper selection, use, care and control of
material resources. Appraise quality and effectiveness of material
and equipment and collaborate with appropriate departments to
assist with vendor selection and feedback on performance. Guide the
professional growth of others across the continuum of care through
role modeling, coaching and/or mentoring. This may include
designing orientation modules, primary precepting of senior nursing
students. Provide leadership at a departmental, entity, community
or regional/national level for initiatives focused on improving the
quality of care for populations of patients and growth of others.
Conduct performance reviews as required. Participate in personnel
actions including, but not limited to, hiring, performance
appraisals, disciplinary actions, terminations and other related
activities. Perform other related duties incidental to the work
described herein. CNIV Pathways Leadership/Regulatory: Monitor
clinical practice and ensure compliance to practice standards and
regulatory standards Collaborate with unit/clinic leadership to
coach and mentor nursing colleagues Influence recruitment and
development of staff Education: Plan and deliver in house education
sessions or collaborate with subject matter experts Keep up to date
with evidence-based nursing practices and adult education Assess
educational needs of staff Partners with clinical nurse educator
and clinical nurse specialist to address unit educational needs
Informatics: Serve as a superuser for clinical information systems
Disseminate and communicate information to staff regarding adoption
of or changes to technology Facilitate service tickets and
troubleshoot efficiency concerns with staff Provide training and
technology education support on the unit Serve as a change agent
and facilitate adoption of new technology on the unit
Quality/Research/Innovation: Collaborate with subject matter
experts to analyze patient care data to identify trends and areas
for improvement. Participate in multidisciplinary committees
focused on quality and patient safety. Provide guidance and support
to nursing staff in quality assurance and best practices. Engage in
research and innovation initiatives to develop new methodologies
and technologies for enhancing patient care. What you will need:
Work requires graduation from an accredited nursing program with a
BSN degree or proof of current, active enrollment in a BSN Program
Applicants must meet all requirements set forth by the DUHS Career
Ladder Program for level IV. Licensure and Certification Required:
Current registration with North Carolina State Board of Nursing as
a registered professional nurse OR current compact RN licensure to
practice in the state of North Carolina required. BLS Certification
required Duke is an Equal Opportunity Employer committed to
providing employment opportunity without regard to an individual's
age, color, disability, gender, gender expression, gender identity,
genetic information, national origin, race, religion, sex
(including pregnancy and pregnancy related conditions), sexual
orientation or military status. Duke aspires to create a community
built on collaboration, innovation, creativity, and belonging. Our
collective success depends on the robust exchange of ideas—an
exchange that is best when the rich diversity of our perspectives,
backgrounds, and experiences flourishes. To achieve this exchange,
it is essential that all members of the community feel secure and
welcome, that the contributions of all individuals are respected,
and that all voices are heard. All members of our community have a
responsibility to uphold these values. Essential Physical Job
Functions: Certain jobs at Duke University and Duke University
Health System may include essential job functions that require
specific physical and/or mental abilities. Additional information
and provision for requests for reasonable accommodation will be
provided by each hiring department.
Keywords: Duke Health, Wilson , Clinical Nurse IV Leader - PICU - Night Shift, Healthcare , Durham, North Carolina
