Registered Nurse (RN)

2 days ago

Nurse Manager-Home-Based Care Coordination

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: Duke University Health System is designated as 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 for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Qualityof Life: Living in the Triangle! Relocation Assistance (based on eligibility) Lead a compassionate team delivering coordinated care across hospice, home health, and home infusion services. Oversee clinical excellence, guide nursing staff, utilize innovative approaches to complex patient medical needs, and ensure seamless patient-centered care in every setting. Join us as a Clinical Manager and make a meaningful impact on patients' lives and your team's professional growth at a world class health system. JOB SUMMARY The Manager, Clinical Services is responsible for directing and managing the day-to-day Clinical operations of the Business Development team in conjunction with the Director of Business Development. Responsible for ensuring the coordination of home health, hospice, and infusion services for the hospitalized patient, clinic/outpatient and/or patient in an alternative setting. Ensures delivery of quality patient care and compliance with clinical, administrative policies and procedures as well as regulatory standards. Responsible to interface with, provide Referral Source education, and address concerns. MAJOR JOB RESPONSIBILITIES 1. Oversee daily clinical operations of BD team. Manage, develop and coordinate clinical operational activities on a 24-hour basis. 2. Assist the Director of Business Development in the creation of strategic and operational plans and department annual budget. 3. Collaborate with the Director of Business Development to determine fiscal requirements of the department, assist with budget preparation, complete biweekly and monthly payroll, assess appropriateness of resource utilization. Develop action plans in conjunction with the Director of Business Development to ensure budget and resource efficiency. 4. Participate in various personnel actions including hiring, performance reviews, disciplinary actions, terminations and other related activities. 5. Evaluate clinical practice and review clinical documentation to ensure optimization of best practice care delivery and clinical outcomes. 6. Maintain current knowledge of Medicare and Medicaid regulations along with all state and national governing body regulations. 7. Maintain current knowledge of the comprehensive services, products and supplies available through DHCH. 8. Remain current on reimbursement issues and their impact on the delivery of DHCH program services. 9. Ensure appropriate staffing coverage at all 3 DUHS hospitals. 10. Assess and coach staff level of practice. Develop training programs or tools to foster continued clinical development. 11. Develop / Revise departmental policies to improve efficiency and support best practice. 12. Participate on interdepartmental committees to foster teamwork and improve the delivery of quality patient care. 13. Participate with Referral sources to identify patient population needs, identify referral process improvements and staff educational opportunities. 14. Other duties as assigned. Preferred & Required Qualifications Education BSN is required. MSN is preferred Licensure & Certifications Current RN licensure in the state of NC or compact license from participating state is required. BLS (may be renewed during orientation) Valid NC Driver’s license Professional Work Experience 5 years of clinical practice with at least 2 of those years being in supervisory role required. Experience in home-based care environments or care coordination required. Working knowledge of Medicare and Medicaid regulations including JCAHO Computer skills including Word and Excel preferred. Excellent communication & organizational skills 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.

PCU

Registered Nurse (RN) - General Medicine Stepdown

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 the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: Duke University Health System is designated as 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 for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) Registered Nurse (RN) - Experienced or New Grad - General Medicine *Relocation available for New and Experienced RNs *Up to $25,000 student loan forgiveness Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together. Department Highlights: RN to Patient Ratio is 1:3-1:4 A diverse patient population is GREAT for new nurses who are still unsure about what route they want to take as a nurse, as it allows you to grow and strengthen your skills, build confidence, and learn about many different disease processes. Flexible scheduling Extraordinary unit culture that embraces each team member – a sense of belonging. Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills. Work Schedule: Full time - 36 hours/week. Three (3) 12-hour shifts. Days or Rotating shifts available! What you will do: As a Clinical Nurse in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders and established policies and procedures under the supervision of the team leader or charge nurse. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other healthcare personnel in the delivery of patient care. Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities. What you can expect: Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively. Educate patients and families in accordance with the nursing plan of care. Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others. What we’ll provide: Paid Training Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education. Clinical Ladder Advancement Tuition Assistance and Nurse Loan Forgiveness Relocation to Eligible RNs Nursing Specialty Certification Bonus Employee Referral Bonus Performance Increases Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more. 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. Nurses with a multi state compact license must obtain NC state licensure within the first 90 days of employment. BLS Certification Education: Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required. RNs without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within seven years of their start date. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are expected to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification. 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.

Urgent Care

Registered Nurse II (RN) Duke Urgent Care-Cary

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 Primary Care Pursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina. Duke Nursing Highlights: Duke University Health System is designated as 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 for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) Duke University Health System- Duke Urgent Care-Cary seeks to hire a Registered Nurse who will embrace our mission of Advancing Health Together. Department Profile: Duke Urgent Care in Cary offers comprehensive family medicine and lab services in one location. For adults, services include internal and family medicine, annual physicals, preventive care, sick visits, immunizations, chronic illness management, women’s health care, and diagnostic tests like lab work and X-rays. For children and adolescents, care includes well-child visits, routine checkups, physicals, immunizations, and management of conditions like asthma, allergies, and diabetes. Clinic Location and Hours: Green Level West Road Suite 110, #100, Cary, NC 27519 Open 8am - 8pm General Description of this Role Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Duties and Responsibilities of this Role Plan, provide, and document professional nursing care, utilizing the nursing process, by physician orders and established policies and procedures under the supervision of the team leader or charge nurse. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other healthcare personnel in the delivery of patient care. Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care promptly. Participate in professional development by maintaining required competencies, identifying learning needs, and seeking appropriate assistance or educational offerings. Support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities. Perform other related duties incidental to the work described herein. Minimum Qualifications Education Work requires graduation from an accredited BSN program. Registered Nurses who do not have a Bachelor's degree in Nursing (BSN) or higher will be required to enroll in an appropriate BSN program within two years of their start date, and to complete that program within five years of their start date in this role. Exception: Registered nurses hired between July 1, 2014, and April 11, 2021, without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014, are not required to enroll in a BSN program to remain in this job classification. Education Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in thisjob classification. Experience No experience required. All CNIs will be enrolled in and must complete the DUHS Nurse Residency Program within 12 months of hire. CNIs are required to meet criteria set forth by the DUHS Nurse Residency Program within 18 months of hire to be promoted to CNII. Degrees, Licensures, Certifications Must have current or compact RN licensure in the state of North Carolina. BLS required. Knowledge, Skills, and Abilities Knowledge of scope of the registered nurse, licensed practical nurse and NCA Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Able to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking. Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate JCAHO and other regulatory requirements Pre-employment Physical Capacity Testing 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.

Outpatient

Registered Nurse II (RN) Duke Primary-Family Medicine Cary

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 Primary Care Pursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina. Duke Nursing Highlights: Duke University Health System is designated as 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 for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) Duke University Health System- Duke Primary Care-Family Medicine seeks to hire a Registered Nurse who will embrace our mission of Advancing Health Together. Department Profile: Duke Primary Care- Family Medicine in Cary offers comprehensive family medicine and lab services in one location. For adults, services include internal and family medicine, annual physicals, preventive care, sick visits, immunizations, chronic illness management, women’s health care, and diagnostic tests like lab work and X-rays. For children and adolescents, care includes well-child visits, routine checkups, physicals, immunizations, and management of conditions like asthma, allergies, and diabetes. Clinic Location and Hours: Open 8am - 5pm Monday to Friday General Description of this Role Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Duties and Responsibilities of this Role Plan, provide, and document professional nursing care, utilizing the nursing process, by physician orders and established policies and procedures under the supervision of the team leader or charge nurse. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other healthcare personnel in the delivery of patient care. Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care promptly. Participate in professional development by maintaining required competencies, identifying learning needs, and seeking appropriate assistance or educational offerings. Support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities. Perform other related duties incidental to the work described herein. Minimum Qualifications Education Work requires graduation from an accredited BSN program. Registered Nurses who do not have a Bachelor's degree in Nursing (BSN) or higher will be required to enroll in an appropriate BSN program within two years of their start date, and to complete that program within five years of their start date in this role. Exception: Registered nurses hired between July 1, 2014, and April 11, 2021, without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014, are not required to enroll in a BSN program to remain in this job classification. Experience One year of RN experience is required for Level II Registered Nurses Degrees, Licensures, Certifications Must have current or compact RN licensure in the state of North Carolina. BLS required. Knowledge, Skills, and Abilities Knowledge of scope of the registered nurse, licensed practical nurse and NCA Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Able to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking. Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate JCAHO and other regulatory requirements Pre-employment Physical Capacity Testing 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.

Outpatient

Registered Nurse (RN) -Pre/PostOp- DUKE Ambulatory Surgery Center-36hrs