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Nursing Jobs in Apex, NC

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.

Full-time

2 days ago

Clinical Nurse IV Leader (Mid Shift) - Emergency Department

Duke Health Raleigh, NC

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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. 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. Work Hours & Shifts: Full-Time - 40 hours per week Mid Shift - 2 shifts 11a-11p and 2 shifts 11a-7p with a least one weekend day coverage (most likely Sundays 11a-7p) Call requirement for back-up on another shift Duties and Responsibilities 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. Effectively recommend 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. Required Qualifications Education Work requires graduation from an accredited nursing program with a BSN degree. Experience Applicants must meet all requirements set forth by the DUHS Career Ladder Program for level IV. Emergency Department experience is required Degrees, Licensure, and/or Certification 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 Unlicensed staff. 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 Ability 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 The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required Distinguishing Characteristics Provide leadership at a CSU, departmental, institutional, community or regional/national level. Lead change by constantly seeking creative solutions to improve quality and efficiency in the delivery of patient care. The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. 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.