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Nurses

Clinical Nurse IV Leader-Duke University Hospital-Full-Time

Duke Health logoDuke HealthDurham, NCFull timePosted todayStill open, checked every night
  • BSN

How this pay compares

This posting does not state an hourly rate. Open registered nurse jobs in North Carolina post a median of $47.75 an hour, the middle half $39.50–$47.75, across 1,018 jobs that state their pay. Registered nurses employed in North Carolina earn a median of $40.56 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Registered nurses in North Carolina: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

Workplace injuries

Duke Regional Hospital in Durham reported 119 work injuries and illnesses to OSHA for 2025 over 3,955,243 hours worked: 6.0 per 100 full-time workers, against 5.1 per 100 full-time workers at general hospitalsnationwide. 5 of them describe violence by a patient, resident or client in the case's own words. This is the employer's own report. Workplace injuries by employer.

Medicare rating of Duke Regional Hospital

Medicare gives Duke Regional Hospital 5 of 5 stars (Jul 2026; North Carolina's hospitals average 3.3). 80% of its patients said their nurses always communicated well (the middle US hospital: 79%). Medicare did not cut its pay for patient harm in fiscal 2026. Its central line bloodstream infections ran 26% below predicted by Medicare's measure. Patients' ratings of their care, not employees' of the job. Its other hospitals · North Carolina hospitals by rating.

What this hospital paid

By Duke Regional Hospital's report to Medicare, its registered nurse hours averaged $56.34 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $58.67 an hour across North Carolina's hospitals. An average over every such hour, not this job's pay: the posting states its own. What North Carolina hospitals pay nurses.

Public Service Loan Forgiveness

Medicare lists Duke Regional Hospital as owned by a government body, and Duke Health also runs for-profit hospitals, so which entity employs you decides whether the work counts toward PSLF. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.

Registered nurse and LPN jobs in our research

  • How long these jobs stay listed: Median days to removal 28.0 days · Still listed at 7 days 80.7%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 136
  • How often these jobs state their pay: Jobs stating any pay 54.8% · Stating an hourly rate 34.1%

From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Registered nurse and LPN jobs

About the job

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.

General Description

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.

Duties and Responsibilities of this Level

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.

Shift

Perianesthesia Unit: Days, 10-hrs, Monday-Friday; Flexible Start Times; will be discussed during the interview

This role will support preopertive and post operatve patients, nurses and support staff.

Weekends, Holiday, and Nights per unit needs

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 at this Level

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. Critical Care and Opthalamology experience 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.

From Duke Health's job posting, checked 12 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Duke Health

Duke Health is the academic health system of Duke University, based in Durham, with four hospitals, 110 (source: Duke Health, Facts & Statistics) primary care and specialty clinics in central and eastern North Carolina and about 26,278 (source: Duke Health, Facts & Statistics) full-time health system employees. Source: Duke Health, Facts & Statistics

Based in Durham, NCHires in North CarolinaPay on its listings: 0% of its open jobs state an hourly rate

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