RN Clinical Nurse IV - Neonatal Intensive Care
UNC REX Healthcare
Description *This position qualifies for our UNC Rex Incentive Program, which includes up to $20,000 commitment incentive or up to $25,000 tuition loan forgiveness. In addition, this position is also eligible for up to $10,000 in relocation assistance (based on location) and our employee referral program. Learn more about our UNC Rex Incentive Program here: Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Join a Leading Neonatal Intensive Care Team – Make a Meaningful Difference for Our Smallest Patients UNC REX Healthcare is seeking a compassionate and skilled Clinical Nurse Team Leader to join our Level IV Neonatal Intensive Care Unit (NICU) —a highly specialized 21-bed unit providing the highest level of care for critically ill and medically fragile newborns. About the Unit The UNC REX Level IV NICU cares for some of the most vulnerable infants, including those experiencing: Prematurity Complex medical and surgical conditions Congenital anomalies Neonatal transitional challenges Our multidisciplinary team—led by board-certified neonatologists, neonatal nurse practitioners, NICU-trained nurses, respiratory therapists, lactation consultants, social workers, and rehabilitation specialists—cares for 450–500 newborns each year . Family-centered care is at the heart of our mission. We partner closely with a Family Advisory Council of former NICU parents , whose lived experience helps guide continuous improvement and fosters a supportive environment for families during their NICU journey. Nurse-to-Patient Ratio: 1:1 to 1:3, depending on acuity. Role Overview As a Team Leader RN , you will serve in a hybrid leadership role—providing expert bedside care while also supporting clinical operations, staff development, and unit initiatives. This position is ideal for an experienced NICU nurse who wants to grow in leadership without stepping away from direct patient care. Time Allocation: ~70% Clinical / ~30% Administrative Clinical Responsibilities (Approximately 70%) Provide high-quality, evidence-based care to critically ill neonates. Serve as Charge Nurse , coordinating daily operations, staffing needs, and patient flow. Precept and mentor new nurses, supporting skill development and competency. Act as a clinical resource at the bedside, promoting critical thinking and best practices. Collaborate with neonatology, respiratory therapy, lactation, and other interdisciplinary partners. Facilitate rapid decision-making based on patient acuity and family needs. Administrative Responsibilities (Approximately 30%) Participate in shared governance councils and hospital/unit committees. Lead or support quality improvement and performance improvement initiatives. Assist with unit-based education, competencies, and ongoing staff training. Conduct staff check-ins and provide coaching, mentorship, and support for professional growth. Perform patient-family experience rounding to promote service excellence. Work with leadership on staffing, retention, and culture-building efforts. This role offers the opportunity to help shape nursing practice, strengthen team culture, and directly influence outcomes for newborns and families. Who We’re Looking For We’re seeking a dedicated NICU nurse who demonstrates strong clinical judgment, communication skills, and compassion. Preferred Qualifications: 2–5 years of NICU nursing experience (Level III or Level IV preferred) Prior leadership experience (charge nurse, preceptor, committee involvement, or similar) Strong commitment to family-centered care and interdisciplinary collaboration Why UNC REX Healthcare? Part of the nationally respected UNC Health system Level IV NICU with advanced technology and specialized neonatal services Supportive, collaborative work culture with strong interdisciplinary partnerships Robust opportunities for professional development, certification, leadership growth, and continuing education A mission-driven environment focused on compassion, innovation, and excellence in neonatal care Make a life-changing impact on the tiniest patients and their families. Apply today to join the UNC REX Level IV NICU Team! Summary: Serves as nursing Team Leader. Provides education, training, and oversight to assigned nursing staff. Responsibilities: 1. EDUCATION AND PROFESSIONAL DEVELOPMENT - Coordinates, designs and implements educational programs to meet identified learning needs of staff, patients and families. Promotes and ensures staff participation in continuing education, orientation, competency, in-service and staff development offerings. Participates in development and implementation of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in development of and provides clinical expertise for patient education materials. Promotes professional growth of self and staff. Promotes a conducive environment for learning and provides educational experiences for students. 2. EVALUATION - Evaluates patient progress and revises plan accordingly. Maintains accountability for carrying out components of the plan. Works with manager to ensure care on unit is accordance with policies and procedures. 3. IMPLEMENTATION - Promotes an environment that values diversity, open communication, teamwork and exceptional service. Ensures that appropriate care and services are available to patients, clients and families for assigned shift. Facilitates interdisciplinary collaboration in patient/client care planning to achieve desired patient outcomes. Coordinates care with interdisciplinary team members. Demonstrates and role models clinical expertise in specified patient population and shares expertise with other staff. Promotes and #J-18808-Ljbffr
$38.13 - $58.24 per hour
...relocation assistance (based on location) and our employee referral program. Job Title: Clinical Nurse IV / NICU Team Leader (RN) Location: UNC Rex Health - Level IV Neonatal Intensive Care Unit Status: Full-Time (Night Shift) Why Join UNC Rex NICU? At UNC Rex Health, our...SuggestedHourly payFull timeRelocation packageShift workNight shift$38.51 - $58.82 per hour
...10-bed unit that allows us to care for high acuity patients without... ...with the assistance of our clinical education team with a focus of... ...away. Patient ratios: ICU 1 RN: 2 Patients, PCU 1: 3-4 Patients... ...Summary: The Clinical Nurse IV practices at the level of an expert...SuggestedHourly payFull timeShift workNight shift$34.22 - $48.38 per hour
...? Join Our Team at UNC Health REX - Neonatal Intensive Care Unit (NICU) At UNC Health REX, we are... ...Unit (NICU)at UNC REX is a 21-bed, Level IV unit delivering the highest level of... ...and medically fragile newborns. As a Clinical Nurse IIin our NICU, you will play a vital...SuggestedHourly payFull timeNight shift- Overview: The Clinical Nurse is responsible for providing total comprehensive... ...implementation of a plan of care. The plan is based upon the... ...highly specialized Level IV Neonatal Intensive Care Nursery (NICU) offers 4... ...: Career Ladder – RN I – IV, depending on education...SuggestedImmediate startRelocation package
- ...Overview The Clinical Nurse is responsible for providing total comprehensive... ...implementation of a plan of care. The plan is based upon the... ...highly specialized Level IV Neonatal Intensive Care Nursery (NICU) offers 4... ...Highlights: Career Ladder – RN I – IV, depending on...SuggestedImmediate startRelocation package
- ...A healthcare system in North Carolina is seeking a Clinical Nurse IV / NICU Team Leader. This full-time position involves a blend of... ...advanced clinical practice and leadership in a Level IV Neonatal Intensive Care Unit. Candidates should have strong clinical judgment, effective...Full timeRelocation packageNight shift
$2,057 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Raleigh, NC Agency: Prime Staffing Pay: $2,057 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position ID:...Full timeContract workLocal areaImmediate startFlexible hoursShift workNight shiftWeekend work- ...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Raleigh, NC Agency: SkyBridge Healthcare Pay: Competitive weekly pay (inquire for details) Contract Duration: 13 Weeks Start Date: ASAP About the Position Type: Neonatal Raleigh...Weekly payFull timeContract workImmediate startRelocation package
- ...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Raleigh, NC Agency: SkyBridge Healthcare Pay: Competitive weekly pay (inquire for details) Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is...Weekly payFull timeContract workImmediate startRelocation package
$38.51 - $58.82 per hour
...dedicated work family. Patient ratios: 1 RN: 5-6 Patients, on our day shift 3 Nursing Assistants and a Secretary and... ...of our patients. Summary The Clinical Nurse IV practices at the level of an... ...level demonstrates expertise in caring for patients with multiple and complex...Hourly payFull timeShift workNight shiftDay shift- ...located in North Carolina, has opportunities for Registered Nurse Team Leads (RN Clinical Nurse IV) across the state, from the mountains to the coast. In... .... Units: Units with opportunities include Acute Care, Labor & Delivery, Emergency Department, Surgical Services...Full timeRelocation package
- ...comprehensive training, and compassionate care. UVA Health is an... ...1 trauma center, a level IV NICU, the first NCI-designated... ...of primary and specialty care clinics throughout Virginia. UVA Health... ...School of Medicine, UVA School of Nursing, UVA Claude Moore Health...Live inLocal areaRelocationRelocation package
$28.59 - $41.09 per hour
...RN Clinical Nurse II (Level 4 ICU Nurse) - Staffing Response Team Become... ...being an essential part of every care team? If so, our Staffing... ...medsurg. Medical Surgical Intensive Care Unit (MSICU) Cardiovascular... ...0 AM. Teammates at the Level IV status must meet the...Hourly payDaily paidFlexible hoursShift workNight shiftWeekend work- ...A major healthcare provider in North Carolina is seeking Registered Nurse Team Leads (RN Clinical Nurse IV) to serve as nursing Team Leaders. Responsibilities include providing education and oversight to nursing staff in various settings, from urban to rural areas. Ideal...Relocation package
- ...Registered Nurse Team Leads (RN Clinical Nurse IV) In these positions, you will serve as a nursing Team Leader, providing education, training, and oversight... ..., Smithfield; UNC Health Caldwell, Lenoir. Units Acute Care, Labor & Delivery, Emergency Department, Surgical...Full timeTrial periodRelocation package
- ...UNC Health seeks a Registered Nurse Team Lead (RN Clinical Nurse IV) in North Carolina. In this role, you will lead a nursing team, providing crucial... ...relocation assistance and a commitment incentive. Join a dynamic team dedicated to quality patient care. #J-18808-Ljbffr...Relocation package
- ...divh2Clinical Nurse/h2pThe Clinical Nurse is responsible for providing total comprehensive nursing... ...the implementation of a plan of care. The plan is based upon the patients... ...care. The highly specialized Level IV Neonatal Intensive Care Nursery (NICU) offers 48 patient...Immediate start
- ...Overview The Clinical Nurse is responsible for providing total comprehensive nursing to patients and their families through the implementation of a plan of care. The plan is based upon the patient's developmental and health care needs identified through the assessment...
$34.22 - $48.38 per hour
...verify any critical information before relying on it. RN Clinical Nurse II and RN Clinical Nurse IV (Team Lead) - Labor & Delivery OR UNC Health Rex in... ...) Schedule: Full-time UNC REX Labor and Delivery OR cares for patients during labor, delivery and recovery post-...Hourly payFull timePrivate practice- ...RN Clinical Nurse II - 5HV Cardiovascular Surgery Stepdown Become part of an inclusive organization... ...This stepdown unit specializes in the care of structural heart, cardiac and... ...designed for patients who have moved out of intensive care but need more frequent observation...
$38.51 - $58.82 per hour
...and well-being of the unique communities we serve. Summary The Clinical Nurse IV practices at the level of an expert practitioner of nursing... ...Publishing Company. The nurse at this level demonstrates expertise in caring for patients with multiple and complex problems. In addition...Hourly payFull timeImmediate startShift workNight shift- ...ANIA NY Tri-State Chapter at UNC Health Rex is looking for RN Clinical Nurse II and RN Clinical Nurse IV (Team Lead) in Labor and Delivery OR in Raleigh, NC. The roles involve providing high-quality care for patients during labor and recovery, as well as working collaboratively...Full time
$33.88 - $47.91 per hour
Position RN Clinical Nurse II - 4HV Cardiovascular Intensive Care Unit (CICU), UNC Health Care, Raleigh, NC. About the Unit 20‑bed CICU on 4th floor of Heart and Vascular Hospital. Treats patients after non‑surgical cardiac procedures or acute myocardial infarction, unstable...Hourly payFull timeRelocation package$38.51 - $58.82 per hour
...friendly, professional, and highly skilled nurse with pediatric experience and a... ...multidisciplinary teams. Preferred Clinical Skills Phlebotomy Peripheral IV (PIV) insertion Central line... ...dedicated to delivering high-quality care and an exceptional patient experience...Hourly payFull timeFlexible hoursShift work$38.51 - $58.82 per hour
...UNC Health Care is looking for a Clinical Nurse IV in Smithfield, NC. This role requires an expert nursing practitioner who will provide clinical leadership, ensure quality patient care, and coordinate interdisciplinary collaboration. Required qualifications include a...Hourly payFull time$34.22 - $48.38 per hour
...A major healthcare provider in Raleigh, NC is seeking a Clinical Nurse II for its Neonatal Intensive Care Unit. This full-time, night shift role involves delivering expert nursing care to critically ill and fragile newborns. With a focus on family-centered care, nurses...Hourly payFull timeNight shift- ...ANIA NY Tri-State Chapter is seeking Registered Nurse Team Leads (RN Clinical Nurse IV) across North Carolina. In these full-time roles, you will oversee... ...while working in diverse units including Acute Care and Labor & Delivery. Candidates must have a BSN, be a licensed...Full timeRelocation package
$1,714 - $1,904 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Raleigh-Durham Region, NC Agency: All Medical Personnel... ...tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast-to-coast. We believe in...Weekly payFull timeContract workLocumImmediate start$1,714 - $1,904 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Raleigh-Durham Region, NC Agency: All Medical Personnel... ...tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast-to-coast. We believe in...Weekly payFull timeContract workLocumImmediate start$48.24 per hour
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Raleigh, NC Agency: Seven Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 3 days x 12 hours Start Date: ASAP About the Position...Hourly payWeekly payDaily paidFull timeImmediate startFlexible hoursShift workNight shift
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