RN Clinical Nurse IV - Cardiac Intermediate Care

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.

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 Cardiac Care Team – Make a Lasting Impact

UNC REX Healthcare is seeking a dynamic and experienced Clinical Nurse Team Leader to join the 7th Floor Cardiac Intermediate Care Unit located within the Heart and Vascular Hospital. This 24-bed unit specializes in intermediate-level care for adult and geriatric patients with complex cardiac conditions, including heart failure, dysrhythmias, myocardial infarctions, and pre-/post-cardiac and vascular procedures.

If you're passionate about providing high-quality cardiac care and mentoring nursing staff in a collaborative and patient-centered environment, this leadership role could be your next career move.

Unit Overview

• Patient Population: Complex cardiac and vascular patients with multiple co-morbidities
• Common Cases: Heart failure, arrhythmias, MIs, cardiac procedures, and high-risk medical patients with cardiac history
• Nurse-to-Patient Ratio: 4:1
• Technology: GE bedside monitors, dedicated room computers, 24/7 rhythm surveillance via Telemetry Command Center

Role Overview

As a Team Leader RN, you will play a key dual role—providing advanced bedside care and supporting the professional development and operational effectiveness of the unit. This position is ideal for a highly skilled nurse looking to grow in leadership while maintaining a strong clinical presence.

Time Allocation:Approximately70% Clinical/30% Administrative

Clinical Responsibilities (Approximately 70%)

• Deliver high-quality direct patient care to a complex cardiac patient population.
• Serve as Charge Nurse, leading daily operations, coordinating team assignments, and ensuring patient safety.
• Precept and mentor new nurses, supporting their onboarding and clinical development.
• Act as a clinical resource, modeling best practices and supporting critical thinking at the bedside.
• Promote collaboration with interdisciplinary teams to support optimal patient outcomes.
• Support real-time decision-making and care planning based on patient needs and unit acuity.

Administrative Responsibilities (Approximately 30%)

• Participate in shared governance councils and hospital/unit-based committees.
• Support and/or lead performance improvement (PI) and quality improvement (QI) initiatives that enhance patient safety and outcomes.
• Assist in coordinating and delivering unit-based education, competency development, and ongoing training needs.
• Conduct staff check-ins, offering feedback, mentorship, and guidance to promote professional growth and engagement.
• Perform patient experience rounding to ensure patient satisfaction and service excellence.
• Collaborate with leadership on staffing, retention strategies, and culture-building initiatives.

This role offers a unique opportunity to shape patient care and nursing practice through a blend of clinical expertise and leadership. You'll be instrumental in fostering a positive team culture, advancing unit-based goals, and mentoring the next generation of nurses.

Who We're Looking For

We're seeking compassionate, skilled nurses who bring clinical experience and a commitment to high-quality care.

Preferred Qualifications:

• 2-5 years of nursing experience in an Cardiac Intermediate Care setting
• Prior experience Leadership experience

Why UNC REX Healthcare?

• Part of the UNC Health system – recognized for excellence in cardiac care and nursing leadership
• State-of-the-art technology and facilities
• Opportunities for professional growth, certification support, and continuing education
• Supportive work culture focused on teamwork, compassion, and innovation

Be part of a high-performing team that's redefining cardiac care. Apply Today!

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 ensures the use of the nursing process to provide quality patient care. Assesses and anticipates patient and family learning needs and organizes resources to ensure that they are met. Performs bedside point of care testing as required for patient care plan.4. LEADERSHIP - Creates and promotes an environment conducive to recruiting and retaining staff. Provides feedback to Manager/Supervisor and Director to assist in hiring, promoting, transferring and terminating staff. Assists Nurse Manager by providing assigned staff with performance feedback and opportunity to set professional goals. Models and promotes behaviors that effectively give continual feedback to staff and colleagues. Integrates best practice standards regarding retention of staff in all aspects of practice.5. ASSESSMENT - Synthesizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial and educational needs. Synthesizes assessment data into meaningful whole prior to communication with others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs. Works with manager to demonstrate specialization needs to serve the patient population.6. PLANNING - Establishes and promotes standards of excellence for areas of responsibility and ensures consistent implementation by staff. Provides input about trends related to program development, space needs and fiscal realities. Ensures appropriate and adequate clinical staffing and skill mix to meet patient care needs on own shift and upcoming shift. Effectively uses clinical and financial information to assist Nurse Manager to establish and meet budgetary goals. Collaborates with Nurse Manager to implement strategies to increase revenue and cost-effectively manage personnel, supply and equipment resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external regulatory standards are met or exceeded.7. RESEARCH AND PERFORMANCE IMPROVEMENT - Collaborates with Nurse Manager to evaluate research that is applicable to practice and promotes changes in standards of care as appropriate. Guides research development and implementation. Utilizes resources in asking research questions and applying appropriate research methods. Shares knowledge with colleagues through publication, presentations or other means. Develops, implements and evaluates new and creative approaches to meeting goals. Leads, participates and promotes performance improvement initiatives that focus on identified patient safety or quality of care opportunities.

Education Requirements:● Graduate of Accredited Nursing Program. Bachelor's degree (BSN) required.Licensure/Certification Requirements:● Must have NC RN Licensure and BCLS. Professional certification relevant to the practice area and on the ANCC Magnet approved list within the probationary period of employment.Professional Experience Requirements:● Minimum of one year experience working as a licensed RN.Knowledge/Skills/and Abilities Requirements:● Language Skills: Ability to read, analyze, and interpret clinical information and technical procedures. Ability to document clinical information. Ability to effectively communicate information and respond to questions from patients, physicians, family members, and other Rex staff. Mathematical Skills: Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions.

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Rex 7 HV/Cardiac Unit

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $38.13 - $58.24 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Night Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email View email address on click.appcast.io if you need a reasonable accommodation to search and/or to apply for a career opportunity.