Registered Nurse (RN) - General Medicine Stepdown

Work Arrangement: Requisition Number: 264365 Regular or Temporary: Regular Location: Durham, NC, US, 27710 Date: Mar 4, 2026 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. 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) – Duke University Hospital – General Medicine Stepdown (Unit 2100) Commitment Bonus is available for Experienced RNs! Relocation for eligible Experienced and New RNs Up to $25,000 nursing loan forgiveness Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together. The General Medicine Stepdown (Unit 2100) is a newly renovated unit comprised of 16 beds. Our team of nursing staff provides exemplary care for a variety of complex patients with varying diagnoses such as stroke, heart failure, pneumonia, sepsis, liver/kidney failure, BKAs/AKAs, diabetes, GI bleed, sickle cell, rheumatic disorders, psychiatric, and behavioral health disorders. Department Highlights: RN to Patient Ratio is 1:4 A brand new, renovated unit! Lots of opportunity to grow and advance in your career as an Assistant Nurse Manager, preceptor, charge nurse, create committees, etc. You will be part of shaping the unit's culture and personality. Phenomenal teamwork, multi-disciplinary collaboration, and professional respect – we offer a dynamic environment for lateral professional development. 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. This unit is part of Duke University Hospital's innovation initiative, designed to redefine care delivery by integrating cutting‑edge technologies that enhance patient outcomes, streamline workflows, and improve operational efficiency. Units 2100, 3100, and 4100 at Duke North are piloting smart room capabilities, automated signage, and virtual access for care teams and families. Future enhancements include predictive tools for fall prevention and ambient listening for documentation. Staff fosters a culture of innovation and continuous improvement, collaborating across departments to explore solutions like expedited medication delivery, all aimed at improving the patient experience and reducing length of stay. What you will do: 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 New Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes and the completion of a unit‑focused project. Experienced Nurses: 4 – 6 weeks of paid orientation depending on level of experience. 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 Grant Nursing Specialty Certification Bonus Employee Referral Bonus Performance Increases Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan, and much more. What you will need: Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate’s Degree in Nursing, or Nursing Diploma program. All registered nurses 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. We do offer Tuition Assistance. Licensure and Certification Required: Current registration with the North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina is 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. Nearest Major Market: Durham Nearest Secondary Market: Raleigh #J-18808-Ljbffr