Clinical Nurse IV Leader- Neurosciences-Outpatient
Duke University
Clinical Nurse IV Leader-Neurosurgery
Work Arrangement: On-Site Requisition Number: 275456 Regular or Temporary: Regular Location: Morrisville, NC, US, 27560 Personnel Area: DUKE HEALTH INTEGRATED PRACTIC Date: Oct 14, 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. Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.
JOB LOCATION
Duke Neurosurgery 10950 Chapel Hill Road Morrisville, NC
JOB SUMMARY
We are seeking a CLINICAL NURSE IV at Duke Neurosurgery, located in Morrisville, NC. The Clinical Nurse IV Leader (CNIV) for the Neurosciences Morrisville clinic is a dual role position which provides leadership support as well as professional nursing care for clinic patients. The CNIV must demonstrate strong and positive leadership, clinical, and interpersonal skills. Leadership responsibilities include providing leadership support to staff, physicians, and other related providers on clinical matters. Responsibilities include but are not limited to supervising, directing, coaching and mentoring clinical staff under the supervision of the Practice Administrator. The CNIV serves as the clinic leader when leadership is unavailable and works collaboratively with all levels of leadership on clinical and non-clinical operations. When supporting direct patient care, the CNIV will perform tasks in accordance with the medical and nursing plans of care, established policies and procedures, and in accordance with the scope of a RN as defined by the North Carolina Board of Nursing.
JOB DUTIES AND RESPONSIBILITIES
Manage nursing services delivered within the clinic, including specialized testing and procedures specific to Neurology, and ensure scope of practice compliance with nursing services. Delegate tasks to nursing and UAP teams. Plan, provide and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures. Manage various personnel actions including, but not limited to hiring, orientation, performance appraisals, and provision of formal corrective action. Coordinate staff schedule assignments to ensure appropriate coverage support is available to providers and patients across clinical operations. Cultivate exemplary customer service throughout the organization; promote effective communication skills to include, but not limited to problem solving, assertiveness, and support for team members, feedback, active listening and conflict resolution. Assess the environment and make recommendations to ensure optimal patient comfort, safety and compliance with various regulatory bodies (OSHA, JCAHO, etc.). Participate in clinic or entity level performance improvement activities. Assist HCA in determining fiscal requirements for the clinic; including but not limited to budget recommendations specific to nursing personnel and patient care materials necessary for the provision of care. Provide oversight and direction over clinical operations in the absence of the HCA; and be available on-call for emergencies involving the facility, staff members and patients. Perform other related duties incidental to the work described herein.
JOB ELIGIBILITY REQUIREMENTS
Work requires graduation from an accredited nursing program with a BSN degree. Three years of experience required. Clinical Nurse II and III are eligible to apply for the CN IV Leader role. Applicants will perform the duties and responsibilities of the CN IV. Must have current or compact RN licensure in the state of North Carolina. BLS 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 ideasan 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 our 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.
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