RN Clinical Nurse IV- 4HV Cardiovascular Intensive Care Unit (CICU)

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. Join a Leading Cardiac Critical Care Team – Make a Lasting Impact. UNC REX Healthcare is seeking a dynamic and experienced Clinical Nurse Team Leader to join our Cardiac Intensive Care Unit (CICU) within the Heart and Vascular division. This specialized unit provides high-acuity care for patients with complex and life‑threatening cardiac conditions, offering an exciting opportunity for nurses ready to expand their leadership impact while maintaining strong clinical involvement. Unit Overview Patient Population: Cardiac Intensive Care Unit specializing in cardiology medicine. Common Cases: STEMI, arrhythmias, decompensated heart failure, cardiomyopathy, cardiogenic shock, and post‑cardiac arrest management. Nurse‑to‑Patient Ratio: 2:1 or 1:1. Role Overview As a Team Leader RN, you will play a key dual role—providing advanced bedside care while supporting the professional development of staff and the operational effectiveness of the unit. This role is ideal for a highly skilled ICU nurse ready to step into leadership while staying closely connected to patient care. Time Allocation: 60% Clinical / 40% Administrative. Clinical Responsibilities Deliver high‑quality direct patient care to a complex cardiac ICU population. Serve as Charge Nurse, leading daily operations, coordinating assignments, and ensuring patient safety. Precept and mentor new nurses, supporting onboarding and clinical development. Act as a clinical resource, modeling best practices and fostering critical thinking. Collaborate with interdisciplinary teams to drive optimal patient outcomes. Support real‑time decision‑making and care planning based on acuity and patient needs. Administrative Responsibilities Support and/or lead performance improvement (PI) and quality improvement (QI) initiatives. Assist in coordinating unit‑based education, competencies, and ongoing training. Conduct staff check‑ins, providing feedback, mentorship, and professional guidance. Perform patient experience rounding to ensure service excellence. Collaborate with leadership on staffing, retention, and culture‑building strategies. Participate in shared governance councils and hospital/unit‑based committees. Assist with payroll, scheduling, and credentialing in partnership with the CICU Manager. Who We're Looking For We’re seeking compassionate, highly skilled nurses with a strong foundation in cardiac critical care and a passion for leadership. Preferred Qualifications 2–5 years of nursing experience in a Cardiac ICU setting. Prior leadership experience (Charge Nurse, preceptor, or similar role preferred). Why UNC REX Healthcare? Part of the UNC Health system, recognized for excellence in cardiac care. Work in a high-acuity, specialized ICU environment. Opportunities for leadership development, certification support, and career growth. Collaborative, team‑oriented culture focused on innovation and patient‑centered care. Responsibilities Education and Professional Development Coordinate, design and implement educational programs to meet identified learning needs of staff, patients and families. Promote and ensure staff participation in continuing education, orientation, competency, in‑service and staff development offerings. Participate in development and implementation of competency initiatives. Serve as an area of specialty consultant in the design of educational programs. Participate in development of and provide clinical expertise for patient education materials. Promote professional growth of self and staff. Promote a conducive environment for learning and provide educational experiences for students. Evaluation Evaluate patient progress and revise plan accordingly. Maintain accountability for carrying out components of the plan. Work with manager to ensure care on unit is accordance with policies and procedures. Implementation Promote an environment that values diversity, open communication, teamwork and exceptional service. Ensure that appropriate care and services are available to patients, clients and families for assigned shift. Facilitate interdisciplinary collaboration in patient/client care planning to achieve desired patient outcomes. Coordinate care with interdisciplinary team members. Demonstrate and role‑model clinical expertise in specified patient population and share expertise with other staff. Promote and ensure the use of the nursing process to provide quality patient care. Assess and anticipate patient and family learning needs and organize resources to ensure that they are met. Perform bedside point of care testing as required for patient care plan. Leadership Create and promote an environment conducive to recruiting and retaining staff. Provide feedback to Manager/Supervisor and Director to assist in hiring, promoting, transferring and terminating staff. Assist Nurse Manager by providing assigned staff with performance feedback and opportunity to set professional goals. Model and promote behaviors that effectively give continual feedback to staff and colleagues. Integrate best practice standards regarding retention of staff in all aspects of practice. Assessment Synthesize data from complex situations to determine priorities for care. Include appropriate physical, psychosocial and educational needs. Synthesize assessment data into meaningful whole prior to communication with others. Assess and anticipate discharge needs of individual patients and families. Develop relationships with families that promote their ability to advocate for the patient and their own needs. Work with manager to demonstrate specialization needs to serve the patient population. Planning Establish and promote standards of excellence for areas of responsibility and ensure consistent implementation by staff. Provide input about trends related to program development, space needs and fiscal realities. Ensure appropriate and adequate clinical staffing and skill mix to meet patient care needs on own shift and upcoming shift. Effectively use clinical and financial information to assist Nurse Manager to establish and meet budgetary goals. Collaborate with Nurse Manager to implement strategies to increase revenue and cost‑effectively manage personnel, supply and equipment resources. Evaluate the impact of strategic fiscal changes on quality outcomes. Assist Nurse Manager to ensure that internal and external regulatory standards are met or exceeded. Research and Performance Improvement Collaborate with Nurse Manager to evaluate research that is applicable to practice and promote changes in standards of care as appropriate. Guide research development and implementation. Utilize resources in asking research questions and applying appropriate research methods. Share knowledge with colleagues through publication, presentations or other means. Develop, implement and evaluate new and creative approaches to meeting goals. Lead, participate and promote performance improvement initiatives that focus on identified patient safety or quality of care opportunities. Other Information 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 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. Job Details Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex CICU 4HV Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $38.51 - $58.82 per hour (Hiring Range) Pay offers are determined by experience and internal equity. Work Assignment Type: Onsite Work Schedule: Variable Location of Job: US:NC:Raleigh Exempt From Overtime: Exempt: No Equal Employment Opportunity Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. #J-18808-Ljbffr UNC Health