RN Clinical Nurse II (Per Diem) - 7 HV Cardiac Medicine

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.

Why Join UNC Health REX - 7 HV Cardiac Medicine Unit?

At UNC Health REX, we're committed to delivering exceptional, patient-centered cardiac care. The 7 HV Cardiac Medicine Intermediate Care Unit , located on the 7th floor of the Heart and Vascular Hospital , is a 24-bed intermediate care unit serving adult and geriatric patients with complex cardiac conditions and multiple co-morbidities.

This unit is ideal for nurses who thrive in a fast-paced, high-acuity environment and are passionate about cardiac medicine, teamwork, and professional growth.

Unit Overview

The 7 HV Cardiac Medicine Unit provides intermediate-level care for patients with:

• Heart failure
• Dysrhythmias
• Myocardial infarctions
• Pre- and post-cardiac and vascular procedures
• Medical patients with significant cardiac histories and complex co-morbidities

Each patient room is equipped with GE bedside monitors and in-room computers , supporting advanced monitoring and real-time documentation.

Care is delivered through a collaborative, interdisciplinary team model , including Clinical Nurses, APPs, physicians, pharmacists, care managers, chaplains, patient care technicians, unit secretaries, and specialized telemetry technicians in the Telemetry Command Center , who provide continuous rhythm surveillance and clinical support.

Key Responsibilities

As a Clinical Nurse II on the 7 HV Cardiac Medicine Unit, you will:

• Provide comprehensive, evidence-based nursing care to adult and geriatric patients with complex cardiac conditions
• Assess, monitor, and manage patient status , including cardiac rhythms, hemodynamics, and response to treatment
• Care for patients pre- and post-cardiac and vascular procedures , as well as those admitted for medical cardiac conditions
• Administer medications and treatments safely , including cardiac drips and therapies, in accordance with policies and protocols
• Collaborate closely with physicians, APPs, pharmacists, and interdisciplinary team members to develop and implement individualized plans of care
• Educate patients and families on disease processes, medications, lifestyle modifications, and discharge planning
• Recognize and respond promptly to changes in patient condition , escalating care as appropriate
• Document patient assessments, interventions, and outcomes accurately in the electronic health record (EHR)
• Serve as a clinical resource and mentor to peers, contributing to unit-based education and quality initiatives

What You'll Love About Working Here

• A supportive, team-oriented culture that values collaboration, shared governance, and mentorship
• Exposure to a wide range of cardiac conditions in an intermediate care setting
• Strong emphasis on evidence-based practice, patient safety, and quality improvement
• Opportunities for professional development , clinical advancement, and specialty certification
• Daily collaboration with expert cardiac clinicians in a state-of-the-art Heart and Vascular Hospital

Summary:

Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.

Responsibilities:
1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to 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.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.

Other Information

Other information:
Education Requirements:
• Graduation from a school of professional nursing.
Licensure/Certification Requirements:
• Licensed to practice as a Registered Nurse in the state of North Carolina.Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
• One (1) year of relevant and current experience required
Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Rex 7 HV/Cardiac Unit


Work Type: Per Diem

Standard Hours Per Week: 4.00

Salary Range: $34.22 - $48.38 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

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 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. 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.