Duke University Hospital

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

Duke University Health System

Duke University Health System has three acute- care hospitals. In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers across North Carolina and other states.  This position in conjunction with the Nurse Manager will lead two unique programs: Duke Internal Traveler Program and the Central Staffing Program

Duke Internal Traveler Program

The Duke Internal Traveler Program is composed of RNs that have been hired to function as Internal Traveler RNs that rotate within their specialty across DUH, DRH, and DRAH by fulfilling 12-week assignments that would normally be filled by external traveler RNs. This is a specialty team of RNs that are known for their ability to deliver competent care and their adaptability to an assigned unit. The Assistant Nurse Manager is critical in recruitment, retention and development of Duke ITP RNs. 

Duke Central Staffing Program

The Duke Central Staffing Program manages the assignment of the Float Pool labor resources (Nursing Assistants, Behavioral Health Technicians and Patient Safety Attendants) to meet the mandatory and non-mandatory sitter needs of patients spanning every 24-hour period for DUH, DRH, and DRAH. The Central Staffing Program is responsible for recording all staff call-outs for the nursing units. The Assistant Nurse Manager is essential to accurate and efficient daily operations performed by the Central Staffing Program staff to ensure delivery of safe patient care across the Duke Health System. 

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Job Summary

The Assistant Nurse Manager of the Central Staffing Program and the Duke Internal Traveler Program (Duke ITP) is a unique nurse leadership position of two distinct programs with a scope of service that serves Duke University Hospital (DUH), Duke Regional Hospitals (DRH), and Duke Raleigh Hospital (DRAH). The Assistant Nurse Manager is pivotal to collaborating with other nurse leaders to leverage labor resources and assisting with controlling labor cost across Duke Health to support the delivery of safe, quality patient care.

The Assistant Nurse Manager, RN (ANM) is a role developed to work in coordination with the nursing leadership in an assigned unit, department or service to ensure the work is accomplished safely and effectively. The ANM serves as leadership support for staff, physicians and other related providers on service- specific clinical issues. The ANM requires demonstration of leadership, clinical, and interpersonal skills. The ANM collaborates with the manager on clinical and non-clinical operations related to the designated service area. The ANM serves as the leader support for the unit/department/service when the manager is unavailable. The ANM is responsible for supervising, directing, coaching and mentoring staff under the supervision of the nurse manager of operations (NMO).

Duties and Responsibilities of this Level

Duties and responsibilities include those required of the clinical nurse, preceptor, and charge nurse role. In conjunction with nurse manager, the assistant nurse manager will plan, coordinate clinical requirements for staff and ensure all CBO and CBE requirements for staff are current.

Plan and assist with coordination of unit staff schedules and submit for manager approval.

Coordinate clinical training requirements with staff regarding equipment and supplies.

Consult with preceptors and orientees on a regular basis to provide support and determine how orientation should proceed on an individual basis.

Assist NMO in preparation, oversight, maintenance and monitoring of budget utilization

Collaborate with the manager for issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach.

Collaborate with different departments (pharmacy, radiology, lab, registration) to resolve issues and improve work flow processes throughout the department.

Participate with the nurse manager in the interview process and selection of new staff.

Oversee various personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.

Mentor/coach staff to enhance their professional development.

Assess the performance of assigned new hires and orientees including entry level nurses, nursing care assistants and health unit coordinators; provides ongoing feedback and coaching.

Understand and communicate potential clinical equipment or supply issues to appropriate support team members (Materials, Biomed, Sterile Processing, etc.).

Mentor and monitor the preceptors for all new employees.

Facilitate provision of clinical/education updates and skill check-offs to entire staff on a regular basis.

Provide immediate support or education on policy, procedures, equipment and supplies as needed.

Responsible for learning, implementing and teaching new technology/procedures.

Provide clinical consultation and guidance as needed to facilitate patient care.

Round on patient and families to validate services are provided consistently within expected standards; provide service recovery as needed.

Model and support the value of diversity in the workplace

Give assistance and/or direction to staff to facilitate quality patient flow.

Supervise and coordinate delivery of patient care for assigned patient care area.

Provide oversight and support to charge nurse to ensure staffing needs/assignments are made according to workload, staff competency and scope of practice. Delegate responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift.

Facilitate participation of unit based staff on department and organization wide councils/committees.

Facilitate assignments that support learning for the orientee or nurse learner.

Promote an atmosphere of open communication that facilitates staff input into decision-making, resolution of conflict, and collegiality among all health team members.

Communicate in an effective, professional manner.

Support activities needed to ensure adherence to regulatory standards and compliance with clinical patient care standards and established policies and procedures.

Review and provide appropriate follow up/communication on SRSs related to their team or patients in conjunction with NMO.

Facilitate and encourage staff participation in departmental and hospital committee and council meetings.

Attend departmental and hospital committee meetings as assigned.

Coordinate, facilitate, participate or direct departmental projects with follow-through and appropriate follow-up.

Other projects and duties as directed by the department manager.

Minimum Qualifications

Education

Bachelor of Science degree in Nursing required.

Experience

Three years of experience in nursing practice

Degrees, Licensures, Certifications

Must have current or compact RN license in the State of North Carolina. BCLS certification is required. Must obtain a nursing leadership certification within two years of hire of appointment.

Duke is an Affirmative Action/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, sexual orientation, or veteran 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.

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About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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