Clinical Nurse II- Concierge Medicine

Durham, NC, USA|Onsite

Job Overview

Employment Type

Full-time

Work Schedule

Day Shifts

Benefits

Health Insurance

Dental Insurance

Paid Time Off

Retirement Plan

Professional development programs

Employee wellness programs

Disability insurance

Job Description

Duke Health is a leading academic health system known for its commitment to compassionate care, impacting the lives of patients, families, and the broader community. Rooted in a culture of innovation and excellence, Duke Health integrates clinical practice, education, and research to improve health outcomes not only in North Carolina but across the nation. The institution exemplifies a mission centered around advancing health together through collaborative efforts and evidence-based care practices. With a vast network that includes hospitals, outpatient clinics, and specialty care centers, Duke Health combines multidisciplinary expertise with patients' needs to deliver high-quality, personalized medical services. The Duke Health Integrated Practice (DHIP) is a prominent part of this network, comprising over 110 primary and specialty outpatient clinics. DHIP enhances the reach of Duke Health’s mission across the state, making healthcare accessible and comprehensive for diverse populations. These outpatient clinics offer services ranging from routine health maintenance to advanced specialty care, supporting patients in managing their health efficiently in ambulatory settings. This commitment extends to fostering a respectful, inclusive work environment where employees' talents are valued and developed.

The Clinical Nurse II position at Duke Signature Care, located in Durham, North Carolina, presents an exciting opportunity for experienced nurses seeking to contribute directly to patient care within a supportive and multidisciplinary outpatient clinical setting. This role is designed for a nurse who can independently plan and provide professional nursing care according to physician orders and established policies, ensuring patient-centered, safe, and evidence-based practices. The Clinical Nurse II will engage in a variety of nursing responsibilities including patient assessment, data analysis, care coordination, and education — all within an ambulatory care environment serving a diverse patient population. Additionally, the nurse will handle patient triage, coordinate medical resources, manage clinical documentation, and collaborate closely with healthcare providers and team members to optimize health outcomes. This role demands a high level of clinical proficiency, critical thinking, and communication skills, as well as a commitment to professional development. The position offers a Monday through Friday daytime schedule with no weekends or Duke-designated holidays, providing an excellent work-life balance. Duke’s renowned supportive culture and emphasis on continuous improvement make this a rewarding position for RN professionals who are passionate about primary care and ambulatory settings. Candidates must hold current or compact RN licensure in North Carolina, possess BLS certification, and have at least two years of clinical experience, preferably in areas such as adult medical/surgical, emergency department, critical care, cardiac care, or ambulatory care within the past five years. The role also encourages nurses without a BSN degree to pursue further academic advancement, underscoring Duke Health’s dedication to workforce education and excellence. Joining Duke Health means becoming part of a diverse, collaborative community committed to a culture of equity and belonging and delivering transformative healthcare experiences.

Job Requirements

Graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program
2+ years of clinical experience
Adult Medical/Surgical, ED, Critical Care, Cardiac or previous Ambulatory Care experience preferred within the last 5 years
Current or compact RN licensure in the state of North Carolina
BLS certification
Ability to perform physical and cognitive job functions
Ability to work Monday-Friday day shift schedule with no weekends or Duke designated holidays
Willingness to participate in continuing education and professional development
Ability to maintain compliance with DUHS and DHIP policies and regulatory requirements

Job Qualifications

Graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program
2+ years of clinical experience
Adult Medical/Surgical, ED, Critical Care, Cardiac or previous Ambulatory Care experience with the last 5 years preferred
Must have current or compact RN licensure in the state of North Carolina
BLS required
Effective communication skills
Proficiency in electronic health record documentation
Ability to work independently and as part of a multidisciplinary team
Strong critical thinking and patient assessment skills
Commitment to ongoing professional development
Ability to delegate and supervise unlicensed assistive personnel

Job Duties

Participate in daily huddles with providers and clinical team to coordinate patient care needs
Plan, provide and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures
Perform patient assessment on intake and documentation utilizing double identifiers including reason for visit, vital signs, medication reconciliation, falls risk, goals, learning assessment, PHQ2/9, SDOH, patient screening for immunizations, and appropriate forms
Participate in own professional development by maintaining required competencies, assessing learning needs, and continuing education as required by the NCBON or other certification agencies
Maintain current knowledge of policies and procedures set forth by DUHS/DHIP, other regulatory agencies, and those that are clinic specific
Assist/chaperone provider with procedures such as pap smear, breast/rectal exams, shave biopsy, intra-articular injection/aspiration
Collect and analyze patient data, make recommendations for nursing care plans, evaluate nursing care provided, document and communicate appropriately nursing actions taken and patient responses
Address staff messages, patient prescription refill requests, patient calls, prior authorizations, faxing, etc. during work shift
walk-in and telephone patient triage when needed
Perform EKGs, ear lavage, administer medications (PO, IM, ID, SQ, topical, inhalation), immunizations, nebulizer treatments, suture removal, wound dressings and pulse oximetry as needed
Perform PIV insertion for patient hydration and urinary catheterization as ordered by provider
Perform checks and maintain clinic logs for equipment, supplies, medication, refrigerators, and run controls in accordance with appropriate policy
Clean exam rooms, stock, check for expiration dates, and document on appropriate log
Participate in the identification of clinical, operational and safety related performance improvement opportunities
Monitor inventory and report to assistant nurse manager or nurse manager as appropriate
Maintain orderly work environment by keeping work station clean/tidy, hallways and patient care areas hazard free
Educate the patient, family, or support person regarding medications, treatment plan, plan of care and document within the Electronic Health Record (EHR)
Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources
Participate in clinic and entity level performance improvement activities
Perform phlebotomy, point of care testing, and lab processing in accordance to policy
Delegate task and supervise activities of unlicensed assistive personnel
assist other nursing personnel in the delivery of patient care
support the development of other staff and formal learners
Coordinate patient movement throughout clinic to ensure consultations, procedures, and other forms of care are achieved in a timely manner in accordance with physician orders
Perform other related duties incidental to the work described herein