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About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Nurse Manager of Operations – 2300, 4100, 7800, 8200

Schedule: Evening/Night Shift

Duke University Health System seeks to hire a Nurse Manager of Operations who will embrace our mission of Transforming Lives Transforming Care. This position will manage the Adult Medicine Stepdown, Pulmonary Medicine Stepdown, and General Medicine Stepdown Units.  

The Adult General Medicine Stepdown Units (2300) consist of 47 beds divided between two adjacent units, providing exceptional care for patients with complex medical diseases, including cardiac, pulmonary, liver, renal, sickle cell, diabetes, infectious diseases, wound care, med-psych, and GI. Unit 4100 is an adult medicine stepdown unit with 16 beds, offering exemplary care for patients with conditions such as sepsis, sickle cell, GI bleed, end-stage renal failure, diabetes, cirrhosis, and behavioral health disorders. The Pulmonary Medicine Stepdown Unit (7800) has 28 beds, including 6 ventilator beds, catering to patients with advanced lung diseases like ALS, pulmonary hypertension, cystic fibrosis, pre- and post-lung transplant conditions, and idiopathic pulmonary fibrosis, as well as various other medical conditions. The newly renovated General Medicine Stepdown Unit (8200) comprises 16 beds, where the nursing staff provides exemplary care for patients with complex diagnoses such as stroke, heart failure, pneumonia, sepsis, liver/kidney failure, BKAs/AKAs, diabetes, GI bleed, sickle cell, rheumatic disorders, psychiatric, and behavioral health disorders.

Job Summary

Manage and supervise functions of assigned patient care area on a 24 hour basis; ensure effective delivery of clinical patient care and compliance with administrative and clinical policies and procedures.

What you will do:

• Participate in the development of the clinical areas' strategic and operational plans
• Actively support and promote a professional practice model that encourages staff participation in the development of clinical standards that is collaborative, collegial and utilizes current trends and data in professional practice (clinical and administrative). Openly support and consistently communicate mission of the unit/department and the organization. Serve as the collective voice for unit(s) staff to communicate with administration. Serve as the staff and patient advocate to ensure optimal patient care.
• Interface with patients and families to ensure that care is consistent with their expectations. Ensure active use of the nursing process for patients from pre-admission/admission to discharge and beyond (based on the clinical setting). Serve as a professional role model and mentor to staff by responding positively to change while supporting colleagues through the change process. Serve as a change agent to facilitate communication and transition that supports the mission of the organization.
• Ensure a unit-based work force that is diverse and cognizant of the value diversity brings to the workplace.
• Assure coordination/participation of unit based staff on department and organization wide councils/committees. Manage, supervise and coordinate delivery of patient care for assigned patient care area on a 24 hour basis. Ensure compliance with clinical patient care standards and established policies and procedures.
• Maintain clinical competencies for assigned clinical area and provides bedside care as needed. Assess/coach and evaluate staff level of practice. Develop programs that foster continued clinical development from novice to expert to positively impact on patient care and career satisfaction of staff.
• Maintain required unit records, reports and statistics for administrative purposes, ensures compliance with established hospital policies, procedures, objectives, quality control (POCT); PI, safety, environmental and infection control. Communicate requirements to staff, and hold staff accountable to established requirements. Coordinate the development, implementation and evaluation of policies and procedures designed to improve operational efficiency. Coordinate QC/PI activities with appropriate staff.
• Oversee various personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
• Plan, schedule and organize work for group ensuring proper distribution and delegation of assignments and efficient utilization of personnel, space and facilities; overall accountability for the requisition, care and maintenance of unit inventory, equipment and supplies.
• Coordinate the activities of nursing staff with other hospital personnel; accountable for the effective and efficient operation of the unit and staff including ensuring that orders, treatments, plans of care, clinical pathways are being carried out in a manner supportive of patient care and recovery. Ensure documentation of patient care is complete and accurate in accordance with hospital and unit policies and procedures.
• Collaborate with the Director of Clinical Operations to determine fiscal requirements of assigned unit(s), and prepare budgetary recommendations. Monitor the level of resources utilized in service delivery and determines the appropriateness of resource consumption in the service. Develop action plans in conjunction with the Director of Clinical Operations to ensure budget and resource efficiency, and satisfaction with patient care delivery.
• Perform other related duties incidental to the work described herein.
• Round on units twice per shift to include stat sheeting with Charge RN. Review units’ Zero Harm profiles and support Charge RN to resolve. Review units’ priority discharges; ensure teed up for discharge; escalate barriers via CareHub expeditor.
• Assist with bedflow management.
• Assist with escalations (EVS, Supply Chain, DP/DVs, etc.) during off hours. Update Tier 2 board.
• Provide education and in-services for rollouts, product changes, new policies/processes, etc.
• Attend Tier 1 huddles on a rotating basis
• Monitor unit process metrics and update docs on Area Improvement Center
• Assist with onboarding (creating orientation schedules, rounding on preceptors/orientees, etc.)
• Onboard staff
• Support corrective action and employee performance management
• Participates in RRTs, BRTs, Codes, Fall huddles, VOV huddles, etc
• Provide direct patient care to facilitate patient flow when MSCC is at Capacity Level 3

What you will need:

Education

• Bachelor's degree in Nursing is required. Master's degree in Nursing strongly preferred.

Experience

• Three years of nursing experience is required.

Degrees, Licensure, and/or Certification

• Must have current or compact RN licensure in the state of North Carolina.
• BCLS certification required.

Knowledge, Skills, and Abilities

• N/A

Job Title: NURSE MANAGER, OPERATIONS
Job Code: 5062
FLSA: E
Job Level: I2
Revised Date: 04/01/2024
Supervisory Responsibility: Yes

Duke University 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.