RN Clinical Nurse Leader - General Medicine

Company: UNC Health
Location: Raleigh
Posted on: March 17, 2026

Job Description:

Description *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. Learn more about our UNC Rex Incentive Program here:https://jobs.unchealthcare.org/pages/unc-rex-incentive-program Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. 3 West – General Medicine 3 West is a 31 bed, general medicine unit. We care for a variety of medical patients with diagnoses that include COPD, diabetes, pneumonia, renal failure, minor neurological disorders, behavioral health, as well as many others. We are that team who can develop young minds and provide a supportive, mentoring atmosphere. . We offer online self-scheduling, exceptional night and weekend shift differentials, and co-worker input on holiday rotations. We support education and work hard to be flexible for those co-workers in school. Several of our bedside staff are masters prepared and 30% are Med/Surg certified nurses. We have several trained preceptors who enjoy guiding co-workers through the learning process, helping to identify progress goals as well as adapting orientation to fit the experience and needs of their trainee. Job Title: Clinical Nurse IV (CNIV) – Medical Inpatient Unit Department: Medical-Surgical Nursing Reports To: Unit Manager Shift: Nights Entity: UNC Rex: 3 West Location: Raleigh, NC Position Summary: The Clinical Nurse IV (CNIV) is an expert-level registered nurse who provides clinical leadership on a medical inpatient unit under the supervision of the Unit Manager. This role encompasses direct patient care, as well as charge nurse responsibilities, patient advocacy, staff mentorship, resource coordination, and quality promotion projects. The CNIV will join 3 West leaders to actively engage with staff to identify and remove patient care barriers and promote a healthy work environment as well as develop staff members by: · Assuming charge nurse responsibilities, managing patient flow, bed assignments, staff assignments, and real-time problem solving. This role includes direct patient care assignments. · Assist with crisis management, de-escalation, and complex decision-making in real-time patient care situations. · Utilize administrative time to complete delegated leadership support tasks in collaboration with the Unit Manager. · Provide on-the-job coaching and feedback to improve staff competency, confidence, and performance Why Join Us? Rex 3 West is a fast-paced, 31-bed complex medicine unit that cares for a diverse mix of patients. As a Clinical Nurse IV, you'll be part of a team that values collaboration, evidence-based practice, and patient-centered care. You'll help shape the next generation of nurses and contribute directly to improving health outcomes for our most medically complex patients. Some additional benefits you’ll enjoy include online self-scheduling and excellent night and weekend shift differentials. Responsibilities: 1. EDUCATION AND PROFESSIONAL DEVELOPMENT - Coordinates, designs and implements educational programs to meet identified learning needs of staff, patients and families. Promotes and ensures staff participation in continuing education, orientation, competency, in-service and staff development offerings. Participates in development and implementation of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in development of and provides clinical expertise for patient education materials. Promotes professional growth of self and staff. Promotes a conducive environment for learning and provides educational experiences for students. 2. EVALUATION - Evaluates patient progress and revises plan accordingly. Maintains accountability for carrying out components of the plan. Works with manager to ensure care on unit is accordance with policies and procedures. 3. IMPLEMENTATION - Promotes an environment that values diversity, open communication, teamwork and exceptional service. Ensures that appropriate care and services are available to patients, clients and families for assigned shift. Facilitates interdisciplinary collaboration in patient/client care planning to achieve desired patient outcomes. Coordinates care with interdisciplinary team members. Demonstrates and role models clinical expertise in specified patient population and shares expertise with other staff. Promotes and ensures the use of the nursing process to provide quality patient care. Assesses and anticipates patient and family learning needs and organizes resources to ensure that they are met. Performs bedside point of care testing as required for patient care plan. 4. LEADERSHIP - Creates and promotes an environment conducive to recruiting and retaining staff. Provides feedback to Manager/Supervisor and Director to assist in hiring, promoting, transferring and terminating staff. Assists Nurse Manager by providing assigned staff with performance feedback and opportunity to set professional goals. Models and promotes behaviors that effectively give continual feedback to staff and colleagues. Integrates best practice standards regarding retention of staff in all aspects of practice. 5. ASSESSMENT - Synthesizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial and educational needs. Synthesizes assessment data into meaningful whole prior to communication with 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. Works with manager to demonstrate specialization needs to serve the patient population. 6. PLANNING - Establishes and promotes standards of excellence for areas of responsibility and ensures consistent implementation by staff. Provides input about trends related to program development, space needs and fiscal realities. Ensures appropriate and adequate clinical staffing and skill mix to meet patient care needs on own shift and upcoming shift. Effectively uses clinical and financial information to assist Nurse Manager to establish and meet budgetary goals. Collaborates with Nurse Manager to implement strategies to increase revenue and cost-effectively manage personnel, supply and equipment resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external regulatory standards are met or exceeded. 7. RESEARCH AND PERFORMANCE IMPROVEMENT - Collaborates with Nurse Manager to evaluate research that is applicable to practice and promotes changes in standards of care as appropriate. Guides research development and implementation. Utilizes resources in asking research questions and applying appropriate research methods. Shares knowledge with colleagues through publication, presentations or other means. Develops, implements and evaluates new and creative approaches to meeting goals. Leads, participates and promotes 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 Rex 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 3 West Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $38.13 - $58.24 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Nights 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 their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. 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 applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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