RN Clinical Nurse-II - ED Clinical Decision Unit

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:

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.

Unit Overview

The Clinical Decision Unit (CDU) is an 8-bed observation area located within the Emergency Department, designed for patients who require short-term treatment and monitoring. Utilizing evidence-based protocols and staffed by advanced practice providers, the CDU delivers efficient, high-quality care in a focused setting.

With an average patient stay of 16 hours and approximately 80% of patients discharged directly from the unit , nurses can provide individualized, meaningful care in a well-supported and manageable environment.

Job Overview

As a Clinical Nurse in the CDU, you’ll play a key role in caring for patients needing timely evaluation and short-term observation. This role includes comprehensive nursing responsibilities—assessment, planning, implementation, and evaluation of patient care—in a fast-paced but structured setting.

It's a great opportunity to expand your emergency department (ED) skill set while maintaining a balanced workload and work-life harmony.

We’re seeking compassionate, skilled nurses who bring clinical experience and a commitment to high-quality care.

Preferred Qualifications:

• 1–2 years of nursing experience in an Emergency Department, acute med-surg, or intermediate care setting

• Telemetry experience (training available if needed)

• Prior experience in a Clinical Decision Unit (CDU) is a plus

• Schedule:
  
  
  
  • 36 hours per week, 12 hour shifts (shift options will be discussed at time of interview) holiday requirements will be on a track scheduling system.

Why Join the CDU Team?

• ???? Personalized Patient Care – Enjoy a 1:4 nurse-to-patient ratio that supports deeper connections and high-quality care.

• ???? Skill Development – Enhance your emergency medicine expertise in a supportive, fast-paced environment.

• ?? Balanced Work Environment – Engage in emergency care without the unpredictability of a full ED setting.

• ???? Professional Flexibility – Opportunities for cross-training in the main Emergency Department to grow your career.

Ready to Make an Impact?

If you're looking for a role that values your experience, supports your growth, and empowers you to deliver exceptional care, we’d love to hear from you.

Apply today and become a valued member of our outstanding CDU nursing team!

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.
? If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
Licensure/Certification Requirements:
? Licensed to practice as a Registered Nurse in the state of North Carolina.
? Basic Life Support (BLS) for Healthcare Provider certification. Advanced Cardiovascular Life Support (ACLS) certification preferred.

Professional Experience Requirements:

? One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: 2 East

Work Type: Full Time

Standard Hours Per Week: 36.00

Salary Range: $33.88 - $47.91 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 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 (email protected) if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Our Mission

Our mission is to improve the health and well-being of North Carolinians and others whom we serve. We accomplish this by providing leadership and excellence in the interrelated areas of patient care, education, and research.

Who We Are

UNC Health is a not-for-profit integrated healthcare system owned by the state of North Carolina and based in Chapel Hill. With 15 hospitals across the state, UNC Health is committed to empowering health, not just health care. From Magnet recognition to being named Forbes’ top-ranked healthcare system employer for women in the entire Southeast, we're proud to say that our hard work is consistently recognized, awarded, and celebrated.

UNC Health and our 40,000 employees, continue to serve as North Carolina’s Health Care System, caring for patients from all 100 counties and beyond our borders. We continue to leverage the world-class research conducted in the UNC School of Medicine, translating that innovation into life-saving and life-changing therapies, procedures, and techniques for the patients who rely on us.

UNC Health for Me

Learn how UNC Health is supporting teammates, both personally and professionally, throughout their journey with UNC Health. UNC Health for Me is UNC Health's commitment to teammates from recruitment to retirement that includes ways we welcome, engage, develop, care for, include, and value our teammates. As part of our ONE UNC Health initiative, UNC Health for Me employs strategies to strengthen our world-class team and ensure we achieve our mission. Watch the video below to learn more!