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RN Clinical Nurse IV Team Leader - Operating Room

UNC Health

Company : UNC Health

Location : Chapel Hill, NC, 27514

Posted Date : 14 October 2025

Job Type : Full Time

Category : Management

Occupation : Team Leader

Job Details

Description

*This position qualifies for our UNC Medical Center Operating Room Incentive Program, which includes up to $10,000 sign-on bonus and $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 Hospitals RN 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.

The Main Operating Room at UNC Health's North Carolina Surgical Hospital is seeking a Team Lead/Clinical Nurse IV-OR with prior ortho experience. The schedule for this position will be Monday through Friday, 4 10-hour shifts per week with call and holiday requirements.

UNC Chapel Hill Main Campus is a level one trauma academic facility and includes 26 operating rooms. It is a very fast-paced environment offering multiple service lines. We are proud to be on the cutting edge of technology for many surgical procedures. Our specialty procedures include cochlear implants, organ transplants, bariatric procedures, open-heart surgeries, ECMO, endovascular surgeries, flap reconstructive surgeries, stereotactic and image guided neuro surgeries, da Vinci® robotic surgeries, and Hyperthermia Intraperitoneal Chemotherapy (HIPEC). In PreOp/PACU we prepare adult patients for surgery and/or recover post procedure for multiple procedural areas to include Cystoscopy, VIR, Radiation Oncology, EP/Cath lab and MRI (these patients may receive general anesthesia).

UNC Health's new North Carolina Surgical Hospital boasts state-of-the-art operating rooms and patient-centric healing environments. This space connects to our existing five-building UNC Medical Center campus and feature the following:

• Seven stories with 375,000 square feet

• 26 ORS, including hybrid rooms accommodating imaging technology

• 59 pre- and post-operative rooms

• 80 ICU beds and 15 surgical observation beds

Summary:

The Surgical Services Clinical Nurse IV practices at the level of an expert practitioner of nursing as defined by Benner, P. (1984). From Novice to Expert. Addison-Wesley Publishing Company. The nurse at this level demonstrates expertise in caring for patients with multiple and complex problems. In addition to demonstrating clinical leadership in Surgical Services, the Clinical Nurse IV serves as a resource and hospital-wide consultant to staff and participates in endeavors to increase nursing knowledge.

Responsibilities:

  1. Clinical Nursing Practice - 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.

  2. 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.

  3. HR Management - 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.

  4. Operational and Fiscal Management - 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.

  5. 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

Other information:

Education Requirements:

● Bachelor's degree in Nursing (BSN) from a school of professional nursing.

Licensure/Certification Requirements:

● Licensed to practice as a Registered Nurse in the state of North Carolina. Professional certification relevant to the practice area and on the ANCC Magnet approved list within the probationary period of employment. Basic Life Support (BLS) for Healthcare Provider certification.

Professional Experience Requirements:

● Eighteen (18) months of professional nursing experience in a tertiary care setting to include didactic and clinical experience in the area of assignment preferably with charge and precepting experience in the area of assignment.

Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: Operating Room

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $42.58 - $64.89 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

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 if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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.

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