RN Clinical Nurse II - Rex 4 West: Medical Surgical Stepdown

UNC Health
Chapel Hill, NC

Job Description

Job Description

RN Clinical Nurse II - Rex 4 West: Medical Surgical Stepdown

Job ID: 175173
Location: Raleigh, NC
Facility/Division: UNC REX Healthcare
Status: Full Time
Shift: Rotating

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.

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.

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.

4 West is a dynamic 29-bed intermediate care unit specializing in telemetry and acute care overflow. We take pride in delivering exceptional care to a diverse patient population, including general and thoracic post-operative patients, cardiovascular patients requiring drip management for rate control, and those managing acute heart failure exacerbations and unstable angina. Our unit also provides expert post-catheterization care, including TR Bands and femoral approaches, ensuring comprehensive cardiovascular support. In addition to surgical and cardiac expertise, we care for patients with complex medical conditions such as COPD, diabetes, pneumonia, COVID-19, and renal failure, offering a well-rounded nursing experience that fosters professional growth in a collaborative environment.

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
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: Rex 4 West

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: Rotating

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.

Company Description

UNC Health is an integrated health care system owned by the state of North Carolina and based in Chapel Hill. UNC Health is committed to empowering health, not just health care. From Magnet recognition to being named one of America's Best Employers by Forbes Magazine, we're proud to say that our hard work is consistently recognized, awarded, and celebrated.

Company Description

UNC Health is an integrated health care system owned by the state of North Carolina and based in Chapel Hill. UNC Health is committed to empowering health, not just health care. From Magnet recognition to being named one of America's Best Employers by Forbes Magazine, we're proud to say that our hard work is consistently recognized, awarded, and celebrated.

Posted 2025-11-07

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