RN Clinical Nurse IV - Cardiac Medicine Intermediate Care

$80k to $122k

US:NC:RaleighFull-timePosted Oct 15, 2026

Job description

๐ŸŒŸ Clinical Nurse IV Team Lead โ€“ 7 HV Cardiac Medicine Intermediate Care Full-Time | Night Shift | UNC Health REX Lead. Inspire. Make an Impact. Join our 24-bed Cardiac Medicine Intermediate Care Unit at UNC Rex Heart & Vascular Hospital, caring for patients with complex cardiac conditions, including heart failure, dysrhythmias, and myocardial infarctions.

As a Clinical Nurse IV Team Lead, youโ€™ll provide expert care, mentor nurses, coordinate unit operations, and promote clinical excellence. ๐Ÿฉบ Clinical Leadership Responsibilities (Approximately 70%) Provide evidence-based care to complex cardiac patients. Serve as Charge Nurse, coordinating assignments, patient flow, and safety.

Support clinical decision-making and escalation of care. Mentor staff and promote teamwork and best practices. ๐Ÿ“ˆ Professional Practice & Leadership (Approximately 30%) Participate in shared governance and quality improvement initiatives. Support staff education, competencies, and professional development. Advance evidence-based practice, patient experience, and patient safety.

Partner with leadership to improve care quality and staff engagement. ๐Ÿ’™ Preferred Qualifications 2-5 years of Cardiac nursing experience. Strong clinical judgment, communication, and mentoring skills. Professional certification relevant to the cardiac practice area, from the ANCC Magnet-approved list, obtained within the probationary period of employment in Cardiac Services.

๐Ÿ’ฐ Incentives Available Based on eligibility: Up to $20,000 commitment incentive. Up to $25,000 in tuition loan forgiveness. Up to $10,000 in relocation assistance, depending on location. Employee referral program. Ready to lead, mentor, and elevate cardiac care? Apply today and make a difference at UNC Health REX! Your passion belongs at UNC Health.

Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Serves as nursing Team Leader. Provides education, training, and oversight to assigned nursing staff.

Responsibilities

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.
  1. 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.
  1. 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.
  1. 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.
  1. 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.
  1. 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.
  1. 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: โ— Graduate of Accredited Nursing Program. Bachelor's degree (BSN) required. Licensure/Certification Requirements: โ— 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: โ— Minimum of one year experience working as a licensed RN. Knowledge/Skills/and Abilities Requirements: โ— 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 7 HV/Cardiac Unit Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $38.51 - $58.82 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Night Job 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 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 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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