Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet® organization
• Nurses from each hospital are consistently recognizedeach year as North Carolina’s Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance!

Clinical Nurse II– Duke University Hospital – Day Shift

Duke University Health System- Duke University Hospital seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together.

Department Profile:
The Children’s Health Center and Lenox Baker Children’s Hospital at Duke University Hospital is comprised of pediatric outpatient clinics. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

Department Profile:
The Autoimmune Brain Disease Clinic at Duke Children's is active in delivering exemplary care for each patient to ensure an excellent patient experience.

This position, of Autoimmune Brain Disease Nurse Navigator, will provide triage support and care coordination for this high acuity patient population in collaboration with dynamic multidisciplinary teams. This position will work closely with the faculty directors of Pediatric Neurology and Rheumatology. We are looking for someone with the ability to establish a strong rapport with patients and families by phone, coordinate services, and provide education and nursing support to patients and families in and out of the clinic setting.

The ideal candidate for this position will possess the following:

1. A solid background in Pediatric Nursing
2. Experience with telephone triage or managed care coordination
3. Strong oral /written communication skills, software navigation abilities (EPIC experience preferred)
4. Good organizational skills
5. Flexible attitude with the ability to function both independently and as a team member, assisting patients/ families through home care coordination and in the clinic setting
6. Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others

Work Performed

• Coordinate and lead the weekly ABD clinic care team meeting including agenda development, review of prior week’s patient needs, upcoming weeks patient needs, review of new patient referrals , follow up on diagnostic testing
• Triage calls resolving problems within scope; gather relevant information and coordinate follow-up with providers to develop plan and convey plan back to patients. Attend clinic to meet and begin patient education with all new patients. Document communication in Maestrocare and manage inbasket messages regarding care.
• Field VDH pages and trouble shoot issues that may arise with patients receiving infusions; initiate all orders associated with infusion visits including IVIG, steroids, labs, other infusions.
• Coordinate peer to peer authorizations for medications and procedures including phone authorizations, literature review for evidence supporting use of therapy, drafting letters of medical necessity for therapies as part of the insurer’s peer to peer process.
• Preorder labs for lumbar punctures and other procedures for both inpatient and outpatient; assure proper transport of lumbar puncture specimens to referral lab as needed
• Facilitate patient transfers; from outside hospitals to Duke, and from Duke to longer term facilities
• Coordinate renewal of outpatient prescriptions
• Round on inpatients with attending physicians and facilitate coordination of care to outpatient.
• Coordinate new patient appointments assuring all necessary medical records, neuroimaging, and labs have been obtained from outside facilities
• Coordinate diagnostic testing and outpatient appointments here at Duke, or at an outside facilities
• Lead, develop, and standardize ABD training for care teams, develop order sets
• Consent patients for enrollment enter data into the ABD clinic registry and biorepository.
• Point person for coordinating ABD clinic programmatic growth; including updating website, track new developments in ABD market, liaison to Autoimmune Encephalitis Alliance and other organizations as needed

Work Hours & Shifts:
Full Time: Hours may vary, but will typically fall within a standard Monday-Friday, 8am-5pm schedule.

Knowledge, Skills, Education, and Experience Required:

· Previous work experience (1+ years) as a clinical nurse is required.

· Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required.

All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date

Licensure, Certification or Registration Required:

· Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required.

· BLS (or higher) certification required.

· Professional specialty certification (preferred).

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.