Clinical Operations Director (COD) - Medical Surgical Critical Care

Job description

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!

General Description of the Job Class

Provide overall direction and leadership for assigned clinical areas on a 24 hour basis; ensure the effective administrative management of clinical functions related to personnel and policy in order to meet the mission of patient care, education and research within a fiscally responsible organization.

Oversite Areas

The Medical Surgical Critical Care (MSCC) currently has 11 areas and will be growing in the next year. Including anticipated growth this person will have responsibility for oversight of 145 inpatient beds and 12 inpatient Dialysis beds.

  • MICU
  • SICU
  • Med/Surg Stepdown
  • Solid Organ Transplant Unit
  • Pulmonary Stepdown Unit
  • Dialysis

About Duke Health

As a health system, Duke is the 2nd largest employer in the state of North Carolina with over 30,000 employees. For years, Duke has ranked among the best institutions in the country for students and patients as a top university and hospital with some of the best graduate programs. Duke has been named as a best place to work by several publications and organizations, including Carolina Parent, Computerworld, The Scientist, and the American Association of Retired Persons, among others. The organizations recognizing Duke represent a diverse range of interests, from family-friendly and preventive health to the needs of IT professionals and academic researchers.

Duties and Responsibilities of this Level

  • Direct and coordinate work of designated employees, manage personnel activities to meet Clinical Service Unit (CSU)/Departmental, Hospital and Health System objectives related to the provision of patient care within designated clinical areas.
  • In collaboration with other administrative leadership, develop strategic and operational plan for assigned clinical area(s). Communicate plans and continuously evaluate plans.
  • Develop and communicate vision for unit care delivery models and facilitate ongoing refinement of such models.
  • Provide developmental opportunities for direct reports.
  • Serve as clinical operational liaison with administrative and professional personnel concerning unit and/or departmental, Hospital and Health System policies and procedures, personnel administration and budgetary preparation and control.
  • Maintain interface with departmental personnel to coordinate clinical operational activities to ensure adequate staffing, space and facilities, coordination of purchasing, maintenance and renovation activities for the operational areas, administer a program of property management and accountability. Determine and recommend necessary space, equipment, supplies and support systems to ensure effective functioning of unit/department. Ensure safe environment of care for all staff, patients, and families. Ensure effective processes for staff development, recruitment and retention. Develop and support unit, shared governance structure. Assure staff participation in departmental and Organizational Nursing Structures.
  • Perform other related duties incidental to the work described herein.

Required Qualifications at this Level


  • Master's Degree and Bachelor's Degree in Nursing is required.

Required Experience:

  • Five years of nursing experience is required including at least 2 years of experience in a management role.

Preferred Experience:

  • Strong foundation of Medical Surgical Critical Care experience at an Academic Medical Center preferred but not required.
  • Experience leading large team of multidisciplinary members.

Degrees, Licensure, and/or Certification:

  • Must have current or compact RN licensure in the state of North Carolina.
  • BLS certification required.
  • Nurses hired into leadership positions must obtain a nursing leadership certification within one year of hire.

Knowledge, Skills, and Abilities:

  • Ability to be highly visible to team with a collaborative leadership style.
  • Ability to manage multiple organization missions. Facilitation, consensus-building, and negotiation skills
  • Sensitivity for and understanding of clinical disciplines and issues.
  • Understand cost containment and managed care systems.
  • The ability to work with all types of individuals in multiple settings and locations and to promote diversity in the workplace.
  • Knowledge of necessary regulatory bodies including North Carolina Nurse Practice Act.
  • Expert communication skills.
  • Knowledge or experience with quality and process improvement initiatives is desirable

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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.




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Job No:
Posted: 6/4/2021
Application Due: 9/2/2021
Work Type: Full Time