Registered Nurse (RN) - General Medicine Stepdown
Work Arrangement:
Requisition Number: 274397
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HOSPITAL
Date: Sep 3, 2026
At Duke Health, we're driven by a commitment to compassionate care that
changes the lives of patients, their loved ones, and the greater community. No
matter where your talents lie, join us and discover how we can advance health
together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North
Carolina, which is consistently ranked among the best in the United States.
The largest of the four Duke Healthhospitals with 1062 patient beds, it
features comprehensive diagnostic and therapeutic facilities, including a
regional emergency/trauma center, an endo-surgery center, and more.
Duke Nursing Highlights:
Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each 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 (based on eligibility)
Registered Nurse (RN) - Experienced or New Grad - Adult Medicine
Stepdown 2300
$10,000 COMMITMENT BONUS For Experienced RNs
RELOCATION BONUS AVAILABLE FOR NEW GRADS + EXPERIENCED RNs!
Nursing Loan Forgiveness up to $25,000 for newly hired RNs
Duke University Health System seeks to hire a Registered Nurse (new or
experienced) who will embrace our mission of Advancing Health Together.
The Adult General Medicine Stepdown Unit (2300) contains a total of 31
inpatient beds. Our team of nursing staff provide exceptional care to patients
with complex medical diseases.
Department Highlights:
RN to Patient Ratio is 1:4
A diverse patient population is GREAT for new nurses who are still unsure
about what route they want to take as a nurse, as it allows you to grow
and strengthen your skills, build confidence, and learn about many
different disease processes.
Flexible scheduling
Extraordinary unit culture that embraces each team member – a sense of
belonging.
Affords the clinical experience to attain strong critical thinking skills,
vast knowledge of disease processes and body systems, and robust care
management skills.
Work Schedule:
Full time - 36 hours/week.
Three (3) 12-hour shifts.
Night Shift for Experienced RNs; Rotating Day/Night for New Graduate or
Experienced RNs
What you will do:
As a Clinical Nurse in Duke University Health System, you will plan and
provide professional nursing care for patients in accordance with the medical
and nursing plans of care and established policies and procedures. Provide
nursing services to patients and families in accordance with the scope of the
RN as defined by the North Carolina Board of Nursing.
Plan, provide and document professional nursing care, utilizing the
nursing process, in accordance with physician orders and established
policies and procedures under the supervision of the team leader or charge
nurse.
Delegate tasks and supervise the activities of other licensed and
unlicensed care providers.
Assist other healthcare personnel in the delivery of patient care.
Participate in maintaining the environment of care including equipment and
material resources. Prioritize work organization and identify resources
available to assist in completing components of care in a timely manner.
Participate in own professional development by maintaining required
competencies, identifying learning needs and seeking appropriate
assistance or educational offerings.
Support the development of other staff and formal learners.
Participate in the identification of clinical or operational performance
improvement opportunities and assist in performance improvement
activities.
What you can expect:
Multitask in myriad ways – document assessments, plan of care,
interventions, evaluation and re-evaluation of patient status, access
nursing needs of acute and chronically ill patients, independently seek
out resources and work collaboratively.
Educate patients and families in accordance with the nursing plan of care.
Relationship management with patients, families, visitors, healthcare
team, physicians, administrators, leadership and others.
What we'll provide:
Paid Training
New Graduate Nurses: 8 weeks of paid orientation and monthly nurse
residency classes
Experienced Nurses: 4-6 weeks of paid orientation, depending on level of
experience.
Opportunities for a Lifetime. Duke University Health System is committed
to providing robust learning and development from Office of Continuing
Education.
Clinical Ladder Advancement
Tuition Assistance and Nurse Loan Forgiveness
Relocation Grant and Sign On Bonus
Nursing Specialty Certification Bonus
Employee Referral Bonus
Performance Increases
Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and
much more.
What you will need:
Graduation from an accredited Bachelor's Degree in Nursing (or higher)
OR Associate's Degree in Nursing OR Nursing Diploma program.
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 seven years of
their start date. We do offer Tuition Assistance.
Licensure and Certification 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. Nurses with a multi state compact
license must obtain NC state licensure within the first 90 days of
employment.
BLS Certification
Experience:
No experience required.
All CNIs will be enrolled in and must complete the DUHS Nurse Residency
Program within 12 months of hire.
CNIs are required to meet criteria set forth by the DUHS Nurse Residency
Program within 18 months of hire to be promoted to CNII.
Education:
Graduation from an accredited Bachelor's Degree in Nursing (or higher),
Associate's Degree in Nursing or Nursing Diploma program is required.
RNs 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 seven years of their start date.
Exception: Registered nurses hired between July 1, 2014 and April 11, 2021
without a Bachelor's degree in Nursing (or higher) are expected to
enroll in an appropriate BSN program within two years of their start date
but must complete the program within seven years of their start date.
Registered nurses hired before July 1, 2014 are not required to enroll in
a BSN program to remain in this job classification.
Duke is an 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 (including pregnancy and pregnancy related conditions),
sexual orientation or military 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
essential job 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.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
