Virtual Nursing (RN) PRN - On Site
Work Arrangement: On-Site
Requisition Number: 271947
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HOSPITAL
Date: Sep 8, 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)
VIRTUAL NURSE CLINICAL NURSE
The Virtual Nurse will deliver exemplary nursing care virtually, in
collaboration with the care team. This virtual care will be provided in
collaboration with the care team to inpatients at Duke University Hospital,
Duke Regional Hospital, Duke Raleigh Hospital, and Duke Lake Norman Hospital.
This position will provide nursing care in a virtual setting in accordance
with the medical and nursing plans of care and established policies and
procedures accordance with the scope of the RN as defined by the North
Carolina Board of Nursing.
Supports nursing tasks virtually as admission questionnaires, discharge
education, patient education, nurse mentoring, and other tasks as needed. This
care will be provided using the EMR and telehealth technology using two-way
audio and video to provide patient care. The virtual nurse will practice
within the guidelines of the standards of nursing care to inpatient acute
level patient populations from a remote Virtual Care Center in collaboration
with the bedside patient care team.
Utilizes patient EMR to support patient admission, education, discharge
planning, identify and interpret trends and acute changes in patient
physiology, monitor compliance of care bundles and protocols, and collaborates
with the bedside multidisciplinary health care team using effective
communication and clinical decision-making skills. Serves as a resource for
inpatient support for novice nurses who are developing their clinical
competencies and decision-making skills. Provides guidance and assistance
while giving additional support in the assessment, evaluation, and
intervention responsibilities with patients.
Duties and Responsibilities:
Supports the bedside staff for a large patient ratio to monitor
comprehensive compliance of best practice protocols and care bundles aimed
at reduction of Mortality, Length of Stay, Hospital Readmissions, and
Patient Safety Events.
Provides patient education and support virtually including verbal and
written instructions. Assess the patient/family ability to receive
education and uses appropriate tools and techniques.
Takes initiative to problem solve and demonstrates critical thinking
skills. Skilled and comfortable with various technologies to coordinate
patient care, including multiple software applications, computerized
clinical guidelines, specialized telephone technology, video and image
transmission, and more.
Supports the bedside care team in patient care activities within the
guidelines of the standards of nursing care using the nursing process,
clinical judgment, and decision support materials.
Provides consultation and second opinion virtually to assist with clinical
decision making, including managing inpatient patients whose condition may
be deteriorating or who may require transfer to a higher level of care.
Assists nurses with an appropriate plan of care related to a change of
condition.
Ability to work in a constant state of alertness and in a safe manner is
an essential function of this job.
Virtually support the plan, provide, supervise and document professional
nursing care utilizing the nursing process for patients in accordance with
physician orders and established policies and procedures in collaboration
with the care nurse. Use professional nursing judgment to individualize
the plan of care in collaboration with the care nurse based on assessment
of the patient's baseline needs and response to care.
Participate in own professional development by maintaining required
competencies, identifying learning needs and seeking appropriate
assistance or educational offerings.
Identifying appropriate patients for Remote Safety Observation (RSO)
Placement. Supporting care nurse with monitoring of unit dashboard and
notifying the nurse with tasks needing attention.
Act as Charge Nurse and Preceptor in oversite of RSO staff and escalating
to unit leadership when appropriate.
Act as preceptor and support the development of other staff and formal
learners.
Participate in the identification of clinical or operational performance
improvement opportunities and in performance improvement activities.
Perform other related duties incidental to the work described herein
What you will need:
Experience:
Preceptor and Charge Nurse Experience is required.
Minimum Requirements 3-5 years appropriate inpatient clinical experience is
required.
Preferred Requirements 5-10 + year's appropriate inpatient clinical experience
is required.At a manager's discretion, employees with less than the above
experience who are exceptional performers may be eligible for this level.
Degrees, Licensure, and/or Certification: Must have current or compact RN
licensure in the state of North Carolina. BLS required.
Education:
Graduation from an accredited Bachelor's Degree in Nursing (or higher)
OR Associate's Degree in Nursing OR Nursing Diploma program.
Twelve months of appropriate clinical experience is required for
Experienced Registered Nurses.
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.
Knowledge, Skills, and Abilities:
Knowledge of scope of the registered nurse, licensed practical nurse and
NCA
Knowledge of and appropriate application of the nursing process
Knowledge of professional theory, practice and procedure
Ability to excel with computer technology and learn new software programs
Ability to troubleshoot computer technology
Ability to assess nursing needs of acute and chronically ill patients and
their families using virtual technology
Ability to independently seek out resources and work collaboratively
Ability to excel in communication skills through asynchronous technology
and telephone
Ability to establish and maintain effective working relationships in the
virtual environment
Ability to communicate clearly with patients, families, visitors,
healthcare team, physicians, administrators, leadership and others through
virtual technology
Ability to teach patients and families in accordance with the nursing plan
of care through virtual technology
Ability to use sensory and cognitive functions to process and prioritize
information, treatment, and follow-up
Ability to use fine motor skills
Competent in BLS and/or other specialized life support requirements
designated by work area
Ability to record activities, document assessments, plan of care,
interventions, evaluation and re-evaluation of patient status through
virtual technology
Able to document and communicate pertinent information using computer
and/or paper documentation tools
Ability to navigate to provide virtual clinical care for patients
Ability to remain focused and organized
Working knowledge of procedures and techniques involved in administering
routine and special treatments to patients
Working knowledge of infection control procedures and safety precautions
Working knowledge and completion of appropriate JCAHO and other regulatory
requirements
Pre-employment Physical Capacity Testing Required
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
