RN Clinical Nurse IV - 5 HV Cardiovascular Surgical Intensive Care (CSICU)

Description

Full-Time | Night Shift | UNC Health REX

Are you an experienced critical care nurse ready to take the next step in your nursing career? UNC Health REX is seeking a Clinical Nurse IV Team Lead to join our 5 HV Cardiovascular Surgical Intensive Care Unit (CSICU), located within the Heart and Vascular Hospital.

Our 10-bed CSICU provides highly specialized care to complex cardiovascular and surgical patients requiring intensive monitoring and advanced critical care interventions. This is an exciting opportunity for an experienced nurse who is passionate about cardiovascular critical care, clinical leadership, mentorship, and advancing nursing practice.

As a Clinical Nurse IV Team Lead, you'll serve as an experienced clinical resource and role model for the team while helping promote exceptional patient care, staff development, and a culture of collaboration and accountability.

The 5 HV Cardiovascular Surgical Intensive Care Unit specializes in caring for patients requiring:

• Postoperative cardiothoracic surgery recovery
• Complex vascular surgery recovery
• Extracorporeal Membrane Oxygenation (ECMO)
• Advanced hemodynamic monitoring
• Mechanical circulatory support
• High-acuity cardiovascular critical care
• Intensive care interventions for critically ill surgical patients

Our patients range from young adults to geriatric patients and often require complex, highly specialized care throughout their critical illness and recovery.

Care is delivered through a collaborative interdisciplinary team that includes Clinical Nurses, physicians, Advanced Practice Providers, pharmacists, respiratory therapists, perfusionists, care managers, chaplains, patient care technicians, and other specialized cardiovascular care professionals.

The Clinical Nurse IV Team Lead is a key clinical leader within the CSICU, providing advanced nursing care while supporting the team, coordinating patient care, and promoting professional nursing practice.

This role is ideal for an experienced critical care nurse who is ready to lead by example, mentor others, support complex clinical decision-making, and help drive positive outcomes for patients and staff.

As a Clinical Nurse IV Team Lead, you will:

• Provide expert, evidence-based nursing care to complex cardiovascular and surgical patients
• Serve as a clinical resource, mentor, and role model for nursing staff
• Serve as Charge Nurse, coordinating daily unit operations, assignments, patient flow, and patient safety
• Support nurses managing complex cardiovascular and critical care patients
• Assist staff with clinical prioritization, critical thinking, and escalation of care
• Recognize and respond to changes in patient condition and facilitate appropriate interventions
• Support care of patients requiring advanced therapies, including ECMO and mechanical circulatory support
• Precept, mentor, and support nurses throughout their professional development
• Promote safe, evidence-based nursing practice and adherence to clinical standards
• Collaborate with physicians, APPs, respiratory therapists, perfusionists, pharmacists, and other interdisciplinary team members
• Promote effective communication, teamwork, and accountability across the care team
• Support a positive, professional, and collaborative unit culture

In addition to providing direct patient care, you will help advance nursing practice and support unit-based initiatives through:

• Participation in shared governance and unit/hospital committees
• Leadership and participation in quality and performance improvement initiatives
• Supporting unit-based education, competencies, and staff development
• Mentoring and coaching nursing staff
• Promoting patient experience and service excellence
• Supporting evidence-based practice and patient safety initiatives
• Partnering with nursing leadership to identify opportunities for improvement
• Helping foster staff engagement, professional growth, and retention
• Promoting a culture of continuous learning and clinical excellence

• A supportive, team-oriented culture focused on collaboration and mentorship
• The opportunity to care for a high-acuity cardiovascular surgical patient population
• Exposure to advanced critical care technologies and therapies
• Opportunities to develop expertise in ECMO, mechanical circulatory support, and advanced hemodynamic monitoring
• Strong emphasis on evidence-based practice, patient safety, and quality improvement
• Daily collaboration with experienced cardiovascular and critical care clinicians
• A state-of-the-art Heart and Vascular Hospital
• Opportunities for professional development, clinical advancement, and specialty certification

We're looking for an experienced critical care nurse who demonstrates strong clinical judgment, leadership skills, and a commitment to exceptional patient care.

• 2-5 years of nursing experience, preferably in ICU, CVICU, Surgical ICU, or another high-acuity critical care setting
• Previous charge nurse and/or nursing leadership experience
• Strong cardiovascular assessment and critical care clinical judgment
• Experience caring for postoperative cardiothoracic or vascular surgery patients
• Experience or exposure to ECMO, mechanical circulatory support, ventilator management, and advanced hemodynamic monitoring
• Demonstrated ability to mentor, coach, and support fellow nurses
• Excellent communication and interdisciplinary collaboration skills
• Commitment to evidence-based practice, patient safety, and professional development

This position may qualify for the UNC Health REX Incentive Program, including opportunities such as:

• Up to $20,000 commitment incentive, based on eligibility
• Up to $25,000 in tuition loan forgiveness, based on eligibility
• Up to $10,000 in relocation assistance, based on location
• Employee referral program

If you're ready to use your critical care expertise to lead, mentor, and elevate cardiovascular surgical patient care, we invite you to join the 5 HV CSICU team.

Join a team where your experience and leadership can make a meaningful difference-not only for your patients, but for the nurses you work alongside every night.

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:
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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:
Education Requirements:
* Graduate of Accredited Nursing Program. Bachelor's degree (BSN) required.
Licensure/Certification Requirements:
* 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:
* Minimum of one year experience working as a licensed RN.
Knowledge/Skills/and Abilities Requirements:
* 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.

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Rex CSICU 5HV

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.