Clinical Nurse IV Leader- Outpatient Behavioral Health Pediatrics

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Duke Health Integrated Practice

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Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Clinical Nurse IV Leader- Outpatient Behavioral Health Pediatrics

Job Location

Lakeview Child and Family Psychiatry, 2608 Erwin Rd, Durham, NC

Job Summary

The Behavioral Health (BH) Clinical Nurse Leader (CN IV-L) is a hybrid clinical and leadership role that combines direct patient care with unit‑based leadership, coaching, and operational support. This position serves as an early leadership pathway for nurses interested in advancing into formal nurse management roles while remaining clinically grounded.

The CN IV Leader supports the Nurse Manager (NM) and Health Center Administrator (HCA) by coordinating care delivery, mentoring staff, advancing quality initiatives, and promoting evidence‑based practice.

Job Duties and Responsibilities

The Peds BH CNIV-L will provide leadership and staffing support for the following clinical programs:

Pediatric Behavioral Health Clinics at Lakeview, Including

• Autism Clinic
• Duke Children's Evaluation Center (DCEC)
• Pediatric Psychodiagnostic Clinic
• Duke Children's Partial Hospitalization Program (PHP)

Work Performed

• Identify care needs for patient populations across the continuum of care.
• Collaborate and provide leadership in the development of standards of care, patient/family education and staff education to address the needs of specific populations.
• Collaborate with multidisciplinary team and provide leadership within the delivery of patient care.

Provide leadership in educational activities, departmental committees, research projects and other health-related projects.

Provide evaluation, direction and guidance in the proper selection, use, care and control of material resources.

Appraise quality and effectiveness of material and equipment and collaborate with appropriate departments to assist with vendor selection and feedback on performance.

Guide the professional growth of others across the continuum of care through role modeling, coaching and/or mentoring.

• This may include designing orientation modules, primary precepting of senior nursing students.
• Provide leadership at a departmental, entity, community or regional/national level for initiatives focused on improving the quality of care for populations of patients and growth of others.
• Conduct performance reviews.
• Effectively recommend personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
• Perform other related duties incidental to the work described herein.

Job Eligibility Requirements

Work requires graduation from an accredited nursing program with a BSN degree.

Three years of experience required.

Clinical Nurse II and III are eligible to apply for the CN IV Leader role. Applicants will perform the duties and responsibilities of the CN IV.

Ambulatory experience required

Experience with Process and Performance Improvement Required

Must have current or compact RN licensure in the state of North Carolina. BLS required.

Work Schedule: Monday-Friday day shift with no evenings, weekends, holidays or on call

Approximately 2 clinical staffing shifts and 16 hours of dedicated leadership/administrative time per week

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.