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Duke University
Cary, North Carolina

Certified Registered Nurse Anesthetist (CRNA) - Duke Health Cary Surgery

CRNAFull-Time MD-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting and call expectations.

Posted 1h ago · Verified live

Job Description

Duke Health Cary

Opening in Spring 2027, the next phase of this 85-acre, mixed-use, walkable Duke Health Cary campus will add emergency services, inpatient care, surgical services, imaging, specialty care, and infusion services, creating more than 230 career opportunities. Joining Duke Health Cary offers the opportunity to build something new, grow your career, and support our mission of advancing health across the communities we serve.

Duke Health CRNA Full Time Hiring Incentives

A $60,000 COMMITMENT BONUS is currently being offered to New Grad and Experienced CRNAs (distributed in $10,000 increments every six months for 36 months)

$2500 annual CME allowance for 1.0 FTEs, prorated for those working less

A $8,000 relocation budget is available for CRNAs who move 50 miles or more (NC primary residence to Duke facility)

  • Certified Registered Nurse Anesthetist (CRNA) - Duke Health Cary Surgery
  • Opening 2027
  • Help Shape the Future of Outpatient Surgical Care

Duke Health is seeking talented and patient-focused Certified Registered Nurse Anesthetists (CRNAs) to join the founding clinical team of the new Duke Health Cary Surgery Center, a state-of-the-art ambulatory surgery center opening in 2027.

This unique opportunity allows you to play a pivotal role in launching a premier outpatient surgical destination while helping build a culture of excellence, innovation, safety, and patient-centered care from the ground up.

The Duke Health Cary Surgery Center will feature six operating and procedure rooms, including advanced robotic surgery capabilities with two da Vinci surgical systems. The center will provide outpatient surgical services across a growing portfolio of specialties, including:

  • Urology
  • Plastic Surgery
  • Breast Oncology
  • General Surgery
  • Gynecology
  • ENT
  • Pediatric Urology
  • Pediatric ENT
  • Orthopedic Surgery

As a member of the inaugural perioperative team, you will:

  • Help establish processes, best practices, and a culture of excellence from day one
  • Practice at the top of your license in a highly collaborative environment
  • Work alongside nationally recognized surgeons and perioperative professionals
  • Utilize advanced technology and modern anesthesia equipment
  • Contribute to innovation, quality improvement, and patient experience initiatives
  • Enjoy a team culture centered on respect, accountability, flexibility, and continuous learning
  • Be part of one of the region's most advanced ambulatory surgery centers

Position Summary

The Certified Registered Nurse Anesthetist (CRNA) provides anesthesia care across the perioperative continuum for patients undergoing outpatient surgical and procedural services. Working collaboratively with surgeons, anesthesiologists, nurses, and perioperative team members, the CRNA is responsible for assessing patients, developing anesthesia plans, administering anesthetics, monitoring patient responses, and managing post-anesthesia recovery.

This role supports a wide variety of surgical specialties and delivers safe, high-quality, patient-centered anesthesia care while contributing to operational excellence and exceptional clinical outcomes.

Key Responsibilities

Pre-Anesthesia Care

  • Conduct comprehensive patient assessments and anesthesia evaluations
  • Review medical history, laboratory results, and procedural requirements
  • Develop individualized anesthesia care plans
  • Educate patients and families regarding anesthesia procedures and expectations

Intraoperative Anesthesia Management

  • Administer general, regional, monitored anesthesia care (MAC), and other anesthesia techniques as appropriate
  • Prepare and manage anesthesia medications, supplies, and equipment
  • Continuously monitor patient physiological status throughout procedures
  • Respond promptly to changes in patient condition and implement appropriate interventions
  • Collaborate closely with surgeons and perioperative staff to ensure optimal patient outcomes

Post-Anesthesia Care

  • Assess patients during emergence and recovery from anesthesia
  • Manage post-anesthesia complications and patient comfort
  • Support postoperative care planning and discharge readiness
  • Ensure appropriate documentation and communication throughout the perioperative process

Quality, Education & Professional Practice

  • Maintain accurate anesthesia records and required documentation
  • Support quality improvement and patient safety initiatives
  • Serve as a resource and mentor for students, residents, and clinical team members as appropriate
  • Participate in ongoing professional development and continuing education

What We're Looking For

We are seeking CRNAs who:

  • Thrive in a fast-paced ambulatory surgical environment
  • Demonstrate clinical excellence and strong critical-thinking skills
  • Are collaborative, adaptable, and team-oriented
  • Embrace innovation and new technology
  • Maintain the highest standards of patient safety and quality
  • Enjoy helping build new programs and processes
  • Are committed to providing an exceptional patient experience

Our Culture

At Duke Health Cary Surgery Center, every team member is expected to:

  • Put patients first in every decision
  • Work collaboratively across the perioperative continuum
  • Embrace flexibility and operational excellence
  • Support staffing and workflow needs across the center
  • Champion innovation and continuous improvement
  • Foster a culture of accountability, inclusion, and psychological safety
  • Demonstrate ownership for quality, safety, efficiency, and patient outcomes
  • Take pride in helping build one of North Carolina's premier ambulatory surgery centers

Minimum Qualifications

Education

Master's degree or DNP from a school of nurse anesthesia approved by the State Accrediting Agency and the Council on Accreditation of the American Association of Nurse Anesthetists (AANA) required.

Experience

Previous CRNA experience preferred

Licensure & Certification

  • Current RN license in North Carolina or compact state licensure
  • Certification or eligibility for certification as a Certified Registered Nurse Anesthetist (CRNA)
  • Basic Life Support (BLS) certification required
  • Advanced Cardiac Life Support (ACLS) and PALS (Pediatric Advanced Life Support) certification preferred
  • Current APRN recognition and appropriate credentialing required prior to practice

Planned Start Dates

February 8, 2027

February 22, 2027

First patient procedures are anticipated in April 2027.

Be Part of Something Extraordinary

This is more than a CRNA position. It is an opportunity to help launch a new Duke Health surgical destination, influence its culture, and deliver world-class outpatient care from the very beginning.

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.

Requirements

Candidates must hold a Master's degree or DNP from an accredited nurse anesthesia program and possess a current North Carolina RN license. Certification as a CRNA, along with BLS certification, is required, while ACLS and PALS certifications are preferred.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)

Certifications

ACLS (preferred)PALS (preferred)

Key Skills

Anesthesia administrationPatient assessmentPerioperative careClinical documentationRobotic surgery supportUrology anesthesiaOrthopedic anesthesiaPediatric anesthesiaMentoringAnesthesia planningPhysiological monitoring

Surgery — CRNA Career Context

Of the 50 active CRNA listings this role was benchmarked against, 74% have no call, 48% require no weekends.

CRNA pay on WeekdayDoc is up 3.3% vs. the prior quarter (through Oct 2026).

CRNA by the numbers
MeasureThis jobMarket
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Surgery listings in North Carolina6 active—live on WeekdayDoc, Nov 2026
All crna listings in North Carolina41 active1,259 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 74% no call · 48% no weekends50 benchmarked listings
Sign-on & loan repayment$60k sign-onUS crna listings (all specialties): 36% state a sign-on bonus (median $50k) · 14% offer loan repayment1,000 active listings, Nov 2026
New Surgery listings (all professions)837 in the last 30 days491 the 30 days before (+70%)U.S., first seen on WeekdayDoc, Nov 2026
CRNA pay trend (all specialties)+3.3% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all crnas: too few North Carolina Surgery postings state pay.

Top CRNA Jobs

33 matches · ranked by pay

Salary Distribution

27 jobs
9
<$285k
8
$285k-310k
4
$310k-335k
4
$335k-360k
2
$360k+

Annual compensation range

Benefits & Perks

25 jobs
401k / retirement match
64%
Sign-on bonus
56% this job
CME allowance
40% this job
Relocation assistance
40% this job
Loan repayment
16%

Share of similar jobs offering each benefit

#1

CRNA - Pratt Regional Medical Center - Pratt, Kansas - $410,000 + 10 Weeks Off!Contract

Essential Anesthesia Management · Pratt, Kansas

$410k
#2

CRNA

Quincy Medical Group · Quincy, Illinois

$250k-$400k
#3

Certified Registered Nurse Anesthetist (CRNA)

$275k-$350k
#4

CRNA (Westerly, RI)

$128.96-$167.64/hr
+ 31 more · ranked by pay

Work-life snapshot

median 6.4this job 1.5
Below most Surgery (CRNA) listings for work-life

Listing-based score, 0–10, across 36 comparable listings. Shaded area = the share scoring below this one.

Duke University logo

About Duke University

Benefits & Perks

$60,000 Commitment Bonus (paid in $10,000 increments every 6 months for 36 months)
$2,500 annual CME allowance
$8,000 relocation budget
Comprehensive benefits

Living in Cary

Typical 3-bedroom home value
$484k
Typical market rent
$1,768/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
98.2
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Raleigh-Cary, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.