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.

Nurse Manager, Operations – Emergency Department

Duke University Hospital – Durham, NC
Relocation assistance up to $10,000 available (for moves 50+ miles)

Duke University Hospital is seeking an experienced, highly engaged Nurse Manager, Operations, to lead clinical and operational functions in our high-acuity Emergency Department (ED). This is an exceptional opportunity to join a nationally recognized academic medical center and guide a team committed to delivering exemplary, patient-centered care.

About the Emergency Department

Our state-of-the-art Emergency Department includes 82 total beds, dedicated to serving patients across the lifespan. The unit features:

11 Pediatric beds
54 Adult Monitored beds
8 Fast Track beds
4 Triage beds
4 Resuscitation/Trauma rooms
1 Sexual Assault Examiner room
Centralized telemetry monitoring

Our ED team is passionate about delivering exceptional care and ensuring an excellent patient experience—every patient, every time.

Job Summary

The Nurse Manager, Operations, provides 24/7 leadership for assigned clinical areas, ensuring high-quality patient care, regulatory compliance, and alignment with Duke Health’s mission and professional practice standards. This role is responsible for operational oversight, staff development, strategic planning, and fostering a collaborative and supportive work environment.

Key Responsibilities

Leadership & Strategic Direction

Participate in the development and execution of strategic and operational plans.
Promote a professional practice model that encourages shared decision-making and evidence‑based standards.
Serve as a visible, supportive leader and role model, fostering accountability and positive change.

Patient Care & Advocacy

Champion safe, high-quality, patient-centered care.
Advocate for patients, families, and staff to ensure care delivery aligns with expectations and standards.
Ensure consistent use of the nursing process from admission to discharge.

Team & Staff Development

Recruit, coach, evaluate, and support nursing staff to develop clinical competency from novice to expert.
Promote diversity, inclusion, and positive team culture.
Assure staff participation in councils, committees, and departmental initiatives.

Operations & Quality Management

Oversee day-to-day management of the unit, ensuring efficient workflows, staffing, and resource use.
Monitor quality metrics and lead unit-based Performance Improvement initiatives.
Coordinate development and implementation of policies and procedures that enhance operational efficiency.

Fiscal Management

Collaborate with the Director of Clinical Operations on budget planning and resource allocation.
Evaluate resource utilization and implement action plans, ensuring operational and fiscal responsibility.

Education Requirements

Bachelor’s degree in Nursing (BSN) required
Master’s degree in Nursing strongly preferred

Experience Requirements

At least 3 years of Emergency Nursing experience required
1+ years of nursing leadership experience (e.g., Charge RN, Clinical Supervisor, Manager) preferred
Experience in a high-acuity ED of similar scope preferred

Preferred Leadership Competencies

Project management
Conflict resolution
Team building
Staff onboarding
Budget and finance management

Licensure & Certification

Current or compact RN licensure in North Carolina
BLS certification 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.

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