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RN Clinical Nurse IV - Emergency Department

UNC Health

Smithfield, North Carolina

$38.51–$58.82/hr

About $80k–$122k/yr

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RNER

Posted Jul 31, 2026 · Last seen active Aug 1, 2026

What this might mean for you

UNC Health is an academic medical center — teaching floors, residents in the halls, and more sub-specialties to grow into. It's a day shift — the full-speed version of the unit, with every specialist in the building.

What the posting states

Shift
Days
Patient load & staffing
Nurse-to-patient ratio: 1:4

Worth asking

  • Can you walk me through the base pay range and differentials?
  • Can you confirm how many hours and shifts are expected each week and what the weekend, holiday, call, and rotation requirements are?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are floating and staffing support handled day to day?

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

Open the full posting report

About this role

Description 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: The Clinical Nurse IV practices at the level of an expert practitioner of nursing as defined by Benner, P. (1984). From Novice to Expert. Addison-Wesley Publishing Company. The nurse at this level demonstrates expertise in caring for patients with multiple and complex problems. In addition to demonstrating clinical leadership on the unit, the Clinical Nurse IV serves as a resource and system-wide consultant to staff and participates in endeavors to increase nursing knowledge. The CN IV functions as a clinical leader. EMERGENCY DEPARTMENT Two-campus (Smithfield and Clayton) Emergency Departments with a combined total of 64 beds, offering diverse patient populations and acuity levels 4:1 nurse-to-patient ratios, supporting safe, high-quality patient care Strong team-based environment with a culture of collaboration and mutual support
Show full description
Chest Pain Accredited facility, delivering evidence-based cardiac care, along with being an interventional STEMI center M-F 7a-5p Primary Stroke Center, providing rapid, coordinated stroke response and treatment Three (3) 12-hour shifts per week, promoting work-life balance and schedule flexibility Responsibilities: 1. Clinical Nursing Practice - 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. 2. 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. 3. HR Management - 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. 4. Operational and Fiscal Management - 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. 5. 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: Bachelor's degree in Nursing (BSN) from a school of professional nursing. Licensure/Certification Requirements: Licensed to practice as a Registered Nurse in the state of North Carolina. Basic Life Support (BLS) for Healthcare Provider certification. For positions at magnet hospitals, professional certification relevant to the practice area and on the ANCC Magnet approved list is required within the probationary period of employment. Professional Experience Requirements: Eighteen (18) months of professional nursing experience in a tertiary care setting to include didactic and clinical experience in the area of assignment preferably with charge and precepting experience in the area of assignment.

Skills for this role

Patient Care

Certifications

BLS

Requirements

  • Bachelor's degree in Nursing (BSN) from a school of professional nursing
  • Licensed to practice as a Registered Nurse in the state of North Carolina
  • Basic Life Support (BLS) for Healthcare Provider certification
  • Professional certification relevant to the practice area and on the ANCC Magnet approved list (for magnet hospitals, required within probationary period)
  • Eighteen (18) months of professional nursing experience in a tertiary care setting
  • Didactic and clinical experience in the area of assignment
  • Charge and precepting experience in the area of assignment (preferred)

Benefits

  • Academic Assistance
  • Flexible Spending Accounts
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Critical Illness Insurance
  • Life/AD&D Insurance
  • Teachers and State Employees Retirement System

About the employer

UNC Health logo
UNC Health
Academic Medical Center

UNC Health is a large, inclusive healthcare system with over 40,000 teammates across North Carolina, whose mission is to improve the health and well-being of the unique communities they serve. The system is anchored in the Chapel Hill area as…

2.3 Google rating

What reviewers appreciate

  • Large system with 40,000+ teammates offering diverse career pathways
  • Comprehensive and flexible benefits package with work and family programs
  • Employees report feeling personally appreciated

What reviewers flag

  • Management rated relatively low at 3.3 out of 5 by employees
  • Job security and advancement opportunities rated only moderately at 3.5 out of 5
  • Work-life balance, while above average, is not notably strong at 3.7 out of 5

Benefits: UNC Health offers a flexible and comprehensive benefits package along with valuable work and family programs. These programs are designed to allow employees to tailor benefits to their unique needs, including retirement savings options and career development support.

One Great TeamCarolina Careinclusivecommunity-focusedcollaborativelearning-oriented

On your path

Emergency is a first-year unit lane. Fellowships take new grads. The windows matter.

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