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RN Clinical Nurse II - 4 East Medical Stepdown

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UNC Health

Raleigh, North Carolina

Eligibility
PulmonaryNephrologyIntermediate Care
Unit
Stepdown

Posted Jul 29

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Schedule and commitments

Term
Permanent

The work and the unit

Unit
Stepdown
Specialty
Pulmonary · Nephrology · Stepdown · Intermediate Care
Setting
Hospital

Pay and benefits

Against the board
Below most North Carolina staff postingsNorth Carolina staff postings that state pay run $30/hr to $56/hr, the middle half $35/hr to $48/hr, across 419 postings.
  • Academic Assistance
  • Flexible Spending Accounts
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Critical Illness Insurance
Show all 11
  • Life/AD&D Insurance
  • Teachers and State Employees Retirement System
  • Supplemental Retirement Accounts (401(k), 403(b), 457 plans)
  • Career Development Education programs
  • PTO accrual program

Do you qualify?

License
● Licensed to practice as a Registered Nurse in the state of North Carolina. Check your license
Certification
● Basic Life Support (BLS) for Healthcare Provider certification
Education
● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
Experience
**Professional Experience
Experience
● One (1) year of nursing experience.
Also asks
● Graduation from a school of professional nursing.
Show all 13
Also asks
**Knowledge/Skills/and Abilities
Also asks
**Job Details**
Also asks
Legal Employer: NCHEALTH
Also asks
Entity: UNC REX Healthcare
Also asks
Organization Unit: Rex 4 East/Pulm & Nephrology
Also asks
Work Type: Part Time
Also asks
Standard Hours Per Week: 24.00

What's around it?

In Raleigh, NC· © Mapbox © OpenStreetMap

Living costs about 2% below the US average

Median rent
$1,572/mo
Household income
$85,395/yr, all local households, not nurse pay

See Raleigh, NC

From Census ACS 2024.

About this role

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/ [Job Search](https://jobs.unchealthcare.org/search/jobs) / RN Clinical Nurse II - 4 East Medical Stepdown

RN Clinical Nurse II - 4 East Medical Stepdown

  • Job ID: 238113
  • Location: Raleigh, NC
  • Facility/Division: UNC REX Healthcare
  • Status: Part Time
  • Shift: Variable

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Job Description

**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.

**UNC Rex 4 East** is a 31 bed pulmonary and nephrology intermediate care unit. Nurses on this unit care for patients with lung, kidney and heart related illness or diagnoses. Nurses monitor and manage patients with ventilators, peritoneal dialysis, arrhythmias and cardiac drips. We provide an exceptional level of care, continuously utilizing critical thinking and a wide range of clinical skills for patients with multiple comorbidities. We are a strong team that places high importance on providing the best in care and top patient satisfaction results.

**

Summary

** Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.

**

Responsibilities

**

  • Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
  • Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
  • Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
  • Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
  • Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to 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.
  • Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
  • Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.

**Other Information**

**Education

Requirements

**

● Graduation from a school of professional nursing.

● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.

**Licensure/Certification

Requirements

**

● Licensed to practice as a Registered Nurse in the state of North Carolina.

● Basic Life Support (BLS) for Healthcare Provider certification

**Professional Experience

Requirements

**

● One (1) year of nursing experience.

**Knowledge/Skills/and Abilities

Requirements

**

**Job Details**

  • Legal Employer: NCHEALTH
  • Entity: UNC REX Healthcare
  • Organization Unit: Rex 4 East/Pulm & Nephrology
  • Work Type: Part Time
  • Standard Hours Per Week: 24.00
  • Salary Range: $34.22 - $48.38 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule

Variable

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.

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![Testimonial: Sonitha Abhilash 8.3.2026…

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How this role fits you

About the employer

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UNC Health
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On your path

Telemetry is open from year one. One of the most open front doors in acute care; ACLS and rhythm.

Worth asking

  • Can you walk me through base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to ask
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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