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Duke Careers

Registered Nurse – General Medicine Stepdown

Duke Careers

. Plan and provide professional nursing care for patients according to medical and nursing plans of care and established policies and procedures .

Posted 11/10/2026full-timeDurham • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in providing professional nursing care, including assessment, planning, implementation, and evaluation of patient care. Maintains compliance with North Carolina nursing regulations and actively engages in professional development and staff support.

Highest-signal resume keywords
Registered Nurse LicensureBLS CertificationPatient Care ManagementNursing Process DocumentationClinical Performance Improvement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Patient AssessmentCare PlanningIntervention ImplementationEvaluation of Patient StatusTask DelegationSupervision of Care ProvidersCollaboration with Healthcare TeamsEducation of Patients and FamiliesOrganizational SkillsPrioritization of Tasks
Soft Skills
Communication SkillsLeadership SkillsInterpersonal SkillsTeamworkProblem-Solving Skills
Certifications & Qualifications
BLS Certification
Industry Keywords
North Carolina Board of NursingMulti-State Compact LicenseProfessional DevelopmentHealthcare Personnel SupportNursing Care Policies

About the role

Key responsibilities & impact
  • Plan and provide professional nursing care for patients according to medical and nursing plans of care and established policies and procedures
  • Provide nursing services to patients and families within the scope of an RN defined by the North Carolina Board of Nursing
  • Plan, provide, and document nursing care using the nursing process and physician orders under the supervision of the team leader or charge nurse
  • Delegate tasks and supervise licensed and unlicensed care providers
  • Assist other healthcare personnel in delivering patient care
  • Maintain the environment of care, including equipment and material resources
  • Organize work, prioritize tasks, and identify resources to complete care components promptly
  • Maintain required competencies and pursue professional development and educational opportunities
  • Support the development of other staff and formal learners
  • Identify clinical or operational performance improvement opportunities and assist with improvement activities
  • Document assessments, care plans, interventions, evaluations, and patient-status re-evaluations
  • Assess nursing needs of acutely and chronically ill patients and collaborate with available resources
  • Educate patients and families according to the nursing plan of care
  • Manage relationships with patients, families, visitors, healthcare teams, physicians, administrators, and leadership

Requirements

What you’ll need
  • Graduation from an accredited Bachelor’s Degree in Nursing or higher, Associate's Degree in Nursing, or Nursing Diploma program
  • Current registration with North Carolina State Board of Nursing as a registered professional nurse or current compact RN licensure to practice in North Carolina
  • Nurses with a multi-state compact license must obtain NC state licensure within the first 90 days of employment
  • BLS Certification
  • RNs without a Bachelor’s degree in Nursing or higher must enroll in an appropriate BSN program within two years of their start date and complete it within seven years of their start date

Benefits

Comp & perks
  • Relocation Assistance (based on eligibility)
  • Commitment Bonus for Experienced RNs
  • Relocation for eligible Experienced and New RNs
  • Up to $25,000 nursing loan forgiveness
  • Paid Training
  • 8 weeks of paid orientation and monthly nurse residency classes for new graduate nurses
  • 4–6 weeks of paid orientation for experienced nurses, depending on experience
  • Learning and development through the Office of Continuing Education
  • Clinical Ladder Advancement
  • Tuition Assistance and Nurse Loan Forgiveness
  • Relocation Grant
  • Nursing Specialty Certification Bonus
  • Employee Referral Bonus
  • Performance Increases
  • Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more