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RN Clinical Nurse IV Team Leader- Emergency Department

UNC Health Care
$38.13 - $58.24 per hour
relocation assistance
United States, North Carolina, Holly Springs
850 South Main Street (Show on map)
Oct 04, 2025

Description

*This position qualifies for our UNC Rex Incentive Program, which includes up to $20,000 commitment incentiveorup to $25,000 tuition loan forgiveness. In addition, this position is also eligible for up to $10,000 in relocation assistance (based on location) and our employee referral program. Learn more about our UNC Rex Incentive Program here:https://jobs.unchealthcare.org/pages/unc-rex-incentive-program

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

About the Department

TheUNC Rex Holly Springs Emergency Departmentis a24-bed unitproviding high-quality, patient-centered care in a growing community. Our department includes a dedicatedResults Waiting Areato safely monitor lower-acuity and overflow patients,two large resuscitation rooms(including one tailored for pediatric emergencies), andfive triage/exam roomsfor rapid assessment and care.

Ourmultidisciplinary teamdelivers emergency care for bothadults and children, managing a broad spectrum of needs including life-threatening conditions, acute injuries and illnesses, and behavioral health crises.

Role Overview: Clinical Nurse Team Leader (TL RN)

As aTeam Leader RNin the Emergency Department, you'll balance advanced clinical care with leadership responsibilities-supporting staff development, optimizing patient outcomes, and ensuring operational excellence. This position is ideal for a skilled ED nurse ready to expand into leadership while maintaining direct patient care responsibilities.

Time Allocation:Approximately70% Clinical / 30% Administrative

Key Responsibilities

Clinical (70%)

  • Provide expert, high-quality nursing care in a high-acuity emergency setting

  • Serve as Charge Nurse during shifts, overseeing patient flow, assignments, and clinical prioritization

  • Precept and mentor new team members, ensuring a smooth onboarding experience

  • Support critical decision-making at the bedside and promote clinical best practices

  • Collaborate with physicians, EMS, behavioral health, and interdisciplinary teams to deliver safe, timely care

Administrative (30%)

  • Participate in unit-based and hospital-wide quality improvement and shared governance initiatives

  • Assist with staff education, competency training, and continuing education efforts

  • Conduct staff check-ins and provide coaching, feedback, and support

  • Perform patient experience rounding to enhance care and satisfaction

  • Partner with leadership on staffing, team engagement, and retention strategies

Who We're Looking For

We're seeking a motivated emergency nurse who thrives in fast-paced environments, values collaboration, and is committed to delivering exceptional patient care. Leadership potential, strong clinical judgment, and excellent communication skills are essential.

Preferred Qualifications:

  • 2-5 years of emergency nursing experience (adult or pediatric)

  • Prior leadership or charge nurse experience strongly preferred

  • Strong clinical and critical thinking skills in high-acuity settings

Why Join UNC Rex Holly Springs Emergency Department?
  • Part of theUNC Health system- known for clinical excellence and supportive work culture

  • Opportunities forprofessional development, leadership growth, and continuing education

  • Work in acommunity-focused, high-impact EDwith a tight-knit team

  • Access tostate-of-the-art equipment, evidence-based practices, and cross-disciplinary collaboration

  • Be part of a department that valuescompassion, integrity, teamwork, and education

Ready to Lead in Emergency Care?

Apply today to join a team that's making a difference-one patient, one family, and one moment at a time.

Summary:
Serves as nursing Team Leader. Provides education, training, and oversight to assigned nursing staff.

Responsibilities:
1. 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.
2. EVALUATION - Evaluates patient progress and revises plan accordingly. Maintains accountability for carrying out components of the plan. Works with manager to ensure care on unit is accordance with policies and procedures.
3. IMPLEMENTATION - 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.
4. LEADERSHIP - 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.
5. ASSESSMENT - Synthesizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial and educational needs. Synthesizes assessment data into meaningful whole prior to communication with 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. Works with manager to demonstrate specialization needs to serve the patient population.
6. PLANNING - 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.
7. 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

Other information:
Education Requirements:
* Graduate of Accredited Nursing Program. Bachelor's degree (BSN) required.
Licensure/Certification Requirements:
* Must have NC RN Licensure and BCLS. Professional certification relevant to the practice area and on the ANCC Magnet approved list within the probationary period of employment.
Professional Experience Requirements:
* Minimum of one year experience working as a licensed RN.
Knowledge/Skills/and Abilities Requirements:
* Language Skills: Ability to read, analyze, and interpret clinical information and technical procedures. Ability to document clinical information. Ability to effectively communicate information and respond to questions from patients, physicians, family members, and other Rex staff. Mathematical Skills: Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions.


Job Details

Legal Employer: NCHEALTH

Entity: UNC Rex Holly Springs Hospital

Organization Unit: HS Emergency Services

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$38.13 - $58.24 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:Holly Springs

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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