• Location: Durham, NC
  • Posted: Jan 4, 2020

Job Description

Duke Regional Hospital has served Durham, Orange, Person, Granville and Alamance counties and the surrounding communities for nearly 40 years. With more than 1,900 employees, its focus is on providing outstanding medical care with compassionate, personalized service in a comfortable community hospital setting. Duke Regional Hospital has 369 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services, and also offers care at the Duke Rehabilitation Institute and Davis Ambulatory Surgical Center. In fiscal year 2018, Duke Regional Hospital admitted 16,299 patients and had 165,953 outpatient visits in fiscal year 2017.

U.S. News & World Report ranked Duke Regional Hospital as #10 in North Carolina and #4 in the Raleigh-Durham area for 2018-19.

Duke Nursing Highlights:

Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolinas Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance!

Duke Regional Hospital

Center for Advanced Practice: Diabetes Clinical Nurse Specialist
Position summary:

The Duke Regional Diabetes Clinical Nurse Specialist (CNS) collaborates with all members of the healthcare team to enhance patient care by providing evidence-based clinical expertise to patients, and serving as an expert resource and consultant to nursing staff. S/he is a clinician, educator, investigator, consultant, role model and leader. S/he makes clinical judgments based upon a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The CNS is a dynamic and positive role model for nursing staff. S/he functions as an integral part of a larger interdisciplinary team contributing to excellence in patient care, research, teaching, and in providing leadership to the nursing staff and to the organization.

Position requirements

Education: Work requires completion of a Masters degree in Nursing.

Licensure: Current licensure as a Registered Nurse in the state of North Carolina and NCBON CNS recognition

Certification: CNS certification or advanced practice specialty certification that meets requirements for NCBON CNS recognition

Experience: Three years of nursing experience, CDE Preferred

Life support:


Degrees, Licensure, and/or Certification

Must have current or compact RN licensure in the state of North Carolina. BLS required. Certification as a Clinical Nurse Specialist (CNS) is required.

Physical and mental requirements:

Knowledge of professional nursing theory, clinical practice standards, and scope of an advanced practice clinical nurse specialist role. Able to independently seek out resources and work collaboratively to solve complex problems
Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others. Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up. Able to use fine motor skills. Able to record activities, document assessments & interventions; prepare reports and presentations;
Able to use computer and learn new software programs. Able to provide leadership in clinical area of expertise and in meeting organizational goals. Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations. Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds. Able to remain focused and organized . Able to work collaboratively with all levels of personnel


Primary hours will be Monday-Friday, 8am-5pm, and other hours as needed to fulfill the responsibilities of the position.

Responsible to:

The Diabetes CNS reports directly to the DRH ACNO. In addition, s/he will work collaboratively with the Center for Advanced Practice Director of Advanced Practice Nursing.

Specific Job Responsibilities and Standards

Direct Care
Conducts complete and accurate patient assessment
Synthesizes assessment data, advanced knowledge, and experience, using critical thinking and clinical judgment for clinical problems amenable to CNS intervention.
Employs evidence-based clinical practice guidelines tailored to the individual
Support the development, implementation, and evaluation of standards of practice, guidelines, policies, procedures, and protocols.
Selects, develops and/or implements evidence-based clinical interventions and systems to achieve defined patient and system outcomes.
Prescribes nursing therapeutics, interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients, families and groups, in accordance with professional preparation, institutional policy, state and federal laws and practice acts.
Evaluates outcomes of nursing practice for safety, timeliness, effectiveness, efficiency, efficacy and patient-centered care.
Differentiates between outcomes that require care process modification at the individual patient level and those that require modification at the system level.
Coordinates the care of patients with use of system and community resources to assure successful health/illness/wellness transitions, enhance delivery of care, and achieve optimal patient outcomes.

Identify patient/family education needs and priorities.
Coaches patients and families to help them navigate the healthcare system.
Participate in developing, implementing and evaluating patient education resources and programs appropriate to the patients developmental level, health literacy level, learning needs, readiness to learn, and cultural values and beliefs.
Provides education to individuals, families, groups and communities to promote knowledge, understanding and optimal functioning across the wellness-illness continuum.
Assess learning needs of nursing staff; plan and implement appropriate educational forums and opportunities to address critical learning needs and skills.
Participates in education of nurses and other health care providers to include but not limited to pre-professional, graduate and continuing education opportunities.
Contributes to the advancement of the profession as a whole by disseminating expert knowledge and outcomes of CNS practice through presentations and publications.
Mentors health professionals in applying the principles of evidence-based care.
Uses coaching and advanced communication skills to facilitate the development of effective clinical teams.
Provides leadership in conflict management and negotiation to address problems in the healthcare system.

Assists staff in the development of innovative, cost effective programs or protocols of care
Assesses the quality and effectiveness of interdisciplinary, intra- agency, and inter-agency communication and collaboration.
Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence
Facilitates intra-agency and inter-agency communication.
Provides leadership for establishing, improving, and sustaining collaborative relationships to meet clinical needs.
Practices collegially with medical staff and other members of the healthcare team so that all providers unique contributions to health outcomes will be enhanced.

Systems Leadership
Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring.
Role model advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problem-solving skills
Performs system level assessments to identify variables that influence nursing practice and outcomes, including but not limited to:
Population variables (age distribution, health status, income distribution, culture)
Environment (schools, community support services, housing availability, employment opportunities)
System of health care delivery
Regulatory requirements
Internal and external political influences/stability
Health care financing
Recurring practices that enhance or compromise patient or system outcomes.
Determines nursing practice and system interventions that will promote patient, family and community safety.
Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery.
Provides leadership in maintaining a supportive and healthy work environment.
Provides leadership in promoting interdisciplinary collaboration to improve care through:
outcome-focused patient care programs
performance improvement
clinical research

Evidence based practice, Quality Improvement and Research
Analyzes research findings and other evidence for their potential application to clinical practice
Integrates evidence into the health, illness, and wellness management of patients, families communities and groups
Applies principles of evidence-based practice and quality improvement to all patient care.
Assesses system barriers and facilitators to adoption of evidence- based practices.
Designs programs for effective implementation of research findings and other evidence in clinical practice
Cultivates a climate of clinical inquiry across spheres of influence
Fosters an interdisciplinary approach to quality improvement, evidence-based practice, research, and translation of research into practice
Participates in establishing quality improvement agenda for unit, department, program, system, or population
Uses quality monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes.
Develops quality improvement initiatives based on assessments.
Provides leadership in the design, implementation and evaluation of process improvement initiatives.
Provides leadership in the system-wide implementation of quality improvements and innovations.
Participates in the conduct or implementation of research.

Ethical Decision-Making, Moral Agency and Advocacy Competency
Engages in a formal self-evaluation process, seeking feedback regarding own practice, from patients, peers, professional colleagues and others
Fosters professional accountability in self or others.
Facilitates resolution of ethical conflicts
Facilitates patient and family understanding of the risks, benefits, and outcomes of proposed healthcare regimen to promote informed decision making.

Behavior Standards:

Excellence We strive to achieve excellence in all that we do.


Acts and makes decisions in the best interests of patients and their loved ones, and willingly accepts accountability for outcomes.
Improves performance that enhances patient care and advances individual, team and organizational goals.
Effectively uses DUHS resources (time, budget and property) to support optional patient care and operational performance while adhering to organizational policies and procedures.
Seeks opportunities to improve service provided to patients and their loved ones related to clinical care and support.

Safety We hold each other accountable to constantly improve a culture that ensures the safety and welfare of all patients, visitors and staff.


Strictly adheres to all established patient, staff and faculty safety procedures.
Contributes to an environment of safety and security for patients and staff through individual actions.
Speaks up about all risk of harm; reports patient, staff safety or injury events within twenty-four hours of incident or awareness of incident.
Actively participates in all mandatory patient and staff safety training.

Integrity Our decisions, actions, and behaviors are based are based on honesty, trust, fairness, and the highest ethical standards.


Is truthful and honest with patients, their loved ones, and co-workers, and consistently exhibits actions that reflect our values.
Is accountable for actions and decisions involving patient care or other operational activities, and strives to learn and improve from experience.
Follows through on commitments made to patients, visitors, co-workers, and others.
Conducts work positively while doing so in full compliance with all organizational policies, procedures, expectations and patient-centered values.

Diversity We embrace differences among people.


Applies cultural understandings and sensitivities to enhance patient care, and improves interactions with people of diverse backgrounds.
Treats all individuals patients, visitors and co-workers with courtesy, dignity and respect.
Contributes to a work environment that is welcoming to all whether patients, visitors, staff or faculty.
Demonstrates a sensitivity and awareness of the needs of a diverse workforce and patient population.

Teamwork We have to depend on each other and work well together with mutual respect to achieve common goals.


Willingly shares expertise and information with others to improve patient care, unit or departmental performance without compromising individual responsibilities.
Celebrates the accomplishments of others in making a difference in the lives of patients and the success of the organization.
Takes ownership of decisions made by specific patient care or project teams, and team leaders, and the individual role needed to support them.
Manages multiple demands while maintaining quality and courtesy; acknowledges and resolves patient or visitor issues.

Working conditions:
The work environment involves risk discomforts that are typical of an acute care setting to include working with patients under isolation and universal precautions. It requires safety precautions, ongoing education and health risk monitoring. Contact with specimens, chemicals, sharps, radiation, technical equipment and fumes are possible. Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines. The work activity and patient acuity levels can create a stressful atmosphere.

Duke University is an Affirmative Action/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, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan 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.

Duke Health

705 Broad Street
Durham, NC 27708

Phone: (919) 684-5600

Fax: (919) 684-5600