Duke University

Durham, North Carolina

Duke University Hospital

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

  • Duke University Health System is designated as a Magnet organization
  • Nurses from each hospital are consistently recognized each year as North Carolina's 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!

Are you a BSN, RN with over 3 years' experience in bedside Nursing?

Are you interested in growing your career as an Assistant Nurse Manager for a Magnet Teaching Hospital?

If you answered yes to both of these questions, please see the following job description and apply today!

The Assistant Nurse Manager (ANM) is a leadership role developed to ensure the work is accomplished safely and effectively. The ANM works in partnership with the Nurse Manager of Operations to provide support for staff, physicians and other related providers on service- specific clinical issues. The ANM demonstrates leadership, clinical, and interpersonal skills. The ANM serves as the leader support for the unit/department/service during off-shift (nights and weekends). The ANM is responsible for supervising, directing, coaching and mentoring staff under the supervision of the Nurse Manager of Operations (NMO).

It is 50% Clinical and 50% Administrative and is a night/weekend position in order to provide leadership support during the off-shift.

Work Performed

Duties and responsibilities include those required of the Clinical Nurse, Preceptor, and Charge Curse role. In conjunction with NMO, the ANM will;

  • Plan clinical requirements for staff and ensure all competency requirements for staff are current,
  • Plan and assist with coordination of unit staff schedules and submit for NMO approval,
  • Coordinate clinical training requirements with staff regarding equipment and supplies.
  • Consult with preceptors and orientees on a regular basis to provide support and determine how orientation should proceed on an individual basis.
  • Assist NMO in preparation, oversight, maintenance and monitoring of budget utilization
  • Collaborate with the NMO for issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach.
  • Collaborate with different departments (pharmacy, radiology, lab, admissions, etc.) to resolve issues and improve work flow processes throughout the department.
  • Participate with the NMO in the interview process and selection of new staff.
  • Oversee various personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
  • Mentor/coach staff to enhance their professional development.
  • Assess the performance of assigned new hires and orientees including entry level nurses, nursing care assistants and health unit coordinators
  • Provide ongoing feedback and coaching to staff
  • Understand and communicate potential clinical equipment or supply issues to appropriate support team members (Materials, Biomed, Sterile Processing, etc.).
  • Mentor and monitor the preceptors for all new employees.
  • Facilitate provision of clinical/education updates and skill check-offs to entire staff on a regular basis.
  • Provide immediate support or education on policy, procedures, equipment and supplies as needed.
  • Responsible for learning, implementing and teaching new technology/procedures.
  • Provide clinical consultation and guidance as needed to facilitate patient care.
  • Round on patient and families to validate services are provided consistently within expected standards;
  • Provide service recovery as needed.
  • Model and support the value of diversity in the workplace
  • Give assistance and/or direction to staff to facilitate quality patient flow.
  • Supervise and coordinate delivery of patient care for assigned patient care area.
  • Provide oversight and support to charge nurse to ensure staffing needs/assignments are made according to workload, staff competency and scope of practice.
  • Delegate responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift.
  • Facilitate participation of unit-based staff on department and organization wide councils/committees.
  • Facilitate assignments that support learning for the orientee or nurse learner.
  • Promote an atmosphere of open communication that facilitates staff input into decision-making, resolution of conflict, and collegiality among all health team members.
  • Communicate in an effective, professional manner.
  • Support activities needed to ensure adherence to regulatory standards and compliance with clinical patient care standards and established policies and procedures.
  • Review and provide appropriate follow up/communication on SRSs related to their team or patients in conjunction with NMO.
  • Facilitate and encourage staff participation in departmental and hospital committee and council meetings.
  • Attend departmental and hospital committee meetings as assigned.
  • Coordinate, facilitate, participate or direct departmental projects with follow-through and appropriate follow-up.
  • Other projects and duties as directed by the NMO.

Knowledge, Skills and Abilities

  • Knowledge of scope of the registered nurse, licensed practical nurse and nursing care assistant
  • Knowledge of and appropriate application of the nursing process
  • Knowledge of professional theory, practice and procedure
  • Ability to assess nursing needs of acute and chronically ill patients and their families
  • Able to independently seek out resources and work collaboratively
  • Ability to establish and maintain effective working relationships
  • Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
  • Able to teach patients and families in accordance with the nursing plan of care
  • Able to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
  • Able to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area
  • Able to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
  • Able to use computer and learn new software programs
  • Able to navigate the entity to provide clinical care for patients
  • Able to withstand prolonged standing and walking
  • Able to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Pre-employment Physical Capacity Testing Required

Level Characteristics


Minimum Qualifications


Bachelor of Science degree in Nursing required.


Three years of experience in nursing practice

Degrees, Licensures, Certifications

Must have current or compact RN license in the State of North Carolina. BCLS certification is required. Must obtain a nursing leadership certification within two years of hire of appointment.

Duke 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 ideas-an 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 essentialjob 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.

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