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Duke University

Clinical Nurse IV Leader- Outpatient Behavioral Health

Durham, NCSalary not listedPosted 3 days ago

Immigration summary

Visa sponsorship

LikelyLow confidence

This employer sponsors, but not for roles like this one.

218 recent H-1B filings

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Green card sponsorship

Some historyMedium confidence

This employer has recently sponsored green cards.

6 recent certified PERM filings

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Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Duke Health Integrated Practice

https://careers.dukehealth.org/us/en/dhip    

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Clinical Nurse IV Leader- Outpatient Behavioral Health Pediatrics

JOB LOCATION

Duke Behavioral Health North Pavilion: 2400 Pratt St, Suite 3100, Durham, NC

Duke Behavioral  Health North Durham: 3643 N Roxboro St, Durham, NC

JOB SUMMARY

The Behavioral Health (BH) Clinical Nurse Leader (CN IV-L) is a hybrid clinical and leadership role that combines direct patient care with unit‑based leadership, coaching, and operational support. This position serves as an early leadership pathway for nurses interested in advancing into formal nurse management roles while remaining clinically grounded.

The CN IV Leader supports the Nurse Manager (NM) and Health Center Administrator (HCA) by coordinating care delivery, mentoring staff, advancing quality initiatives, and promoting evidence‑based practice.

JOB DUTIES AND RESPONSIBILITIES

The BH CNIV-L will provide leadership and staffing support for the following clinical programs:

  • Adult Behavioral Health Clinics
    • Duke Behavioral Health North Durham
    • Duke Behavioral Health North Pavillion
    • Embedded Providers (remote support) for Onco-Psych, Transplant Psych services

Work Performed:

  • Identify care needs for patient populations across the continuum of care.
  • Collaborate and provide leadership in the development of standards of care, patient/family education and staff education to address the needs of specific populations.
  • Collaborate with multidisciplinary team and provide leadership within the delivery of patient care.
  • Provide leadership in educational activities, departmental committees, research projects and other health-related projects.
  • Provide evaluation, direction and guidance in the proper selection, use, care and control of material resources.
  • Appraise quality and effectiveness of material and equipment and collaborate with appropriate departments to assist with vendor selection and feedback on performance.
  • Guide the professional growth of others across the continuum of care through role modeling, coaching and/or mentoring.
  • This may include designing orientation modules, primary precepting of senior nursing students.
  • Provide leadership at a departmental, entity, community or regional/national level for initiatives focused on improving the quality of care for populations of patients and growth of others.
  • Conduct performance reviews.
  • Effectively recommend personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
  • Perform other related duties incidental to the work described herein.

JOB ELIGIBILITY REQUIREMENTS

  • Work requires graduation from an accredited nursing program with a BSN degree.
  • Two years of RN experience required.
  • Clinical Nurse II and III are eligible to apply for the CN IV Leader role. Applicants will perform the duties and responsibilities of the CN IV.
  • Ambulatory experience required
  • Experience with process and performance improvement required
  • Must have current or compact RN licensure in the state of North Carolina. BLS required.

Work Schedule:

Monday-Friday day shift with no evenings, weekends, holidays or on call

    • Approximately 3 clinical staffing shifts (32 hours) and 16 hours of dedicated leadership/administrative 

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 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.

Sponsorship evidence

Why Openbound reached the conclusions above.

Visa sponsorship evidence

Current posting

Silent on sponsorship

Other openings

9 of 1060 recent openings at this employer state a sponsorship restriction.

Employer H-1B history

218
recent certified H-1B filings
95
new-hire petitions
0
filings for similar roles
179
so far in FY2026
More evidence details
  • 218 recent certified H-1B filings across the employer
  • Still filing this year — 179 filings in FY2026
  • Strong filing activity in NC
  • We checked 67 filing titles for this employer and none describe work like this role
  • 9 other recent postings at this company state a sponsorship restriction
  • The posting says nothing about sponsorship either way

Strong filing activity in NC.

Green card sponsorship evidence

Employer PERM history

6
recent certified PERM filings
0
filings for similar roles
6
filings in this location
Certified PERM filings by fiscal year
20230
20240
20256
20265YTD

Filing history reflects past employer behavior; it isn't a promise for this opening.

All open roles at Duke University
How Openbound evaluates sponsorship

Visa history uses official U.S. Department of Labor H-1B LCA disclosure data and USCIS H-1B petition history. Green card history uses DOL PERM disclosure data. Each is read for the employer as a whole, for roles like this one, and for this location, weighted toward the most recent fiscal years.

An employer is matched to its filing entities by verified legal name and reviewed aliases; a match is never made on a name resemblance alone. Where no verified entity can be matched, the page says so and draws no conclusion from the absence. 67 filing titles were examined for this employer.

What this posting states outranks history in both directions, and an employer's published policy outranks past filings. Filing history reflects past behavior; it is not a promise of sponsorship for this opening, and none of this is legal advice.