
Registered Nurse (RN) General Medicine Stepdown
Immigration summary
Visa sponsorship
This employer sponsors, but not for roles like this one.
218 recent H-1B filings
View visa evidenceGreen card sponsorship
This employer has recently sponsored green cards.
6 recent certified PERM filings
View green card evidenceJob 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.
About Duke Regional Hospital
Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.
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 (based on eligibility)
Unit Overview
The General Medicine Step-down is a 40-bed general medicine unit. Acuity is a mix of intermediate and progressive care/step-down. There is a lot of opportunity to practice a variety of skills amongst a wide range of patient types which, in addition to general medicine, includes some surgery, neurology, palliative care, and inpatient hospice. This unit is consistently recognized as a high-performing team by leadership and work culture scores indicate a healthy, team-supported environment. Come be part of the magic in an area that welcomes new and experienced nurses. Great Unit to set a good nursing foundation. We are eager to add like-minded motivated nurses to our staff. We truly believe we offer Opportunities for a Lifetime at Duke Health!
Shift Information
Full-time; 36 hours per week.
Three (3) 12-hour shifts.
Night shift 7p-7a
Up to $15,000 Commitment Bonus for RNs with 1+ years of RN experience, eligiblity rules apply.
Occ Summary
Plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.
Work Performed
Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders andestablished policies and procedures under the supervision of the team leader or charge nurse. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other healthcare personnel in the delivery of patient care. Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Support the development of other staff and formal learners. Participate in the identification of clinical or operationalperformance improvement opportunities and assist in performance improvement activities. Perform other related duties incidental to the work described herein.
Knowledge, Skills and Abilities
Knowledge of scope of the registerednurse, licensed practical nurse and unlicensed staff 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 Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area or organization Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Ability to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required
Level Characteristics
N/A
Minimum Qualifications
Education
Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.
Experience
No experience required. All CNIs will be enrolled in and must complete the DUHS Nurse Residency Program within 12 months of hire. CNIs are required to meet criteria set forth by the DUHS Nurse Residency Program within 18 months of hire to be promoted to CNII.
Degrees, Licensures, Certifications
Must have current or compact RN licensure in the state of North Carolina. BLS required.
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
Filing history reflects past employer behavior; it isn't a promise for this opening.
All open roles at Duke UniversityHow 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.