Clinical Service Nurse - Transplant Infectious Diseases Nurse Coordinator and Triage Specialist

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 University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

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)

Duke University Hospital is seeking a dedicatedOutpatient Clinical Nurse to serve as a Clinical Coordinator and Nurse Triage Specialist for the Transplant Infectious Diseases Outpatient Parenteral Antimicrobial Therapy (TID OPAT) program. This role supports safe, coordinated, and high-quality outpatient antimicrobial care for complex immunocompromised patients.

Department Profile:

The Transplant Infectious Diseases subsection within the Division of Infectious Diseases specializes in caring for immunocompromised patients with highly complex infections-including individuals with solid organ transplants, hematopoietic cell transplants, hematologic malignancies, recipients of cellular therapies, and ventricular assist and other advanced cardiac support devices.

The newly established TID OPAT program enhances the care of patients requiring outpatient intravenous antibiotics or high-risk oral antimicrobials, providing structured monitoring and seamless care transitions.

Job Location:

Duke University Hospital - Duke University Hospital - Duke Clinic (Clinic 2B/2C), 40 Duke Medicine Circle, Durham, NC

Department Highlights:

• 16 Transplant Infectious Diseases Faculty Physicians
• 4 Inpatient Advanced Practice Providers
• 1 Outpatient Clinical Pharmacist
• Strong multidisciplinary collaboration (cardiology, hepatology, pulmonology, heme-oncology, cardiothoracic surgery, abdominal surgery, and more)

Work Schedule:

Outpatient, On-site

Full time: (35-40 hours/week), Monday to Friday

No weekends or holidays

Key Responsibilities:

• Collaborate with the OPAT team (PharmD, Medical Director, Transplant ID providers, administrative staff) to ensure safe and coordinated care for patients receiving IV antibiotics.
• Monitor, analyze, and document weekly therapeutic drug levels, safety labs, and inflammatory markers; escalate abnormal results to the PharmD or providers as needed.
• Provide telephone triage support to determine the need for urgent or emergent evaluation (e.g., vascular access device education, assess vascular access device malfunction, infection progression, adverse drug reactions, acute kidney injury).
• Manage incoming calls and faxes from the dedicated OPAT phone line to address patient needs promptly.
• Coordinate care among ID providers, home health agencies, and infusion partners to ensure seamless transitions and prevent avoidable ED visits and hospital readmissions.
• Triage urgent inpatient and outpatient referrals to Transplant Infectious Diseases.

What you can expect:

• A dynamic role involving patient communication, clinical decision-making, documentation, troubleshooting, and interprofessional care coordination.
• Opportunities to contribute to program development, workflow optimization, and quality improvement.
• Longitudinal relationships with patients, multidisciplinary teams, physicians, administrators, and leadership across Duke Health.

What we'll provide:

• Comprehensive onboarding and training
• Professional development opportunities through Duke's Office of Continuing Education
• Clinical Ladder Advancement
• Tuition Assistance & Nurse Loan Forgiveness
• Relocation Grant
• Nursing Specialty Certification Bonus
• Employee Referral Bonus
• Performance-based increases
• Full Benefits Package: Medical, Dental, Vision, Pension, and more

Required Qualifications at this Level.

Experience

• Minimum 12 months of clinical nursing experience
• Prior experience with immunocompromised patients preferred

Education, Degrees, Licensure, and/or Certification

• Graduation from an accredited BSN, ADN, or Nursing Diploma program
• Nurses without a BSN must enroll in a BSN program within 2 years and complete it within 7 years of hire
• Nurses with a compact license must obtain NC licensure within 90 days of hire
• BLS certification required

Knowledge, Skills, and Abilities:

• Proficiency in the nursing process and professional nursing practice
• Ability to assess needs of acute and chronically ill patients and address family concerns
• Strong communication and collaboration skills
• Ability to work independently, prioritize tasks, and remain organized
• Competency in documentation and use of electronic health records
• Working knowledge of infection control principles and safety protocols
• Ability to build effective working relationships across multiple disciplines

Distinguishing Characteristics of this Level

• N/A

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 onthe 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.