Registered Nurse - Hiring Now! (Durham)

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 of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Work Week: Position includes holidays, weekends and call General Description of the Job Class Coordinate and participate in a variety of technical tasks, tests and determinations involving the utilization of radioactive materials and measurement instrumentation. Duties and Responsibilities of this Level Coordinate and participate in a variety of technical procedures to include in vivo and in vitro studies; operate radiation detection and measurement instrumentation including stationary imaging devices, scintillation gamma and apparatus for in vitro counting. Calibrate and draw up radiopharmaceutical materials for administration to patients; formulate radiopharmaceutical materials from pre-prepared kits. Calibrate instruments and review calibration data to detect trends indicating instrument malfunction. Calculate data to include results of patient studies and radioactive decay. Evaluate recorded images for technical quality. Process computerized image data to include function curves and reconstructed SPECT images. Assume care for physical and psychological needs of patient of all ages during an examination, initiates life support measures for patient, if necessary. Maintain inventory of supplies in assigned area; prepare and maintain records concerning radiopharmaceutical receiving, dispensing and disposal activities. Maintain records of order, including brachytherapy procedures, receipt and disposal of all radioactive material in the department. Provide instruction and technical guidance to radiologic technology students or other advanced imaging techs; assist in training new employees. Monitor Nuclear Medicine Department with portable survey meter for possible contamination. Performs EKG prep, tracing Perform other related duties incidental to the work described herein. Assist in the development and evaluation of new procedures and techniques to meet the needs of specific protocols as required: consult with physician concerning the application of nuclear medicine procedures and techniques. Administer thyroid therapy to patient that has undergone prior clinical and nuclear medicine diagnosis, insures decay of pharmaceutical and calculates for correct dosage in dose calibrator, observes patient dosage to insure proper treatment under direct supervision of radiologist. Assist in quality assurance program relating to calibration and maintenance of equipment. Assist with the education and training of new physicians (interns, residents, and fellows) as applicable. Perform other related duties incidental to the work described herein. DUHS offers career growth and enrichment within Imaging services. There is a clinical ladder program with various steps and opportunities at each hospital within the health system. Required Qualifications at this Level Education Graduate or completion of program that meets eligibility requirements for registry/certification or currently holds required registry or certification. Experience None required beyond above education/certification requirements. Level I must obtain ARRT or NMCTB certification within 18 months of employment. Level II Minimum of two years' experience as a Nuclear Medicine technologist. Level III A minimum of four years' experience within specialty modality in which they are seeking promotion. Degrees, Licensure, and/or Certification ARRT (N) certification and/or NMTCB certification within 18 months of employment. BLS certification Knowledge, Skills, and Abilities Ability to use office related computer software Possess knowledge of radiation protection and safety General computer knowledge IV placement and management skills Distinguishing Characteristics of this Level N/A 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 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 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.

RN (Durham)

Shift Requirements 2 years experience for Gig B Position 16 hours per Month Commitment No Holiday or Weekend Commitment 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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Registered Nurse (Experienced RN) Gig B Nursing Duke University Health System Located in Various Medical Units at Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital, a Campus of Duke University Hospital Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. The Gig Nursing team provides patient care, support and cares for a variety of patients. Nurses would work as a part of a multidisciplinary team and have the opportunity to participate in rounds on their patients. Highlights : Flexible Scheduling: Work when you want! No weekend or holiday commitment! Three tiers of pay, based on commitment level and experience. Eligible for daily pay! No need to wait for pay day! Eligible for shift differentials Supportive Team: Be a part of a collaborative team that values your input, with access to ongoing support and training. Qualifications : Graduation from an accredited Bachelors Degree in Nursing, Associates Degree in Nursing, or Nursing Diploma Program Twelve months of appropriate clinical nursing experience is required in the area of expertise. Current American Health Association BLS American Heart Association ACLS within 6 months What to expect : Three locations in the Raleigh/Durham area- Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital Variety- float to specialty areas within your specialty, including but not limited to: Emergency Services Medical/Surgical Critical Care Cardiac Services Oncology Opportunities to expand your nursing skill set. Most assignments are determined within two hours of shift start time. Gig shifts are subject to cancellation based on flex down order. Nurse: Patient ratio in adult medical and surgical areas averages 1:3 through 1:6 dependent on acuity. Nurse: Patient ratio in adult ICU is typically 1:2 Support staff, including Nursing care Assistants and Health Unit Coordinators, 24/7 What you will do : Due to the extensive training received in each area, our staff continue to be clinical experts, offering a broad skillset and range of knowledge throughout the various patient populations. As a Clinical Nurse II in Duke University Health System, you will 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. Plan, provide, supervise, and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Act as a preceptor and support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Perform other related duties incidental to the work described herein. What you can expect : Multitask in myriad ways document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, assess nursing needs of acute and chronically ill patients, independently seek out resources, and work collaboratively. Educate patients and families in accordance with the nursing plan of care. Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others. What you will need : Graduation from an accredited Bachelors Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program. Twelve months of appropriate clinical experience is required for Experienced Registered Nurses. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within sevenyears of their start date. Licensure and Certification Required : Current registration with the North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required. BLS Certification required To learn more about the Duke Registered Nurse Float Pool, Visit: https://today.duke.edu/2022/10/nursing-float-pool-ready-answer-call Duke is an Equal Opportunity Employer committed to providing employment

IOP Therapist - River Crest Outpatient (San Angelo)

Job Summary Counsels' individuals and groups in an outpatient setting to promote optimum mental health. Assists individuals deal with thoughts of suicide; addictions and substance abuse; family, parenting, and marital problems; stress management; problems with self-esteem; and other issues associated with mental and emotional health. Physical Requirements The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities. The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50) Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty. Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations. May be exposed to infectious or contagious disease. May have to handle emergency situations. May be subject to irregular hours. May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns. May be exposed to toxic/caustic/chemicals/detergents. Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting. Activity Conditions (Occasionally, Frequently, Continuously): Sitting- Continuously Walking- Frequently Standing- Frequently Bending-Occasionally Squatting - Occasionally Climbing-Occasionally Kneeling-Occasionally Twisting-Occasionally Visual and Hearing Requirements Must be able to see with corrective eye wear. Must be able to hear clearly with assistance. Working Conditions Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. This role may include working in less-than-ideal home conditions, which can include exposure to extreme temperatures and environments that may not meet typical cleanliness standards such as clutter, unkept surfaces, and homes with pets. Works in various conditions. Performance: Essential Functions Decision Making: Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate. Time Management: Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time. Quality & Quantity: Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output and time utilization of job duties. Computer Knowledge & Electronic Equipment Use: Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry. Resource Utilization: Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement. Confidentiality: Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy. Responsibilities Supervises the Following Positions Positions: N/A Performance: Position Specific Essential Functions Provides outpatient therapy to patients, individually and in group sessions, to assist in overcoming a variety of mental health related complications. Guides clients in the development of skills and strategies to deal with their problems. Encourages clients to express their feelings and to discuss what is happening in their lives and helps them develop insight into themselves and their relationships. Perform crisis interventions to help ensure the safety of the patients and others. Collects information about clients through interviews, observations, and tests. Prepares and maintains treatment records and reports. Maintains confidentiality of records relating to client's treatment. Advocates for patients (e.g., ensures adequate knowledge/comprehension regarding medical care choices, etc.) and clearly communicates case management activities/intervention in electronic health record. Collaborates with the interdisciplinary team in the planning, and provision of timely and efficient clinical services to patients and their families and initiates referrals to service providers as identified in the plan of care. Attends meeting and conferences as appropriate. Maintains updated knowledge of community resources and governmental programs available from local, state and federal health and social services agencies and makes referrals as indicated. Performs other duties as assigned. Qualifications Education Required High School Diploma, GED, or equivalent Master's degree in Counseling or related field Experience: Preferred Two years of experience in an Outpatient Mental Health Setting Certification/Licensure: Required Licensed Professional Counselor-Associate (LPC-A) OR Licensed Professional Counselor (LPC) OR Licensed Marriage and Family Therapist (LMFT) OR Licensed Psychological Associate (LPA) OR Licensed Psychological Associate with Independent Practice (LPA) OR Licensed Master Social Worker (LMSW) OR Licensed Clinical Social Worker (LCSW) OR equivalent With authorization to practice in the State of Texas Basic Life Support (BLS) Certification Must obtain within ninety (90) days of start date SAFE Approach Level III Must obtain within ninety (90) days of start date

Radiologic Technologist - Operating Room (Durham)

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. Radiologic Technologist Operating Room Location: Duke University Hospital 2301 Erwin Rd, Durham, NC 27705 Work Schedule : Full-Time, 1st Shift, Monday, Thursday, & Friday, 9:00AM - 9:30PM This position is eligible for a $15,000 commitment bonus Duke University Health System seeks to hire an experienced or new graduate Radiology Technologist who will embrace our mission of Advancing Health Together. The Duke University Hospital (DUH) campus supports a 1067 bed hospital known for Radiologic Technologist expertise in GI Diagnostic Fluoroscopy, OR, Ortho, Trauma, Ambulatory Surgery, Special Procedures, and PEDS services. What you will do: Perform a variety of tasks involved in operating x-ray equipment to make radiographs of designated anatomical areas of interest. Adjust equipment for proper radiographic exposure techniques in accordance with radiation safety guidelines. Explain x-ray procedures to patients. Position patients for each anatomical view using positioning assistance devices and protective equipment as necessary. Monitor accessory equipment and assist the physician with fluoroscopic procedures and special radiographic procedures. Accurately process images for optimal quality. Match with appropriate paperwork for interpretation. Charge radiographic procedures in; able to modify orders per protocol. Demonstrate acceptable film quality standards by critiquing positioning, technical factors, and collimation. Understands and uses the Image Archival System Provide education and training to DUHS affiliated radiology technology programs. Provide orientation to new technologists. Perform other related duties incidental to the work herein DUHS offers career growth and enrichment within imaging services. There is a clinical ladder program with various steps and opportunities at each hospital within the health system. Required Qualifications: Education: Completion of an AMA approved School of Radiology Technology or ARRT Certification Experience: Level I Must obtain ARRT certification within one year of employment. Level II Minimum of two years' experience as a diagnostic radiology technologist. Level III A minimum of 4 years' experience within specialty modality in which they are seeking promotion Degrees, Licensure, and/or Certification BLS certification ARRT certification within 12-months of hire 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 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.

Case Manager-Th-Sun 10hr WE Option Float (Durham)

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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as 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) $7,500.00 Commitment Bonus Manage a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these duties within the requirements of CMS and other external review agencies. Work Performed Monitor daily census and assignment to assure all patients are assessed. Perform other related duties incidental to the work described herein. Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to assessment findings, discharge planning needs and provider orders needed to arrange Homecare, Durable Medical Equipment, Transportation, Skilled Nursing or Acute Rehab Facility placement, Substance Abuse Treatment and outpatient follow-up. Maintain working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local regulations. Provide education and guidance on these topics to providers, patients and families as needed. Work with Utilization Management partners to provide information and feedback that will enhance negotiations and denial prevention with payers. Maintain timely documentation of assessment findings, discharge arrangements and actions taken according to departmental guidelines; prepare reports and maintain records as requested and/or required. Participate in Quality Assurance/Performance Improvement (QAPI) activities as requested. Job responsibilities may include site specific duties, weekend/holiday or after hours coverage as designated at each entity. Develop and maintain positive working relationships with customers internal and external to Duke Health System. Knowledge, Skills and Abilities Ability to work effectively in a self-directed role Ability to multi-task, capable of daily problem-solving complex issues Excellent written and verbal skills Basic computer skills necessary Level Characteristics N/A Minimum Qualifications Education BSN or MSW required Experience 3 years of relevant experience Degrees, Licensures, Certifications Requires Case Management Certification (ACM, CCM or ANCC) within 3 years of hire. MSW or BSN required. If BSN must have current or compact RN licensure in state of NC. CASE MANAGER Job Level: G2 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 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.

HVAC Mechanic, (Cert/Lic)- Duke Raleigh (Raleigh)

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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Healths four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. Job Summary Perform journeyman level work in the installation, maintenance, modification, overhaul, service and repair of all types of air conditioning and refrigeration systems and equipment. Hours: 7pm-7:30am Thursday, Fri, Sat, and Sunday (week one) 7pm-7:30am Fri, Sat, and Sunday (week two) Repeating Work Performed Install, maintain, adjust, modify and perform major overhaul and repair of refrigeration and air conditioning systems by interpreting blueprints, manufacturer specifications, written and verbal instructions. Make initial settings and final adjustments of refrigeration and air conditioning systems and modifying existing installations to obtain required results. Install, troubleshoot, repair or calibrate, and maintain reciprocating and centrifugal chillers, cooling towers, direct expansion systems, electric blast coils, immersion coils pumps, fans, starters, pneumatic and electric controls, electrostatic filters, domestic refrigerators, laboratory ultra low temperature boxes, walk-in coolers and freezers, fountain equipment and ice makers. Check and adjust complete air conditioning and refrigeration systems after installation. Charge all types of refrigeration equipment. Follow a predetermined schedule of preventive maintenance; make recommendations regarding major overhaul of systems. Provide technical guidance and direction to lower level personnel. Perform other related duties incidental to the work described herein. Knowledge, Skills and Abilities SUPERVISION WORK WITH BLUE PRINTS WORK WITH SCHEMATICS WORK WITH SKETCHES HVAC MAINTENANCE HVAC REPAIR Level Characteristics N/A Minimum Qualifications Education Work requires an educational background normally equivalent to high school with course work in skilled crafts EPA CFC certification, required. Experience Work requires 4 years of broad based experience in: Charging small refrigeration appliances; changing compressors, belts and valves; and adjusting and calibrating temperature and humidity controls OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE Degrees, Licensures, Certifications 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 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.

Radiation Therapist (Durham)

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. This position is eligible for up to $8,000 Relocation A Commitment Bonus of up to $25,000 is available for eligible radiation therapists with three or more years of experience A Commitment Bonus of up to $15,000 is available for eligible radiation therapists with less than three years of experience General Description of the Job Class Apply ionizing radiation to the patient (inclusive of pediatric, adult, and geriatric populations) in accordance with the prescription and instructions of the Radiation Oncologist and under the general supervision of the Chief Therapist. Duties and Responsibilities of this Level *Deliver accurately the prescribed planned course of radiation therapy with minimal supervision. *Check prescription, diagnosis, chart and patient identification. *Explain procedure to patient, means of communication during treatment and procedure to follow if emergency arises during treatment. *Reinforce Radiation Oncologist's advice to patient regarding reactions to treatment and their care. *Prepare room and equipment for patient according to prescription regarding immobilization devices, field size, treatment distance, lead protection devices, etc. *Transfer patient safely to treatment couch, giving special care to catheters, intravenous drips, etc. *Check daily treatment time and delivers prescribed dose. *Maintain visual and audible communication with the patient during treatment. *Maintain patient markings. Observe patient for unusual reactions and events and report accurate information to the nursing staff and/or Radiation Oncologist. *Observe radiation safety measures for patient and personnel. *Perform simulations. *Assist in tumor localization procedures, preparation of immobilization devices, etc. *Assist in dosimetry procedures (i.e. Prescription calculations). *Obtain weekly port films and present such at chart rounds for review by Radiation Oncology staff. *Assume weekly on- call status on a rotation basis. (Applies to Duke staff therapist only) *Perform and document daily accelerator warm-up and QA procedures.(DRH and RCH) *Maintain records of daily treatment and other records as required by department quality assurance and quality improvement activities. *Perform mold room duties.(DRH and RCH) *Secure and maintain supplies. *Secure x-ray and lab reports as needed. *Report erratic operation of equipment to Chief Radiation therapist, Radiation Physicist and/or Medical Engineer. *Particpate in departmental PI (Performance Improvement) activities. *Assist in the hiring and orienting of new personnel. *Attend weekly QA rounds, monthly therapy meetings, and educational in-services. *Incorporate department and hospital policies and procedures into care provided. Required Qualifications at this Level Education Satisfactory completion of a 24 month course in radiology technology and a 12 month course in radiation therapy technology; or Satisfactory completion of a 24 month course in radiation therapy technology; or Registered nurse who has satisfactorily completed a 12-month course in radiation therapy technology; or Satisfactory completion of a Bachelor of Science degree in radiation therapy. Experience One year clinical training in Radiation Therapy. Degrees, Licensure, and/or Certification Current licensure as required by state or national authority and/or certification or board eligible in Radiation Therapy by the American Registry of Radiology Technology. Maintain ARRT certification in radiation therapy with a minimum of documented 12 hours of continuing education. Knowledge, Skills, and Abilities Knowledge in principles, practices and procedures involved in the operation of ionizing radiographic and radiation therapy equipment. Knowledge of the human anatomy and proper positioning of the patient to provide treatment as prescribed. Ability to administer CPR in a medical emergency. 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 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 th

Nuclear Medicine Technologist - PRN (Durham)

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 of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Work Week: Position includes holidays, weekends and call General Description of the Job Class Coordinate and participate in a variety of technical tasks, tests and determinations involving the utilization of radioactive materials and measurement instrumentation. Duties and Responsibilities of this Level Coordinate and participate in a variety of technical procedures to include in vivo and in vitro studies; operate radiation detection and measurement instrumentation including stationary imaging devices, scintillation gamma and apparatus for in vitro counting. Calibrate and draw up radiopharmaceutical materials for administration to patients; formulate radiopharmaceutical materials from pre-prepared kits. Calibrate instruments and review calibration data to detect trends indicating instrument malfunction. Calculate data to include results of patient studies and radioactive decay. Evaluate recorded images for technical quality. Process computerized image data to include function curves and reconstructed SPECT images. Assume care for physical and psychological needs of patient of all ages during an examination, initiates life support measures for patient, if necessary. Maintain inventory of supplies in assigned area; prepare and maintain records concerning radiopharmaceutical receiving, dispensing and disposal activities. Maintain records of order, including brachytherapy procedures, receipt and disposal of all radioactive material in the department. Provide instruction and technical guidance to radiologic technology students or other advanced imaging techs; assist in training new employees. Monitor Nuclear Medicine Department with portable survey meter for possible contamination. Performs EKG prep, tracing Perform other related duties incidental to the work described herein. Assist in the development and evaluation of new procedures and techniques to meet the needs of specific protocols as required: consult with physician concerning the application of nuclear medicine procedures and techniques. Administer thyroid therapy to patient that has undergone prior clinical and nuclear medicine diagnosis, insures decay of pharmaceutical and calculates for correct dosage in dose calibrator, observes patient dosage to insure proper treatment under direct supervision of radiologist. Assist in quality assurance program relating to calibration and maintenance of equipment. Assist with the education and training of new physicians (interns, residents, and fellows) as applicable. Perform other related duties incidental to the work described herein. DUHS offers career growth and enrichment within Imaging services. There is a clinical ladder program with various steps and opportunities at each hospital within the health system. Required Qualifications at this Level Education Graduate or completion of program that meets eligibility requirements for registry/certification or currently holds required registry or certification. Experience None required beyond above education/certification requirements. Level I must obtain ARRT or NMCTB certification within 18 months of employment. Level II Minimum of two years' experience as a Nuclear Medicine technologist. Level III A minimum of four years' experience within specialty modality in which they are seeking promotion. Degrees, Licensure, and/or Certification ARRT (N) certification and/or NMTCB certification within 18 months of employment. BLS certification Knowledge, Skills, and Abilities Ability to use office related computer software Possess knowledge of radiation protection and safety General computer knowledge IV placement and management skills Distinguishing Characteristics of this Level N/A 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 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 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.

Registered Nurse, Gig B Nursing, DUHS (Durham)

Shift Requirements 2 years experience for Gig B Position 16 hours per Month Commitment No Holiday or Weekend Commitment 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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Registered Nurse (Experienced RN) Gig B Nursing Duke University Health System Located in Various Medical Units at Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital, a Campus of Duke University Hospital Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. The Gig Nursing team provides patient care, support and cares for a variety of patients. Nurses would work as a part of a multidisciplinary team and have the opportunity to participate in rounds on their patients. Highlights : Flexible Scheduling: Work when you want! No weekend or holiday commitment! Three tiers of pay, based on commitment level and experience. Eligible for daily pay! No need to wait for pay day! Eligible for shift differentials Supportive Team: Be a part of a collaborative team that values your input, with access to ongoing support and training. Qualifications : Graduation from an accredited Bachelors Degree in Nursing, Associates Degree in Nursing, or Nursing Diploma Program Twelve months of appropriate clinical nursing experience is required in the area of expertise. Current American Health Association BLS American Heart Association ACLS within 6 months What to expect : Three locations in the Raleigh/Durham area- Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital Variety- float to specialty areas within your specialty, including but not limited to: Emergency Services Medical/Surgical Critical Care Cardiac Services Oncology Opportunities to expand your nursing skill set. Most assignments are determined within two hours of shift start time. Gig shifts are subject to cancellation based on flex down order. Nurse: Patient ratio in adult medical and surgical areas averages 1:3 through 1:6 dependent on acuity. Nurse: Patient ratio in adult ICU is typically 1:2 Support staff, including Nursing care Assistants and Health Unit Coordinators, 24/7 What you will do : Due to the extensive training received in each area, our staff continue to be clinical experts, offering a broad skillset and range of knowledge throughout the various patient populations. As a Clinical Nurse II in Duke University Health System, you will 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. Plan, provide, supervise, and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Act as a preceptor and support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Perform other related duties incidental to the work described herein. What you can expect : Multitask in myriad ways document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, assess nursing needs of acute and chronically ill patients, independently seek out resources, and work collaboratively. Educate patients and families in accordance with the nursing plan of care. Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others. What you will need : Graduation from an accredited Bachelors Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program. Twelve months of appropriate clinical experience is required for Experienced Registered Nurses. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within sevenyears of their start date. Licensure and Certification Required : Current registration with the North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required. BLS Certification required To learn more about the Duke Registered Nurse Float Pool, Visit: https://today.duke.edu/2022/10/nursing-float-pool-ready-answer-call Duke is an Equal Opportunity Employer committed to providing employment

Radiologic Technologist - Operating Room (Durham)

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. Radiologic Technologist Operating Room Location: Duke University Hospital 2301 Erwin Rd, Durham, NC 27705 Work Schedule : Full-Time, 1st Shift, Monday, Thursday, & Friday, 9:00AM - 9:30PM This position is eligible for a $15,000 commitment bonus Duke University Health System seeks to hire an experienced or new graduate Radiology Technologist who will embrace our mission of Advancing Health Together. The Duke University Hospital (DUH) campus supports a 1067 bed hospital known for Radiologic Technologist expertise in GI Diagnostic Fluoroscopy, OR, Ortho, Trauma, Ambulatory Surgery, Special Procedures, and PEDS services. What you will do: Perform a variety of tasks involved in operating x-ray equipment to make radiographs of designated anatomical areas of interest. Adjust equipment for proper radiographic exposure techniques in accordance with radiation safety guidelines. Explain x-ray procedures to patients. Position patients for each anatomical view using positioning assistance devices and protective equipment as necessary. Monitor accessory equipment and assist the physician with fluoroscopic procedures and special radiographic procedures. Accurately process images for optimal quality. Match with appropriate paperwork for interpretation. Charge radiographic procedures in; able to modify orders per protocol. Demonstrate acceptable film quality standards by critiquing positioning, technical factors, and collimation. Understands and uses the Image Archival System Provide education and training to DUHS affiliated radiology technology programs. Provide orientation to new technologists. Perform other related duties incidental to the work herein DUHS offers career growth and enrichment within imaging services. There is a clinical ladder program with various steps and opportunities at each hospital within the health system. Required Qualifications: Education: Completion of an AMA approved School of Radiology Technology or ARRT Certification Experience: Level I Must obtain ARRT certification within one year of employment. Level II Minimum of two years' experience as a diagnostic radiology technologist. Level III A minimum of 4 years' experience within specialty modality in which they are seeking promotion Degrees, Licensure, and/or Certification BLS certification ARRT certification within 12-months of hire 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 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.

Radiation Therapist (Durham)

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. This position is eligible for up to $8,000 Relocation A Commitment Bonus of up to $25,000 is available for eligible radiation therapists with three or more years of experience A Commitment Bonus of up to $15,000 is available for eligible radiation therapists with less than three years of experience General Description of the Job Class Apply ionizing radiation to the patient (inclusive of pediatric, adult, and geriatric populations) in accordance with the prescription and instructions of the Radiation Oncologist and under the general supervision of the Chief Therapist. Duties and Responsibilities of this Level *Deliver accurately the prescribed planned course of radiation therapy with minimal supervision. *Check prescription, diagnosis, chart and patient identification. *Explain procedure to patient, means of communication during treatment and procedure to follow if emergency arises during treatment. *Reinforce Radiation Oncologist's advice to patient regarding reactions to treatment and their care. *Prepare room and equipment for patient according to prescription regarding immobilization devices, field size, treatment distance, lead protection devices, etc. *Transfer patient safely to treatment couch, giving special care to catheters, intravenous drips, etc. *Check daily treatment time and delivers prescribed dose. *Maintain visual and audible communication with the patient during treatment. *Maintain patient markings. Observe patient for unusual reactions and events and report accurate information to the nursing staff and/or Radiation Oncologist. *Observe radiation safety measures for patient and personnel. *Perform simulations. *Assist in tumor localization procedures, preparation of immobilization devices, etc. *Assist in dosimetry procedures (i.e. Prescription calculations). *Obtain weekly port films and present such at chart rounds for review by Radiation Oncology staff. *Assume weekly on- call status on a rotation basis. (Applies to Duke staff therapist only) *Perform and document daily accelerator warm-up and QA procedures.(DRH and RCH) *Maintain records of daily treatment and other records as required by department quality assurance and quality improvement activities. *Perform mold room duties.(DRH and RCH) *Secure and maintain supplies. *Secure x-ray and lab reports as needed. *Report erratic operation of equipment to Chief Radiation therapist, Radiation Physicist and/or Medical Engineer. *Particpate in departmental PI (Performance Improvement) activities. *Assist in the hiring and orienting of new personnel. *Attend weekly QA rounds, monthly therapy meetings, and educational in-services. *Incorporate department and hospital policies and procedures into care provided. Required Qualifications at this Level Education Satisfactory completion of a 24 month course in radiology technology and a 12 month course in radiation therapy technology; or Satisfactory completion of a 24 month course in radiation therapy technology; or Registered nurse who has satisfactorily completed a 12-month course in radiation therapy technology; or Satisfactory completion of a Bachelor of Science degree in radiation therapy. Experience One year clinical training in Radiation Therapy. Degrees, Licensure, and/or Certification Current licensure as required by state or national authority and/or certification or board eligible in Radiation Therapy by the American Registry of Radiology Technology. Maintain ARRT certification in radiation therapy with a minimum of documented 12 hours of continuing education. Knowledge, Skills, and Abilities Knowledge in principles, practices and procedures involved in the operation of ionizing radiographic and radiation therapy equipment. Knowledge of the human anatomy and proper positioning of the patient to provide treatment as prescribed. Ability to administer CPR in a medical emergency. 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 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 th

HVAC Mechanic, (Cert/Lic)- Duke Raleigh (Raleigh)

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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Healths four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. Job Summary Perform journeyman level work in the installation, maintenance, modification, overhaul, service and repair of all types of air conditioning and refrigeration systems and equipment. Hours: 7pm-7:30am Thursday, Fri, Sat, and Sunday (week one) 7pm-7:30am Fri, Sat, and Sunday (week two) Repeating Work Performed Install, maintain, adjust, modify and perform major overhaul and repair of refrigeration and air conditioning systems by interpreting blueprints, manufacturer specifications, written and verbal instructions. Make initial settings and final adjustments of refrigeration and air conditioning systems and modifying existing installations to obtain required results. Install, troubleshoot, repair or calibrate, and maintain reciprocating and centrifugal chillers, cooling towers, direct expansion systems, electric blast coils, immersion coils pumps, fans, starters, pneumatic and electric controls, electrostatic filters, domestic refrigerators, laboratory ultra low temperature boxes, walk-in coolers and freezers, fountain equipment and ice makers. Check and adjust complete air conditioning and refrigeration systems after installation. Charge all types of refrigeration equipment. Follow a predetermined schedule of preventive maintenance; make recommendations regarding major overhaul of systems. Provide technical guidance and direction to lower level personnel. Perform other related duties incidental to the work described herein. Knowledge, Skills and Abilities SUPERVISION WORK WITH BLUE PRINTS WORK WITH SCHEMATICS WORK WITH SKETCHES HVAC MAINTENANCE HVAC REPAIR Level Characteristics N/A Minimum Qualifications Education Work requires an educational background normally equivalent to high school with course work in skilled crafts EPA CFC certification, required. Experience Work requires 4 years of broad based experience in: Charging small refrigeration appliances; changing compressors, belts and valves; and adjusting and calibrating temperature and humidity controls OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE Degrees, Licensures, Certifications 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 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.