Occupational Health Nurse, Senior

A compelling employer brand helps attract high-quality candidates who are skilled and aligned with our Duke values. There are three components to our employer brand, Be You. Be Bold. Choose Duke.

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Be You.

Employee Occupational Health & Wellness (EOHW) is looking for an experienced Senior Occupational Health Nurse to join our team. In this role, you'll provide clinical care and support programs that protect the health and safety of Duke's workforce.

You'll work directly with employees delivering occupational health services such as screenings, exposure care, and immunizations, while collaborating with a multidisciplinary team to ensure safe, compliant, and efficient clinic operations. If you're passionate about employee health and want to make a meaningful impact, this is a great opportunity to grow your clinical expertise.

Key Responsibilities

Clinical Care & Employee Health Services

• Perform a variety of professional duties involved in developing and delivering occupational health nursing services to Duke employees at the Employee Occupational Health & Wellness (EOHW) Clinics.
• Provide direct occupational health patient care and surveillance services, including placement and wellness screenings, health assessments, audiometric and vision testing, respirator clearance exams, spirometry testing, adult immunizations, blood-borne pathogen and other communicable illness exposure care and follow-up, injury/exposure care, and fitness-for-duty evaluations.
• Provide pre-employment and random drug and alcohol screenings of employees, ensuring proper collection, documentation, and adherence to testing protocols.
• Perform nasopharyngeal swabbing procedures and assist with self-swab collections; operate Point-of-Care (POC) testing machines accurately and ensure proper cleaning and maintenance after use.

Patient Education & Support

• Deliver individual counseling and education to employees on health maintenance, results of health screenings, and participation in health promotion activities.
• Manage calls from employees reporting illness, symptoms or potential exposure to other communicable illness; apply established protocols, provide guidance, and schedule lab collections or video visits as indicated.

Documentation & Systems

• Utilize Epic software to schedule an arrive patients, place lab test orders, print labels, document visits, and check patients out efficiently; maintain proficiency in the REDCap database for accurate data entry and tracking.
• Document employee health information and dispositions in secure systems, maintaining accuracy, confidentiality, and compliance with institutional policies.
• Develop, maintain, and audit employee health records to ensure continuity of care, confidentiality, and accuracy in record keeping.
• Handle and label lab specimens using best practices and ensure delivery to the laboratory within required timeframes.

Program Support & Compliance

• Identify care needs for EOHW patients and collaborate with the Nurse Manager and other occupational health leaders in developing standards of care, implementing policies and procedures, and enhancing staff and patient education.
• Collaborate with on-site members of the occupational health team, including occupational medicine physicians, industrial hygienists, and safety engineers, to support safe and effective clinic operations. Participate in continuing education to maintain current knowledge of occupational health and safety regulations.
• Implement proper protocols for breath alcohol testing, drug screen handling, audiometer and spirometer testing, and other occupational health services as needed.
• Utilize best practices in infection control to clean and disinfect equipment and patient-facing areas in accordance with institutional and CDC guidelines.

Leadership & Communication

• Provide clinical guidance and feedback to staff while supporting implementation of EOHW policies, procedures, and performance standards.
• Communicate clinical or operational concerns requiring follow-up to leadership, ensuring timely intervention and appropriate employee support.

Operational Support

• Assisting in other EOHW roles and duties when needs are known, at any one of the EOHW's clinics, located in Durham or Raleigh, NC.

Minimum Requirements:

• Completion of an accredited Bachelor of Science in Nursing, Associate degree in Nursing, or Nursing Diploma program with coursework in occupational and/or environmental safety
• Current licensure as a Registered Nurse in the state of North Carolina
• Two years of nursing experience
• OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Preferred Qualifications:

• Experience in occupational health, employee health, or ambulatory care setting preferred.
• Experience with electronic health record systems and data tracking systems.
• Strong clinical judgment with the ability to manage multiple priorities in a fast-paced environment.

Other Requirements:

• N/A

This position is (insert options below).

• Onsite. The work is performed on-site or at a designated assignment location.

Be Bold.

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         • Deliver comprehensive occupational health nursing care that supports employee safety and well-being
         • Drive clinical and compliance processes to ensure accurate documentation and adherence to regulatory standards
         • Lead employee health services by collaborating with multidisciplinary teams and providing clinical guidance to support high-quality care
         
         
         
         
      
      
      
      
   
   
   
   

Choose Duke.

Joining Duke means being part of a mission-driven organization committed to protecting the health and well-being of its workforce. Within Employee Occupational Health & Wellness, your work directly supports the employees who make patient care, research, and education possible across Duke.

As a Senior Occupational Health Nurse, you'll collaborate with a multidisciplinary team, expand your clinical expertise, and contribute to programs that promote a safe and healthy work environment. Duke offers a culture that values teamwork, innovation, and continuous growth, empowering you to make a meaningful impact every day.