Duke Health

Lead local sourcing initiatives and manage strategic supplier development programs with executive reporting and community partnerships. | Bachelor's degree required with preference for master's or professional certification and 10+ years leadership in sourcing, procurement, or economic development. | 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. Executive Summary The Director, HomeGrown – Buy provides strategic leadership for Duke University's HomeGrown – Buy initiative, advancing Duke's economic mobility strategy through intentional local sourcing, supplier development, and community engagement across Duke University Health System (DUHS) and Duke University (DU). Reporting through Shared Services, this position develops, implements, and sustains a best-in-class HomeGrown – Buy program aligned with Duke's strategic sourcing, financial stewardship, and operational excellence objectives. The Director partners with Strategic Sourcing, Business Owners, Community Affairs, Finance, the Shared Services Contracting Office, and external organizations to expand Duke's local supplier ecosystem, identify sourcing opportunities, and deliver measurable economic impact while balancing quality, service, compliance, risk, and total value. Primary Responsibilities Strategic Leadership & Program Governance Lead the HomeGrown – Buy strategy, governance framework, and multi-year roadmap. Maintain a rolling 12-month sourcing opportunity pipeline. Develop executive dashboards, KPIs, and governance reporting. Strategic Sourcing & Opportunity Development Partner with Strategic Sourcing to identify opportunities for qualified local suppliers. Analyze enterprise spend and develop sourcing recommendations. Support sourcing events and coordinate with the Shared Services Contracting Office. Local Supplier Development & Community Engagement Develop Duke's local supplier ecosystem across Durham, the Triangle, and North Carolina. Build relationships with Chambers of Commerce, economic development organizations, and community partners. Lead supplier access sessions, outreach events, and Duke Ready initiatives. Serve as a visible ambassador for Duke Supply Chain Management. Financial Stewardship & Technology Support annual economic mobility and local spend goals. Lead implementation of the HomeGrown Buy Management Platform. Develop analytics and executive reporting. Executive Leadership & Communication Develop and deliver polished executive-level presentations, strategic business cases, and recommendations. Translate complex sourcing, supplier, financial, and operational data into concise executive communications. Present quarterly business reviews and annual updates to executive leadership and governance committees. Represent Duke with executive leadership, suppliers, community organizations, and strategic partners. Minimum Qualifications Education Bachelor's degree required in Business, Supply Chain, Finance, Healthcare Administration, Public Administration, Economic Development, or related field. Master's degree preferred. PMP, CPSM, CSCP, or APICS/ASCM certification preferred. Experience Minimum of ten (10) years of progressively responsible leadership experience in strategic sourcing, procurement, supplier development, economic development, community engagement, or related disciplines. Demonstrated success leading enterprise-wide initiatives and cross-functional teams. Experience developing strategic sourcing roadmaps, executive dashboards, governance reporting, and executive business cases. Proven ability to develop and deliver executive-level presentations to senior leadership and governance committees. Exceptional written, verbal, presentation, and relationship management skills. Leadership Competencies Executive Presence Strategic Leadership Executive Communication & Presentation Strategic Sourcing Economic Mobility Supplier Development Financial Acumen Data Storytelling Relationship Management Community Partnership Development Program Governance Change Leadership Continuous Improvement Customer Focus Work Environment This position requires the willingness and ability to effectively lead in a dynamic, evolving environment while balancing multiple strategic priorities across Duke University and Duke University Health System. The Director must be comfortable working in a hybrid environment that includes both in-person and remote work arrangements and be available to attend meetings, community events, supplier engagements, and executive presentations as required. Occasional travel throughout Durham, the Triangle region, and North Carolina is expected. 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.

Provide virtual inpatient nursing care, patient education, clinical support, and mentoring using telehealth technology in collaboration with bedside teams. | Requires BSN degree, 3-5 years inpatient clinical experience, North Carolina RN licensure, BLS certification, and preceptor/charge nurse experience. | Shift: Night Shift 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) VIRTUAL NURSE CLINICAL NURSE The Virtual Nurse, Clinical Nurse II will deliver exemplary nursing care virtually, in collaboration with the care team. This virtual care will be provided in collaboration with the care team to inpatients at Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, and Duke Lake Norman Hospital. This position will provide nursing care in a virtual setting in accordance with the medical and nursing plans of care and established policies and procedures accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Supports nursing tasks virtually as admission questionnaires, discharge education, patient education, nurse mentoring, and other tasks as needed. This care will be provided using the EMR and telehealth technology using two-way audio and video to provide patient care. The virtual nurse will practice within the guidelines of the standards of nursing care to inpatient acute level patient populations from a remote Virtual Care Center in collaboration with the bedside patient care team. Utilizes patient EMR to support patient admission, education, discharge planning, identify and interpret trends and acute changes in patient physiology, monitor compliance of care bundles and protocols, and collaborates with the bedside multidisciplinary health care team using effective communication and clinical decision-making skills. Serves as a resource for inpatient support for novice nurses who are developing their clinical competencies and decision-making skills. Provides guidance and assistance while giving additional support in the assessment, evaluation, and intervention responsibilities with patients. Duties and Responsibilities: • Supports the bedside staff for a large patient ratio to monitor comprehensive compliance of best practice protocols and care bundles aimed at reduction of Mortality, Length of Stay, Hospital Readmissions, and Patient Safety Events. • Provides patient education and support virtually including verbal and written instructions. Assess the patient/family ability to receive education and uses appropriate tools and techniques. • Takes initiative to problem solve and demonstrates critical thinking skills. Skilled and comfortable with various technologies to coordinate patient care, including multiple software applications, computerized clinical guidelines, specialized telephone technology, video and image transmission, and more. • Supports the bedside care team in patient care activities within the guidelines of the standards of nursing care using the nursing process, clinical judgment, and decision support materials. • Provides consultation and second opinion virtually to assist with clinical decision making, including managing inpatient patients whose condition may be deteriorating or who may require transfer to a higher level of care. Assists nurses with an appropriate plan of care related to a change of condition. • Ability to work in a constant state of alertness and in a safe manner is an essential function of this job. • Virtually support the plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures in collaboration with the care nurse. Use professional nursing judgment to individualize the plan of care in collaboration with the care nurse based on assessment of the patient's baseline needs and response to care. • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. • Identifying appropriate patients for Remote Safety Observation (RSO) Placement. Supporting care nurse with monitoring of unit dashboard and notifying the nurse with tasks needing attention. • Act as Charge Nurse and Preceptor in oversite of RSO staff and escalating to unit leadership when appropriate. • Act as 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 Required Qualifications at this Level 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 five 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: Preceptor and Charge Nurse Experience is required. Minimum Requirements 3-5 years appropriate inpatient clinical experience is required. Preferred Requirements 5-10 + year's appropriate inpatient clinical experience is required. At a manager's discretion, employees with less than the above experience who are exceptional performers may be eligible for this level. Degrees, Licensure, and/or Certification: Must have current or compact RN licensure in the state of North Carolina. BLS required. Knowledge, Skills, and Abilities: • Knowledge of scope of the registered nurse, licensed practical nurse and NCA • Knowledge of and appropriate application of the nursing process • Knowledge of professional theory, practice and procedure • Ability to excel with computer technology and learn new software programs • Ability to troubleshoot computer technology • Ability to assess nursing needs of acute and chronically ill patients and their families using virtual technology • Ability to independently seek out resources and work collaboratively • Ability to excel in communication skills through asynchronous technology and telephone • Ability to establish and maintain effective working relationships in the virtual environment • Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others through virtual technology • Ability to teach patients and families in accordance with the nursing plan of care through virtual technology • 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 • Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status through virtual technology • Able to document and communicate pertinent information using computer and/or paper documentation tools • Ability to navigate to provide virtual clinical care for patients • 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 JCAHO and other regulatory requirements • Pre-employment Physical Capacity Testing 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 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.

Provide virtual nursing care to inpatients using telehealth technology, support bedside teams, educate patients, mentor nurses, and participate in clinical and operational improvements. | Requires BSN degree or enrollment, 3-5 years inpatient clinical experience, RN licensure in North Carolina, BLS certification, and experience as preceptor and charge nurse. | Shift: Night Shift 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) VIRTUAL NURSE CLINICAL NURSE The Virtual Nurse, Clinical Nurse II will deliver exemplary nursing care virtually, in collaboration with the care team. This virtual care will be provided in collaboration with the care team to inpatients at Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, and Duke Lake Norman Hospital. This position will provide nursing care in a virtual setting in accordance with the medical and nursing plans of care and established policies and procedures accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Supports nursing tasks virtually as admission questionnaires, discharge education, patient education, nurse mentoring, and other tasks as needed. This care will be provided using the EMR and telehealth technology using two-way audio and video to provide patient care. The virtual nurse will practice within the guidelines of the standards of nursing care to inpatient acute level patient populations from a remote Virtual Care Center in collaboration with the bedside patient care team. Utilizes patient EMR to support patient admission, education, discharge planning, identify and interpret trends and acute changes in patient physiology, monitor compliance of care bundles and protocols, and collaborates with the bedside multidisciplinary health care team using effective communication and clinical decision-making skills. Serves as a resource for inpatient support for novice nurses who are developing their clinical competencies and decision-making skills. Provides guidance and assistance while giving additional support in the assessment, evaluation, and intervention responsibilities with patients. Duties and Responsibilities: • Supports the bedside staff for a large patient ratio to monitor comprehensive compliance of best practice protocols and care bundles aimed at reduction of Mortality, Length of Stay, Hospital Readmissions, and Patient Safety Events. • Provides patient education and support virtually including verbal and written instructions. Assess the patient/family ability to receive education and uses appropriate tools and techniques. • Takes initiative to problem solve and demonstrates critical thinking skills. Skilled and comfortable with various technologies to coordinate patient care, including multiple software applications, computerized clinical guidelines, specialized telephone technology, video and image transmission, and more. • Supports the bedside care team in patient care activities within the guidelines of the standards of nursing care using the nursing process, clinical judgment, and decision support materials. • Provides consultation and second opinion virtually to assist with clinical decision making, including managing inpatient patients whose condition may be deteriorating or who may require transfer to a higher level of care. Assists nurses with an appropriate plan of care related to a change of condition. • Ability to work in a constant state of alertness and in a safe manner is an essential function of this job. • Virtually support the plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures in collaboration with the care nurse. Use professional nursing judgment to individualize the plan of care in collaboration with the care nurse based on assessment of the patient's baseline needs and response to care. • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. • Identifying appropriate patients for Remote Safety Observation (RSO) Placement. Supporting care nurse with monitoring of unit dashboard and notifying the nurse with tasks needing attention. • Act as Charge Nurse and Preceptor in oversite of RSO staff and escalating to unit leadership when appropriate. • Act as 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 Required Qualifications at this Level 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 five 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: Preceptor and Charge Nurse Experience is required. Minimum Requirements 3-5 years appropriate inpatient clinical experience is required. Preferred Requirements 5-10 + year's appropriate inpatient clinical experience is required. At a manager's discretion, employees with less than the above experience who are exceptional performers may be eligible for this level. Degrees, Licensure, and/or Certification: Must have current or compact RN licensure in the state of North Carolina. BLS required. Knowledge, Skills, and Abilities: • Knowledge of scope of the registered nurse, licensed practical nurse and NCA • Knowledge of and appropriate application of the nursing process • Knowledge of professional theory, practice and procedure • Ability to excel with computer technology and learn new software programs • Ability to troubleshoot computer technology • Ability to assess nursing needs of acute and chronically ill patients and their families using virtual technology • Ability to independently seek out resources and work collaboratively • Ability to excel in communication skills through asynchronous technology and telephone • Ability to establish and maintain effective working relationships in the virtual environment • Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others through virtual technology • Ability to teach patients and families in accordance with the nursing plan of care through virtual technology • 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 • Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status through virtual technology • Able to document and communicate pertinent information using computer and/or paper documentation tools • Ability to navigate to provide virtual clinical care for patients • 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 JCAHO and other regulatory requirements • Pre-employment Physical Capacity Testing 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 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.