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Posted: 29-Apr-26
Location: Durham, North Carolina
Categories:
Internal Number: 269438
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.
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)
General Description of the Job Class
The Nursing Informatics System Specialist (NISS) implements, evaluates, and supports technology solutions for patient care. This includes the Maestro Care (Epic) electronic health record (EHR) and other clinical information systems. Clinical roles and users supported include nursing and allied health. In addition, the NISS will participate in design for optimization requests, reporting needs, and new features. The NISS identifies problems, determines clinical workflow, designs solutions, develops user reference materials, coordinates user testing, and provides ongoing support. The incumbent collaborates closely with clinical users, operational management, medical/nursing informaticists, Patient Care Technology Education trainers, and Duke Health Technology Solutions (DHTS) applications staff.
Serves as a Maestro Care EHR application expert for ambulatory core workflows and associated clinical applications for the health system. They are part of a team supporting the Duke University Health System (DUHS) overall. This position is hybrid with routine onsite work at Duke University Hospital (DUH), various ambulatory clinics, and additional support for enterprise go lives at other facilities. Work remote options may be 1-2 days per week based on organizational needs. Reports to the Chief Nursing Information Officer (CNIO) with a dotted line to the Vice President for Ambulatory Nursing and Patient Care Services.
Duties and Responsibilities
Level 1
- Obtain and maintain Epic certification and/or proficiency as defined by management which may include a combination of virtual classroom instruction, self-directed learning, project assignments, and competency exams within the defined timeline.
- Provide both business and after hours (nights and weekends) support for clinical system go lives and support campaigns as assigned, including troubleshooting and coaching users.
- Implements applications, tools, processes, and structures that assist end users with the management of data in their clinical or business unit.
- Collaborates on project teams throughout the system life cycle.
- Leads design sessions with users, management, and Maestro Care applications staff to review problem, identify solution options, and determine best solution recommendation. Recommend areas for process improvement.
- Facilitates development of SBARs and use of clinical IT governance committees to get requests approved and prioritized.
- Assists customers with process to submits incidents and requests to the DHTS service desk.
- Participates in data collection and analysis to determine effectiveness of system changes. Recommends areas for process improvement.
- Interprets and analyzes systems, data, and information with supervision.
- Implements change management plans to keep stakeholders, users, and leadership informed/supportive of key projects, optimization efforts, and upgrades. Collaborates on communication plans.
- Participates in planning and providing customer updates to Super-User groups in collaboration with the informatics educators.
- Collaborates with informatics educators on the clinical workflows and associated training needs for nurses and allied health users related to orientation, system revisions, and system upgrades.
- Implements applications, tools, processes, and structures that assist end users with the management of data in their clinical or business unit.
- Designs solutions to support best practice, patient safety, usability principles, and alignment with regulatory and accreditation standards. Remains cognizant of security protocols, confidentiality, privacy concerns, and access issues in system design, implementation, and support of users.
- Participates in Nova Note review for Maestro Care releases/updates/upgrades to determine impact to clinicians and workflows.
- Serves on committees, task forces, learning from defects, root cause analysis, and other work groups related to clinical information systems and documentation.
- Makes oral and written presentations to project teams and management.
- Updates user, operational, and department documentation including downtime procedures.
- Coordinates and operationalizes simple to moderately complex projects with supervision.
- Assures that system design changes are in alignment with regulatory and accreditation standards.
- Perform other related duties incidental to the work described herein.
Level II
In addition to the duties described for the NISS I, the NISS II will:
- Perform in-depth analysis of user department workflows, data collection, report specification details, and other complex issues associated with Epic and other clinical software as they relate to system design and solution decisions.
- Provides detailed specifications describing functions to be automated.
- Develops and implements change management plans to keep stakeholders, users, and leadership informed/supportive of key projects, optimization efforts, and upgrades.
- Chairs committees, task forces, and other work groups related to clinical information systems and documentation.
- Coordinates and operationalizes simple to complex projects with direction.
- Develops, evaluates, and documents user, operational and department documentation including downtime procedures.
- Leads process improvement initiatives in targeted areas.
- Ensure requests for changes follow the appropriate process for approval and prioritization by Stakeholder Groups (SHGs). Represent clinical user needs in governance and design discussions, ensuring solutions align with workflow and usability standards.
Level III
In addition to the duties described for the NISS I and II, the NISS III will:
- Mentors others in the analysis of workflows, development of specifications, and design of solutions to problems.
- Applies best practices and evidence-based practice to clinical information systems.
- Serve as chair or co-chair of key governance groups or SHGs. Leads other committees and task forces.
- Makes oral and written presentations to project teams, management, other departments, and senior leadership.
- Direct and coordinate complex projects with minimal guidance.
- Identifies and implements areas for process, workflow, and procedural improvements.
- Collects data before and after system changes to analyze and evaluate the effectiveness.
- Precepts informatics nurses and graduate students in informatics. Serves as professional role model to others.
Required Qualifications
Education
Requires a bachelor?s degree in nursing. A master?s degree in nursing or health informatics is strongly preferred. If the master?s degree is in a related field, then minimally holds bachelor?s degree in nursing.
Experience
NISS I: Five years of nursing experience. One year of experience as a clinical super-user for Epic or other clinical IT solutions, or related experience.
NISS II: Five years of nursing experience. Three years of experience as an informatics nurse, or an equivalent combination of education and experience.
NISS III: Five years of nursing experience. Five years of experience as an informatics nurse, or an equivalent combination of education and experience.
Degrees, Licensure, and/or Certification
- Must have current or compact RN licensure in the state of North Carolina or compact license from participating state.
- Prefer certification as an Informatics Nurse (NI-BC) by the American Nurses Credentialing Center or other relevant/qualified professional certification.
- Strongly prefer Epic Clinical Content Builder or Ambulatory certification/accreditation/proficiency. The employee hired for this position will be required to obtain Epic accreditation or proficiency in a relevant track within 12 months of hire.
- The incumbent is expected to complete the Duke Data Prospector Program for Clinicians within 24 months of hire.
- Failure to obtain these certifications within the defined timeline (or subsequent failure to maintain these certifications) may result in disciplinary action, including termination.
Knowledge, Skills, and Abilities
NISS I:
- Knowledge of standards and scope of nursing informatics.
- Rapidly learns, uses, and supports new software programs.
- Skilled user of workplace applications such as those within the Microsoft Suite (e.g., Word, Outlook, Excel, Teams).
- Strong customer service skills with ability to communicate technical concepts in user-friendly language to all levels of users.
- Remains calm and effective under pressure, prioritizing urgent support needs.
- Proficiency in documenting issues and solutions for knowledge sharing and continuous improvement.
- Ability to translate business or clinical processes into requirements for a technical solution.
- Promotes change in a positive manner that supports all employees.
- Independently seeks out resources and solves complex problems even under stressful and/or crisis situations.
- Applies knowledge of adult learning theory.
- Knowledge of quality improvement concepts such as Lean and Six Sigma.
- Organizes multiple work streams, prioritizes work efforts, and remains focused.
- Prepares and deliver reports and presentations.
NISS II:
In addition to the KSAs described for the NISS I, the NISS II will demonstrate:
- Facilitates meetings and leads groups.
- Develops design specifications for information systems.
- Applies knowledge of project management principles to manage deliverables, issues, and risks.
- Use quality improvement techniques to improve the outcomes of clinical information systems.
- Advanced knowledge of information technology and its applications to healthcare.
NISS III:
In addition to the KSAs described for the NISS I and II, the NISS III will demonstrate:
- Provide leadership in clinical informatics and in meeting organizational goals.
- Conducts formative and summative evaluation of information technology changes.
- Expert knowledge of clinical information systems.
Distinguishing Characteristics
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University 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, (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.
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.
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.