Job Title Registered Nurse – NICU Location Wilmington, NC | Level III NICU Schedule / Job Type Contract | Nights, 3x12-hour shifts (18:45–07:15) | 13–26 week contracts accepted Key Responsibilities • Provide direct nursing care to critically ill neonates in a 45-bed, all-private-room Level III NICU with an average daily census of 41, caring for patients ranging from 22 weeks gestation to term • Manage complex neonatal conditions including prematurity, persistent pulmonary hypertension of the newborn (PPHN), therapeutic hypothermia/whole-body cooling, and surgical neonatal cases • Perform and manage advanced IV therapy including arterial lines, central lines, PICC lines, UAC/UVC management, and administration of blood and blood products • Support respiratory management including ventilator care (AC/PC/SIMV/CPAP/BiPAP/PEEP), Bubble CPAP, high-flow nasal cannula, and suctioning (ETT/NT) • Deliver family-centered and developmental care including patient/family teaching, breastfeeding support, and thermoregulation in a private room setting • Float as needed to Mother/Baby, Labor, and Pediatrics units to care for appropriate patients; contract staff may be assigned to a Storm Team and/or Hurricane Team and may be required to report during catastrophic events or disasters Required Qualifications • Active RN license in North Carolina or a Compact state (license pending acceptable for submission) • Minimum 2 years of Level III NICU experience required, including care of neonates less than 24–28 weeks and 29–34 weeks gestation • Current BLS certification required • Current NRP (Neonatal Resuscitation Program) certification required • Proficiency in neonatal dosage calculations, neonatal sepsis workup, hyperbilirubinemia/phototherapy, and isolation precautions/PPE • Local candidates are welcome to apply Preferred Experience / Skills • Experience attending high-risk deliveries; prior NICU IV or PICU experience • Familiarity with high-frequency ventilation, chest tube management, nitric oxide (iNO), meconium aspiration, therapeutic hypothermia/cooling blanket, and APGAR scoring • Experience with gastroschisis/omphalocele management, post-abdominal surgery care, insulin administration, and seizure disorders • Epic EMR documentation experience Why Join Us • Work in a well-supported NICU environment with 24-hour neonatologist coverage, two overnight NNPs, 24/7 in-house pediatric surgery, and robust ancillary support including IV teams, pharmacy, respiratory services, and social services • Gain experience in a high-acuity setting where levels of care are not separated, offering broad clinical exposure across the full neonatal patient spectrum