Job Title Registered Nurse – NICU Location Wilmington, NC | Level III NICU Schedule / Job Type Contract | Full-Time | Days, 3x12-hour shifts (6:45 AM – 7:15 PM) | Every other weekend required | Onsite 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, including patients as young as 22 weeks gestation through term. • Manage complex neonatal conditions including prematurity, PPHN, neonatal therapeutic hypothermia/whole-body cooling, and surgical neonatal cases. • Perform and oversee advanced clinical skills including ventilator management (AC/PC/SIMV/CPAP/BiPAP/PEEP), bubble CPAP, HFNC, UAC/UVC management, PICC lines, arterial line management, and central line care. • Administer medications including IV vasopressors, surfactants, antiseizure medications, antibiotics/antivirals, and steroids using neonatal dosage calculations; utilize Pyxis for medication dispensing and Epic for documentation. • Support family-centered and developmental care, including patient and family teaching, breastfeeding support, and gavage feedings in a private room setting. • Float as needed to Mother/Baby, Labor, and Pediatrics units; contract staff are expected to participate in Storm Team and/or Hurricane Team assignments and may be required to report during catastrophic events or disasters. Required Qualifications • Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission). • Minimum of 2 years of experience in a Level III NICU, including care of neonates less than 24–28 weeks and 29–34 weeks gestation. • BLS certification required. • NRP (Neonatal Resuscitation Program) certification required. • Proficiency in a broad range of NICU clinical skills including dysrhythmia interpretation, hemodynamic monitoring, sepsis workup, isolation precautions, phlebotomy, thermoregulation, and respiratory distress management. • Local candidates (within 50 miles of the facility) are welcome to apply; a lower rate applies for local candidates. Preferred Experience / Skills • Experience attending high-risk deliveries; NICU Level IV or PICU background. • Familiarity with high-frequency ventilation, chest tube management, nitric oxide (iNO) therapy, meconium aspiration, and therapeutic hypothermia/cooling blanket protocols. • Experience with gastroschisis/omphalocele management, post-abdominal surgery care, seizure disorders, APGAR scoring, and insulin administration. • Epic electronic health record documentation experience. Why Join Us • Work in a well-supported NICU environment with 24/7 neonatologist coverage, two overnight NNPs, in-house pediatric surgery, and comprehensive support services including pharmacy, respiratory therapy, physical therapy, IV teams, and social services. • Gain experience in a high-acuity, all-private-room setting caring for a diverse neonatal patient population with access to advanced technology and multidisciplinary collaboration.