Certified Registered Nurse Anesthetist (CRNA) - Duke Health Cary Surgery

Certified Registered Nurse Anesthetist (CRNA) - Duke Health Cary Surgery

Opening 2027

Help Shape the Future of Outpatient Surgical Care

Duke Health is seeking talented and patient-focused Certified Registered Nurse Anesthetists (CRNAs) to join the founding clinical team of the new Duke Health Cary Surgery Center, a state-of-the-art ambulatory surgery center opening in 2027.

This unique opportunity allows you to play a pivotal role in launching a premier outpatient surgical destination while helping build a culture of excellence, innovation, safety, and patient-centered care from the ground up.

The Duke Health Cary Surgery Center will feature six operating and procedure rooms, including advanced robotic surgery capabilities with two da Vinci surgical systems. The center will provide outpatient surgical services across a growing portfolio of specialties, including:

• Urology
• Plastic Surgery
• Breast Oncology
• General Surgery
• Gynecology
• ENT
• Pediatric Urology
• Pediatric ENT
• Orthopedic Surgery

As a member of the inaugural perioperative team, you will:

• Help establish processes, best practices, and a culture of excellence from day one
• Practice at the top of your license in a highly collaborative environment
• Work alongside nationally recognized surgeons and perioperative professionals
• Utilize advanced technology and modern anesthesia equipment
• Contribute to innovation, quality improvement, and patient experience initiatives
• Enjoy a team culture centered on respect, accountability, flexibility, and continuous learning
• Be part of one of the region's most advanced ambulatory surgery centers

Position Summary

The Certified Registered Nurse Anesthetist (CRNA) provides anesthesia care across the perioperative continuum for patients undergoing outpatient surgical and procedural services. Working collaboratively with surgeons, anesthesiologists, nurses, and perioperative team members, the CRNA is responsible for assessing patients, developing anesthesia plans, administering anesthetics, monitoring patient responses, and managing post-anesthesia recovery.

This role supports a wide variety of surgical specialties and delivers safe, high-quality, patient-centered anesthesia care while contributing to operational excellence and exceptional clinical outcomes.

Key Responsibilities

Pre-Anesthesia Care

• Conduct comprehensive patient assessments and anesthesia evaluations
• Review medical history, laboratory results, and procedural requirements
• Develop individualized anesthesia care plans
• Educate patients and families regarding anesthesia procedures and expectations

Intraoperative Anesthesia Management

• Administer general, regional, monitored anesthesia care (MAC), and other anesthesia techniques as appropriate
• Prepare and manage anesthesia medications, supplies, and equipment
• Continuously monitor patient physiological status throughout procedures
• Respond promptly to changes in patient condition and implement appropriate interventions
• Collaborate closely with surgeons and perioperative staff to ensure optimal patient outcomes

Post-Anesthesia Care

• Assess patients during emergence and recovery from anesthesia
• Manage post-anesthesia complications and patient comfort
• Support postoperative care planning and discharge readiness
• Ensure appropriate documentation and communication throughout the perioperative process

Quality, Education & Professional Practice

• Maintain accurate anesthesia records and required documentation
• Support quality improvement and patient safety initiatives
• Serve as a resource and mentor for students, residents, and clinical team members as appropriate
• Participate in ongoing professional development and continuing education

What We're Looking For

We are seeking CRNAs who:

• Thrive in a fast-paced ambulatory surgical environment
• Demonstrate clinical excellence and strong critical-thinking skills
• Are collaborative, adaptable, and team-oriented
• Embrace innovation and new technology
• Maintain the highest standards of patient safety and quality
• Enjoy helping build new programs and processes
• Are committed to providing an exceptional patient experience

Our Culture

At Duke Health Cary Surgery Center, every team member is expected to:

• Put patients first in every decision
• Work collaboratively across the perioperative continuum
• Embrace flexibility and operational excellence
• Support staffing and workflow needs across the center
• Champion innovation and continuous improvement
• Foster a culture of accountability, inclusion, and psychological safety
• Demonstrate ownership for quality, safety, efficiency, and patient outcomes
• Take pride in helping build one of North Carolina's premier ambulatory surgery centers

Minimum Qualifications

Education

Master's degree or DNP from a school of nurse anesthesia approved by the State Accrediting Agency and the Council on Accreditation of the American Association of Nurse Anesthetists (AANA) required.

Experience

• Previous CRNA experience preferred

Licensure & Certification

• Current RN license in North Carolina or compact state licensure
• Certification or eligibility for certification as a Certified Registered Nurse Anesthetist (CRNA)
• Basic Life Support (BLS) certification required
• Advanced Cardiac Life Support (ACLS) and PALS (Pediatric Advanced Life Support) certification preferred
• Current APRN recognition and appropriate credentialing required prior to practice

Planned Start Dates

• February 8, 2027
• February 22, 2027

First patient procedures are anticipated in April 2027.

Be Part of Something Extraordinary

This is more than a CRNA position. It is an opportunity to help launch a new Duke Health surgical destination, influence its culture, and deliver world-class outpatient care from the very beginning.