Nurse Practitioner or Physician Assistant - Endocrinology

As a part of Duke Health’s outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.

Duke Advanced Practice Highlights:

• The nation’s first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master’s certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.  APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties.  APPs are expected to work to top of scope in order to contribute to Duke’s missions which include clinical practice, education, and research.
• Practice locations can include Duke Health’s three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job Location

2301 Erwin Road, Durham, NC

3400 Wake Forest Road, Raleigh, NC

Job Summary

We are seeking an Advanced Practice Provider for the Duke Endocrine Department to provide care to inpatients at Duke University Hospital in Durham, NC and Duke Raleigh Hospital in Raleigh, NC.  We are seeking an individual with general medicine and/or endocrine experience with excellent communication and clinical skills who can work as an integral member of a large practice clinical setting.

The Advanced Practice Provider (APP) provides direct patient care services and performs medical acts under the supervision of the Endocrine Division MDs. The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care of patients in the ambulatory and possibly hospital settings, and provides direct patient care services.  Primary hours will be Monday through Friday day shift with 8-10 weekends/year, with hours flexible to meet the needs of the patients.

Job Duties & Responsibilities

• Provide /coordinate clinical care for endocrine patients at Duke Hospital or Duke Raleigh Hospital through established protocols and under the supervision of the supervising physician who is either on site or available by pager
• In collaboration with attending physicians round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care;
• Collaborate with residents, fellows and attendings to formulate treatment plans and monitor patient progress
• Act as a partner to provide medical services to the patient; collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations and provide direct patient care services
• Perform diagnostic and therapeutic procedures, in partnership with physicians, to diagnose medical and surgical problems and prescribing necessary treatment and services for quality patient care.
• Take patient histories, conduct physical examinations, and record the data in the patient's record; write progress notes and narrative discharge summaries (if applicable); prepare patient workups and summaries noting pertinent positive and negative findings
• Order and schedule laboratory studies and diagnostic procedures; explain the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
• Utilizes prescriptive privileges for identified patient populations.
• Communicate verbally and in writing all pertinent patient information to collaborating physicians, nursing staff, case manager, social worker, home health agency, and other relevant healthcare providers and especially those working in the multidisciplinary clinic setting.
• Document in the patients’ chart (EMR) all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; communications with collaborating and supervising MDs and other healthcare professionals.
• Participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions (if applicable).
• Collaborate in teaching and fostering the education of medical students, physician assistant students, and nurse practitioner students in techniques and procedures which are unique to specific clinical setting
• Assess educational needs of patients/families and provide patient/family education interventions as needed.
• Serve as a role model through conduct, communication, dress, leadership, ethical decision-making, critical thinking, and problem solving skills.

Job Eligibility Requirements

Education           

• Nurse Practitioners:  Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
• Physician Assistants:  Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.

Certification

• BLS required.

License

• Nurse Practitioners:  Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment.
• Physician Assistants:  Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.

Experience

• 1+ years of APP experience preferred but will consider new graduates.

Job Hours

Mostly Monday-Friday day shift with 8-10 weekends/year, with flexibility to meet clinic needs

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, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.

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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.