Nurse Practitioner or Physician Assistant-Hematology

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

Duke University Hospital

Job Summary

Hematology is searching for an APP to assist with the hospitalized hematology consult patient service. The APP will round daily on the hematology consult service team which will improve communication with consulting services and patients. The utilization of an APP as part of the consult team within the Division of Hematology would increase the accessibility of care in the hospitalized setting. The current schedule of physicians and fellows in Hematology make daily visits with all consult patients extremely challenging. Incorporating an APP as part of the consult team who understands the nuances of hematology would increase patient and consulting team satisfaction. The APP would be responsible for seeing several new patients each day as well as having a group of follow-up patients seen each day.  Efficiency and coordination of patient discharges would improve which in turn would also improve patient satisfaction and safety. Timely and appropriate management of treatment related side effects would also be facilitated by this individual.

Job Duties & Responsibilities

• Daily rounding with the Hematology Consult Service to include presentation of new and follow-up patients as indicated; round with the Hematology attending on patients who need to be seen by the attending; coordinate efforts with the Hematology fellow on service to divide up new Hematology consults who will be followed by the APP; coordinate efforts to provide coverage (with the Attending) for the Hematology fellow when they are in their outpatient clinic.
• Take patient histories, conduct physical examinations, and record the data in the patient’s record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients.
• Order and schedule relevant laboratory studies and diagnostic procedures for the workup of hematologic disorders seen in the inpatient setting; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
• Perform bone marrow aspirates and biopsies on patients who need this procedure as part of their diagnostic evaluation.
• Coordinate efforts with the Hematology outpatient triage service to facilitate discharge from the hospital with timely outpatient follow-up with the appropriate provider.
• Share pager coverage with the fellow to provide coverage for medication approvals, follow-up on laboratory results, etc

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

• Basic Life Support certification.

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 strongly preferred.  Having some background in hematology would also be preferred but not necessary.

Job Hours

• Monday-Friday, 8 am to 5 pm with possibility of administrative time off every week (1/2 day per week to catch up on coordination of outpatient follow ups for example)
• Open to 4 day inpatient week coverage
• Open to 4 day inpatient rounding with 1 outpatient day allowing for a discharge clinic facilitating inpatient-to-outpatient transition

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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.