Nurse Practitioner/Physician Assistant

As a part of Duke Health Integrated Practice, 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 four hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job Locations

Duke University Hospital, Durham, NC

Duke Regional Hospital, Durham, NC

Duke Behavioral Health North Durham Clinic

Duke Raleigh Hospital, Raleigh, NC

Job Summary

The Director of Advanced Practice for Behavioral Health is responsible for establishing best practices for Advanced Practice Providers (APPs) and aligning their role across the continuum of behavioral health care delivery within DHIP and DUHS. Behavioral health services span inpatient, outpatient, and emergency department settings across Duke Health.

This role leads the integration and deployment of APPs across interprofessional teams to enhance access, quality, safety, and operational performance in behavioral health services, including ambulatory psychiatry, inpatient care, emergency services, and interventional psychiatry.

In collaboration with executive and medical leadership, the Director advances APP practice through improvements in clinical service delivery, competency, productivity, and workforce optimization.

Job Duties & Responsibilities

Act as organizational change agent to optimize APP value and contribution for each Division. Analyze workforce utilization and access data for Divisions/Departments. Provide business case development for new practices and optimization of existing ones.

• Collaborate to design new Interprofessional practices, manage hiring and onboarding process:
  • Work with department leadership to design and implement practice models
  • Work with Dept/Div to develop job descriptions, write practice agreements with Supervising MDs
  • Guide recruitment efforts
  • Serve as resource for hiring, onboarding and credentialing of new APPs
  • Work with medical and administrative leadership to design clinical orientation
  • Support orientation for APPs
  • Provide practice metrics and consulting to optimize practice models
• Models of care: Serves as expert resource in the utilization of APPs across multiple environments. Accountable for setting vision, identifies existing and emerging practice models and is accountable for the integration of emerging practice models in the overall strategic plan of the organization; assesses job satisfaction and retention of the APP workforce.
• Provide leadership to APP Leadership Council. Facilitates communication with Team Leads and APPs on current and relevant practice matters and policies.
• Advise on maintenance of safe and effective clinical practice of APPs.
• Compliance: Designs and implements process flows for ensuring compliance for APPs. Collaborates with compliance officers, legal and risk management to ensure that all APPs comply with state and federal mandates. Ensures licensure, certification and regulatory compliance with NC law and State Boards of Nursing and Medicine.
• Makes recommendations on course of action regarding unsatisfactory employee performance including corrective actions, performance improvement plans, peer reviews and terminations.
• Onboarding: Works with human resources, the office of integration and departmental administration, coordinates key and central elements of an APP orientation program for the onboarding of all APPs.
• Legislative and Health Policy Issues for APPs: Establishes relationships with key stakeholders including legal, compliance, HR and State Boards, assesses for best practices and national changes for APP practice acts, ensuring that changes are communicated and incorporated into practices.
• Financial: Works with Departmental Administrators and Finance, evaluates APPs billing performance and patterns in aggregate, and at the individual level assesses for variability and opportunities for improvement using internal and external benchmark data. Identifies performance metrics for non- billing APPs in collaboration with department/division leadership.
• Provides inspirational leadership and mentoring to APPs and other health care team members.
• Collaborate as needed to address complaints and serves as a resource for conflict resolution.
• Maintain clinical practice at Duke with a minimum 60 percent of FTE allocated to provide clinical services.
• Performs other related duties incidental to the work described herein.
• Participate in leading APP office initiatives including but not limited to: APP Grand Rounds, mentorship programming, and professional advancement models.

Knowledge, Skills, and Abilities

• Established thought leader in the role of APPs in a complex academic medical center
• Persuasive and passionate change agent
• Strong leadership presence and skills
• Proven capabilities in building and leading interprofessional teams
• Ability to work with others in a respectful, cooperative and collaborative manner
• Ability to delegate and mentor others
• Strong written and oral communication skills
• Ability to drive change and impact practice
• Able to apply financial analytics to support enterprise goals
• Willingness to provide remediation and peer review
• Commitment to quality, establishing productivity standards and expectations
• Expert on Advanced Practice including compliance, quality, FPPE/OPPE, credentialing and state law compliance
• Comprehensive understanding of physician-led practice management including clinical quality, patient satisfaction and access to care
• Doctoral degree with curriculum emphasis on leadership preferred

Additional Information

Certain jobs in DHIP 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.

Job Eligibility Requirements

Education           

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

Certification

• Nurse Practitioners: PMHNP-BC preferred or equivalent Behavioral Health/Psychiatric experience

• BLS required.

License

• Nurse Practitioners: Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. National certification as a NP required.
• 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.
• DEA licensure with full prescriptive authority required.

Experience

• Minimum of 3 years’ experience in advanced clinical practice with proven leadership experience and evidence of operations/administrative responsibilities

Or an equivalent combination of relevant education and/or experience.

Job Hours

Monday-Friday, day shift, with flexibility to meet department 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.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

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.