Critical Care Nurse Practitioner or Physician Assistant - Duke Emergency Medicine

Duke Emergency Medicine Highlights:

• Frontline Medicine at Its Best. Deliver rapid, high-impact top-of-scope care to patients with diverse and complex emergency conditions in a fast-paced, high-acuity environment.
• Unmatched Clinical Variety. Care for everything from minor injuries to life-threatening emergencies across multiple settings, keeping your skills sharp and your work dynamic.
• Team-Based Emergency Care Model. Practice alongside expert emergency physicians, nurses, and interdisciplinary teams in a collaborative world class academic environment built for safe, efficient, and high-quality emergency care.
• Advanced Emergency Medicine Training & Support. Benefit from comprehensive onboarding, emergency-specific continuing education, simulation opportunities, ultrasound education, and mentorship designed to build confidence and expertise in emergency care.
• Opportunities to Lead in Emergency Care Innovation. Participate in protocol development, throughput optimization, research, and quality initiatives that shape the future of emergency care delivery.
• Resilient, Mission-Driven Culture. Join a well-established advanced practice team that thrives in high-stakes environments, supports one another, with engaged leadership, and shares a deep commitment to patient care during critical moments.

Job Location     

Duke Hospital, 2301 Erwin Road, Durham, NC

Job Summary

Duke Emergency Medicine is seeking Critical Care Advanced Practice Providers to join our nationally recognized team at Duke University Hospital, a premier tertiary referral center and Level I Trauma Center serving patients across North Carolina and the surrounding region.

Our state-of-the-art Emergency Department is designed to support high-acuity, high-impact care and includes:

• Five adult emergency care areas supporting diverse and complex patient populations.
• Advanced, in-department CT scanners, X-ray suites, and point of care ultrasound equipment for rapid access to diagnostics.
• A 24-bed Clinical Evaluation Unit (CEU) focused on efficient ED observation and enhancing patient flow.
• A dedicated 13-bed Pediatric Emergency Department.
• A 7,000-square-foot ambulance bay supporting high-volume EMS arrivals.

At Duke, our emergency medicine team is driven by a shared commitment to delivering exceptional, patient-centered care while advancing innovation, collaboration, and clinical excellence in every encounter. 

Job Duties & Responsibilities

• In collaboration with attending physician(s), provides direct clinical services for critically ill patients according to established protocols and utilizing evidence-based clinical practice standards.
• Performs triage, physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, diagnostic procedures and professional consultations, prescribes appropriate interventions and medications, coordinates the care of patients, and provides direct patient care services. 
• Formulates and implements treatment plans for acute illness management and observation care in collaboration with the attending physician(s).
• Analyzes clinical practice patterns so to provide the best medical care and to increase effectiveness and efficiency.
• Communicates verbally and in writing all pertinent patient information to supervising physician, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
• Provides timely documentation in the electronic medical record of all relevant data including results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; communications with physician colleagues.
• Contributes to excellence in patient care, teaching, consulting, and provides leadership to the organization and to the advanced practice profession.

Job Eligibility Requirements

Education           

• Nurse Practitioners: 
• Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
• Critical Care / Acute Care NP Master's or completion of ACNP/CCNP post-Master's program strongly preferred.

• Physician Assistants: 
• Completion of an accredited Physician Assistant program.
• A Bachelor's degree required; Master's degree strongly preferred.

Certification        

• BLS/ACLS certification required
• ATLS certification required to participate in trauma care (may obtain after start date)

License                

• Nurse Practitioners: 
  • Must have current or compact RN licensure in the State of North Carolina.
  • Must have a national certification as a Nurse Practitioner.
  • Certification as an Acute Care or Critical Care Nurse Practitioner strongly preferred.
• Physician Assistants: 
  • Must be licensed as a Physician Assistant in the State of North Carolina.
  • Must have active certification as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA).
• DEA licensure required.

Experience          

Candidates must have at least one year of advanced practice Emergency Medicine experience or have completed a residency/fellowship in Emergency Medicine.

Job Hours

Mixed Shift Opportunities

• Enjoy a dynamic schedule with a blend of 8-hour and 12-hour day, evening, and night shifts. Mixed shift roles offer variety in clinical experience with a predictable monthly commitment of 150 hours.

Nocturnist Roles with Enhanced Incentives

• Prefer nights? Join our dedicated nocturnist team with flexible 8-hour and 12-hour night shift options and a reduced monthly commitment of just 134 hours.
• Sign-on and/or relocation bonuses are available, making it easier than ever to transition into this high-impact role. 

Duke is an Affirmative Action/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, sex, sexual orientation, or veteran 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.