Nurse Practitioner/Physician Assistant - Duke GI Transplant Hepatology Clinic

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 GI Advanced Liver Disease Clinics, 40 Duke Medicine Circle, Durham, NC

Job Summary

We are seeking an Advanced Practice Provider in our Duke GI Clinic located in Durham, NC to work in collaboration with a team of 9 attending physicians and 3 Advanced Practice Providers to collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, and provide direct patient care services to adult patients with advanced liver disease. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients.

Duties may include but are not limited to those listed below and may include other outpatient procedures or services as deemed appropriate by the supervising physician. Current position would be to hold 7 half day clinical sessions per week. These sessions can include independent advanced liver disease clinic patients, joint sessions with the advanced liver disease physician providers and may include procedural sessions including paracentesis and fibroscans in an outpatient hospital-based clinic that provides urgent care to patients with liver disease.

Job Duties & Responsibilities

• Record the history of present illness, past medical, family and social history
• Perform physical examinations
• Perform fibroscan assessments (APP will be trained to perform this ultrasound-based technology)
• Perform paracentesis (APP will be trained to perform this procedure)
• Establish and follow plan of care in conjunction with MD
• Prescribe appropriate medications to a specialty pharmacy that will handle prior authorization and other necessary paperwork; order refills as needed
• Patient and family teaching
• Order appropriate labs, tests and procedures and follow up with patient as needed
• Coordinate care and refer to other medical professionals as needed
• Document clinic, telephone, and other patient encounters in the Epic (Maestro) system
• Review lab results in Maestro, communicate and interpret results
• Patient triage and return patients calls within 24-48 hours; provide feedback regarding scheduling of urgent patient appointments
• Review outside records including clinic notes, hospital records, outside radiographs, lab, and other test results
• Collaborate with nursing staff to complete patient paperwork including medication pre-certifications for insurance companies, durable medical equipment requests, disability paperwork, and handicapped permit applications
• Handling patient and referring physician phone calls in a timely manner, coordinating imaging, invasive procedures such as TIPS, interventional radiology management of hepatoma and liver biopsy, management of prior authorization of specialty meds; responding to requests for prescription refills and pharmacy requests
• Responsible for patient follow up regarding pathology and laboratory studies, follow up and entry of QI data for service;
• Attendance at GI Grand Rounds, weekly Liver Transplant Selection conference, quarterly Liver Transplant Retreat, monthly transplant morbidity and mortality and quarterly liver quality and performance improvement conference is expected. Participation in weekly Multidisciplinary Radiology Conference and Hepatology Pathology Conference is expected when cases managed by the APP are to be presented.  Participation in other divisional educational events is also encouraged.

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 strongly preferred.

Job Hours

Monday-Friday, day shift, 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.