Nurse Practitioner/Physician Assistant - Duke Neurosurgery

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 Neurosurgery of Raleigh – 3480 Wake Forest Road, Raleigh, NC 27609

Duke Neurological Disorders Clinic– 40 Duke Medicine Cir, Durham NC 27710

Job Summary

We are seeking an Advanced Practice Provider in our Vascular Neurosurgery Clinic located in Raleigh and Durham, NC to work in collaboration with attending physicians, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, and provide direct patient care services. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients.

Job Duties & Responsibilities

• In collaboration with attending physician(s), the NP/PA 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 in both an inpatient and outpatient setting. 
• Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
• Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
• Provide 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.

     Clinic (outpatient)

A. Independent clinic Per DHIP guidelines, this could be up to 8 sessions/week (each session measured in 4-hour increments).

• Facilitate clinic notes\Order entry as needed for patients during visit

• Bill encounter
• Close encounter 
• Follow up any outstanding items from clinic (records that need to be obtained, lab review, MRI review)
• Patient education

B. Collaborative clinic with attending provider (Durham or Raleigh)

• Facilitate clinic notes
• Order entry as needed for patients during visit
• Bill encounter
• Close encounter
• Follow up on any outstanding items from clinic (records that need to be obtained, lab review, MRI review)
• Patient education

General patient duties (not an inclusive list)

• Prescription refills
• Facilitate order entry- studies as needed
• FMLA paperwork
• Call patient postoperatively for check and pathology news
• Call patients with abnormal results

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 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