Nurse Practitioner/Physician Assistant - Smoking Cessation at Duke Regional Hospital

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 Regional Hospital, 3643 N Roxboro St, Durham, NC 27704

Job Summary

The Duke Smoking Cessation Program is seeking a Physician Assistant or Nurse Practitioner to provide medical care for adults who require tobacco use treatment in the inpatient and outpatient settings. The APP will work collaboratively within a multidisciplinary health care team to provide direct patient care services for patients with the supervision of the Medical Director of the Duke Smoking Cessation Program.

Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients.  This position will consist of 2 half-day sessions per week at Duke Regional Hospital, 6 half-day sessions per week of telehealth, and 2 half-day admin sessions per week.

Job Duties & Responsibilities

Clinical:

• Record details of pertinent history, history of smoking-related illnesses, past medical, family and social history, surgical history and planned surgeries.
• Perform physical examinations in inpatient and outpatient settings
• Perform in-clinic procedures including spirometry and CO monitoring.
• Establish and develop treatment plan (in conjunction with Supervising Physician as needed)
• Prescribe appropriate medications
• Work closely with behavioral health and social work to address additional psychiatric and social barriers to smoking cessation.
• Patient and family teaching as appropriate
• Order appropriate labs, radiologic radiologic tests and procedures and follow up with patient as needed
• Coordinate care and refer to other medical professionals as needed
• Document clinic, telehealth, and other patient encounters in the Epic (Maestro) system
• Review outside records including clinic notes, hospital records, outside imaging imaging, lab, and other test results

Research:

• Participate in basic science and clinical research projects conducted by the supervising physician
• Liaise with members of the Duke Center for Smoking Cessation clinical research team to identify patients for research purposes
• Participate in enrollment of patients in clinical research studies

Education:

• May make work assignments for assigned nursing and technical personnel; review the work of other staff; train new personnel.
• Participate in teaching medical students, nursing students, and physician assistant students, and other health professionals in techniques and procedures which are unique to specific clinical setting.
• Perform other related duties incidental to the work described herein.

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

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. A Bachelor's degree required; Master's degree strongly preferred.

Certification 

• Certified as a Tobacco Treatment Specialist (CTTS) or eligible for certification, including being at least 6 months tobacco free and remaining tobacco free for the duration of employment.

• BLS required.

License                

• Nurse Practitioners:  Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. 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. BLS required.

Experience          

• 1+ years of APP experience 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.

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.