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Registered Nurse-Population Health-DPC Croasdaile PC-Durham, NC (BSN required)

Work Arrangement: 
Requisition Number:  187931
Regular or Temporary:  Regular

Durham, NC, US, 27705

Personnel Area:  DUKE PRIMARY CARE
Date:  Jun 23, 2022
Duke Primary Care Duke Primary Care is a broad network of community-based clinics that offer family medicine, internal medicine, pediatric, and urgent care services. With 400 providers in nearly 50 locations, Duke Primary Care is the largest primary care network in the greater Triangle. Our network saw more than 750,000 patient encounters in fiscal year 2021. Our Duke Primary Care clinics provide personalized care for adults and children, from sick visits to preventive care, health screenings to immunizations, and annual exams to chronic disease management. Select primary care clinics also provide behavioral health, diabetes education, pharmacy, and other population health services. Duke Primary Care clinics are accredited and designated a Primary Care Medical Home by The Joint Commission. Our Duke Urgent Care centers offer evaluation and treatment for minor illnesses and injuries 12 hours a day, seven days a week when a patient’s primary care provider is not available. Services also include certain physical exams and vaccinations. A pediatric specialist is available at select locations. Patients can walk in to one of our nine urgent care centers located throughout the greater Triangle or can schedule a virtual visit to receive care from the comfort of home.

Duke Nursing Highlights:


  • Duke University Health System is designated as a Magnet organization
  • Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
  • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance!


Registered Nurse- DPC-CROASDAILE PRIMARY CARE, Durham, NC (BSN reguired) - seeks to hire Population Health Nurses who will embrace our mission of Advancing Health Together. 

Work Performed

  • Provide specialized nursing treatment, development of care plans, and education to patients while exercising discretion and independent judgment; following established policies and procedures.
  • Assess the educational needs of the patient/caregiver as it relates to the disease process, alterations in function, and assimilation back into the home and community.
  • Monitor system access to care, services, and treatment including linkage to the medical home.
  • Address the total individual, inclusive of medical, psychosocial, behavioral, and spiritual needs. Involve the patient and their support systems (i.e. caregiver, family, etc.) in the decision-making process.
  • Use a patient-centric, collaborative partnership approach to assist the patient with improved self-management. Utilizing proven processes to measure a patient's understanding and acceptance of the proposed plan(s), his/her willingness to change, and his/her support to maintain health behavior change.
  • Apply teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness.
  • Communicating and coordinating with all provider(s) and member(s) of the care team as needed to minimize fragmented care. This will include navigating transitions of care generally from hospital to home or community facilities.
  • Monitor quality and effectiveness of interventions to the population by setting long term and/or short-term specific, measurable goal(s).
  • Accessing and systematically using data from multiple sources such as patient medical records, claims, and program metric reports to target recipient(s) and provider(s) for outreach, education, and intervention.
  • Advocate for patient(s) and supporting provider(s) to ensure delivery of appropriate, evidence based care.
  • Facilitate Quality Improvement activities that educate, support, and monitor provider(s), regarding evidence based care for best practice/National Standards of Care (Adapted from CMSA, 2010).
  • Utilize innovative nursing and population management tactics to support health throughout the continuum of care in order to promote quality, cost-effective outcome.
  • Participate in quality/performance improvement programs and projects, product evaluation, outcomes evaluation studies and/or clinical research.
  • Provide clinical experience in a preceptor role for students attending institutions that have contractual agreements with DUHS. Participates in the orientation of new nursing staff and provides expert coaching and guidance through both formal and informal one-on-one teaching with nursing staff.
  • This position may require home visits however; position specific details and duties are available upon request.
  • The work activity and patient acuity levels can create a stressful atmosphere.


Knowledge Skills and Abilities
The work activity and patient acuity levels can create a stressful atmosphere, therefore individuals successful in this job are:

  • BSN is required for this position
  • At least 3 years of nursing experience required
  • Organized and motivated by a fast-paced environment
  • Able to manage multiple tasks/projects simultaneously
  • Proficient in review and assess needs quickly
  • Strong with the use of computer software tools and data files
  • Comfortable with continuous change and self-initiating
  • Able to complete documentation in a quick and efficient manner (will be in legal medical record and other software systems developed for care management and population based program metrics)


Level Characteristics

  • Additional job expectations include the ability to:
  • Maintain strict confidentiality
  • Promote programs and services to community
  • Build effective and trusting relationships with patient/peers
  • Use motivational interviewing and active-listening skills when assessing patient conditions, problems and interests
  • Use conflict-resolution skills when reaching consensus about plans of care and treatment decisions
  • Demonstrate confidence, compassion, political savvy, as well as attention to detail to apply these skills as decisions dictate
  • Use data to analyze trends and to verify data
  • Self-directed and able to organize and manage multiple tasks/projects simultaneously
  • Ability to promote programs and services to community
  • Proficient in review of medical records and other patient care information


Pre-employment Physical Capacity Testing Required:
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