Nurse Practitioner/Physician Assistant: Duke Radiology Community Division

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(s)

Duke Raleigh Hospital - 3400 Wake Forest Rd, Raleigh, NC; Duke University Hospital - Duke Medical Pavilion - 10 Medicine Circle - Durham, NC

We are seeking an Advanced Practice Provider to join our Duke Department of Radiology Community Division at Duke Raleigh Hospital in Raleigh, NC and Duke University Hospital in Durham, NC to work in partnership with our physicians and team of advanced practice providers to deliver exceptional and innovative patient care by collecting and documenting data, conducting diagnostic and therapeutic procedures, ordering and scheduling laboratory studies and professional consultations, and providing direct patient care services. 

Job hours

Primary hours Monday through Friday, 8AM to 5PM; however, flexibility in scheduling is expected and may be required, based on clinical needs, patient volumes, access initiatives, or operational requirements. Your hours may include extended morning or evenings (i.e., before 8am or after 5pm). Final schedule and site assignments will be coordinated with your supervisor and communicated in advance.

Job Duties and Responsibilities- The Advanced Practice Provider will work collaboratively with radiologists, technologists, nursing staff, and referring providers to deliver quality patient care and support the division’s clinical, education, and research missions. Following supervised on-the-job training, responsibilities include the following, within approved protocols and credentialed privileges:

Cardiac CT Services

• Obtain patient histories, conduct focused physical examinations, and review pertinent clinical findings, previous cardiovascular surgery, cardiac devices, arrhythmias, renal
• Independently obtain protocol cardiac CT examinations within physician-approved guidelines, tailoring studies to the clinical indication and individual patient factors. Communicate with referring providers to clarify examination requests and address safety concerns.
• Assess suitability for iodinated contrast and medications. Manage beta-blockers and nitroglycerin, including dose adjustments and real-time patient monitoring. Provide on-site clinical support for contrast reactions and intravenous-access issues, with physician consultation as needed.
• Assist technologists with scanner-side acquisition decisions and technical adjustments to optimize image quality. Perform post-processing of ECG-gated cardiac CT datasets in collaboration with cardiac radiologists.
• Explain examination preparation, medications, anticipated effects, and post-examination care. Triage patient calls and document assessments, medications, interventions, and patient responses using approved templates.
• Order necessary laboratory studies, assist with scheduling and clinical documentation for insurance preauthorization, and help resolve examination-order and billing issues. Coordinate with nursing and technical personnel to support patient flow and workload distribution.
• Teach residents, fellows, medical students, and APP students about cardiac CT preparation, protocols, and safety. Assist with onboarding and training new radiologists, technologists, nursing staff, and other personnel.
• Participate in research projects, protocol development, quality improvement, and appropriate committee activities. 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.

Neuroradiology Services

• After receiving supervised on-the-job training, perform image-guided diagnostic and therapeutic procedures (including lumbar punctures and myelograms) to assist physician in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care.
• Record the normal and abnormal data for review by the physician.
• Triage patient phone calls, take patient histories, conduct physical examinations, and record the data in the patient's record; document image-guided procedures using approved templates, document progress notes and narrative discharge summaries; prepare patient workups and summaries noting pertinent positive and negative findings
• Provide telehealth and face-to-face clinic visits to referred patients of our Neuroradiology CT Spine Intervention service. Participate in managing the ongoing care of patients.
• Work closely with the supervising physician to determine appropriate treatment plans for each patient and surgical needs. Complete all necessary paperwork for scheduling and assist physicians with submission of clinical documentation and/or peer-to­peer requests for insurance preauthorization
• Order and schedule laboratory studies and diagnostic procedures; explain the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedure to the patient.
• Integrate education, research, leadership, and consultation into their clinical practice. The NP-C or PA-C will demonstrate this through nursing and resident education, participation in the division’s research mission and projects, hospital committee membership and leadership, and providing continuity of care for hospital staff, patients, and their families.
• Participate in basic science and clinical research projects conducted by supervising physician.
• May make work assignments for assigned nursing and technical personnel; review the work of other staff; train new personnel.
• Participate in teaching medical students and Advanced Practice Providers students 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:  Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.

 Certification 

• BLS/ACLS required

License                

• Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. 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.
• DEA license required.

Relevant Education and/or Experience      

• Prefer 1+ years of experience as a Nurse Practitioner or Physician Assistant in radiology or cardiology. Or an equivalent combination of relevant education and/or experience.
• Proven focus on delivering patient-centered care and collaborating with team members at all levels to provide a seamless patient experience.

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.