As a part of Duke Health?s outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours during week, and many opportunities for career advancement. Become a part of a neurosurgery 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.
• The job allows APP to run their own clinic with complete backup and support from surgeon team.
• Practice locations can include Duke Health?s three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.
• Flexibility to float to various locations within and around Wake County, including but not limited to Morrisville, Cary, North Raleigh, Apex, and Garner, as needed to support operational demands and ensure seamless patient care.

Job Location     

Duke Neurosurgery of Durham County

Job Summary 

We are seeking an Advanced Practice Provider (APP) for our Department of Neurosurgery - Spine Team of Durham County (Duke Clinic and other Durham County locations). The APP will provide direct patient care services in collaboration with the supervising physicians to triage and evaluate new spine patients. This position will involve outpatient services and minimal inpatient services. There is opportunity for continuity of care as well.

Primary hours will be Monday through Friday 7:30am- 4:30pm PM with hours flexible to meet the needs of the patients. Weekends and holidays are not required unless clinician elects to meet the needs of their patients.

Job Duties & Responsibilities

• Take patient histories, conduct physical examinations, review imaging, generate a plan, and document findings in the patient's record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients. Make recommendations on which Neurosurgeon to refer patient to for additional care and possible surgery. Support from supervising physician throughout day.

• Respond to patient inquiries and concerns via telephone or MyChart. Accessible during work hours and consult with supervising physician as needed.

• Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient. Arrange inpatient admission for patients if needed.
• Carry out therapeutic procedures such as removing sutures and staples and performing dressing changes; monitor progress of patients, report progress to supervising physician, and maintain record of each patient's progress, consulting with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.
• Provide coverage for fellow Advanced Practice Providers (APPs) during their absences, including but not limited to the Family and Medical Leave Act (FMLA) leave, ensuring continuity of care and maintaining high standards of patient service.

• If interested, participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions. Review the work of lower rated employees; train new personnel. Participate in teaching students and residents in techniques and procedures which are unique to specific clinical setting.

Required

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. 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          

• Minimum of one year of Nurse Practitioner or Physician Assistant outpatient work experience - neurosurgery, neurology or orthopedic spine preferred. Research experience is preferred but not required

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.

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About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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