Advanced Practice Provider (PA/NP) - NC Surgery ACS

UNC REX Healthcare; Raleigh (NC); On-site; USD 126,000 - 191,000; Full time

Job summary

UNC Health Medical Group is seeking two Advanced Practice Providers to join the Acute Care Surgery team at Rex UNC Health in Raleigh for evening and nighttime coverage. The role focuses on inpatient consults with some OR assistance, no outpatient clinic or off‑site calls.

The ideal candidate will multitask in a busy service, coordinating with multiple departments on a 24/7 basis. Shift hours and weekend night differentials apply; 4x10s evenings or 7x12s nights are possible.

Qualifications

• Completion of accredited graduate-level APRN or PA program.
• Current North Carolina APRN/PA licensure.
• DEA certification as applicable.

Responsibilities

• Clinical: obtain history, perform exams, develop diagnoses and treatment plans with appropriate follow‑up.
• Education: inform patients and families about conditions and care.
• Leadership: precept, teach and participate in rounds and staff meetings; drive quality initiatives.
• Professional: communicate respectfully with patients and team; ensure timely documentation.
• Quality/Research: participate in continuous quality improvement and protocol updates.

Skills

Leadership

Interpersonal skills

Independent working

Analytical skills

Communication skills

Education

Graduate APRN/PA program

NC licensure

DEA certification

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary: An Advanced Practice Provider functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

We are currently searching for two Advanced Practice Providers, preferably with experience, to join our Acute Care Surgery Team at Rex UNC Health for evening and nighttime shifts. The role is primarily for consults and inpatient care, but will include some 1st assisting in the operating room; no outpatient clinic or call outside of the hospital. The ideal applicant will be able to multitask and manage a large census of inpatients with a vast array of acute (and some chronic) general surgery issues. Consult‑heavy. The applicant should be comfortable working and communicating effectively with multiple providers, hospital staff, and consulting departments. This position is shift‑work, hours as below (can be somewhat flexible with the evening APP). This is a service in our hospital that operates on a 24/7 basis with at least one (if not two APPs) and one MD during the day, and one MD at night. The goal is to increase APP coverage during the peak hours of evening weeknights and weekend nights. Weekend and overnight shift differentials do apply.

The evening APP hours will be 5pm to 3am, with some room for flexibility if the candidate is the right fit. This would be 4 x 10 hour shifts, Monday through Thursday. There is no call outside of the hospital.

The nighttime APP hours will be 7pm to 7am, Friday/Saturday/Sunday. This role will also include phone call coverage for other established services within NC Surgery. There is no call outside of the hospital.

Responsibilities:

1. 1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence‑based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow‑up management. Actively incorporates evidence‑based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2. 2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow‑up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self‑learning needs. Attends education programs based on identified learning needs.
3. 3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
4. 4. Professional- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one’s work. Shares responsibility for overall workload with team members.
5. 5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem‑solving, decision‑making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence‑based changes in care management Works to influence policy‑making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

Other Information

Other information:

Education Requirements:

• ● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.

Licensure/Certification Requirements:

• ● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina.
• ● Board certification if required by the Department. DEA.

Professional Experience Requirements:

• ● No prior experience required.

Knowledge/Skills/and Abilities Requirements:

• ● Demonstrated clinical competency.
• ● Effective leadership skills. Strong interpersonal skills.
• ● Ability to work independently and collaboratively.
• ● Demonstrated written and verbal communication and strong analytical skills.
• ● Effective interaction to ensure the successful care of patients in the clinical setting.
• ● Documentation in the medical record to substantiate accurate billing.

Job Details

Legal Employer: NCHEALTH

Entity: UNC Health Medical Group

Organization Unit: NC Surgery ACS

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$56.15 - $76.88 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Evening Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: Yes

Recruiter: [e-mail]

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully‑owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [e-mail] if you need a reasonable accommodation to search and/or to apply for a career opportunity.