Emergency Medicine - Clinical Decision Unit - APP

Atrium Health Enterprise; Winston-Salem (NC); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive base salary

Annual bonus incentives

CME reimbursement

25 days PTO

Health and welfare benefits

401(k) with employer contributions

Dependent care options

Job summary

Atrium Health Wake Forest Baptist is seeking an Emergency Medicine APP (NP/PA) for the Clinical Decision Unit on the main campus in Winston-Salem, NC. This full-time position involves overnight CDU coverage, collaborative practice with ED attendings, and comprehensive patient care decisions.

The role supports a high-volume, level I trauma center with strong teaching, research, and advancement opportunities within a large integrated health system.

Qualifications

• Graduation from an accredited Physician Assistant Program; Master’s Degree preferred.
• Current North Carolina Medical Board Medical License, Certified by NCCPA.
• 1 Year of PA experience or ENP/ACNP experience for NP track.
• Current American Heart Association or Red Cross Basic Life Support (BLS) is required to start.
• Current DEA and DPS registration, for prescription writing is required to start.

Responsibilities

• Under physician supervision, perform complex diagnostic and therapeutic procedures in diagnosing emergency medical problems.
• Record data and tentative conclusions for review by physician.
• Carry out complex patient care services under indirect physician supervision, monitoring progress and consulting with supervising physicians as needed.

Skills

Team collaboration

Clinical decision making

Communication skills

Education

Master's degree (Nurse Practitioner or PA)

Tools

BLS certification

DEA registration

Job description

EMERGENCY Medicine APP – Full Time NP/PA - Atrium Health Wake Forest Baptist Clinical Decision Unit

Join our Emergency Medicine – Clinical Decision Unit, as an NP/PA at Atrium Health Wake Forest Baptist (main campus), Medical Center Blvd, Winston Salem, NC — part of Advocate Health, one of the largest nonprofit integrated health systems in the country.

At Advocate Health, Wake Forest Baptist Hospital, we’re committed to being a Best Place to Care—where clinicians are empowered, heard, and equipped to do their best work. You’ll be part of a leading integrated system with a shared commitment to innovation, well-being, and the communities we serve.

Whether you’re seeking professional growth, meaningful impact, or a team that lifts you up—this is where it starts.

Our emergency department is the premier level 1Trauma Center emergency department in the region and a national leader in clinical care, education, and research. Our department, featuring a new state-of-the-art facility, serves as a high-volume, high-acuity level I trauma center, burn center, stroke center, and STEMI center. With an annual volume exceeding 110,000 patient visits (combination of adult and pediatric), we address the full spectrum of human illness and injury.

Position Overview

• Our APP team is exceptional, well-respected, and fully integrated into all aspects of care delivery.
• The Clinical Decision Unit provides care for adult patients who need additional evaluation to determine whether a longer hospital admission is necessary. Position will help provide full overnight coverage of the CDU.
• Participates in team focused patient care by means of patient examinations augmented by diagnostic and therapeutic evaluations/ interventions in the medical and/or surgical theatres of health care. The clinician functions under the regulatory mandate from their respective licensing organization (North Carolina Medical Board or North Carolina Board of Nursing) with departmental specific credentialing from the institution.
• Under physician supervision, perform complex diagnostic and therapeutic procedures in diagnosing emergency medical problems and prescribing necessary treatment and service for quality patient care; record data and tentative conclusions for review by physician.
• Carry out complex patient care services under indirect physician supervision using advanced medical knowledge; monitor progress of patients, maintain a record of the patient’s progress, and consult with supervising physician when patient’s progress does not meet anticipated and/or predetermined criteria.

Primary location(s):

Atrium Health Wake Forest Baptist (main campus), Medical Center Blvd, Winston Salem, NC

Schedule Details/Additional Information

The ED CDU and managed 24/7 by that APP team supervised by the ED attendings

Call Requirements

FTE/Hours per Week: minimum of 36 patient facing hours.

Care setting (inpatient): Full Time - APP call coverage as needed.

Benefits & Perks

• Competitive Compensation: Guaranteed Base Salary with Annual Bonus Incentives.
• CME Reimbursement: Receive up to $3,000 per fiscal year with an additional 50 hours of CME PTO
• Work/Life Balance: Enjoy flexible working hours.
• Generous PTO: Accrual starts at 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
• Career Growth & Stability: Experience a rewarding career with ample opportunities for advancement and stability, supported by a consistently high patient volume.
• Comprehensive health and welfare benefits: including medical, dental, vision, life, and disability coverage
• Retirement benefits: including 401(k) options with employer contributions and access to financial wellness resources
• Flexible spending accounts for eligible health care and dependent care expenses
• Family support benefits: which may include parental leave, adoption assistance, and surrogacy support
• Educational assistance and professional development programs
• Paid medical liability insurance

Physician Assistant (PA) Requirements

• Graduation from an accredited Physician Assistant Program; Master's Degree preferred.
• Current North Carolina Medical Board Medical License, Certified by NCCPA
• 1 Year of PA experience.
• Current American Heart Association or Red Cross Basic Life Support (BLS) is required to start.
• Current Drug Enforcement Agency (DEA) and Department of Public Safety (DPS) registration, for prescription writing is required to start.

Nurse Practitioner (NP) Requirements

• Graduation from accredited Nurse Practitioner Master's Program, Master's degree or higher required.
• Current North Carolina Board of Nursing Registered Nurse and Nurse Practitioner license.
• Board certified as a Nurse Practitioner by AANP or ANCC.
• 1 Year of ENP or ACNP experience.
• Current American Heart Association or Red Cross Basic Life Support (BLS) is required to start.
• Current Drug Enforcement Agency (DEA) and Department of Public Safety (DPS) registration, for prescription writing is required to start.

Be A Part of Something Bigger – About Wake Forest Emergency Medicine

Our medical center is an 885-bed tertiary care institution affiliated with the Wake Forest University School of Medicine. Large, Academic EM program with 15 EM Residents per year.

Why Winston Salem is an ideal location to practice

Work as part of an Emergency Medicine team to improve outcomes for patients in a dynamic Emergency Department. In this role as an Emergency Medicine APP, you will work alongside EM Physicians, other EM APPs, and EM nurses and staff. Though APPs in this role will collaborate with and share all patients with physicians, autonomy is both encouraged and fostered. Our EM APPs will learn to manage acute and chronic conditions with increasing independent expertise and are encouraged to practice at the top of their license. Although the focus of this role is primarily clinical, there will be Career Development opportunities with access to get involved in Education, Administration and Leadership.

We are a 501c3 Non-Profit, mission-oriented health system proudly providing health care for all!

APP Post-graduate Experience Is Encouraged But Not Required

Our collaborative provider team includes faculty attending physicians, emergency medicine and off-service resident house officers, and advanced practice providers (APPs). Our APP team is exceptional, well-respected, and fully integrated into all aspects of care delivery.

Join our team of highly skilled and dedicated providers in our mission to provide compassionate care to all patients. Wake Forest EM is a great place to learn, develop, and grow.

Highlights

• Great place to learn, develop and grow
• National leader in Clinical Care, Education & Research
• Primarily 8 hour Shifts
• Strong Team Environment with Great Support

About Us

Atrium Health Wake Forest Baptist (www.WakeHealth.edu) is a nationally recognized academic health system in Winston-Salem, North Carolina, with an integrated enterprise including educational and research facilities, hospitals, clinics, diagnostic centers, and other primary and specialty care facilities serving 24 counties in northwest North Carolina and southwest Virginia.

Location

The beautiful Piedmont Triad region of North Carolina has a moderate climate with all four seasons and a cost of living well below the national average. The Blue Ridge Mountains and Parkway are a 1-2 hour drive to the north and west, and North Carolina's beaches are close enough to enjoy during long weekends. The region is on an upward trajectory that still maintains its Southern roots and small town feel. Although the region is traditionally Southern in its friendliness, it has an international vibe with an array of festivals and a wide variety of restaurants and entertainment options.

What We Believe

When you join Wake Forest Emergency Providers, you will be welcomed into an inclusive culture that celebrates and respects the contributions a diverse team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally‑renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, elevate hope and advance healing—for all.

Wake Forest University School of Medicine and Atrium Health Wake Forest Baptist are affirmative action and equal opportunity employers with a strong commitment to achieving diversity among faculty and staff.