Nurse Practitioner or Physician Assistant- Inpatient Hepatology

Duke University Health System; Durham (NC); On-site; USD 110,000 - 150,000; Full time

Job summary

Duke University Health System seeks an Advanced Practice Provider to deliver specialized care to adult patients with liver disease, primarily on the general hepatology inpatient service, with possible outpatient GI Day Hospital coverage. The role emphasizes advanced liver disease management, transplant evaluation, post-transplant care, and coordination within a multidisciplinary hepatology team.

Primary hours are Monday through Friday, day shift, with flexibility to meet patient and clinical

Qualifications

• Completion of an accredited Nurse Practitioner program with a Master's degree.
• PA program completion; Bachelor's degree required; Master's degree strongly preferred.

Responsibilities

• Record the history of present illness, past medical, family and social history, and perform exams in inpatient and outpatient settings.
• Establish and develop treatment plans in collaboration with MDs.
• Assist with inpatient transplant evaluations.
• Prescribe medications and manage prior authorizations and refills.
• Coordinate care and refer to other medical professionals as needed.
• Document consult notes and encounters in the Epic Maestro system.

Education

Master's in Nursing

PA Bachelor's degree required

PA Master's degree preferred

Tools

Epic Maestro

Job description

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

Duke University Hospital, 2301 Erwin Road, Durham 27705

Duke South Clinic, Clinic 2J, 40 Duke Medicine Cir, Durham, 27710

Job Summary

We are seeking an Advanced Practice Provider at Duke University Hospital in Durham, NC to provide specialized care to adult patients with liver disease, primarily on the general hepatology inpatient service, with potential coverage of the outpatient GI Day Hospital. The role focuses on advanced liver disease management, transplant evaluation, post transplant care, paracentesis, and coordination of multidisciplinary hepatology care. Primary hours are Monday through Friday, day shift, with flexibility to meet patient and clinical needs.

Duties may include but are not limited to those listed below and may include other outpatient procedures or services as deemed appropriate by the supervising physician. It is anticipated that the APP will see patients at Duke University Hospital and may also see patients at Duke South Clinic locations depending on Division.

Job Duties & Responsibilities

• Record the history of present illness, past medical, family and social history, perform physical examinations in inpatient and outpatient setting
• Establish and development treatment plan; care will be provided in conjunction with MD’s as needed
• Assist with inpatient transplant evaluations
• Prescribe appropriate medications to a specialty pharmacy that will handle prior authorization and other necessary paperwork; order refills as needed
• Patient and family teaching
• Order appropriate labs, tests and procedures and follow up with patient as needed
• Perform Paracentesis
• Coordinate care and refer to other medical professionals as needed
• Document consult notes, telephone, and other patient encounters in the Epic (Maestro) system
• Review lab results in Maestro, communicate and interpret results
• Review outside records including clinic notes, hospital records, outside radiographs, lab, and other test results
• Cross-coverage for outpatient GI Day Hospital
• Collaborate with nursing staff to complete patient paperwork including medication pre-certifications for insurance companies, durable medical equipment requests, disability paperwork, and handicapped permit applications
• Attendance at GI Grand Rounds is expected. Participation in other divisional educational events is also encouraged
• Attendance at Liver Listing Conference, Liver Pathology conference and transplant-related quality conferences are expected

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

• ALS required.
• BLS required.

License

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

• 1+ years of APP experience preferred.

Job Hours

Monday-Friday, day shift, with flexibility to meet clinic needs

Duke is an 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, (including pregnancy and pregnancy related conditions), sexual orientation, or military 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.