Nurse Practitioner or Physician Assistant - Nocturnist with Hospitalist Medicine

Duke University; Durham (NC); On-site; USD 110,000 - 140,000; Full time

Job summary

Duke University Health System in Durham, NC is seeking a Nocturnist Nurse Practitioner or Physician Assistant to join the Hospital Medicine team on-site. The role focuses on night coverage, collaboration with a physician-led team, and care delivery across General Internal Medicine.

Required qualifications include PA-C or NP credentials and inpatient experience, with NC licensure. Competitive pay, benefits, and career growth available.

Qualifications

• Inpatient APP experience required.
• PA-C or NP certification expected.
• NC medical licensure required or eligible.

Responsibilities

• Provide nocturnal clinical care for patients in Hospital Medicine.
• Collaborate with physicians and APPs for patient management.
• Order medications and therapies as needed.
• Coordinate transfers during night hours when necessary.
• Participate in team-based care and safety initiatives.

Skills

Inpatient APP experience

Night shift adaptability

Board certification PA-C/NP

Education

ARC accredited Physician Assistant Program

MSN or DNP Nurse Practitioner Program

Job description

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Nurse Practitioner or Physician Assistant - Nocturnist with Hospitalist Medicine

Work Arrangement: On-Site

Requisition Number: 275281

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Oct 8, 2026

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

Multiple Locations Available

Job Summary

Nocturnist APP Providers in the Hospital Medicine Department are clinicians who provide clinical care for patients admitted at Duke University Health System hospitals. They support General Internal Medicine.

Job Duties and Responsibilities

Nocturnist APP Providers will engage in patient care activities required at night and medical/clinical practice as the principal component of his/her overall professional responsibility within the Department. Patient care activities will include, but are not be limited to the following:

• Nightly cross-coverage care management that actively encourages and includes professional input from all members of the patient care team


• Assessment, evaluation, diagnostic determination and clinical management of patients


• Order medications and therapeutic treatments when warranted


• Authorize transfers- if necessary at night


• Align your work with other Hospital Medicine initiatives.


• Perform other related duties incidental to the work described herein.


• Nightly cross-coverage remote options available.


• Work with overnight team of 2 Physicians and 2 APPs.


• Admit patients through ED or other sources to hospital.

Job Eligibility Requirements

Education

PA: Graduate of ARC accredited Physician Assistant Program, Masters Degree or Doctoral Degree preferred

NP: Graduate of accredited MSN or DNP Nurse Practitioner Program for adult care

Certification

PA: PA-C

NP: AGACNP, ACNP, AGNP, FNP

License

PA: Current unrestricted medical license issued by NCMB with authorization to practice as a PA.

NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a NP.

Both: Federal and State DEA with unrestricted prescriptive authority

Current ACLS certification required before hire

Experience

Inpatient APP experience is required

Physical and mental requirements:

• Able to clearly articulate scope of practice and practices within those guidelines as an NP/PA in the state of North Carolina and within the Duke University Health System (DUHS)


• Able to independently seek out resources and work collaboratively to solve complex problems


• Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others


• Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up


• Able to use fine motor skills


• Able to record activities, document assessments, and interventions; prepare reports and presentations.


• Able to use computer and learn new software programs


• Able to provide leadership in clinical area of expertise and in meeting organizational goals


• Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations


• Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds


• Able to remain focused and organized


• Able to work collaboratively with all levels of personnel

Job Hours

Shifts: 174 shifts per year, Schedule: 9pm to 7am

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.

Nearest Major Market: Durham
Nearest Secondary Market: Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.