Nurse Practitioner or Physician Assistant - Pediatric Critical Care (Nights)

Duke PA; Durham, Northern (NC, KY); Hybrid; USD 110,000 - 160,000; Full time

Benefits offered by this job

$10,000 Commitment Bonus

Relocation Assistance

Job summary

Duke University Health System is hiring a Pediatric Critical Care Medicine Advanced Practice Provider (APP) for nights. This role combines NP or PA responsibilities to deliver care for critically ill children aged 0–21 across PICU/PCICU/PPCU, with rapid response involvement.

Requirements include NP or PA certification, NC licensure, and experience in pediatric acute care. The position supports education, research, and leadership within Duke Health.

Qualifications

• NP: Graduate of accredited MSN or DNP Pediatric Acute Care Nurse Practitioner Program.
• PA: Graduate of ARC accredited Physician Assistant Program, Master’s Degree or Doctoral Degree preferred.
• NP: PNP-AC or PNP-AC/PC. NPs are not being considered for this position.
• PA: PA-C
• NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as an NP.
• PA: Current medical license issued by the NCMB with authorization to practice as a Physician Assistant.
• Both: State and Federal DEA unrestricted prescriptive authority
• Experience: Nurse Practitioner/Physician Assistant experience in a pediatric acute care clinical setting strongly preferred. 2+ years of ICU nursing experience also preferred.
• Life support: BLS, PALS; ACLS recommended

Responsibilities

• Provide direct patient care for critically ill pediatric patients in PICU/PCICU/PPCU.
• Collaborate with supervising physician on care plans.
• Participate in rapid response and code blue teams.
• Engage in education, consultation, research and leadership within Duke Health.
• Develop and document plans of care based on patient assessments and pathophysiology

Skills

Pediatric acute care

ICU nursing experience

BLS

PALS

ACLS recommended

Education

MSN or DNP Pediatric Acute Care NP

ARC-accredited PA program

Master’s or Doctoral degree preferred

Job description

Select how often (in days) to receive an alert:

Nurse Practitioner or Physician Assistant - Pediatric Critical Care (Nights)

Work Arrangement:

Requisition Number: 272899

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Aug 27, 2026

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

***This position is eligible for a $10,000 Commitment bonus, & Relocation Assistance is also available ***

Job Location

Duke University Hospital

Job Summary

The Duke Hospital Pediatric Critical Care Medicine Advanced Practice Provider (APP), includes both Nurse Practitioner (NP) and/or Physician Assistant (PA), provides direct patient care services for critically ill pediatric patients aged 0-21 with acute, complex, critical, and chronic illness across a variety of care settings. It is appropriate for the APP to provide care for an aging pediatric patient beyond the age of 21 with a pediatric condition for a limited period of time. Pediatric Critical Care medicine APPs will care for patients either in the Pediatric Intensive Care unit (PICU), Pediatric Cardiac Intensive Care unit (PCICU), or Pediatric Progressive Care Unit (PPCU). In addition, APPs will provide critical care management on the Rapid Response and Code blue teams.

Utilizing acquired knowledge of physiology, pathophysiology and pharmacology, the PCCM APP exercises independent decision making in the assessment, diagnosis and development of the plan of care for patients on the PCCM service. In collaboration and consultation with the supervising physician, the PCCM APP contributes to excellence in patient care. As an advanced practice provider, the PCCM APP is additionally involved in education, consultation, research and leadership throughout the Duke Health System, organization and profession.

Job Eligibility Requirements

Education

NP: Graduate of accredited MSN or DNP Pediatric Acute Care Nurse PractitionerProgram.

PA: Graduate of ARC accredited Physician Assistant Program, Master’s Degree or Doctoral Degree preferred.

Certification

NP: PNP-AC or PNP-AC/PC. FNPs and PNP-PCs arenotbeing considered for this position.

PA: PA-C

Licensure

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

PA: Current medical license issued by the NCMB with authorization to practice as a Physician Assistant.

Both: State and Federal DEA unrestricted prescriptive authority

Experience

Nurse Practitioner/Physician Assistant experience in a pediatric acute care clinical setting strongly preferred. 2+ years of ICU nursing experience is also preferred.

Life support

BLS

PALS

Recommended: ACLS

Physical and mental requirements:

• Able toclearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System.
• Able toindependently seek out resources and work collaboratively to solve complex problems
• Able tocommunicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
• Able touse sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
• Able touse fine motor skills
• Able torecord activities, document assessments & interventions; prepare reports and presentations;
• Able touse computer and learn new software programs
• Able toprovide leadership in clinical area of expertise and in meeting organizational goals
• Able tonavigate the Hospital and DUHS to provide clinical expertise to specific patient populations
• Able towithstand prolonged standing and walking with the ability to move or lift at least fifty pounds
• Able toremain focused and organized
• Able towork collaboratively with all levels of personnel

Job Hours

12 hours Night shifts. Schedule may be modified by the clinical or leadership team when needed.

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, sex (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.

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.

Nearest Major Market: Durham
Nearest Secondary Market: Raleigh

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