Physician Assistant or Nurse Practitioner - Neonatal ICU (NICU)

Duke University Health System; Durham (NC); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Relocation assistance

Commitment bonus

Job summary

The Neonatal Advanced Practice Provider (APP) at Duke University Hospital in Durham provides direct care for infants from birth to age two in the NICU settings, performing exams, ordering tests, and prescribing medications under supervision. The role emphasizes collaboration with physicians, nurses, and families to deliver high-quality, evidence-based care.

Primary hours are rotational across 24/7 coverage; Duke is an equal opportunity employer, offers professional development and pathways for

Qualifications

• NP: Neonatal Nurse Practitioner program completion.
• PA: Neonatal APP Fellowship and graduate degree.

Responsibilities

• Round daily with team to assess and plan care for neonates.
• Provide and coordinate clinical care for neonatal patients per protocol.
• Prescribe medications and orders within scope of practice.
• Develop and implement care standards with physicians and staff.

Skills

Neonatal care

Clinical assessment

Interdisciplinary collaboration

Education

MSN or DNP Neonatal Nurse Practitioner Program

Master’s or Doctoral PA Program + Neonatal APP Fellowship

Job description

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 Health hospitals 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)
• NNP and PA applicants with 2 years neonatal APP experience or more are eligible for a $10,000 Commitment bonus. Relocation Assistance is also available

Job Location: Duke University Hospital / NICU

Job Summary

The Neonatal APP provides direct patient care services and performs medical procedures under the supervision of a supervisory physician to infant’s (birth through 2 years of age) in specialized neonatal units to include Intensive Care Nurseries, Intermediate Care Nurseries and the Special Care Nurseries in the Duke University Health System. The Neonatal APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. The NNP contributes to excellence in patient care, research, teaching, and provides leadership in the organization.

Job Duties And Responsibilities

• In collaboration with the attending of service and/or fellows, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager.
• Collaborate with fellows, attending, other APP colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
• Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
• Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives.
• Post-procedural stabilization and management.
• Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.
• Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
• Document in the patients’ medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; communications with supervising MD.
• Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.
• Role model competence in all nurse practitioner / physician assistant advanced skills.
• Give daily handoff to appropriate attending, APP, or fellow at the end of the shift.
• Assess educational needs of the patient-care staff and provide one‑on‑one as well as formal education as needed.
• Assess educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all education in patients’ medical record.
• Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate.
• Role model and precept healthcare learners through contractual agreements.
• Utilize current research and evidence-based decision-making in all clinical practice.
• Incorporate clinical research findings in the development and implementation of standards of care.
• Participate in interdisciplinary quality improvement and/or research activities.
• Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to pediatric diseases, procedures, interventions, and conditions.
• Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization.
• Maintain all professional requirements for licensure and certification

Job Eligibility Requirements

Education

• NP: Graduate of accredited MSN or DNP Neonatal Nurse Practitioner Program
• PA: Graduate of accredited Master’s Degree or Doctoral Degree Physician Assistant Program plus a Neonatal APP Fellowship

Certification

• NP: Neonatal Nurse Practitioner (NNP)
• PA: PA-C
• Both: BLS, NRP mandatory before hire

License

• NP: Current and unrestricted RN license issued by or recognized by the NCBON with approval to practice as NP
• PA: Current and unrestricted medical license issued by the NCMB with approval to practice as PA
• Both: Fed & State DEA license

Experience

• NP: 3 years RN experience as neonatal nurse, 1-year NNP experience preferred
• PA: 1 year PA experience thru neonatal fellowship or as neonatal provider

Job Hours

Primary hours will be rotational covering 24 hours / 7 days per week including nights, weekends, and holidays. The Neonatal APP must also be flexible to provide on-call coverage, as 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.

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.