Physician Assistant or Nurse Practitioner - Outpatient Abdominal Transplant Clinic

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

Job summary

Duke University Hospital's Outpatient Abdominal Transplant Clinic seeks an Advanced Practice Provider (APP) to deliver comprehensive, evidence-based care to adult transplant patients across pre- and post-transplant stages.

The APP will work within a collaborative transplant team, operating to Duke Advanced Practice standards, to improve access, continuity, and outcomes in a nationally regarded academic program.

Qualifications

• Graduate from an accredited Nurse Practitioner or Physician Assistant program.
• Active North Carolina RN license for NP and/or NC PA license with NCCPA certification.
• Credentialing and licensing per DHIP and Duke Health requirements.

Responsibilities

• Obtain comprehensive medical histories and perform focused physicals to guide care.
• Review diagnostics and interpret lab results and imaging.
• Prescribe and manage immunosuppressive and transplant medications.
• Provide longitudinal pre- and post-transplant patient management.

Skills

Transplant care

Ambulatory care

Interprofessional teamwork

Education

Nurse Practitioner program

Physician Assistant program

Tools

Epic EMR

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.

Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Advanced Practice Provider (Nurse Practitioner / Physician Assistant)

Outpatient Abdominal Transplant Clinic

Location

Duke University Hospital

2301 Erwin Road

Durham, NC 27710

Work Schedule

Monday–Friday | Day Shift

Primarily outpatient/ambulatory

Position Summary

Duke University Hospital is seeking an Advanced Practice Provider (APP) to join the Outpatient Abdominal Transplant Clinic. The APP will provide comprehensive, high-quality, evidence-based care to adult abdominal transplant patients across the pre‑and post‑transplant continuum within Duke Health ambulatory practice settings. This role functions within a highly collaborative, interprofessional transplant care model and practices to the full extent of licensure and training in alignment with Duke Advanced Practice standards. The APP supports the Division of Abdominal Transplant Surgery by enhancing access, continuity, quality, and outcomes of care in a nationally recognized academic transplant program.

Clinical Responsibilities

• Obtain comprehensive medical histories, perform focused and complete physical examinations, and synthesize clinical data to guide care
• Review, interpret, and act upon diagnostic studies, including laboratory results and imaging
• Develop accurate and comprehensive differential diagnoses and evidence‑based treatment plans
• Prescribe, manage, and adjust immunosuppressive and transplant‑related medications in accordance with departmental guidelines and credentialed privileges
• Provide longitudinal management of pre‑and post‑transplant patients, revising plans of care as clinical conditions evolve
• Manage post‑transplant issues including rejection surveillance, infectious evaluations, and post‑operative complications
• Perform medical procedures within the scope of practice, credentialing, and departmental standards
• Maintain timely, thorough, and concise documentation to support care delivery, continuity, quality metrics, and compliant billing
• Prioritize patient flow and clinic efficiency while maintaining productivity expectations
• Participate in quality, safety, and clinical improvement initiatives specific to transplant care

Knowledge, Skills, And Abilities

• Demonstrated clinical competence in the management of complex patients in a specialty outpatient setting
• Strong analytical, critical‑thinking, and clinical decision‑making skills
• Ability to practice both independently and collaboratively within a multidisciplinary transplant team
• Effective written and verbal communication skills with diverse patient populations and clinical stakeholders
• Strong interpersonal skills that support patient care, teamwork, and clinic operations
• Demonstrated proficiency in medical record documentation to substantiate clinical care and accurate billing

Education & Interprofessional Collaboration

• Provide clear, compassionate education to patients and caregivers regarding transplant conditions, medications, monitoring, and follow‑up
• Collaborate with physicians, nurses, pharmacists, coordinators, and allied health professionals to ensure patient‑and family‑centered care
• Assist in the development of educational resources to support learners and clinical staff
• Actively engage in continuing education and self‑assessment to support professional growth and clinical excellence

Professional Practice Expectations

• Interact with patients, families, and team members in a respectful, compassionate, and timely manner
• Communicate effectively across disciplines to ensure safe, coordinated, and high‑quality care
• Demonstrate accountability for clinical decisions, outcomes, and professional responsibilities
• Share responsibility for team workload and support a positive, collaborative work environment

Minimum Qualifications

Education

• Nurse Practitioner: Graduation from an accredited Nurse Practitioner program
• Physician Assistant: Graduation from an accredited Physician Assistant program

Licensure & Certification

Nurse Practitioner

• Active or compact RN licensure in North Carolina
• National NP certification required

Physician Assistant

• Current North Carolina PA licensure
• NCCPA certification
• Both: Must demonstrate and maintain credentialing and licensing requirements of the DHIP and Duke Health. The position requires the candidate to have current DEA licensure.
• Preference for candidates with prior advanced practice or RN experience with transplant surgery, general surgery, GI, Nephrology, Hepatology.
• BLS required

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.