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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.

Job Location     

Duke Center for Metabolic and Weight Loss Surgery, Durham Clinic

407 Crutchfield St, Durham, NC 27704

Job Summary

We are seeking an Advanced Practice Provider in Center for Metabolic and Weight Loss Surgery located in Durham, NC to work with attending physicians, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, and provide direct patient care services.

Job Duties & Responsibilities

• Through independent clinic, perform diagnostic and therapeutic procedures to assist physician in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care; record the normal and abnormal data for review by the physician.
• Take patient histories, conduct physical examinations, and record the date in the patient's record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients.
• Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
• Carry out therapeutic procedures such as wound suturing, drain removal, and dressing changes; monitor progress of patients, report progress to supervising physician, and maintain record of each patient's progress, consulting with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.
• Participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions. Train new personnel. Participate in teaching students and residents in techniques and procedures which are unique to specific clinical setting.
• Could involve assisting with in-basket messages and other administrative tasks for both the Duke Metabolic & Weight Loss Surgery in Durham, NC and the Duke Weight Loss Clinic in Raleigh, NC.

• Through independent clinic and in collaboration with attending physician(s), the NP/PA performs triage, physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, diagnostic procedures and professional consultations, prescribes appropriate interventions and medications, coordinates the care of patients, and provides direct patient care services. 
• Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
• 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.
• Provide timely documentation in the electronic medical record of all relevant data including results of diagnostic tests; laboratory results; patients? condition and response to therapies/interventions; communications with physician colleagues.
• Work on robotic cases and perform in-office procedures like I&Ds, wound vac changes, and excisions.
• Provide coverage for Duke Metabolic & Weight Loss Surgery clinic when needed.

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 

• RNFA certification required for NP candidates.

• 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          

• Prior experience as APP highly desired

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, 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.

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