Nurse Practitioner/Physician Assistant - Duke Cardiothoracic Surgery Aorta Practice

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     

Duke Clinic 2F/2G, 40 Duke Medicine Circle, Durham, NC

Job Summary

We seek a highly skilled and motivated Advanced Practice Provider to join our world-class team of colleagues in the Cardiothoracic Surgery Aorta Practice at Duke University Health System. The patient population includes patients with aortic disease requiring surgery and/or surveillance imaging of aortic disease. In this role, you will provide exceptional care to medically complex patients and work to optimize patient outcomes. The cardiothoracic APP will perform these services under the supervision of the faculty physician(s) and provide care in the hospital-based CT Surgery clinic. This is an exempt position, and primary hours will be Monday through Friday day shift.

About Duke University Health System: Duke University Health System is a world-class academic health system dedicated to providing outstanding patient care, educating tomorrow's healthcare leaders, and discovering new and better ways to treat disease. We are committed to excellence and innovation in all that we do.

This is an exciting opportunity to join a dynamic and dedicated team of professionals in a challenging and rewarding role. If you are passionate about providing exceptional patient care and want to work with outstanding colleagues, we encourage you to apply for this position.

Job Duties & Responsibilities

• Practice to the full extent of your medical education, training, and experience while complying with additional administrative requirements mandated by state law and/or regulatory bodies.
• Proficient in interpreting and measuring aortic CTA, cardiac MRI, chest MRA, and echocardiogram imaging or a willingness to learn this skill.
• Provide care to adult and adolescent patients (age 13+).
• Manage risk factors in patients with aortic disease and discuss recommendations with patients and referring providers.
• Autonomously and collaboratively complete history/ physical examinations and consultations.
• Prescribe medications.
• Order and schedule laboratory studies, diagnostic procedures and imaging studies; explain the necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
• Evaluate pre and postoperative patients in the clinic setting as well as patients with aortic aneurysms that are under surveillance.
• Follow patients with aortic disease with long-term imaging interpretation and follow-up plans.
• Coordinate/communicate patient care with nursing and ancillary staff and other interprofessional team members.
• Participate in patient/family education.
• Communicate with referring/consulting providers as well as outside referring providers.
• Assist with outreach to outside providers to advance the aorta program.
• Obtain data for aortic research and work with the clinical research team to enroll appropriate patients into the aortic device and aortic surveillance research studies.
• Complete data acquisition/analysis and database maintenance for patients.
• Participate in medical chart maintenance.
• Participate in all aspects of follow-up care for discharged post-op and post-aortic dissection patients through clinic encounters, video encounters, and phone calls.
• Participate in clinical trial enrollment.
• Work with outside programs, such as the Marfan Foundation, Loeys Dietz Foundation, and John Ritter Foundation, to assist in appropriate referrals for patients.
• Order genetic testing when appropriate to evaluate for heritable causes of aortic disease and maintain a database of these patients and testing results.
• Manage Inbasket messages from staff and patients.

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 

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          

• Experience in cardiothoracic surgery or a related field is strongly preferred.
• 1+ years of Cardiac/CT surgery APP experience is strongly preferred.
• Prior experience with CT/MRI/echo imaging is also strongly encouraged.
• Excellent communication and interpersonal skills, precise attention to detail.
• Ability to work and communicate effectively in a team environment.

Job Hours

Monday-Friday, day shift, with flexibility to meet clinic needs

Duke is an Affirmative Action/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, sexual orientation, or veteran 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.