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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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Job Location - Duke University Hospital Job Summary The Geriatrics service at Duke is actively seeking an Advanced Practice Provider (PA/NP) to support the HOPE (Health Optimization Program for Elders) and POSH (Perioperative Optimization for Senior Health) programs at Duke University Hospital. This provider must have a strong commitment to optimizing care for older adults.
More about HOPE program here - https://phmo.dukehealth.org/HOPE
More about POSH program here - https://medicine.duke.edu/divisions/geriatrics/patient-care/duke-perioperative-optimization-senior-health
Job Duties and Responsibilities:
Provide direct patient care (daily rounding, performing new consults, etc) under Geriatric Medicine Physician supervision in both inpatient (70% of job duties) and outpatient (SNF visits and outpatient clinic = 30% of job duties). Offsite patient evaluations in the skilled nursing facility setting is also required. Perform physical exams, order diagnostics, and prescribe treatments. Coordinate care transitions from acute care to SNFs, including medication reviews, risk stratification, and family/patient education. Address physical, psychological, and environmental factors impacting successful rehabilitation. Collaborate with Geriatrics and Palliative Care teams, ensuring safe transitions. Communicate with SNF providers at discharge and provide follow-up within 72 hours. Participate in geriatric workgroups, NICHE (Nurses Improving Care for Healthsystem Elders) initiatives, and strategic planning. Contribute to exceptional patient care, research, and teaching as part of a dynamic and supportive team.
Job Eligibility Requirements
Education
NP: Graduate of DNP or MSN Nurse Practitioner program (ANP, FNP, ACNP all accepted).
PA: Graduate of ARC accredited Master’s Degree or Doctoral Degree Physician Assistant program
Certification
NP: NP certification (ie: ANP, AGNP, AGPCNP, ACNP, AGACNP, FNP)
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 unrestricted medical license issued by NCMB with authorization to practice as a PA.
Experience
One year APP experience is preferred but not required. Geriatric and/or transitional care experience is preferred
Physical and mental requirements:
Able to clearly 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 to independently seek out resources and work collaboratively to solve complex problems Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others. Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up. Able to use fine motor skills Able to record activities, document assessments & interventions; prepare reports and presentations; Able to use computer and learn new software programs Able to provide leadership in clinical area of expertise and in meeting organizational goals Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds Able to remain focused and organized Able to work collaboratively with all levels of personnel
Job Hours
FOUR ten-hour shifts per week. Hours are 7am-5pm. No weekend or on-call coverage requirements. Schedule may be changed by administrative or clinical leadership to meet department 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 essentialjob 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.