Job Location

Duke Raleigh Hospital

Job Summary

Hospitalist APP Providers in the Hospital Medicine Department are clinicians who provide clinical care for patients admitted at Duke University Health System hospitals. They support surgical and specialty services through consultative general internal medicine practice, as well as teach staff, graduate medical trainees, and medical students on inpatient educational rotations.

Job Duties and Responsibilities

Hospitalist APP Providers will engage in direct patient care activities and medical/clinical practice as the principal component of his/her overall professional responsibility within the Department. Patient care activities will include, but are not be limited to the following:

• Assessment, evaluation, diagnostic determination, on-going treatment and clinical management of patients
• When necessary make referral for consultation
• Direct care planning
• Order medications and therapeutic treatments when warranted
• Authorize transfers
• Conduct risk assessment
• When appropriate, make determination of readiness and planning for discharge for inpatients in your care.
• Direct contact and consultation with patient family members, friends, advocates, and others to ensure effective communication of patient status and care plans, and to encourage/ support an open visitor-friendly environment within the hospital environment.
• Extensive and on-going communications with community primary care physicians who routinely manage the care of patients currently in your care within the hospital
• Day-to-day patient contact/rounding/care management that actively encourages and includes professional input from all members of the patient care team
• Completes all clinical and professional records and documentation accurately and in a timely manner to assure compliance with local, state and federal regulatory, licensure and accreditation requirements.
• Work to create a positive work culture within cross-departmental teams
• Align your work with other Hospital Medicine initiatives.
• Perform other related duties incidental to the work described herein.

Job Eligibility Requirements

Education

PA: Graduate of ARC accredited Physician Assistant Program

NP: Graduate of MSN or DNP Nurse Practitioner Program for adult care

Certification

PA: PA-C

NP: AGACNP, ACNP, AGNP, FNP

Both Current ACLS certification required before hire

License

PA: Current unrestricted medical license issued by NCMB with authorization to practice as a PA.

NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a NP.

Both: Federal and State prescriptive authority

Experience

Inpatient APP experience preferred, but will consider new grad

Physical and mental requirements:

• Able to clearly articulate scope of practice and practices within those guidelines as an NP/PA in the state of North Carolina and within the Duke University Health System (DUHS)
• 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, and 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

Shifts 7A - 7P; 174 shifts per year

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.