Nurse Practitioner/Physician Assistant - Emergency Medicine Clinical Evaluation Unit
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Full-time
bachelor degree, postgraduate degree, professional certificate
Posted 14d ago
~40 hrs/week
Responsibilities
Provide direct clinical services for critically ill patients in the Clinical Evaluation Unit, including performing physical exams and managing individualized treatment plans. Coordinate patient disposition and transitions of care while collaborating with interdisciplinary teams in an academic environment.
Requirements
Requires a Master's degree in Nursing for NPs or a Bachelor's/Master's for PAs, along with state licensure and national certification. BLS/ACLS certifications are required, and experience in emergency or critical care settings is preferred.
Full job description
Duke Emergency Medicine Observation Highlights:
Observation Medicine at Its Best. Deliver focused, protocol-driven, top-of-scope care to patients who need short-term treatment, monitoring, and clinical decision-making in a fast-paced observation environment.
High-Impact Clinical Variety. Manage diverse conditions requiring diagnostic clarification, risk stratification, and therapeutic optimization — from chest pain and syncope to heart failure, infection, and complex care coordination.
Team-Based Observation Care Model. Work closely with emergency physicians, consultants, nurses, case management, and interdisciplinary teams in a collaborative academic environment designed for safe, efficient, and high-quality observation care.
Specialized Observation Training & Support. Benefit from structured onboarding, protocol education, simulation, ultrasound training, and ongoing mentorship to build expertise in observation medicine and short-stay clinical management.
Lead Innovation in Patient Flow & Access. Participate in protocol development, throughput optimization, quality initiatives, and system-level projects that improve access, reduce admissions, and enhance patient outcomes.
Mission-Driven, Outcomes-Focused Culture. Join a high-functioning advanced practice team committed to efficient care transitions, clinical excellence, and supporting one another while delivering the right care at the right time.
Job Location
Duke Hospital, 2301 Erwin Road, Durham, NC
Job Summary
We are seeking an Advanced Practice Provider in Durham, NC for Duke Emergency Medicine’s Observation Unit, which serves as a tertiary care center and Level 1 Trauma Center to patients in North Carolina and surrounding states. The Emergency Department at Duke University Hospital is comprised a 14-bed Pediatric ED, four adult care areas, two fully equipped x-ray rooms and two state of the art dedicated CT scanners, a 7,000 square foot ambulance bay, 8 bed psychiatric emergency unit, and a clinical evaluation / observation unit. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.
Job Duties & Responsibilities
In collaboration with the attending physician(s), provide direct clinical services for critically ill patients according to the established protocols and utilizing evidence-based clinical practice in the Clinical Evaluation Unit.
Perform detailed histories and physical exams on patients placed in observation.
Develop, initiate, and manage individualized treatment plans for a broad range of acute and subacute conditions.
Order, interpret, and act on diagnostic studies including labs, imaging, and EKGs.
Initiate appropriate therapeutic interventions including medications, IV fluids, respiratory therapies, wound care, and other procedures within scope of practice.
Monitor and reassess patient status throughout their observation stay to ensure clinical stability and progress toward discharge goals.
Make timely decisions regarding patient disposition, coordinate specialty consultations, and facilitate transitions of care.
Communicate effectively with patients and families regarding diagnosis, treatment plans, expectations, and follow-up.
Document all clinical encounters and updates in the electronic medical record.
Complete required admission, progress, and discharge notes in accordance with departmental protocols.
Support the operational goals of the ED and hospital by managing observation patients efficiently.
Assist in identifying barriers to timely discharge and proactively work to resolve them.
Help ensure appropriate use of observation status in compliance with regulatory guidelines.
Adhere to evidence-based clinical pathways, protocols, and institutional guidelines.
Participate in ongoing quality improvement initiatives, case reviews, and morbidity & mortality discussions.
Promote a culture of safety, respect, and accountability within the unit.
Stay current with developments in emergency and observation medicine through CME, journal review, and departmental education sessions.
Support orientation and mentoring of new APPs, residents, and students rotating through the observation unit.
Seek opportunities to contribute to operational improvements, academic projects, or protocol development.
Job Eligibility Requirements
Education
Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.Critical Care / Acute Care NP Master's or completion of ACNP/CCNP post-Master's program strongly preferred.
Physician Assistants: Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.
Certification
BLS required.
ACLS required within 3 months of hire
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 employment.Certification as an Acute Care or Critical Care Nurse Practitioner strongly preferred.
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.
Minimum Experience Requirements
1 year of advanced practice emergency medicine, observation, or critical care experience preferred. Completion of a residency/fellowship in emergency medicine, observation, or critical care preferred.
Nurse Practitioners: 1 year of experience as a nurse practitioner in an emergency medicine, observation, or critical care setting preferred.
Physician Assistants: 1 year of experience as a physician assistant in emergency medicine, observation, or critical care setting preferred.
Job Hours
12-hour day or night shifts or rotating day/night shifts available - flexible options available
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, (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.
We put the person who needs our care at the center of everything we do.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
1925
Headquarters
Durham, North Carolina
LinkedIn followers
24,200
Duke University Hospital (DUH) is consistently rated as one of the best hospitals in the United States and is known around the world for its outstanding care and groundbreaking research.
Driven to bring extraordinary discoveries to fruition, deliver cutting edge clinical services to patients, and apply care and compassion to all stages of care, we maintain an unwavering focus on making the individuals and communities we serve healthier.
Today, DUH is the flagship of the Duke University Health System and a full-service, 957-bed, tertiary and quaternary academic medical center. Ranked nationally in 10 adult specialties by U.S. News and World Report for 2019-2020 and ranked first in North Carolina and first in the Raleigh-Durham area, care is delivered with inspiring passion and a deep commitment to put the person who needs our care at the center of everything we do.
Offices: 2301 Erwin Rd, Durham, North Carolina 27705, US
How much do Healthcare jobs in North Carolina pay?
Based on 2300 listings with disclosed salaries, most healthcare jobs in North Carolina pay between $60k–$160k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in North Carolina right now?
There are currently 17,919 open healthcare positions in North Carolina listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in North Carolina?
Companies currently hiring include American Addiction Centers, Duke Health Technology Solutions, CVS Health, Duke University Hospital, PruittHealth, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in North Carolina?
Yes — 1889 of the 17919 open healthcare positions offer remote or hybrid work (688 remote, 1201 hybrid).
How do I apply for Healthcare jobs in North Carolina?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.