Physician Assistant or Nurse Practitioner - Neonatal ICU (NICU)
Durham, North Carolina, United States · On-site
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Full-time
postgraduate degree
Relocation assistance
Posted 30d ago
~40 hrs/week
Responsibilities
The Neonatal APP provides direct patient care, performs medical procedures, and manages treatment plans for infants in specialized neonatal units. They collaborate with the healthcare team to assess patient status, initiate emergency interventions, and document all clinical activities.
Requirements
Candidates must hold a graduate degree from an accredited Nurse Practitioner or Physician Assistant program and possess relevant neonatal experience. Mandatory certifications include BLS, NRP, and appropriate state licensure for practice.
Full job description
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Duke Nursing Highlights:
Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)
NNP and PA applicants with 2 years neonatal APP experience or more are eligible for a $10,000 Commitment bonus. Relocation Assistance is also available
Job Location: Duke University Hospital / NICU
Job Summary
The Neonatal APP provides direct patient care services and performs medical procedures under the supervision of a supervisory physician to infant’s (birth through 2 years of age) in specialized neonatal units to include Intensive Care Nurseries, Intermediate Care Nurseries and the Special Care Nurseries in the Duke University Health System. The Neonatal APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. The NNP contributes to excellence in patient care, research, teaching, and provides leadership in the organization.
Job Duties and Responsibilities
In collaboration with the attending of service and/or fellows, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager.
Collaborate with fellows, attending, other APP colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives.
Post-procedural stabilization and management.
Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.
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.
Document in the patients’ medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; communications with supervising MD.
Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.
Role model competence in all nurse practitioner / physician assistant advanced skills.
Give daily handoff to appropriate attending, APP, or fellow at the end of the shift.
Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed.
Assess educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all education in patients’ medical record.
Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate.
Role model and precept healthcare learners through contractual agreements.
Utilize current research and evidence-based decision-making in all clinical practice.
Incorporate clinical research findings in the development and implementation of standards of care.
Participate in interdisciplinary quality improvement and/or research activities.
Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to pediatric diseases, procedures, interventions, and conditions.
Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization.
Maintain all professional requirements for licensure and certification
Job Eligibility Requirements
Education
NP: Graduate of accredited MSN or DNP Neonatal Nurse Practitioner Program
PA: Graduate of accredited Master’s Degree or Doctoral Degree Physician Assistant Program plus a Neonatal APP Fellowship
Certification
NP: Neonatal Nurse Practitioner (NNP)
PA: PA-C
Both: BLS, NRP mandatory before hire
License
NP: Current and unrestricted RN license issued by or recognized by the NCBON with approval to practice as NP
PA: Current and unrestricted medical license issued by the NCMB with approval to practice as PA
Both: Fed & State DEA license
Experience
NP: 3 years RN experience as neonatal nurse, 1-year NNP experience preferred
PA: 1 year PA experience thru neonatal fellowship or as neonatal provider
Job Hours
Primary hours will be rotational covering 24 hours / 7 days per week including nights, weekends, and holidays. The Neonatal APP must also be flexible to provide on-call coverage, as needed.
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.
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 Science & Research jobs in Durham, NC pay?
Based on 414 listings with disclosed salaries, most science & research jobs in Durham, NC pay between $55k–$221k per year. Individual offers vary with seniority, company size, and specialization.
How many Science & Research jobs are open in Durham, NC right now?
There are currently 978 open science & research positions in Durham, NC listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Science & Research roles in Durham, NC?
Companies currently hiring include Duke University School of Medicine, Duke University Hospital, IQVIA, Duke Health Technology Solutions, KBI Biopharma, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Science & Research jobs in Durham, NC?
Yes — 208 of the 978 open science & research positions offer remote or hybrid work (100 remote, 108 hybrid).
How do I apply for Science & Research jobs in Durham, NC?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.