Nurse Practitioner/Physician Assistant - Duke Advanced Liver Disease Clinic

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 GI Advanced Liver Disease Clinic, 40 Duke Medicine Circle, Durham, NC

 

Job Summary

We are seeking an Advanced Practice Provider in our Duke GI Clinic located in Durham, NC to work in collaboration with attending physicians, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, and provide direct patient care services to adult patients with advanced liver disease. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients. 

 

Job Duties & Responsibilities

• Record the history of present illness, past medical, family and social history
• Perform physical examinations
• Perform fibroscan assessments (APP will be trained to perform this ultrasound-based technology)
• Perform paracentesis (APP will be trained to perform this procedure)
• Establish and follow plan of care in conjunction with MD
• Prescribe appropriate medications to a specialty pharmacy that will handle prior authorization and other necessary paperwork; order refills as needed
• Patient and family teaching
• Order appropriate labs, tests and procedures and follow up with patient as needed
• Coordinate care and refer to other medical professionals as needed
• Document clinic, telephone, and other patient encounters in the Epic (Maestro) system
• Review lab results in Maestro, communicate and interpret results
• Patient triage and return patients calls within 24-48 hours; provide feedback regarding scheduling of urgent patient appointments
• Review outside records including clinic notes, hospital records, outside radiographs, lab, and other test results
• Collaborate with nursing staff to complete patient paperwork including medication pre-certifications for insurance companies, durable medical equipment requests, disability paperwork, and handicapped permit applications
• Handling patient and referring physician phone calls in a timely manner, coordinating imaging, invasive procedures such as TIPS, interventional radiology management of hepatoma and liver biopsy, management of prior authorization of specialty meds; responding to requests for prescription refills and pharmacy requests
• Responsible for patient follow up regarding pathology and laboratory studies, follow up and entry of QI data for service;
• Attendance at GI Grand Rounds, weekly Liver Transplant Selection conference and quarterly Liver Transplant Retreat is expected. Participation in weekly Multidisciplinary Radiology Conference and Hepatopathology Conference is expected when cases managed by the APP are to be presented.  Participation in other divisional educational events is also encouraged

 

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 

• BLS required.

 

License                

• Nurse Practitioners:  Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP re