Nurse Practitioner/Physician Assistant - Director of Advanced Practice for
Behavioral Health
Work Arrangement:
Requisition Number: 240085
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HEALTH INTEGRATED PRACTIC
Date: Sep 9, 2026
As a part of Duke Health Integrated Practice, 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 four hospitals or over 140
primary care and specialty care clinics throughout North Carolina.
Job Locations
Duke University Hospital, Durham, NC
Duke Regional Hospital, Durham, NC
Duke Behavioral Health North Durham Clinic
Duke Raleigh Hospital, Raleigh, NC
Job Summary
The Director of Advanced Practice for Behavioral Health is responsible for
establishing best practices for Advanced Practice Providers (APPs) and
aligning their role across the continuum of behavioral health care delivery
within DHIP and DUHS. Behavioral health services span inpatient, outpatient,
and emergency department settings across Duke Health.
This role leads the integration and deployment of APPs across
interprofessional teams to enhance access, quality, safety, and operational
performance in behavioral health services, including ambulatory psychiatry,
inpatient care, emergency services, and interventional psychiatry.
In collaboration with executive and medical leadership, the Director advances
APP practice through improvements in clinical service delivery, competency,
productivity, and workforce optimization.
Job Duties & Responsibilities
Act as organizational change agent to optimize APP value and contribution for
each Division. Analyze workforce utilization and access data for
Divisions/Departments. Provide business case development for new practices and
optimization of existing ones.
Collaborate to design new Interprofessional practices, manage hiring and
onboarding process:
Work with department leadership to design and implement practice models
Work with Dept/Div to develop job descriptions, write practice agreements with Supervising MDs
Guide recruitment efforts
Serve as resource for hiring, onboarding and credentialing of new APPs
Work with medical and administrative leadership to design clinical orientation
Support orientation for APPs
Provide practice metrics and consulting to optimize practice models
Models of care: Serves as expert resource in the utilization of APPs
across multiple environments. Accountable for setting vision, identifies
existing and emerging practice models and is accountable for the
integration of emerging practice models in the overall strategic plan of
the organization; assesses job satisfaction and retention of the APP
workforce.
Provide leadership to APP Leadership Council. Facilitates communication
with Team Leads and APPs on current and relevant practice matters and
policies.
Advise on maintenance of safe and effective clinical practice of APPs.
Compliance: Designs and implements process flows for ensuring compliance
for APPs. Collaborates with compliance officers, legal and risk management
to ensure that all APPs comply with state and federal mandates. Ensures
licensure, certification and regulatory compliance with NC law and State
Boards of Nursing and Medicine.
Makes recommendations on course of action regarding unsatisfactory
employee performance including corrective actions, performance improvement
plans, peer reviews and terminations.
Onboarding: Works with human resources, the office of integration and
departmental administration, coordinates key and central elements of an
APP orientation program for the onboarding of all APPs.
Legislative and Health Policy Issues for APPs: Establishes relationships
with key stakeholders including legal, compliance, HR and State Boards,
assesses for best practices and national changes for APP practice acts,
ensuring that changes are communicated and incorporated into practices.
Financial: Works with Departmental Administrators and Finance, evaluates
APPs billing performance and patterns in aggregate, and at the individual
level assesses for variability and opportunities for improvement using
internal and external benchmark data. Identifies performance metrics for
non- billing APPs in collaboration with department/division leadership.
Provides inspirational leadership and mentoring to APPs and other health
care team members.
Collaborate as needed to address complaints and serves as a resource for
conflict resolution.
Maintain clinical practice at Duke with a minimum 60 percent of FTE
allocated to provide clinical services.
Performs other related duties incidental to the work described herein.
Participate in leading APP office initiatives including but not limited
to: APP Grand Rounds, mentorship programming, and professional advancement
models.
Knowledge, Skills, and Abilities
Established thought leader in the role of APPs in a complex academic
medical center
Persuasive and passionate change agent
Strong leadership presence and skills
Proven capabilities in building and leading interprofessional teams
Ability to work with others in a respectful, cooperative and collaborative
manner
Ability to delegate and mentor others
Strong written and oral communication skills
Ability to drive change and impact practice
Able to apply financial analytics to support enterprise goals
Willingness to provide remediation and peer review
Commitment to quality, establishing productivity standards and
expectations
Expert on Advanced Practice including compliance, quality, FPPE/OPPE,
credentialing and state law compliance
Comprehensive understanding of physician-led practice management including
clinical quality, patient satisfaction and access to care
Doctoral degree with curriculum emphasis on leadership preferred
Additional Information
Certain jobs in DHIP 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.
Job Eligibility Requirements
Education
Nurse Practitioners: Work requires completion of an accredited Nurse
Practitioner program, with a Master's degree in Nursing.
Physician Assistants: Work requires completion of an accredited Physician
Assistant program. Master's degree required.
Certification
Nurse Practitioners: PMHNP-BC preferred or equivalent Behavioral
Health/Psychiatric experience
BLS required.
License
Nurse Practitioners: Must have current or compact RN licensure & NP
approval to practice in the state of North Carolina. National
certification as a NP required.
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.
DEA licensure with full prescriptive authority required.
Experience
Minimum of 3 years' experience in advanced clinical practice with proven
leadership experience and evidence of operations/administrative
responsibilities
Or an equivalent combination of relevant education and/or experience.
Job Hours
Monday-Friday, day shift, with flexibility to meet department needs
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.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
