Physician Assistant or Nurse Practitioner - ICU at DRAH
Work Arrangement:
Requisition Number: 272790
Regular or Temporary: Regular
Location:
Raleigh, NC, US, 27710
Personnel Area: DUKE RALEIGH CAMPUS
Date: Aug 27, 2026
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 Raleigh Hospital, A Campus of Duke University Hospital
Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North
Carolina. With 204-beds, it is the third largest of the four Duke Health
hospitals and offers a comprehensive array of services, including cancer,
cardiovascular, neuroscience, advanced gastrointestinal, and wound healing
care.
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)
Job Location
Duke Raleigh Hospital - ICU
Job Summary
The Critical Care Advanced Practice Provider (APP) is a member of the
intensive care team and his/her primary responsibility is the management of a
caseload of critically ill complex (multi-organ) patients in an intensive
care setting. The APP is under the direct supervision of the ICU supervising
physician or designated back-up physicians. The APP performs physical exams,
collects and documents data, conducts approved diagnostic and therapeutic
procedures, orders and schedules laboratory studies and professional
consultations, prescribes appropriate interventions and medications, and
provides direct patient care services in a specific ICU. The APP contributes
to excellence in patient care, research, teaching, consulting, and provides
leadership to the organization and to the APP profession.
Job Duties and Responsibilities
Provide direct clinical services for critically ill adult patients with
multi-organ trauma or multi-system disease /failure, according to
established protocols
Utilize evidence-based clinical practice standards under the supervision
of the ICU supervising physician.
Obtain patient health histories and complete physical examinations.
Document findings, noting pertinent normal and abnormal findings.
Order and interpret appropriate diagnostic and laboratory tests.
Explain the necessity, preparation, nature and anticipated effects of
procedure(s) to patients, patient's family, staff, and healthcare
learners .
Perform approved therapeutic or diagnostic procedures based upon patient's
clinical status.
Document patient preparation and response to procedure(s).
Formulate and implement treatment plan for acute illness management in
collaboration with the designated primary supervising physician and/or
attending back-up physician(s).
Document in medical records and appropriate narrative summaries.
Utilize prescriptive privileges as allowed by NC licensure.
Document all prescriptions in patient's medical record.
Assess patient for change in status and institute appropriate
interventions.
Initiate necessary emergency interventions to stabilize patient.
Provide family-centered care by communicating with the family regarding
the changing health care needs of their family member.
Assess family adaptation, coping skills and the need for crisis or other
intervention.
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.
Support IRB approved clinical research/trials though a variety of
activities including but not limited to: obtaining consent; ordering
diagnostic tests; recording laboratory & diagnostic results; administering
therapeutic interventions; and documenting and reporting patient outcomes
including toxicities or adverse events.
Perform and participate in quality/performance improvement activities and
clinical research.
Serve as a clinical expert and leadership consultant to members of the
healthcare team and to the larger community.
Participate in and support accreditation, compliance, and regulatory
activities of the organization.
Identify educational needs of the family and participate in teaching
opportunities.
Assess educational needs, plan, provide, and evaluate educational programs
for nursing staff, interdisciplinary healthcare team, and community.
Precept physician assistant students and other new healthcare learners.
Participate in the development, review, and evaluation of critical care
medical management practice protocols within legal guidelines incompliance
with DUHS policies.
Role model professionalism through conduct, appearance, communication,
mutual respect, leadership, ethical decision-making, critical thinking,
and problem-solving skills.
Demonstrate responsibility for professional practice through active
participation in professional organizations and continuing education.
Enhance the body of knowledge to the APP profession or other areas of
specialization through exchange of ideas and knowledge in professional
organizations, oral presentations, posters, research activities, and
written publications.
Job Eligibility Requirements
Education
PA – Graduate of an ARC accredited Master's Degree or Doctoral Degree
Physician Assistant Program
NP – Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner
Program for adults
License
PA – Unrestricted medical license issued by NCMB with authorization to
practice as PA
NP – Unrestricted RN License issued by or recognized by the NCBON with
authorization to practice as NP
Federal and State DEA prescriptive authorization
Certification
PA - PA-C
NP - AGACNP or ACNP
Experience
PA – 1+ year critical care PA experience preferred but will consider new
grad with relevant PA electives or clinical background
NP – 1+ year critical care NP experience preferred but will consider new
grad with 2+ years' critical care RN experience
Physical and mental requirements:
Able to clearly articulate scope of practice, and practices within those
guidelines as a Nurse Practitioner / Physician Assistant in the state of
North Carolina and within the Duke University Health System.
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 & 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
Rotating 12 hours shifts, includes dayshift, nightshift, weekends and
holidays. Fourteen (14) shifts per month.
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.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
