About the role
Advanced Practice Provider
Work Arrangement:
Requisition Number: 271971
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HOSPITAL
Date: Sep 10, 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 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 Hospital
Center for Advanced Practice
Special Infant Care Clinic and Pediatric Cardiac Neurodevelopment Clinic Advanced Practice Provider (APP)
Nurse Practitioner or Physician Assistant
Job Location
Duke University Hospital
Job Summary
This Pediatric Nurse Practitioner (PNP)/Physician Assistant (PA) will provide direct patient care services for infants and toddlers who are graduates of the Neonatal Intensive Care Unit (NICU) and those with congenital heart disease who have been discharged from the Pediatric Cardiac Intensive Care Unit (PCICU). These children have complex health conditions impacting growth and development and the PNP/PA will perform medical management and developmental assessments as a Nurse Practitioner/Physician Assistant for infants managed in the Special Infant Care Clinic (SICC) and Pediatric Cardiac Neurodevelopmental Clinic (PCNC). The Nurse Practitioner/Physician Assistant will perform physical exams, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and sub-specialty referrals, prescribe appropriate interventions and medications, and provide overall care coordination services. The PNP/PA will contribute to excellence in patient care, research, teaching, and provide leadership in the program.
The Pediatric Nurse Practitioner (PNP)/Physician Assistant (PA) may also perform inpatient consults on infants from the pediatric wards who have discharge planning needs and will be following up in SICC or PCNC, such as those needing be discharged home with NG tubes. In this role, the Nurse Practitioner/Physician Assistant performs a thorough chart review, physical exam, and provides recommendations to the inpatient team to support the infant's feeding or development and management related to their transition from hospital to home.
Job Duties and Responsibilities
Clinical Expert
Collaborate with attending physician(s) and healthcare team to assess, diagnose, plan, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
Provide /coordinate clinical practice for infants being followed by PCNC/SICC in the Duke Children's Health Center, Duke Hospital, Lenox Baker Children's Hospital, or Duke Pediatric Clinics through established protocols and under the supervision of the attending physician who is either on site or available by pager.
In collaboration with attending, provide patient assessment, diagnosis, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care;
May order and/or perform the following procedures:
g. Inhalation therapy or medications to alleviate the distress of dyspnea or shortness of breath.
h. Cauterization of granulation tissue surrounding G-tube site
i. Removal of G-tube when no longer indicated
Provide leadership and coordination of care and services for the PCNC and SICC clinics.
Utilize prescriptive privileges for identified patient population and in accordance with DUH and NC Board of Nursing/NC Medical Board regulations.
Educator:
Research Utilization and Investigation:
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 reporting patient outcomes including toxicities or adverse events.
Become a certified Neonatal Research Network neuro examiner, perform exams on research patients, and document findings on case report forms
Consultant:
Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization.
Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the Duke University Hospital and Duke University Health System.
Professional Leadership and Development :
Job Eligibility Requirements
Education
NP: Graduate of an accredited MSN or DNP Pediatric Nurse Practitioner program, Acute Care or Primary Care certification.
PA: Graduate of an ARC accredited Physician Assistant program.
Licensure
NP: Current unrestricted RN licensure issued by or recognized by the NCBON with authorization to practice as an NP
PA: Current unrestricted medical license issued by the NCMB with authorization to practice as a PA
Certification
NP: National certification as an NP (PNP-PC or PNP-AC acceptable)
PA: PA-C
Experience
Experience in pediatrics as an advanced practice provider for at a minimum of 1 year preferred. New graduates welcome to apply.
Physical and mental requirements
Job Hours
Primary hours will be Monday-Friday 8am-5pm.Schedule subject to change to meet clinical needs with approval from the Department of Pediatrics.
Pediatric Cardiac Neurodevelopmental Clinic:
Can perform additional virtual evaluations as needed on Mondays and Friday.
Inpatient SICC and PCNC consults/pager: M-F, 9-5 pm (shared responsibility with other APP and ICC fellow)
Schedule may be changed by administrative or clinical leadership 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, 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
How to apply
Read the full posting, then apply through the employer's own site. Applications are handled by the institution, not by AcademicGates.