About The Position

We are seeking an Advanced Practice Provider in the Center for Metabolic and Weight Loss Surgery located in Durham, NC. This role involves working with attending physicians, collecting and documenting data, conducting diagnostic and therapeutic procedures, ordering and scheduling laboratory studies and professional consultations, and providing direct patient care services. The position is within Duke Health Integrated Practice, which comprises over 110 outpatient clinics extending the Duke Health mission across North Carolina.

Requirements

  • 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 for Physician Assistants; Master's degree strongly preferred.
  • RNFA certification required for NP candidates.
  • BLS required.
  • Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina.
  • 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.
  • National certification as a NP required prior to or within 6 months of employment.
  • Prior experience as APP highly desired.

Responsibilities

  • Perform diagnostic and therapeutic procedures to assist physicians in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care.
  • Record normal and abnormal data for physician review.
  • Take patient histories, conduct physical examinations, and record the data in the patient's record.
  • Write progress notes, prepare patient workups and summaries noting pertinent positive and negative findings.
  • Obtain psychosocial history relevant to patient care and assume responsibility for developing therapeutic relationships with patients.
  • Order and schedule laboratory studies and diagnostic procedures.
  • Explain the necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
  • Carry out therapeutic procedures such as wound suturing, drain removal, and dressing changes.
  • Monitor patient progress, report progress to supervising physician, and maintain a record of each patient's progress.
  • Consult with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.
  • Participate in basic science and clinical research projects conducted by supervising physician.
  • Prepare statistical reports and analyses setting forth progress, adverse trends, and appropriate recommendations or conclusions.
  • Train new personnel.
  • Participate in teaching students and residents in techniques and procedures unique to the specific clinical setting.
  • Assist with in-basket messages and other administrative tasks for both the Duke Metabolic & Weight Loss Surgery in Durham, NC and the Duke Weight Loss Clinic in Raleigh, NC.
  • Perform triage, physical exams, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies, diagnostic procedures and professional consultations.
  • Prescribe appropriate interventions and medications.
  • Coordinate the care of patients and provide direct patient care services.
  • Analyze clinical practice patterns to provide the best medical care and increase effectiveness and efficiency.
  • 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.
  • Provide timely documentation in the electronic medical record of all relevant data including results of diagnostic tests, laboratory results, patients’ condition and response to therapies/interventions, and communications with physician colleagues.
  • Work on robotic cases and perform in-office procedures like I&Ds, wound vac changes, and excisions.
  • Provide coverage for Duke Metabolic & Weight Loss Surgery clinic when needed.
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