Nurse Practitioner or Physician Assistant-Palliative Care Inpatient Pediatric Quality of Life (PQOL)

Duke Careers•Durham, NC

1d•Onsite

About The Position

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. The Pediatric Quality of Life (PQoL) Advanced Practice Provider (APP) is a Nurse Practitioner who provides direct patient care services to hospitalized children with serious illness under the supervision of a palliative care physician. The APP delivers high-quality, family-centered palliative care focused on symptom management, medical decision-making, and psychosocial support. Embedded within the inpatient PQoL consult service, the APP manages a high-volume, high-complexity patient population requiring longitudinal care, frequent follow-up, and interdisciplinary coordination. This role emphasizes communication with families, alignment of care with patient and family goals, and collaboration across pediatric subspecialties.

Requirements

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. A Bachelor's degree required; Master's degree strongly preferred.
BLS required
Nurse Practitioners: Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. 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. BLS required.
DEA licensure with full prescriptive authority required.

Nice To Haves

1+ years of APP experience preferred

Responsibilities

Perform comprehensive history and physical examinations for pediatric patients
Diagnose, plan, and implement treatment for symptom management and serious illness care
Assess for changes in clinical status and initiate appropriate interventions
Provide longitudinal follow-up care for hospitalized patients with complex needs
Initiate emergency interventions as appropriate until physician support is available
Document all clinical encounters, assessments, and interventions in the EMR
Collaborate with interdisciplinary teams including physicians, nurses, social work, and subspecialty services
Coordinate care across inpatient teams including ICU, oncology, neurology, and transplant services
Facilitate communication between primary teams, consultants, and families
Ensure timely implementation of care plans and follow-up
Support transitions of care across inpatient and outpatient settings
Lead and participate in goals-of-care discussions with patients (as appropriate) and families
Facilitate shared decision-making aligned with family values and preferences
Provide emotional support to patients and families during serious illness
Assist with advance care planning and documentation when appropriate
Navigate complex family dynamics and culturally sensitive situations
Participate in development and implementation of clinical pathways and care protocols
Analyze clinical practice patterns to improve care delivery and efficiency
Contribute to quality improvement initiatives within the PQoL program
Support data collection related to clinical activity and outcomes
Educate patients, families, and staff on palliative care principles
Provide guidance to trainees and interdisciplinary team members
Participate in development of educational materials and program initiatives
Serve as a consistent and compassionate point of contact for patients and families
Promote a patient- and family-centered care experience
Maintain professionalism and responsiveness in all interactions