Nurse Practitioner / Physician Assistant - Outpatient Abdominal Transplant Clinic

Duke Careers•Durham, NC

22h•Onsite

About The Position

Duke University Hospital is seeking an Advanced Practice Provider (APP) to join the Outpatient Abdominal Transplant Clinic. The APP will provide comprehensive, high-quality, evidence-based care to adult abdominal transplant patients across the pre‑ and post‑transplant continuum within Duke Health ambulatory practice settings. This role functions within a highly collaborative, interprofessional transplant care model and practices to the full extent of licensure and training in alignment with Duke Advanced Practice standards. The APP supports the Division of Abdominal Transplant Surgery by enhancing access, continuity, quality, and outcomes of care in a nationally recognized academic transplant program.

Requirements

Demonstrated clinical competence in the management of complex patients in a specialty outpatient setting
Strong analytical, critical‑thinking, and clinical decision‑making skills
Ability to practice both independently and collaboratively within a multidisciplinary transplant team
Effective written and verbal communication skills with diverse patient populations and clinical stakeholders
Strong interpersonal skills that support patient care, teamwork, and clinic operations
Demonstrated proficiency in medical record documentation to substantiate clinical care and accurate billing
Nurse Practitioner: Graduation from an accredited Nurse Practitioner program
Physician Assistant: Graduation from an accredited Physician Assistant program
Active or compact RN licensure in North Carolina
National NP certification required
Current North Carolina PA licensure
NCCPA certification
Must demonstrate and maintain credentialing and licensing requirements of the DHIP and Duke Health.
Must have current DEA licensure.
BLS required

Nice To Haves

Prior advanced practice or RN experience with transplant surgery, general surgery, GI, Nephrology, Hepatology.

Responsibilities

Obtain comprehensive medical histories, perform focused and complete physical examinations, and synthesize clinical data to guide care
Review, interpret, and act upon diagnostic studies, including laboratory results and imaging
Develop accurate and comprehensive differential diagnoses and evidence‑based treatment plans
Prescribe, manage, and adjust immunosuppressive and transplant‑related medications in accordance with departmental guidelines and credentialed privileges
Provide longitudinal management of pre‑ and post‑transplant patients, revising plans of care as clinical conditions evolve
Manage post‑transplant issues including rejection surveillance, infectious evaluations, and post‑operative complications
Perform medical procedures within the scope of practice, credentialing, and departmental standards
Maintain timely, thorough, and concise documentation to support care delivery, continuity, quality metrics, and compliant billing
Prioritize patient flow and clinic efficiency while maintaining productivity expectations
Participate in quality, safety, and clinical improvement initiatives specific to transplant care
Provide clear, compassionate education to patients and caregivers regarding transplant conditions, medications, monitoring, and follow‑up
Collaborate with physicians, nurses, pharmacists, coordinators, and allied health professionals to ensure patient‑ and family‑centered care
Assist in the development of educational resources to support learners and clinical staff
Actively engage in continuing education and self‑assessment to support professional growth and clinical excellence
Interact with patients, families, and team members in a respectful, compassionate, and timely manner
Communicate effectively across disciplines to ensure safe, coordinated, and high‑quality care
Demonstrate accountability for clinical decisions, outcomes, and professional responsibilities
Share responsibility for team workload and support a positive, collaborative work environment