Neurosurgery APP Comprehensive Spine Fracture Clinic (Tumor and Fragility)

Advanced Practice Provider

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours during the week, and many opportunities for career advancement. Become a part of a neurosurgery team that values and invests in you.

Duke Advanced Practice Highlights

• The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research.
• The job allows APP to run their own clinic with complete backup and support from surgeon team.
• Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.
• Flexibility to float to various locations within and around Wake County, including but not limited to Morrisville, Cary, North Raleigh, Apex, and Garner, as needed to support operational demands and ensure seamless patient care.

Job Summary

We are seeking an Advanced Practice Provider in our (Spine Tumor/Fracture Clinic) located in (Durham and Cary, NC) to work in collaboration with attending physicians, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, and provide direct patient care services. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients. Rotational on-call responsibilities for emergent surgical cases when assistance is required.

Job Duties & Responsibilities

• Perform diagnostic and therapeutic procedures to assist physician in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care; record the normal and abnormal data for review by the physician.
• Take patient histories, conduct physical examinations, and record the date 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 necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
• Carry out therapeutic procedures such as cast application and removal, wound suturing and dressing changes; monitor progress of patients, report progress to supervising physician, and maintain record of each patient's progress, consulting 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. Review the work of lower rated employees; train new personnel. Participate in teaching students and residents in techniques and procedures which are unique to specific clinical setting.
• Support and assist with comprehensive clinical and imaging review of incoming Spine Tumor/Fracture program referrals to assess appropriateness, urgency, and subspecialty needs.
• Support and assist with clinician led triage of referrals and collaborate with the Spine Tumor/Fracture program New Patient Coordinator (NPC) to route patients to appropriate providers, service lines, or multidisciplinary clinics.
• Identify missing clinical data and coordinate retrieval of outside records including imaging, pathology, operative reports, and treatment history with the NPC.
• Support and assist with the composition of concise clinical synopses summarizing disease history, prior therapies, and current clinical status for provider review.
• Support, assist with and oversee standardized intake summaries to neurosurgery, medical oncology, radiation oncology, palliative care, nurse navigators, and scheduling teams.
• Assist with development and implementation of standard operating procedures for intake communication with referring providers and internal teams.
• Support billable intake review activities in accordance with institutional and regulatory standards.

Job Eligibility Requirements

Education: 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; Master's degree strongly preferred.

Certification: BLS required.

License: Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. National certification as a NP required prior to or within 6 months of employment. 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.

Experience: 1+ years of APP experience strongly preferred. Any experience working with spinal pathologies is preferred.

Job Hours: Monday-Friday, day shift, with flexibility to meet clinic needs.