Hospital Medicine PRN NP/PA

If it's possible, you will find it at Advocate Health —the leading community-focused academic healthcare system serving North Carolina, South Carolina, Georgia, Alabama, Virginia, Illinois, and Wisconsin. We invite Advanced Practice Providers to discover all that we can do when we bring healing hearts, inquisitive minds, and visionaries together on our Hospital Medicine team at Advocate Health. The Wake Hospital Medicine team is seeking a PRN Advanced Practice Provider (NP or PA) to provide flexible inpatient coverage across multiple Wake Region Hospital Medicine locations.



Position Details


PRN position supporting Hospital Medicine services throughout the Wake Region.
Reports directly to the APP Manager.
Provides coverage for PTO, FMLA, illness call-outs, and periods of high patient census.
Schedule developed every three months in collaboration with the APP Manager and scheduling team.
Assignments may include day and swing shifts based on operational needs.
PRN APPs assigned to a swing shift will not be scheduled for a day shift the following day.
Schedule may be modified to accommodate unexpected call-outs, emergencies, or changes in patient census, with notice provided no later than 6:00 p.m. the day before whenever feasible.
Every effort will be made to minimize the number of different services and hospital locations worked within the same week and to provide continuity of patient care assignments.
Coverage may be assigned at any of the following Wake Region Hospital Medicine locations:
Wake Forest Baptist Medical Center – Winston-Salem
Davie Medical Center – Bermuda Run
High Point Medical Center – High Point
Lexington Medical Center – Lexington
Wilkes Medical Center – North Wilkesboro
PRN APPs assigned to Wilkes Medical Center will receive a $100 shift incentive for eligible shifts.



Experience Required
Graduation from an accredited Nurse Practitioner or Physician Assistant program.
Nurse Practitioners must hold a Master's Degree or Doctorate in Nursing Practice with Acute Care Nurse Practitioner (ACNP) or Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) board certification.
Physician Assistants must hold certification from the National Commission on Certification of Physician Assistants (NCCPA); CAQ certification preferred.
Current license to practice as a Nurse Practitioner or Physician Assistant in North Carolina.
Current prescriptive privileges and DEA registration.
Basic Life Support (BLS) for Healthcare Providers through the American Heart Association, valid at least 90 days beyond start date.
Demonstrated ability to work independently in a fast-paced inpatient environment.
Strong clinical judgment, communication, and interdisciplinary collaboration skills.
Flexibility to work across multiple hospital locations and adapt to varying patient care needs.



Job Summary
Specialty Care Advanced Practice Providers provide concentrated services within a designated specialty, caring for both acute and chronically ill patients. The PRN Hospital Medicine APP delivers comprehensive inpatient care while providing flexible staffing support across Wake Region Hospital Medicine locations to ensure continuity of care and operational excellence.



Essential Functions
Perform initial and follow-up medical histories and physical examinations.
Conduct daily inpatient assessments and ongoing patient management.
Evaluate, admit, consult, and manage hospitalized adult medicine patients.
Develop and implement treatment plans in collaboration with supervising physicians. Order, interpret, and manage laboratory, radiology, and other diagnostic studies. Prescribe medications and therapeutic interventions within scope of practice. Perform minor medical procedures as appropriate and within credentialing guidelines. Coordinate care with physicians, nursing, pharmacy, case management, specialists, and ancillary departments. Participate in multidisciplinary rounds and discharge planning activities. Document all patient encounters, assessments, procedures, and treatment plans accurately and timely in the electronic medical record. Serve as a patient advocate while promoting quality, safety, and evidence-based care. Adapt quickly to varying practice locations, provider teams, and patient care environments while maintaining high standards of clinical excellence.



Physical Requirements
Frequent walking, standing, sitting, lifting, reaching, bending, stooping, pushing, and pulling. Must be able to lift and support up to 35 pounds while assisting with patients, medical equipment, and supplies. Must possess intact senses of sight, hearing, smell, touch, and finger dexterity. Must communicate effectively in English, both verbally and in writing. Must be able to perform effectively in stressful clinical situations. Must be flexible to work varying schedules, including day and swing shifts, weekends, and holidays based on departmental needs.



Our Commitment to You
Advocate Health offers a collaborative and inclusive environment where Advanced Practice Providers are valued members of the healthcare team. Join an organization committed to advancing medicine, supporting professional growth, and delivering exceptional patient care while providing the flexibility of a PRN role across a nationally recognized health system.