Nurse Practitioner/Physician Assistant - Duke Neurological Sleep/Insomnia Clinic

Advanced Practice Provider Opportunity

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.

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.
• Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job Summary

We are excited to announce an opportunity for an Advanced Practice Provider to join our Duke Neurological Sleep Clinic, serving both Durham and Raleigh/Cary, North Carolina, with a focus on insomnia care. In this role, you will:

• Collaborate with attending physicians to provide specialized care for patients with insomnia and related sleep disorders.
• Deliver Cognitive Behavioral Therapy for Insomnia (CBTi) and pharmacologic management for insomnia.
• Collect and document patient data accurately.
• Conduct diagnostic and therapeutic procedures.
• Order and schedule laboratory studies and professional consultations.
• Provide direct patient care services to individuals with insomnia and other sleep disorders.

The primary hours for this position are Monday through Friday, during the day shift, with flexibility to meet the needs of our patients.

Job Duties & Responsibilities

• Patient Care: Take patient histories, conduct physical examinations, and record 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 develop therapeutic relationships with patients, especially those struggling with chronic insomnia.
• Insomnia-Specific Care: Administer and interpret validated sleep assessment tools. Develop and implement individualized CBTi treatment plans. Prescribe and manage medications used to treat insomnia, while monitoring efficacy and side effects.
• Diagnostic Procedures: 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.
• Patient Monitoring: Monitor patient progress, report to the supervising physician, and maintain records of each patient's progress. Consult with the supervising physician when a patient's progress does not meet anticipated criteria.
• Therapeutic Procedures: Perform diagnostic and therapeutic procedures to assist the physician in diagnosing sleep disorders and prescribing necessary treatments. Record normal and abnormal data for review by the physician.
• Teaching: Participate in teaching students and residents techniques and procedures unique to insomnia management and behavioral sleep medicine.
• Clinical Trials: Participate in clinical trial subject recruitment, enrollment, and study, particularly those related to insomnia treatment.

Job Eligibility Requirements

Education

• 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.

Certification

• Certification or formal training in CBTi preferred.

License

• 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.
• DEA licensure required.

Experience

• 1+ years of experience treating patients with insomnia preferred.
• Formal training in Cognitive Behavioral Therapy for Insomnia (CBTi) strongly preferred.
• Comfort with prescribing insomnia medications required.
• Experience in sleep medicine or behavioral sleep medicine preferred.

Job Hours:

• Monday–Friday, day shift, with flexibility to meet clinic needs.
• Eight 4-hr patient-facing sessions per week.
• Two 4-hr administrative sessions per week.