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Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Advanced Practice Provider (Nurse Practitioner / Physician Assistant)

Outpatient Abdominal Transplant Clinic

Location:
Duke University Hospital
2301 Erwin Road
Durham, NC 27710

Work Schedule:
Monday-Friday | Day Shift
Primarily outpatient/ambulatory

Position Summary

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 posttransplant 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.

Clinical 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 evidencebased treatment plans
• Prescribe, manage, and adjust immunosuppressive and transplantrelated medications in accordance with departmental guidelines and credentialed privileges
• Provide longitudinal management of pre and posttransplant patients, revising plans of care as clinical conditions evolve
• Manage posttransplant issues including rejection surveillance, infectious evaluations, and postoperative 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

Knowledge, Skills, and Abilities

• Demonstrated clinical competence in the management of complex patients in a specialty outpatient setting
• Strong analytical, criticalthinking, and clinical decisionmaking 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

Education & Interprofessional Collaboration

• Provide clear, compassionate education to patients and caregivers regarding transplant conditions, medications, monitoring, and followup
• Collaborate with physicians, nurses, pharmacists, coordinators, and allied health professionals to ensure patient and familycentered care
• Assist in the development of educational resources to support learners and clinical staff
• Actively engage in continuing education and selfassessment to support professional growth and clinical excellence

Professional Practice Expectations

• Interact with patients, families, and team members in a respectful, compassionate, and timely manner
• Communicate effectively across disciplines to ensure safe, coordinated, and highquality care
• Demonstrate accountability for clinical decisions, outcomes, and professional responsibilities
• Share responsibility for team workload and support a positive, collaborative work environment

Minimum Qualifications

Education

• Nurse Practitioner: Graduation from an accredited Nurse Practitioner program
• Physician Assistant: Graduation from an accredited Physician Assistant program

Licensure & Certification

• Nurse Practitioner:
• Active or compact RN licensure in North Carolina
• National NP certification required
• Physician Assistant:
• Current North Carolina PA licensure
• NCCPA certification

• Both: Must demonstrate and maintain credentialing and licensing requirements of the DHIP and Duke Health. The position requires the candidate to have current DEA licensure.
• Preference for candidates with prior advanced practice or RN experience with transplant surgery, general surgery, GI, Nephrology, Hepatology.

• BLS required

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Employment Type: FULL_TIME

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