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 Location

Duke Cancer Center, 20 Duke Medicine Circle, Durham, NC

Job Summary

We are seeking an Advanced Practice Provider in the Department of Radiation Oncology at the Duke Cancer Center located in Durham, NC to support our inpatient consult service. The APP will work collaboratively with physicians to provide patient care services by interdependently scheduling, supervising, and conducting diagnostic and therapeutic services and independently participating in the delivery of direct patient care within the scope of individual authority as a Nurse Practitioner or Physician Assistant.

Job Duties & Responsibilities

• In collaboration with designated physicians, evaluate and diagnose oncologic and medical problems, and prescribe necessary treatment and services for both new and established radiation oncology patients. Coordinate activities for Radiation Oncology team to ensure optimal quality patient care.

• Perform complex diagnostic and therapeutic procedures to assist physician in diagnosing medical and surgical problems. (See clinical competencies below) Prescribe necessary treatment and services for quality patient care; record the normal and abnormal findings and tentative conclusions.

• Deliver patient care services under physician supervision in the Radiation Oncology Department. This includes taking patient histories, conducting physical examinations, and recording the data in the patient’s record; writing progress notes; preparing patient workups and summaries noting pertinent positive and negative findings; obtaining psychosocial, medical, surgical, and oncologic history relevant to patient care, and 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. Consult with supervising/back up physicians as needed or when a patients’ progress fails to meet anticipated or pre-determined outcome.

• Clinical Competencies: APP's may perform medical acts that have been agreed upon by the APP and supervising physician. Competency in medical acts will be validated by the supervising or back up supervising physician

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  Facilitate coordination and scheduling of laboratory studies, diagnostic or therapeutic procedures and consultations within Radiation Oncology. Explain the necessity, preparation, nature and anticipated effects of scheduled diagnostic or therapeutic procedures to patients. Follow up on study results, communicate results as indicated. Refer patients when appropriate to other healthcare providers and/or community agencies to ensure coordination of patient care.

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  Develop and maintain therapeutic relationships with Radiation Oncology patients and family members. Provide patient and family education regarding the diagnosis, treatment plan and the risks, benefits, side effects and logistics of treatment. Monitor progress of patients, report progress to supervising physician, and maintain record of each patient's progress.

• Participate in basic science and clinical research projects within Radiation Oncology including but not limited to direct patient care of patients enrolled in clinical trials, accrual, monitoring and follow up of such patients, participation in quality assurance and improvement activities. Assist in teaching students including nurse practitioner graduate students and residents in techniques and in the care of patients, which are unique to the Radiation Oncology clinical setting.

• Prepare quality assurance reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions.

• Perform continual self-evaluation of professional development and maintain professional education and continuing education credits per requirements of the Nurse Practitioner Board of Nursing and / or NC Board of Medicine. Perform other professional duties related to the identified scope of practice.

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 certification required.

License

• Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. BLS required. 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.

Job Hours

Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients. Four 10-hour shifts available, if desired.

Duke is an Affirmative Action/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, sexual orientation, or veteran 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.