Nurse Practitioner or Physician Assistant - Outpatient Medical Oncology at Duke Health

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Job Location

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

Job Summary

The Medical Oncology Advanced Practice Provider for our Outpatient Infusion Center and Acute Care Clinic provides direct patient care in collaboration with a multi-disciplinary team, including attending physicians and other medical professionals by collecting and documenting data, obtaining/ordering diagnostic and therapeutic procedures, laboratory studies and professional consultations. The age-specific scope of practice is for patients 18 years and older.

Job Duties and Responsibilities

• Promote and maintain high standards of patient care throughout the continuum of cancer diagnosis. 
• Elicit detailed and accurate patient histories and perform through physical examinations.
• Order appropriate diagnostic imaging and tests to determine medical and post treatment diagnoses, patient conditions, treatment toxicities.
• Formulate appropriate treatment plans with critical thinking skills and high-level clinical judgement including prescribing appropriate medications.
• Chart patient progress maintaining detailed and accurate health records
• Oversight of emergency management of patients
  • Hypersensitivity protocol
  • Code Blue/ 115 first response
• Assessment of acutely ill patients awaiting admission to the hospital
  • Additional orders for symptom management as needed
  • Collaboration with inpatient medical team for handoff
• Prescription of medications for symptom management
  • Additional orders as needed
• Address lab values if outside of regimen parameters to determine if patient can receive treatment
  • Order supplements as needed based on lab values
• Potential procedures
• Communication among multi-disciplinary teams to support patient care.
• Collaborating, supporting and building strong relationships with supervising, back-up supervising physicians, APP colleagues, and team members.
• Participate in education of patients, family members, new staff, students and other learners.
• See scheduled and unscheduled patients.
• Attend program required meetings.
• Maintain up to date clinical and professional knowledge via approved CME.
• Maintain Institutional requirements for compliance
• Protect patient confidentiality, maintain ethics and abide by North Carolina laws and Duke Health System policies.

Job Eligibility Requirements

Education       

NP:       Graduate of MSN or DNP accredited Nurse Practitioner Program

PA:       Graduate of ARC accredited Master's Degree or Doctoral Degree Physician Assistant Program preferred

Certification

NP:       Any NP certification that treats adults (FNP, ANP, AGNP, AGACNP, etc.)

PA:       PA-C

Licensure

NP:       Unrestricted RN licensure issued by or recognized by the NCBON with authorization to practice as a NP

PA:       Unrestricted license issued by NCMB with authorization to practice as PA

Both:   Federal and State DEA independent license with prescriptive authority

Experience

APP experience is preferred, ideally Oncology/Hematologic Malignancy experience, but recent or new grads, graduating by December 2024 are welcome to apply.

Other desired traits:

•          Ability to work in a team-oriented clinic

•          Willingness to be flexible and available to support the team.

•          Analytical thinking skills with curiosity and ability to investigate and diagnose.

•          Competence with technology

•          Excellent communication skills and customer service skills

•          Experience working independently and as a part of a team

•          The desire and willingness to continue to learn

Job Hours

Full-Time, rotating hours, averaging 40 hour week to provide coverage Monday – Friday between the hours of 8am – 8:30pm.

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 essentialjob 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.