Certified Nurse Midwife/Nurse Practitioner/Physician Assistant – Duke Maternal Fetal Medicine

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 Perinatal Consultants of Durham – 2608 Erwin Road – Durham, NC 

Job Summary

We are seeking an Advanced Practice Provider for the Duke Department of Obstetrics and Gynecology – Division of Maternal Fetal Medicine primarily at Duke Perinatal Consultants of Durham in Durham, NC as well as occasionally Duke Perinatal Consultants of Cary and Duke Perinatal Consultants of Raleigh locations.

The APP will work in collaboration with the attending physicians and advanced practice providers providing direct patient care, performing consultations, collecting and documenting data, assisting in diagnostic and therapeutic procedures and ordering and scheduling laboratory studies.

Primary hours will be Monday through Friday with hours flexible to meet the needs of the patients. Clinical and administrative sessions are generally 8:00 AM – 12:00 PM and 1:00 PM – 5:00 PM. There is a possibility of Saturday hours as well as extended and alternative hours expected upon request/scheduling needs. There is a possibility of deployment to General OB-GYN sites to provide the best patient access.

Job Duties & Responsibilities

• Collect patient histories, conduct physical examinations, and record data in 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 assume responsibility for developing therapeutic relationships with patients.
• Order, schedule and review laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.

OBSTETRICAL CARE

Obstetrical care including but not limited to:

• Provide obstetric care to prenatal patients from the new obstetric visit throughout pregnancy and including the postpartum visit.
• Perform the new obstetric exam with identification of problems complicating pregnancy or pre-existent to pregnancy.
• Perform FHR assessment, NST interpretation, pelvic exams for antepartum and labor assessment.
• Initiate plan of care/diagnostic testing/interpretation of labs/treatment plan based on the individual patient medical/surgical history prescribing necessary treatment and services for quality patient care; report progress to collaborating physician and maintain record of each patient’s progress.
• Provide patient education relating to pregnancy, childbirth and postpartum care.
• Performance of FHR assessment, NST interpretation, pelvic exams for antepartum and labor assessment.
• Collaborate with other NP/PAs to ensure clinic and telephone triage coverage.

GYNECOLOGICAL CARE

Gynecological care including but not limited to:

• Methods of family planning and counseling for reproductive life planning
• IUD/Nexplanon placement/removal
• Screening and treatment for sexually transmitted infections

Job Eligibility Requirements

Education 

• Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master’s degree in Nursing, 
• 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.

Certification 

BLS 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 

• 2+ years of Certified Midwife, Nurse Practitioner or Physician Assistant work experience with Women’s Health – High Risk Obsetrics preferred. 

Job Hours

Primary hours will be Monday through Friday with hours flexible to meet the needs of the patients. There is a possibility of weekend hours in the future with extended and alternative hours expected upon request/scheduling needs. Additionally, the APP will reside in the specific division of hire and rotate as needed to potentially all division sites to be available to see patients according to their scope of practice.

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.

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