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. 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, highquality, evidencebased care to adult abdominal transplant patients across the pre‑ and post‑transplant 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 evidence‑based treatment plans

Prescribe, manage, and adjust immunosuppressive and transplant‑related medications in accordance with departmental guidelines and credentialed privileges

Provide longitudinal management of pre‑ and post‑transplant patients, revising plans of care as clinical conditions evolve

Manage post‑transplant issues including rejection surveillance, infectious evaluations, and post‑operative 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, critical‑thinking, and clinical decision‑making 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 follow‑up

Collaborate with physicians, nurses, pharmacists, coordinators, and allied health professionals to ensure patient‑ and family‑centered care

Assist in the development of educational resources to support learners and clinical staff

Actively engage in continuing education and self‑assessment 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 high‑quality 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.