Nurse Practitioner or Physician Assistant- Duke Center for Onco-Primary Care Program

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.

About

The Duke Center for Onco-Primary Care provides evidence-based, patient-centered, personalized health care across the cancer continuum – from cancer screening to survivorship. The clinicians partner with oncologists and primary care teams to provide whole-person care.

Job Location

The APPs associated with the Duke Center for Onco-Primary Care Program will practice at several locations as needed (DCI Cancer Center (Durham), Women’s Cancer Center (Macon Pond, Raleigh), Duke Primary Care Sites, Duke Family Medicine Center and/or telehealth.

After a period of on-site training, this role will be a hybrid position, with 1-2 days per week working remotely.

Job Summary

Survivorship Patients

Provides direct patient care in outpatient settings for adult cancer survivors. Develops individualized survivorship care plans to address the long-term and late effects of cancer treatment, counsel and screen for treatment-related sequalae, monitor for cancer recurrence or secondary cancers, and address psychosocial concerns. Patient population includes adults age 18 and older, with a primary focus on breast cancer survivors and adult survivors of childhood cancer, as well as survivors of other cancer types based on clinic needs.

Multi-Cancer Early Detection

Partners with patients in shared decision-making regarding multi-cancer early detection testing. Evaluates patient eligibility, orders appropriate testing, and follows established protocols for the evaluation and management of positive test results.

Elevated PSA Patients

Provides initial assessment, evaluation, and diagnostic decision-making for patients referred with suspected prostate cancer. Conducts protocol-driven assessments and coordinates appropriate follow-up care and diagnostic workup.

Job Duties and Responsibilities:

• Take patient histories, conduct physical examinations, and document care as required.
• Create cancer survivorship care plans for new patients and discuss long-term care with them.
• Communicate with the patients’ primary care providers in a shared care model.
• Review all labs, pathology and radiology reports and communicate relevant findings to supervising physician and to patients.
• Respond to triage nurse calls and all other InBasket inquiries / requests.
• Interact with scheduling staff to adjust clinic schedule as necessary to assure efficient clinic operations; this includes responding to and managing overbook requests.
• Order and schedule laboratory studies and screening tests (e.g., echocardiograms).
• Complete (or delegate where appropriate) forms (such as FMLA and disability, letters of medical necessity, peer to peer reviews) where permitted.  Coordinate supervising physician signing of home health orders.
• Clinical assignments are to hold 7 clinical sessions per week. A session is typically defined as 4 hours of booked clinical time.
• You may also have other responsibilities as a member of the Survivorship team consistent with your position as a clinical provider.

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

Certification

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

PA:         PA-C

Licensure

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

PA:         Must have 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 in Family Practice and/or Oncology, but recent or new grads graduating by May 2025 are welcome to apply.

Job Hours

8:00 am – 5:00 pm, Monday-Friday. No on-call, holiday, evening, or weekend coverage is 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, (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.