Job Description

Nurse Practitioner or Physician Assistant - Inpatient Neurosurgery

Work Arrangement: Requisition Number: 265024 Regular or Temporary: Regular Location:

Raleigh, NC, US, 27710

Personnel Area: DUKE RALEIGH CAMPUS Date: Jan 6, 2026

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 Raleigh Hospital, A Campus of Duke University Hospital


Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Health’s four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

Job Location


Duke Raleigh Hospital

Job Summary


The Neurosurgery APP works collaboratively within a multidisciplinary health care team. He or she will be expected to perform various tasks on behalf of the neurosurgery service. The neurosurgery APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. He or she will also educate patients and their families in order to increase their satisfaction with their hospitalization.


Job Duties and Responsibilities

  • Obtain patient health histories and complete physical examinations.

  • Document findings, noting pertinent normal and abnormal findings.

  • Order and interpret appropriate diagnostic and laboratory tests.

  • Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient's family, staff, and healthcare students.

  • Perform approved therapeutic or diagnostic procedures based upon patient's clinical status.

  • Document patient preparation and response to procedure(s).

  • Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s).

  • Document in medical records and appropriate narrative summaries.

  • Utilize prescriptive privileges as allowed by NC licensure.

  • Document all prescriptions in patient's medical record.

  • Assess patient for change in status and institute appropriate interventions.

  • Initiate necessary emergency interventions to stabilize patient.

  • Provide family-centered care by communicating with the family regarding the changing health care needs of their family member.

  • Assess family adaptation, coping skills and the need for crisis or other intervention.

  • Utilize current research and evidence- based decision-making in all clinical practice. Incorporate clinical research findings in the development and implementation of standards of care.

  • Identify educational needs of the family and participate in teaching opportunities.

  • Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community.

  • Precept APP students and other new healthcare learners.

  • Participate in the development, review, and evaluation of critical care medical management practice protocols within legal guidelines incompliance with DUHS policies.

  • Role model professionalism through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills.

  • Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education.

  • Enhance the body of knowledge to the APP profession or other areas of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications.

    • Job Eligibility Requirements


    Education


    PA: Graduate of an ARC accredited Physician Assistant Program, Master’s or Doctoral Degree


    NP: Graduate of an accredited MSN or DNP Nurse Practitioner Program for adults

    Certification


    PA: PA-C


    NP: Adult providers, ACNP/AGACNP (acute care) preferred, but will consider FNP or AGNP in combination with relevant experience

    License


    PA: Current unrestricted medical license issued by NCMB with authorization to practice as PA


    NP: Current unrestricted RN License issued by or recognized by NCBON with authorization to practice as NP


    Both: Federal and State DEA prescriptive authorization


    Experience


    Strongly prefer candidate with 1+ year Neurosurgery APP experience

    Physical and mental requirements:

  • Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System.

  • Able to independently seek out resources and work collaboratively to solve complex problems.

  • Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.

  • Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.

  • Able to use fine motor skills.

  • Able to record activities, document assessments & interventions; prepare reports and presentations.

  • Able to use computer and learn new software programs.

  • Able to provide leadership in clinical area of expertise and in meeting organizational goals.

  • Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations

  • Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds

  • Able to remain focused and organized

  • Able to work collaboratively with all levels of personnel

    • Job Hours


    3 shifts per Monday- Friday week. Each shift is 12 hours. Shifts are expected to be 7am-7pm



    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.



    Nearest Major Market: Durham
    Nearest Secondary Market: Raleigh

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