Critical Care Nurse Practitioner or Physician Assistant - Intensivist; PART TIME

Critical Care Nurse Practitioner or Physician Assistant - Intensivist (PART TIME)

Work Arrangement:

Requisition Number: 264036

Regular or Temporary:
Regular

Location:

Durham, NC, 27704

Date:
Jan 1, 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.

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight‑loss surgery, women's services, and heart and vascular services.

The Critical Care Advanced Practice Provider (APP) is a member of the intensive care team and his/her primary responsibility is the management of a caseload of critically ill complex (multi‑organ) patients in an intensive care setting. The APP is under the direct supervision of the ICU supervising physician or designated back‑up physicians. The APP performs physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services in a specific ICU.

The APP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and to the APP profession.

• Provide direct clinical services for critically ill adult patients with multi‑organ trauma or multi‑system disease/failure, according to established protocols
• Utilize evidence‑based clinical practice standards under the supervision of the ICU supervising physician.
• 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 learners.
• 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.
• Support IRB approved clinical research/trials through a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and documenting and reporting patient outcomes including toxicities or adverse events.
• Perform and participate in quality/performance improvement activities and clinical research.
• Serve as a clinical expert and leadership consultant to members of the healthcare team and to the larger community.
• Participate in and support accreditation, compliance, and regulatory activities of the organization.
• 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 physician assistant…