Nurse Practitioner or Physician Assistant - Cardiology Hospitalist

11/20/2025

The Advanced Practice Provider will provide direct patient care services to cardiology patients, including evaluations, diagnostics, and treatment plans. They will collaborate with healthcare teams to ensure effective patient care and contribute to research and teaching.

Working Hours

40 hours/week

Company Size

10,001+ employees

Language

English

Visa Sponsorship

About The Company

Duke University Hospital (DUH) is consistently rated as one of the best hospitals in the United States and is known around the world for its outstanding care and groundbreaking research. Driven to bring extraordinary discoveries to fruition, deliver cutting edge clinical services to patients, and apply care and compassion to all stages of care, we maintain an unwavering focus on making the individuals and communities we serve healthier. Today, DUH is the flagship of the Duke University Health System and a full-service, 957-bed, tertiary and quaternary academic medical center. Ranked nationally in 10 adult specialties by U.S. News and World Report for 2019-2020 and ranked first in North Carolina and first in the Raleigh-Durham area, care is delivered with inspiring passion and a deep commitment to put the person who needs our care at the center of everything we do.

About the Role

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 LOCATIONDuke Raleigh University Hospital JOB SUMMARYThe Advanced Practice Provider, (APP) is an Acute Nurse Practitioner (ACNP) or Physician Assistant (PA) who provides direct patient care services and performs medical acts as an NP or PA, under the supervision of the supervisory physician to patients on the cardiology service. This position will work with cardiology patients in the Cardiology Service including general cardiology, Electrophysiology (EP), and Heart Failure (HF) patients. Areas of clinical work include Duke Raleigh inpatient units and Emergency Department, Observation units, and Cath lab. The Cardiology APP performs admissions, and physical exams, stress testing, collects and documents data, conducts diagnostic and therapeutic procedures within scope, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services. The Cardiology APP contributes to excellence in patient care, research, and teaching, and provides leadership to the organization JOB DUTIES and RESPONSIBILTIES<ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">The ACNP/PA will evaluate new patients consults and established consult patients as well as diagnose, treat and manage common conditions in the cardiovascular patient population.</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Perform an appropriate history and physical exam on all assigned patients. The ACNP/PA will write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; a psychosocial history will be obtained relevant to patient care. The ACNP/PA will assume responsibility for developing therapeutic relationships with patients.</li></ul><ul type="disc"><li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif">Facilitate and order diagnostic studies including echocardiograms, cardiolite stress test, magnetic resonance imaging and cardiac catheterization if indicated, review with attending MD. </li><li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif">Assist Cath Lab APP with Pre/Post procedural area and phase of care</li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Order and schedule laboratory studies and diagnostic procedures. Explain necessity, preparation, and nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient and family.</li></ul><ul type="disc"><li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif">Work closely with the inpatient rounding teams including attendings, APP's, to appropriately allocate workload based on daily census, clinical and operational needs.</li><li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif">Assist in the training of new employees, students and fellow trainees, to the limits of competence, and actively participate in educational conferences.</li><li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif">Discharge all assigned admitted/procedural/surgical patients, as directed by the Attending physician, including, but not limited to, dictating discharge summary, patient education, patient wound care instructions, and prescriptions and entering discharge orders.</li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">In collaboration with attending and/or hospitalist, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager.</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Collaborate with the hospitalist, attending other NP/PA colleague's nurses, and patient resource managers to formulate treatment plans and monitor patient progress.</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.</li></ul> JOB ELIGIBILITY REQUIREMENTSEducationPA: Graduate of ARC accredited Master's Degree or Doctoral Degree Physician Assistant program.NP: Graduate of accredited MSN or DNP Acute Care Nurse Practitioner program for adult care. Licensure PA: Unrestricted medical license issued by NCMB to practice as PA.NP: Unrestricted RN licensure issued by or recognized by the NCBON with approval to practice as an NP.Both: Federal and State DEA with full prescriptive authority CertificationPA: PA-CNP: ACNP or AGACNP ExperienceStrongly prefer candidate with at least one year of provider experience in cardiology setting, but will also consider a new or recent graduate with relevant nursing experience or clinical rotations. Physical and mental requirements:<ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">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. </li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to independently seek out resources and work collaboratively to solve complex problems</li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.</li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.</li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to use fine motor skills</li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to record activities, document assessments & interventions; prepare reports and presentations;</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to use computer and learn new software programs</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to provide leadership in clinical area of expertise and in meeting organizational goals</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations</li></ul><ul ><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds</li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to remain focused and organized </li><li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif">Able to work collaboratively with all levels of personnel</li></ul> JOB HOURSPrimary hours: The Cardiology Hospitalist APP position is a full-time salaried position, working a 40-hour work week. (5 shifts per week.) Shifts are staggered dayshift hours covering all 7 days of the week, including holidays, 7 am – 3:30 pm or 9 am – 5:30 pm. Variations in hours and days of the week covered may be changed by Heart Center Leadership in consultation with the clinical service line leadership based on service needs <div> 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. <div> 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. <header> Essential Physical Job Functions: </header> <div> 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.

Key Skills

Patient CareCardiologyPhysical ExamDiagnostic StudiesPatient EducationTeam CollaborationClinical CareTherapeutic RelationshipsLeadershipPrescriptive AuthorityEchocardiogramsStress TestingPatient DischargeClinical ProtocolsProblem SolvingDocumentation