Nurse Practitioner/Physician Assistant - Inpatient Neurology Hospitalist
Compensation
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Job Description
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 University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
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 four hospitals or over 140 primary care and specialty care clinics throughout North Carolina.
Job Location: Duke University Hospital
Job Summary
Join the Duke University Hospital Neurology team as an Advanced Practice Provider and gain experience across multiple inpatient neurology subspecialties. This role offers the opportunity to cross-train across Neurology Consults, General Neurology, and the Epilepsy Management Unit, developing a broad clinical skill set while working alongside experienced neurologists, APPs, residents, and fellows.
The APP provides comprehensive inpatient care, including patient assessment, diagnosis and treatment planning, medication management, care coordination, and patient and family education. The role also provides opportunities to participate in quality improvement, clinical research, and education while contributing to a collaborative, multidisciplinary care environment.
This is an ideal opportunity for an APP who enjoys the complexity of inpatient neurology, values collaboration, and is interested in developing expertise across multiple areas of neurologic care.
Specific Job Responsibilities and Standards
Provide comprehensive inpatient neurologic care across General Neurology, Neurology Consults, and Epilepsy services.
Obtain histories, perform physical examinations, assess changes in clinical status, and develop and implement individualized treatment plans in collaboration with the neurology team.
Order and interpret appropriate diagnostic studies, prescribe medications, and perform procedures within established scope of practice and credentialing.
Collaborate with neurologists, residents, fellows, nurses, care managers, and other members of the interdisciplinary team to coordinate patient care and facilitate transitions of care.
Recognize and respond to clinical deterioration, initiating appropriate interventions and escalating care when needed.
Educate patients, families, and healthcare team members regarding neurologic conditions, treatment plans, and care needs.
Maintain accurate and timely clinical documentation and communicate pertinent patient information to the care team.
Participate in quality improvement, evidence-based practice, clinical research, and initiatives that advance the delivery of neurologic care.
Job Eligibility Requirements
Education
PA: Graduate of an ARC-PA accredited Physician Assistant Program; Master’s or Doctoral degree preferred.
NP: Graduate of an accredited Adult-Gerontology Acute Care Nurse Practitioner (AGACNP); Master’s or Doctoral degree preferred.
License
PA: Current unrestricted medical license issued by the NC Medical Board with authorization to practice as a Physician Assistant.
NP: Current unrestricted RN license issued by or recognized by the NC Board of Nursing with authorization to practice as a Nurse Practitioner.
Certification
PA: PA-C (National Commission on Certification of Physician Assistants).
NP: AGACNP-BC (Adult-Gerontology Acute Care Certification).
Experience
APP experience in neurology, epilepsy, or similar acute care setting preferred, but not required.
Job Hours
- Four 10-hour shifts per week
- Occasional weekend coverage
- No on-call or overnight requirements
- Additional hours as needed to support patient care
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.
Key Responsibilities
The Advanced Practice Provider will provide comprehensive inpatient neurologic care across General Neurology, Consults, and Epilepsy services. Responsibilities include performing physical exams, developing treatment plans, managing medications, and collaborating with a multidisciplinary team to coordinate patient care.
Requirements
Candidates must be a graduate of an accredited Physician Assistant or Adult-Gerontology Acute Care Nurse Practitioner program. Current unrestricted licensure in North Carolina and relevant national certification are required.
Qualifications
- Education
- Professional certificate or licensure
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Nurse Practitioner/Physician Assistant - Inpatient Neurology Hospitalist at Duke University a 6.9 out of 10 for work-life balance — classified as good. This places the position in the top 5% in Hospital Medicine (NP) — ranked against 273 active Hospital Medicine (NP) listings on WeekdayDoc. Contributing factors include no on-call duties.
Hospital Medicine — Nurse Practitioner Career Context
Of the 50 active Nurse Practitioner listings this role was benchmarked against, 28% are remote, 56% have no call, 58% require no weekends.
The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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