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Duke University
Durham, North Carolina

Respiratory Therapist Advanced - Adult - PRN

Respiratory TherapistPer Diem

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1mo ago · Verified live

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 Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Occ Summary Perform and evaluate diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice, performing work in accordance with physician orders in the neonatal, pediatric and adult patient populations.

Work Performed Perform all duties and responsibilities required of a Respiratory Care Practitioner I. Evaluate appropriateness of medical orders. Proficient in the application of mechanical ventilator modalities.

Proficient in the application of Non-Invasive Positive Pressure Ventilation (NPPV); Continuous Positive Airway Pressure (CPAP) and Bi-Level Positive Airway Pressure (BiPAP) Perform endotracheal intubation under the observation of a Supervisor or Advanced Practitioner. Perform extubations.

Serve as member of the code/ emergency team. Administer medical gases. Insert nasogastric and orogastric tubes. Perform tracheotomy tube changes. Perform capnography monitoring. Transport patients requiring mechanical ventilation or airway protection. Interpret clinical data to optimize patient clinical objectives.

Participate in clinical rounds with physicians, nurses and other health care providers Assist with Bronchoscopy. Assist with orientation and training of Level II RT. Assure safe operations of devices in the MRI.

Qualified for certification in the hyperbaric chamber if applicable to the institution scope of practice Knowledge, Skills and Abilities Knowledge necessary to make appropriate clinical decisions and interaction relative to the specific age of a patient.

Skills validation/certification of competencies for the duties and responsibilities required for a Level I RT. Skills validation / certifications of competencies for the duties and responsibilities of this level.

Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team. Work is performed in all areas of the hospital. Work may require lifting or pushing in excess of 30 pounds. Required to carry emergency airway bag weighing approximately 20 pounds.

Work requires walking, running, climbing and bending. Customer service and communication expertise. Level Characteristics N/A Minimum

Qualifications

Education Completion of a 2 year AMA approved respiratory care program (Associates Degree or the equivalent).

Must maintain annual skill maintenance requirements Must maintain annual safety/compliance requirements Must maintain North Carolina annual license requirements for CEUs Experience Six months to one year of clinical experience following graduation from a respiratory care program.

Degrees, Licensures, Certifications North Carolina State Licensure Registry ( RRT) by the National Association for Respiratory Care (NBRC) Certification in Basic Life Support (BLS) Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS) Certification in Neonatal Resuscitation (NRPS) if applicable to institution 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.

Key Responsibilities

Perform and evaluate diagnostic and therapeutic respiratory procedures for neonatal, pediatric, and adult patients. Serve as a member of the emergency team and assist with clinical rounds and medical device operations.

Requirements

Requires completion of a 2-year AMA-approved respiratory care program and 6 months to 1 year of clinical experience. Must hold North Carolina state licensure, RRT registry, and certifications in BLS, ACLS, PALS, and NRPS.

Qualifications

Education
Professional certificate or licensure

Key Skills

Respiratory therapyExtubationBronchoscopy assistancePatient transportClinical data interpretationEmergency airway management

Respiratory Therapy Career Context

Of the 50 active Respiratory Therapy listings this role was benchmarked against, 50% have no call, 44% 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).

Respiratory Therapy by the numbers
MeasureThis jobMarket
Work-life score4.8 / 10 · above average in respiratory therapyranked against 3,913 Respiratory Therapy listingslisting-based score, 0–10
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Respiratory Therapy listings in North Carolina100 active3,922 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 50% no call · 44% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index (3,913 Respiratory Therapy listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top contract/1099 Respiratory Therapist Jobs

33 matches · ranked by pay

Salary Distribution

23 jobs · 17 employers
8
<$85k
4
$85k-100k
7
$100k-115k
2
$115k-130k
2
$130k+

Annual compensation range

Benefits & Perks

25 jobs · 17 employers
401k / retirement match
80%
Sign-on bonus
48%
Loan repayment
20%
PSLF eligible
12%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

Respiratory Therapist – CRT/RRT

Garnet Health · Middletown, New York

$45.05 - $63.70/hr
#2

Respiratory Therapist II

Olympic Medical Center · Port Angeles, Washington

$41.41-$62.92/hr
#3

Respiratory Therapist - Providence Kodiak Island

$37.08-$55.62/hr
#4

Respiratory Therapist

$35.94-$55.43/hr
+ 31 more · ranked by pay

Work-life snapshot

median 3.0this job 4.8
Better work-life than 70% of Respiratory Therapy listings

Listing-based score, 0–10, across 3,913 comparable listings. Shaded area = the share scoring below this one.

Living in Durham

Typical 3-bedroom home value
$363k
Typical market rent
$1,659/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
97.6
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Durham-Chapel Hill, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.