Duke University Hospital
Hospitalist Physician - Neonatal Intensive Care (NIGHTS / NICU Nocturnist)
Duke University Hospital, Durham, North Carolina, United States, 27703
Job Overview
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. Job Location:
Duke University Hospital, Durham, North Carolina Requisition Number:
261484 Regular or Temporary:
Regular Location:
Durham, NC 27710 Date:
Sep 11, 2025 Job Summary
This position provides direct patient care services and medical management of infants under the age of 2 in the Neonatal Intensive Care Unit (NICU) at Duke University Hospital (DUH), under the supervision of a Neonatologist. The role includes seeing patients in level 4 and level 2 NICUs affiliated with Duke University Health System (DUHS). Responsibilities include performing physical exams, collecting and interpreting patient data, presenting information on rounds, generating assessments and care plans, implementing diagnostic and therapeutic interventions, collaborating with consulting services, counseling families, and prescribing medications, nutrition, and therapies for NICU patients in collaboration with a multidisciplinary team. Other tasks include delivery room attendance, participation in neonatal resuscitation, performing common neonatal procedures, ventilator management with respiratory therapists, regular care meetings, facilitating transitions in care and discharge home with NICU support staff, trainees, and physicians. Job Duties and Responsibilities
In collaboration with the attending physician and fellows, round daily on patients to assess, diagnose, plan treatment, set priorities, and evaluate the effectiveness and cost efficiency of patient care. Provide and coordinate clinical care for service-specific patients per established protocols and unit guidelines, under the supervision of an attending physician who is onsite or available by pager. Collaborate with fellows, residents, attendings, APP colleagues, nurses, dietitians, pharmacists, social workers, and patient care managers to formulate treatment plans, facilitate care progression, and monitor patient progress. Work collaboratively with NICU APP team members, sharing their model for workflow, documentation, handoff, and communication in the NICU. Attend daily huddles in the NICU to discuss patient flow and situational awareness; weekly huddles to discuss care progression and discharge planning. Work closely with the medical director and APP team leads of the NICU to understand standard protocols, guidelines and workflows in the NICU. Perform procedures specific to the work environment after demonstrating competency and within the scope of practice and credentialing protocols. Assess patients for a change in status, escalate concerns and institute appropriate interventions. Initiate emergency interventions to stabilize the patient until more support arrives. Post-procedural stabilization and management for patients returning to the NICU after a surgical or procedural intervention. Assist with bedside surgeries in the NICU alongside multidisciplinary NICU, surgery, and anesthesia teams. Participate in developing patient care pathways, protocols, and guidelines for managing specific problems in conjunction with other members of the health care team. Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers. Document in the patients' medical records all relevant data, including diagnostic tests, laboratory results, patient condition and response to therapies/interventions, and communications with the supervising MD. Prescriptive authority for prescribing, ordering, and/or administering drugs and necessary medical devices. Give daily handoff to the appropriate attending, APP, or fellow/resident at the end of the shift. Assess the educational needs of patients and families and provide culturally sensitive education interventions; use non-technical language and document all education in patients' medical records. Maintain all professional requirements for licensure and certification. Job Eligibility Requirements
Education MD or DO graduate from an accredited medical school program and completion of Pediatrics, Family Practice or Medicine-Pediatrics Residency. Licensure Unrestricted medical license issued by NCMB. Federal and State prescriptive authority (DEA license). Certification ABP or ABFM (board eligible recent or pending graduates may also apply). BLS, NRP mandatory before hire. Experience Candidates early in their career or finishing their Pediatric, Med-Peds, or Family Medicine residency and interested in gaining additional experience in Neonatology are encouraged to apply. Job Hours
Position includes 11 x 12-hour shifts per month from 7p-7a. Shifts will include week nights and weekend nights. 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 Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.
#J-18808-Ljbffr
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. Job Location:
Duke University Hospital, Durham, North Carolina Requisition Number:
261484 Regular or Temporary:
Regular Location:
Durham, NC 27710 Date:
Sep 11, 2025 Job Summary
This position provides direct patient care services and medical management of infants under the age of 2 in the Neonatal Intensive Care Unit (NICU) at Duke University Hospital (DUH), under the supervision of a Neonatologist. The role includes seeing patients in level 4 and level 2 NICUs affiliated with Duke University Health System (DUHS). Responsibilities include performing physical exams, collecting and interpreting patient data, presenting information on rounds, generating assessments and care plans, implementing diagnostic and therapeutic interventions, collaborating with consulting services, counseling families, and prescribing medications, nutrition, and therapies for NICU patients in collaboration with a multidisciplinary team. Other tasks include delivery room attendance, participation in neonatal resuscitation, performing common neonatal procedures, ventilator management with respiratory therapists, regular care meetings, facilitating transitions in care and discharge home with NICU support staff, trainees, and physicians. Job Duties and Responsibilities
In collaboration with the attending physician and fellows, round daily on patients to assess, diagnose, plan treatment, set priorities, and evaluate the effectiveness and cost efficiency of patient care. Provide and coordinate clinical care for service-specific patients per established protocols and unit guidelines, under the supervision of an attending physician who is onsite or available by pager. Collaborate with fellows, residents, attendings, APP colleagues, nurses, dietitians, pharmacists, social workers, and patient care managers to formulate treatment plans, facilitate care progression, and monitor patient progress. Work collaboratively with NICU APP team members, sharing their model for workflow, documentation, handoff, and communication in the NICU. Attend daily huddles in the NICU to discuss patient flow and situational awareness; weekly huddles to discuss care progression and discharge planning. Work closely with the medical director and APP team leads of the NICU to understand standard protocols, guidelines and workflows in the NICU. Perform procedures specific to the work environment after demonstrating competency and within the scope of practice and credentialing protocols. Assess patients for a change in status, escalate concerns and institute appropriate interventions. Initiate emergency interventions to stabilize the patient until more support arrives. Post-procedural stabilization and management for patients returning to the NICU after a surgical or procedural intervention. Assist with bedside surgeries in the NICU alongside multidisciplinary NICU, surgery, and anesthesia teams. Participate in developing patient care pathways, protocols, and guidelines for managing specific problems in conjunction with other members of the health care team. Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers. Document in the patients' medical records all relevant data, including diagnostic tests, laboratory results, patient condition and response to therapies/interventions, and communications with the supervising MD. Prescriptive authority for prescribing, ordering, and/or administering drugs and necessary medical devices. Give daily handoff to the appropriate attending, APP, or fellow/resident at the end of the shift. Assess the educational needs of patients and families and provide culturally sensitive education interventions; use non-technical language and document all education in patients' medical records. Maintain all professional requirements for licensure and certification. Job Eligibility Requirements
Education MD or DO graduate from an accredited medical school program and completion of Pediatrics, Family Practice or Medicine-Pediatrics Residency. Licensure Unrestricted medical license issued by NCMB. Federal and State prescriptive authority (DEA license). Certification ABP or ABFM (board eligible recent or pending graduates may also apply). BLS, NRP mandatory before hire. Experience Candidates early in their career or finishing their Pediatric, Med-Peds, or Family Medicine residency and interested in gaining additional experience in Neonatology are encouraged to apply. Job Hours
Position includes 11 x 12-hour shifts per month from 7p-7a. Shifts will include week nights and weekend nights. 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 Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.
#J-18808-Ljbffr