Hospital Medicine PRN NP/PA

PRN position supporting Hospital Medicine services throughout the Wake Region.

Reports directly to the APP Manager.

Provides coverage for PTO, FMLA, illness call-outs, and periods of high patient census.

Schedule developed every three months in collaboration with the APP Manager and scheduling team.

Assignments may include day and swing shifts based on operational needs.

PRN APPs assigned to a swing shift will not be scheduled for a day shift the following day.

Schedule may be modified to accommodate unexpected call-outs, emergencies, or changes in patient census, with notice provided no later than 6:00 p.m. the day before whenever feasible.

Every effort will be made to minimize the number of different services and hospital locations worked within the same week and to provide continuity of patient care assignments.

Coverage may be assigned at any of the following Wake Region Hospital Medicine locations: Wake Forest Baptist Medical Center – Winston-Salem Davie Medical Center – Bermuda Run High Point Medical Center – High Point Lexington Medical Center – Lexington Wilkes Medical Center – North Wilkesboro PRN APPs assigned to Wilkes Medical Center will receive a $100 shift incentive for eligible shifts.

Experience Required Graduation from an accredited Nurse Practitioner or Physician Assistant program.

Nurse Practitioners must hold a Master’s Degree or Doctorate in Nursing Practice with Acute Care Nurse Practitioner (ACNP) or Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) board certification.

Physician Assistants must hold certification from the National Commission on Certification of Physician Assistants (NCCPA); CAQ certification preferred.

Current license to practice as a Nurse Practitioner or Physician Assistant in North Carolina.

Current prescriptive privileges and DEA registration.

Basic Life Support (BLS) for Healthcare Providers through the American Heart Association, valid at least 90 days beyond start date.

Demonstrated ability to work independently in a fast-paced inpatient environment.

Strong clinical judgment, communication, and interdisciplinary collaboration skills.

Flexibility to work across multiple hospital locations and adapt to varying patient care needs.

Essential Functions Perform initial and follow-up medical histories and physical examinations.

Conduct daily inpatient assessments and ongoing patient management.

Evaluate, admit, consult, and manage hospitalized adult medicine patients.

Develop and implement treatment plans in collaboration with supervising physicians.

Order, interpret, and manage laboratory, radiology, and other diagnostic studies.

Prescribe medications and therapeutic interventions within scope of practice.

Perform minor medical procedures as appropriate and within credentialing guidelines.

Coordinate care with physicians, nursing, pharmacy, case management, specialists, and ancillary departments.

Participate in multidisciplinary rounds and discharge planning activities.

Document all patient encounters, assessments, procedures, and treatment plans accurately and timely in the electronic medical record.

Serve as a patient advocate while promoting quality, safety, and evidence-based care.

Adapt quickly to varying practice locations, provider teams, and patient care environments while maintaining high standards of clinical excellence.

Physical Requirements Frequent walking, standing, sitting, lifting, reaching, bending, stooping, pushing, and pulling.

Must be able to lift and support up to 35 pounds while assisting with patients, medical equipment, and supplies.

Must possess intact senses of sight, hearing, smell, touch, and finger dexterity.

Must communicate effectively in English, both verbally and in writing.

Must be able to perform effectively in stressful clinical situations.

Must be flexible to work varying schedules, including day and swing shifts, weekends, and holidays based on departmental needs.

Advocate Health [https://www.advocatehealth.org/] is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health.

Providing care under the names Advocate Health Care [https://www.advocatehealth.com/] in Illinois; Atrium Health [https://atriumhealth.org/] in the Carolinas, Georgia and Alabama; and Aurora Health Care [https://www.aurorahealthcare.org/] in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.

Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine [https://school.wakehealth.edu/] serving as the academic core of the enterprise.

It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs.

Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.

Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.