Nurse Practitioner Jobs at Duke University with Visa Sponsorship
Nurse Practitioner jobs at Duke University support student, faculty, and community care across the health system. The university has an established international hiring process and works with immigration counsel to sponsor qualifying clinical roles, making it a realistic target for internationally trained NPs pursuing U.S. work authorization.
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WORK ARRANGEMENT:
Requisition Number: 270721
Regular or Temporary: Regular
LOCATION:
Durham, NC, US, 27710
PERSONNEL AREA:
DUKE HEALTH INTEGRATED PRACTIC
DATE:
Jun 8, 2026
As a part of Duke Health’s outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.
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 three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.
JOB LOCATION
Duke Endocrine Clinic 1A, 40 Duke Medicine Circle, Durham, NC
JOB SUMMARY
We are seeking an Advanced Practice Provider in the Duke Endocrine Clinic located in Durham, NC to act as a partner to provide medical services to patients, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, and provide direct patient care services. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients, with 8 clinical sessions per week.
JOB DUTIES & RESPONSIBILITIES
- Perform diagnostic and therapeutic procedures, in partnership with physicians, to diagnose medical and surgical problems and prescribing necessary treatment and services for quality patient care.
- Take patient histories, conduct physical examinations, and record the data in the patient's record; write progress notes and narrative discharge summaries (if applicable); prepare patient workups and summaries noting pertinent positive and negative findings.
- Order and schedule laboratory studies and diagnostic procedures; explain the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
- Utilize prescriptive privileges for identified patient populations.
- Communicate verbally and in writing all pertinent patient information to collaborating physicians, nursing staff, case manager, social worker, home health agency, and other relevant healthcare providers and especially those working in the multidisciplinary clinic setting.
- Document in the patients’ chart (EMR) all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; communications with collaborating and supervising MDs and other healthcare professionals.
- Participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions (if applicable).
- Collaborate in teaching and fostering the education of medical students, physician assistant students, and nurse practitioner students in techniques and procedures which are unique to specific clinical setting.
- Assess educational needs of patients/families and provide patient/family education interventions as needed.
- Serve as a role model through conduct, communication, dress, leadership, ethical decision-making, critical thinking, and problem-solving skills.
- Demonstrate responsibility for professional practice through active participation in at least one professional organization, including conference attendance, maintain continuing education hours/year for licensure, and in obtaining and maintaining certification in area of specialization if applicable.
- Maintain all professional requirements for licensure, certification, and practice as an Advanced Practice provider at Duke University Medical Center and Hospital.
- Consistently demonstrate a personal commitment to Patient Health and Safety.
- Practice excellent customer service.
- Maintain patient confidentiality at all times.
- Dress professionally.
- Practice Duke’s “Live our Values” guidelines.
- Communicate openly and respectfully with others.
- Participate in personal and professional learning opportunities.
- Primary work location would be the Duke 1A Endocrinology Clinic, however rotation across practice sites could be required based on clinical needs, patient volumes, access initiatives, or operational requirements.
KNOWLEDGE, SKILLS, AND ABILITIES
Candidates must be:
- Able to clearly articulate scope of practice, and practices within those guidelines as an Advanced Practice Provider in the state of North Carolina and within the Duke University Health System.
- Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
- Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
- Able to use fine motor skills.
- Able to record activities, document assessments and interventions; prepare reports and presentations.
- Able to use computer and learn new software programs.
- Able to provide leadership in clinical area of expertise and in meeting organizational goals.
- Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations.
- Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds.
JOB ELIGIBILITY REQUIREMENTS
Education
- Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
- Physician Assistants: Work requires completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.
CERTIFICATION
BLS required.
LICENSE
- Nurse Practitioners: Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. National certification as a NP required.
- Physician Assistants: Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants. BLS required.
- Both: DEA licensure with full prescriptive authority required.
Experience
1+ years of APP experience preferred.
JOB HOURS
Monday-Friday, day shift, with flexibility to meet clinic needs.
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.
NEAREST MAJOR MARKET:
Durham
NEAREST SECONDARY MARKET:
Raleigh
Tips for Finding Nurse Practitioner Jobs at Duke University
Verify your NP licensure transfers to North Carolina
North Carolina requires a separate state license before you can practice as an NP. Start the NCBON endorsement process early, it can take several weeks and Duke's HR won't initiate sponsorship paperwork until licensure is confirmed.
Target Duke's student and faculty health clinics
Duke's campus health and occupational health units hire NPs on a rolling basis and have a longer history of sponsoring international clinical staff than some of its specialty outpatient departments. These postings are worth prioritizing when you apply.
Get your credential evaluation done before applying
If your nursing degree is from outside the U.S., Duke's immigration team will need a credential equivalency evaluation from a NACES-approved agency. Having it ready at application stage removes a common bottleneck in the early sponsorship review.
Ask explicitly about E-3 if you hold Australian citizenship
Duke sponsors both H-1B and E-3 visas for clinical roles. The E-3 has no lottery and processes faster than H-1B, so if you're an Australian citizen, confirm with the recruiter that your offer letter specifies E-3 as the intended visa category.
Understand Duke's PERM timeline for Green Card pathways
Duke supports EB-2 and EB-3 sponsorship for qualifying NPs, but PERM labor certification typically takes 12 to 18 months to clear DOL review. Raise permanent residency intent during the offer stage, not after you've started, to align timelines with your status.
Browse open NP roles through Migrate Mate before applying direct
Search Migrate Mate to filter Duke University NP roles by visa type before approaching their careers portal. Seeing which positions have active sponsorship history lets you prioritize applications where international candidates have the strongest track record.
Frequently Asked Questions
Does Duke University sponsor H-1B visas for Nurse Practitioners?
Yes, Duke University sponsors H-1B visas for qualifying Nurse Practitioner roles. NP positions typically meet the specialty occupation standard because they require at minimum a Master of Science in Nursing or a Doctor of Nursing Practice. Duke works with immigration counsel to file petitions, but timing is tied to the annual H-1B cap and lottery, so roles that open in the fall often target an October 1 start date.
Which visa types does Duke University commonly use for Nurse Practitioners?
Duke sponsors H-1B, E-3 visa, and permanent resident pathways including EB-2 and EB-3 for NP roles. H-1B is the most common route for non-Australian candidates. Australian citizens can pursue the E-3 visa, which avoids the lottery entirely and allows faster processing. For long-term hires, Duke has initiated PERM labor certification for NPs moving toward Green Card sponsorship.
What qualifications does Duke University expect for Nurse Practitioner roles?
Duke typically requires a Master of Science in Nursing or Doctor of Nursing Practice, a valid North Carolina NP license, and national certification from a body such as AANP or ANCC. For internationally trained applicants, a credential evaluation from a NACES-approved agency is expected to confirm degree equivalency before the offer stage. Specialty certifications in areas like family practice or acute care strengthen your candidacy for specific units.
How do I apply for Nurse Practitioner jobs at Duke University?
Start by searching Migrate Mate to identify active Duke NP postings with visa sponsorship history, then apply through Duke's official careers portal at careers.duke.edu. When submitting your application, upload your North Carolina NP license, national certification, and credential evaluation if your degree is from outside the U.S. During the interview process, confirm sponsorship availability directly with the hiring manager or HR recruiter before progressing to an offer.
How long does the sponsorship process take for a Nurse Practitioner at Duke?
For H-1B, the process runs roughly 6 to 9 months from offer acceptance to a cap-subject start date, including LCA certification through DOL, which typically takes 7 business days, and USCIS petition review. E-3 processing for Australian citizens moves faster, often 4 to 8 weeks from LCA filing to visa issuance at a U.S. consulate. PERM for permanent residency adds 12 to 18 months on top of those timelines.