Emergency Medicine Clinical Decision Unit - Full-Time- NP/PA

Join our Emergency Medicine – Clinical Decision Unit as an NP/PA at Atrium Health Wake Forest Baptist (main campus), Medical Center Blvd, Winston‑Salem, NC — part of Advocate Health, one of the largest nonprofit integrated health systems in the country. Our emergency department is the premier Level 1 Trauma Center in the region and a national leader in clinical care, education, and research, featuring a new state‑of‑the‑art facility that serves as a high‑volume, high‑acuity Level I trauma center, burn center, stroke center, and STEMI center with an annual volume exceeding 110,000 patient visits (adult and pediatric).

About the Role

The Clinical Decision Unit provides care for adult patients who need additional evaluation to determine whether a longer hospital admission is necessary. This position helps provide full overnight coverage of the CDU. Our APP team is exceptional, well‑respected, and fully integrated into all aspects of care delivery. The clinician functions under the regulatory mandate from their respective licensing organization (North Carolina Medical Board or North Carolina Board of Nursing) with departmental specific credentialing from the institution, under physician supervision.

Responsibilities

• Participate in team‑focused patient care by means of patient examinations augmented by diagnostic and therapeutic evaluations/interventions in the medical and/or surgical theatres of health care.
• Under physician supervision, perform complex diagnostic and therapeutic procedures in diagnosing emergency medical problems and prescribing necessary treatment and service for quality patient care; record data and tentative conclusions for review by physician.
• Carry out complex patient care services under indirect physician supervision using advanced medical knowledge; monitor progress of patients, maintain a record of the patient's progress, and consult with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.

Schedule

• ED CDU managed 24/7 by the APP team supervised by ED attendings.
• Minimum of 36 patient‑facing hours per week.
• Primarily 8‑hour shifts.
• Full‑time, inpatient care setting with APP call coverage as needed.

Benefits

• Competitive compensation: guaranteed base salary with annual bonus incentives.
• CME reimbursement: up to $3,000 per fiscal year plus 50 hours of CME PTO.
• Generous PTO: accrual starts at 25 days/year for vacation, sickness, holidays, and personal matters.
• Comprehensive health and welfare benefits: medical, dental, vision, life, and disability coverage.
• Retirement benefits: 401(k) options with employer contributions and access to financial wellness resources.
• Flexible spending accounts for eligible health care and dependent care expenses.
• Family support benefits: parental leave, adoption assistance, and surrogacy support.
• Educational assistance and professional development programs.
• Paid medical liability insurance.
• 501(c)(3) nonprofit, mission‑oriented health system.

Physician Assistant (PA) Requirements

• Graduation from an accredited Physician Assistant Program; Master's degree preferred.
• Current North Carolina Medical Board license, certified by NCCPA.
• 1 year of PA experience.
• Current American Heart Association or Red Cross Basic Life Support (BLS) required to start.
• Current Drug Enforcement Agency (DEA) and Department of Public Safety (DPS) registration for prescription writing required to start.

Nurse Practitioner (NP) Requirements

• Graduation from an accredited Nurse Practitioner Master's Program; Master's degree or higher required.
• Current North Carolina Board of Nursing Registered Nurse and Nurse Practitioner license.
• Board certified as a Nurse Practitioner by AANP or ANCC.
• 1 year of ENP or AGACNP experience.
• Current American Heart Association or Red Cross Basic Life Support (BLS) required to start.
• Current Drug Enforcement Agency (DEA) and Department of Public Safety (DPS) registration for prescription writing required to start.

About the Organization

Atrium Health Wake Forest Baptist is a nationally recognized academic health system in Winston‑Salem, North Carolina, with an integrated enterprise including educational and research facilities, hospitals, clinics, diagnostic centers, and other primary and specialty care facilities serving 24 counties in northwest North Carolina and southwest Virginia. The medical center is an 885‑bed tertiary care institution affiliated with the Wake Forest University School of Medicine, hosting a large academic EM program with 15 EM residents per year. Our collaborative provider team includes faculty attending physicians, emergency medicine and off‑service resident house officers, and advanced practice providers (APPs). APP post‑graduate experience is encouraged but not required. Autonomy is both encouraged and fostered, with opportunities for career development in education, administration, and leadership.

Location

The beautiful Piedmont Triad region of North Carolina has a moderate climate with all four seasons and a cost of living well below the national average. The Blue Ridge Mountains and Parkway are a 1–2 hour drive to the north and west, and North Carolina's beaches are close enough for long weekends. The region is on an upward trajectory while maintaining its Southern roots and small‑town feel, with an international vibe, festivals, and a wide variety of restaurants and entertainment options.

Culture & Values

When you join Wake Forest Emergency Providers, you will be welcomed into an inclusive culture that celebrates and respects the contributions a diverse team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally‑renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, elevate hope, and advance healing — for all.