WakeHealth.edu) 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. 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.