About the role
Position Title
Neurosurgery Advanced Practice Provider (Physician Assistant or Nurse Practitioner)
Position Summary
The Neurosurgery Advanced Practice Provider (APP) is a highly skilled clinician responsible for delivering comprehensive care to patients with neurosurgical conditions across inpatient, outpatient, and perioperative settings. The APP functions as an integral member of the Neurosurgery Service Line, collaborating closely with neurosurgeons, neurologists, hospitalists, and multidisciplinary teams to optimize patient outcomes, improve efficiency, and ensure high-quality, evidence-based care.
Key Responsibilities
1. Inpatient / Hospital Responsibilities
• Perform comprehensive history and physical examinations for neurosurgical patients
• Evaluate and manage acute neurosurgical conditions (e.g., TBI, stroke, spinal pathology, tumors)
• Conduct daily rounds, including ICU and floor patients
• Write progress notes, orders, and discharge summaries
• Coordinate care with consulting services, nursing staff, and case management
• Respond to neurosurgical consults in ED and inpatient units
• Assist with patient triage and prioritization of surgical cases
2. Operative / Perioperative Responsibilities
• First assist in neurosurgical procedures (cranial and spine, depending on training and privileges)
• Perform preoperative assessments and optimization
• Assist with positioning, exposure, and wound closure
• Manage postoperative care, including complications and follow-up
• Ensure continuity of care from OR to ICU/floor
3. Outpatient / Clinic Responsibilities
• Conduct new patient evaluations and follow-up visits
• Order and interpret diagnostic studies (CT, MRI, labs)
• Develop and implement treatment plans under physician supervision
• Provide patient education regarding diagnosis, treatment options, and postoperative care
• Manage longitudinal care for spine and cranial patients
4. Call & Coverage Responsibilities
• Participate in on-call rotation (including nights, weekends, and holidays as required)
• Provide cross-coverage for inpatient neurosurgical services
• Respond to urgent/emergent neurosurgical issues
• Support hospital throughput and ED consult response times
5. Documentation & Compliance
• Complete timely, accurate, and compliant documentation in the EMR
• Ensure adherence to hospital policies, CMS guidelines, and billing requirements
