Job Description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered care, respect, accountability, and compassion—guide what we do as individuals and professionals every day.

The Physician Assistant or Nurse Practitioner is a licensed professional provider who functions in collaboration with an attending physician in a variety of practice settings at YNHHS. Provides exceptional direct diagnostic and therapeutic patient care to the highest standards of the organization as part of a multidisciplinary team. Cultivates a patient-centered environment focused on the whole individual, inclusive of the physical, psychosocial, spiritual, and functional needs of the patient, family, and significant others. Serves as the focal professional for continuity of care within scope of practice standards and specialty-specific standards to address and resolve problems that may arise.

Position Summary

The Inpatient Neurosciences APP provides comprehensive, team-based care for hospitalized patients across Neurology, Neurosurgery, and Stroke services. This role supports high-acuity inpatient management, consultative services, perioperative (pre- and post-operative) care, and select procedures. The position is integral to expanded neurosciences service lines and will help support inpatient operations as part of the opening and growth of the Adams Neuroscience Center.

What We Offer

• Competitive sign-on bonus available for eligible candidates.
• Opportunity to be part of a growing neurosciences program with the opening of the Adams Neuroscience Center.
• Collaborative physician-APP model with strong interdisciplinary support.
• Professional development opportunities, including stroke education, procedural training, and quality improvement initiatives.
• Competitive compensation and comprehensive benefits package.

Schedule / Coverage Model

• 12-hour shifts
• Average 40 hours/week (variable based on staffing model and service needs)
• Participates in a 24/7 coverage schedule (days, nights, weekends, and holidays as assigned)
• Works collaboratively within an interdisciplinary model with attending physicians, residents/fellows, nursing, therapy, pharmacy, case management, and other services

Required

• Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program
• Active state licensure as NP or PA
• Certification by appropriate national board (e.g., AANP, ANCC, NCCPA)
• Current BLS and ACLS certification
• Minimum 1 year of inpatient or surgical experience as an APP preferred

Qualifications

• Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program.
• Current licensure (or eligibility) as an NP or PA in the state of employment.
• National certification (AANP/ANCC for NPs; NCCPA for PAs).
• BLS and ACLS required.
• Inpatient Neurology, Neurosurgery, Stroke, ICU, or Hospital Medicine experience preferred; new graduates with strong clinical preparation and a demonstrated interest in neurosciences are encouraged to apply.

Essential Responsibilities

Inpatient Clinical Care (Neurology/Neurosurgery/Stroke)

• Manage inpatient care for a diverse neurosciences census, including acute neurologic conditions and neurosurgical patients.
• Perform daily rounds, ongoing assessments, and develop diagnostic and treatment plans.
• Provide inpatient management of pre-operative and post-operative patients, including risk stratification, optimization, monitoring for complications, and coordination of perioperative plans.
• Manage post-procedure and post-operative issues (e.g., neurologic status changes, pain control, DVT prophylaxis, wound and drain considerations per protocol, mobility restrictions, nutrition, and delirium prevention).

Consultative Services

• Respond to and manage inpatient consults across the hospital (e.g., altered mental status, seizures, focal deficits, headache, spine/brain pathology evaluation, and post-operative neurologic changes).
• Obtain focused histories, perform neurologic and/or post-operative assessments, interpret diagnostic data, and document consult recommendations.
• Coordinate with attending physicians to triage consult urgency and ensure timely follow-up and continuity of care.

Work Environment / Physical Requirements

• Hospital-based inpatient setting with frequent walking and standing; occasional lifting and assisting patients in accordance with organizational policy.
• Exposure to infectious diseases and other inpatient hazards; use of appropriate PPE as required.

Responsibilities

Clinical Care

• Provide comprehensive overnight cross-coverage for surgical patients on inpatient floors
• Perform focused assessments, develop care plans, and implement appropriate interventions
• Respond to acute clinical changes, pages, and nursing concerns in a timely manner
• Manage post-operative patients, including monitoring recovery, pain control, and complications
• Evaluate new consults as assigned by supervising surgical teams

Procedures (as credentialed and applicable)

• Wound assessment and bedside management
• Removal or care of drains, lines, staples, or sutures
• Assist with minor bedside procedures as required

Care Coordination

• Communicate effectively with attending surgeons, residents (if applicable), and day teams
• Provide clear and concise sign-out to incoming day team providers
• Collaborate with nursing staff and interdisciplinary teams to ensure safe patient care

Documentation

• Complete timely and accurate documentation in the electronic medical record (EMR)
• Document cross-cover events, consult notes, progress notes, and clinical decisions

Reporting Structure

• Reports to: APP Manager / Clinical Manager
• Clinical supervision: Attending surgeons (Orthopedics, Neurosurgery, and consulting services)

Additional Information

To learn more, please email our In-House Provider Recruiter:

Nathalie Martinez

Nathalie.Martinez@ynhh.org

Websites:

EEO/AA/Disability/Veteran

YNHHS Requisition ID

195904

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