Direct Client Fulltime Permanent Job Opportunity for Nurse Practitioner/Physician Assistant-Neurosurgery

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• Provide direct assessment, diagnosis and formulation/implementation of treatment plan for patients presenting with neurosurgical illness or injury. Outpatient responsibilities include histories and physicals, preoperative exams, ordering diagnostic studies and medications, screening referrals and post-operative follow-up. Significant time is spent handling patient inquiries regarding preoperative, intra-operative and post-operative care.
• Provide surgical services as a first assistant on neurosurgical cases in the operating room.
• Surgical procedures include craniotomies for microdiscectomies, tumors, aneurysms, AV malformations, stents, microsurgery, and laminectomies. Provide surgical call coverage with neurosurgeon on regular department rotation.
• Provide inpatient care by rounding on neurosurgical patients during weekdays and/or weekends. Responsibilities include writing post-operative orders, charting follow-up notes, changing dressings, removing sutures, handling ventriculostomy tubing's, and assisting with placement of halos, and placement of lumbar drain.
• Dictate all discharge summaries and write discharge orders for follow-up care in the clinic. Perform other duties as requested. The above care must be documented in writing in patient's permanent medical record in accordance with accepted medical/legal standards.
• All medical care must be provided in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician) and State licensing guidelines.

• Graduate of ANA-approved NP or AMA-approved PA or Child Health Associate training program or equivalent requirements to meet State licensure.

• NP or PA National Certification at time of hire/transfer.
• Current Oregon AND Washington NP and RN, or PA license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
• DEA/Prescribing registration at time of hire/transfer. Registration in state where assigned required upon hire/transfer, application for registration in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
• National Provider Identifier (NPI) required at time of hire/transfer.

• Minimum two (2) years clinical experience in neurosurgical setting.
• Minimum two (2) years surgical experience, with emphasis on neurosurgical procedures.
• Thorough and working knowledge of neurosurgical disease and injuries and their treatment.
• Thorough and working knowledge of surgical techniques, with emphasis on neurosurgical procedures.
• Working knowledge of state health care laws, licensing board regulations and controlled substance regulations. Important to know limitations and when to refer patients to the neurosurgeon.
• Ability to assess, diagnose and plan effective treatment for neurosurgical diseases and injuries.
• Excellent assistant surgical skills, especially with neurosurgical procedures.
• Ability to use appropriate procedural/testing equipment, to see large volume of patients, and to interface with large physician and support staff.

• Shares call with 6 other PAs.
• Rotating night and weekend call.

• Experience 1 year of neurosurgery experience Education Graduate of ANA-approved NP or AMA-approved PA or Child Health Associate training program or equivalent requirements to meet State licensure.
• License, Certification, Registration NP or PA National Certification at time of hire/transfer. Current Oregon AND Washington NP and RN, or PA license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
• DEA/Prescribing registration at time of hire/transfer. Registration in state where assigned required upon hire/transfer, application for registration in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
• National Provider Identifier (NPI) required at time of hire/transfer.

• 3 years of neurosurgery experience