Advanced Practice Provider (NP/PA/APP) Neurocritical care NNICU/NIMU

UVA Health•Charlottesville, VA
•$129,323 - $185,266•Onsite

About The Position

The Advanced Practice Provider (NP/PA/APP) in the Nerancy Neuroscience Intensive Care Unit (NNICU) and Neuro Intermediate Care Unit (NIMU) manages primarily adult patients with high-acuity neurological and neurosurgical needs. The patient population includes patients with stroke, neurological injury, post-TNK care needs, complex spine surgery, elective neurosurgery, and conditions requiring ICU-level management. Working across both units supports continuity through multiple phases of hospitalization and close collaboration with attending physicians, neurology and neurosurgery residents, nursing professionals, and multidisciplinary critical care teams. The role includes assessing and managing complex neurocritical care patients, developing evidence-based plans of care, responding to changing clinical conditions, developing proficiency and autonomy in critical care procedures, communicating compassionately with patients and families, and advocating for holistic, family-centered care. As their expertise develops, providers may contribute to education and orientation for new providers and rotating residents. The schedule consists of three 12-hour shifts per week, plus one additional 12-hour shift each month. Shifts rotate among days, nights, and evenings (1:00 p.m. to midnight), and include required weekend and holiday coverage. Scheduling flexibility may allow shifts to be concentrated around nights, weekends, or other preferred patterns when operationally feasible. Critical care experience is strongly preferred, especially in neurocritical care, a Neuro ICU, MICU, or another ICU. New graduate APPs may also be considered and supported through an extended orientation. Onboarding is individualized and typically lasts approximately six months for new graduates and three months for experienced providers, with emphasis on clinical knowledge, procedural development, feedback, and progressive independence. The APP scope includes expert evidence-based, top-of-scope clinical care; collaboration as part of a specialty team; patient education and thorough documentation; and compliance with institutional and regulatory standards. Providers support specialty best practices and protocols, serve on committees and workgroups, educate learners, mentor new team members, contribute to quality improvement, participate in professional governance through the APP Council, attend team development meetings, maintain required licenses and competencies, and participate in professional organizations. The role is based in a Level I Trauma Center and academic medical center environment.

Requirements

  • Graduate of an accredited graduate school of nursing or physician assistant program with a master’s degree.
  • License or license-eligible status as an Advanced Practice Provider (Nurse Practitioner or Physician Associate) under Virginia requirements.
  • If a Nurse Practitioner, a license to practice as a Registered Nurse in the Commonwealth of Virginia is required.
  • Meet and maintain UVA Health System, Virginia Board of Medicine or Virginia Board of Nursing, and relevant certifying-body credentialing and licensing requirements.
  • Current Basic Life Support (BLS) certification.
  • Current PALS/NRP and ACLS certifications when required for the position.
  • Ability to meet the role’s physical demands, including prolonged standing; frequent bending, stooping, and reaching; repetitive keyboard work; effective communication, auditory and visual skills; attention to detail; legible writing; and lifting, pushing, or pulling 50–100 pounds.
  • Undergo pre-employment background checks and health screenings; safety-sensitive positions with direct patient interaction also require a drug screen.

Nice To Haves

  • Critical care experience, particularly in neurocritical care, Neuro ICU, MICU, or another ICU environment.
  • New graduate APPs may be considered and supported through an extended orientation.
  • Relocation assistance may be available for qualified candidates.

Responsibilities

  • Assess and manage complex neurocritical care patients in collaboration with attending physicians, neurology and neurosurgery residents, nursing professionals, and multidisciplinary critical care teams.
  • Develop evidence-based plans of care and respond to rapidly changing clinical conditions.
  • Build proficiency and autonomy in critical care procedures.
  • Communicate clearly and compassionately with patients and families navigating traumatic diagnoses, neurological injuries, and chronic pain.
  • Advocate for holistic, family-centered care.
  • Contribute to education and orientation of new providers and rotating residents as expertise develops.
  • Participate actively in a supportive, team-oriented clinical environment.
  • Provide expert, evidence-based, top-of-scope clinical care and collaborate with other clinicians as appropriate.
  • Provide health education to patients and maintain accurate, timely, thorough documentation.
  • Ensure compliance with institutional and regulatory standards.
  • Support development of specialty best practices and protocols; serve on committees and workgroups to enhance patient care.
  • Educate clinical learners and mentor new team members.
  • Contribute to clinical quality improvement work and participate in professional governance through the APP Council.
  • Attend local and departmental team development meetings.
  • Maintain appropriate licenses, certifications, and specialty training competencies, and participate in local, state, and national professional organizations.
  • Adhere to ASPIRE values in professional interactions.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Generous paid time off
  • Retirement savings
  • Long-term and short-term disability
  • Health savings plans and flexible spending accounts
  • Certification and education support
  • Relocation assistance may be available for qualified candidates.
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