Neuro ICU APP - Full Time (Adams Neuroscience Center)

Yale New Haven Health • New Haven, CT

9d • Onsite

About The Position

The Physician Assistant or Nurse Practitioner is a licensed professional provider who collaborates with attending physicians and provides direct diagnostic and therapeutic care as part of a multidisciplinary team. The role promotes patient-centered care addressing patients’ physical, psychosocial, spiritual, and functional needs, and supports continuity of care within the applicable scope and specialty standards.

The Inpatient Neurosciences APP provides comprehensive team-based care for hospitalized patients across Neurology, Neurosurgery, and Stroke services. Responsibilities include high-acuity inpatient management, consultative services, perioperative care, and select procedures. The position supports expanded neurosciences services and inpatient operations associated with the opening and growth of the Adams Neuroscience Center.

The schedule consists of 12-hour shifts averaging 40 hours per week, variable based on staffing and service needs. The APP participates in 24/7 coverage, including days, nights, weekends, and holidays as assigned, and works collaboratively with physicians, residents or fellows, nursing, therapy, pharmacy, case management, and other services.

The posting also describes overnight cross-coverage for surgical patients, including focused assessments, care planning, responses to acute changes, postoperative management, consult evaluation, bedside procedures as credentialed, care coordination, sign-out, and electronic medical record documentation. The role is hospital-based, with frequent walking and standing, occasional lifting and patient assistance, and exposure to infectious diseases and other inpatient hazards. Appropriate PPE is used as required.

Requirements

• Graduate of an accredited Nurse Practitioner or Physician Assistant program.
• Current licensure, or eligibility for licensure, as an NP or PA in the state of employment.
• National certification appropriate to the profession: AANP or ANCC for NPs, or NCCPA for PAs.
• Current BLS and ACLS certification.
• Minimum one year of inpatient or surgical experience as an APP is identified as preferred in the posting.

Nice To Haves

• Inpatient Neurology, Neurosurgery, Stroke, ICU, or Hospital Medicine experience.
• New graduates with strong clinical preparation and a demonstrated interest in neurosciences are encouraged to apply.
• Professional development interests in stroke education, procedural training, and quality improvement initiatives.

Responsibilities

• Manage inpatient care for a diverse neurosciences census, including acute neurologic conditions and neurosurgical patients.
• Perform daily rounds and ongoing assessments, and develop diagnostic and treatment plans.
• Manage pre-operative and post-operative patients, including risk stratification, optimization, monitoring for complications, and coordination of perioperative plans.
• Manage post-procedure and postoperative issues, including neurologic status changes, pain control, DVT prophylaxis, wound and drain considerations per protocol, mobility restrictions, nutrition, and delirium prevention.
• Respond to and manage inpatient consultations across the hospital, including altered mental status, seizures, focal deficits, headache, brain or spine pathology evaluation, and postoperative neurologic changes.
• Obtain focused histories, perform neurologic or postoperative assessments, interpret diagnostic data, and document consultation recommendations.
• Coordinate with attending physicians to triage consultation urgency and ensure timely follow-up and continuity of care.
• Provide comprehensive overnight cross-coverage for surgical patients on inpatient floors.
• Perform focused assessments, develop care plans, and implement appropriate interventions.
• Respond promptly to acute clinical changes, pages, and nursing concerns.
• Manage postoperative patients, including monitoring recovery, pain control, and complications.
• Evaluate new consultations as assigned by supervising surgical teams.
• Perform wound assessment and bedside management, and remove or care for drains, lines, staples, or sutures, as credentialed and applicable.
• Assist with minor bedside procedures as required.
• Communicate with attending surgeons, residents when applicable, and day teams; provide clear sign-out to incoming day-team providers.
• Collaborate with nursing staff and interdisciplinary teams to ensure safe patient care.
• Complete timely and accurate electronic medical record documentation, including cross-cover events, consultation notes, progress notes, and clinical decisions.

Benefits

• Competitive sign-on bonus for eligible candidates.
• Competitive compensation and comprehensive benefits package.
• Professional development opportunities, including stroke education, procedural training, and quality improvement initiatives.

What This Job Offers

• Job Type: Full-time