Neurosurgery, Spinal Deformity- Nurse Practitioner/Physician Assistant- Atlanta

Piedmont Healthcare Inc. • Atlanta, GA

16d

About The Position

Piedmont Healthcare is seeking an experienced Advanced Practice Provider (Physician Assistant or Nurse Practitioner) to join its Neurosurgery team, with a primary focus on adult spinal deformity and complex spine surgery. The APP will work alongside a fellowship-trained spinal deformity specialist as part of a comprehensive program focused on clinical excellence, multidisciplinary care, patient outcomes, and patient experience.

The APP will be an integral member of the surgical team across the continuum of care, including preoperative evaluation, first assisting in the operating room, inpatient management and rounding, discharge coordination, and postoperative clinic care. The role includes participation in an established Neurosurgery APP call rotation, with nights and weekends, and first-call coverage for appropriate inpatient neurosurgical issues within the APP’s scope and established escalation protocols.

Requirements

• Graduate of an accredited Physician Assistant or Nurse Practitioner program.
• Current or eligible Georgia APRN or PA licensure.
• Appropriate national board certification.
• Current BLS certification.
• Ability to obtain hospital privileges and meet Piedmont credentialing requirements.
• Strong clinical judgment, communication skills, and attention to detail.
• Ability to function in a high-acuity surgical environment.

Nice To Haves

• 1–2+ years of neurosurgery, orthopedic spine, or other complex surgical experience.
• Previous experience serving as First Assist in the OR.
• Experience managing postoperative spine or neurosurgical patients.
• Familiarity with complex spine procedures and perioperative pathways.
• Experience working within a multidisciplinary surgical program.
• Demonstrated ability to recognize and respond appropriately to postoperative complications.
• Comfort working across the operating room, inpatient unit, and outpatient clinic.
• Interest in developing advanced expertise in complex spine and adult spinal deformity care.

Responsibilities

• Provide operating-room support for adult spinal deformity, complex reconstruction, revision, and other neurosurgical spine procedures.
• Assist with operative preparation, positioning, exposure, closure, and other duties within APP scope and credentialing.
• Participate in care for patients undergoing complex procedures, including multilevel reconstruction, osteotomy, and revision surgery.
• Support standardized perioperative and enhanced recovery pathways.
• Perform daily hospital rounds and coordinate care with attending neurosurgeons.
• Evaluate new inpatient and emergency department consultations.
• Complete histories and physical examinations, orders, progress notes, discharge summaries, and other required documentation.
• Monitor postoperative recovery and recognize potential neurological, surgical, and medical complications; escalate significant concerns to the attending surgeon.
• Facilitate timely discharge and transitions of care.
• Collaborate with hospital medicine, nursing, physical and occupational therapy, rehabilitation, case management, pharmacy, and other disciplines.
• Conduct comprehensive histories and physical examinations and document findings in the medical record.
• Evaluate new and established spine patients in collaboration with supervising physicians.
• Perform preoperative evaluations and ensure required laboratory testing, imaging, specialty clearances, and medical optimization are completed before surgery.
• Provide postoperative and longitudinal follow-up care.
• Review imaging, laboratory findings, wound status, neurological recovery, pain management, and functional progress.
• Educate patients and families about surgical preparation, postoperative expectations, rehabilitation, activity restrictions, and warning signs requiring immediate evaluation.
• Participate in multidisciplinary case planning for complex spinal deformity patients.
• Help implement standardized clinical pathways and evidence-based protocols.
• Support collection of clinical outcomes and patient-reported outcome measures.
• Participate in quality-improvement initiatives focused on surgical outcomes, complications, length of stay, readmissions, patient experience, and discharge efficiency.
• Maintain high-quality clinical documentation that accurately represents patient acuity and procedural complexity.
• Participate in the established Neurosurgery APP call rotation, including nights and weekends.
• Provide first-call coverage for appropriate inpatient neurosurgical issues within scope and established escalation protocols.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level