NP / Physician Assistant

Highland Hospital•Rochester, NY

About The Position

Highland Hospital is adding Advanced Practice Providers to its Department of Surgery. The Physician Assistant or Nurse Practitioner provides coordinated surgical care in a blended role consisting of 50% daytime Surgical Subspecialty coverage and 50% overnight Surgical House Coverage. The APP works collaboratively with attending surgeons, residents, and the interdisciplinary care team to evaluate and manage surgical patients in emergency, inpatient, observation, surgical short-stay, ambulatory surgery, and perioperative settings. All duties are performed within the APP’s education, experience, scope of practice, medical staff privileges, and applicable physician supervision or collaboration requirements. During daytime Surgical Subspecialty coverage, the APP provides assigned specialty coverage, including consultations, admissions, preoperative and postoperative evaluations, and daily rounds. Assigned services may include Neurosurgery, Urology, Plastic Surgery, Surgical Oncology, Bariatric/Colorectal/General Surgery, Otolaryngology, Vascular Surgery, and Ophthalmology. When assigned and appropriately privileged, the APP may provide operating room first- or second-assist functions, wound closure, approved procedures, and postoperative transfer and evaluation. During overnight Surgical House Coverage, the APP assesses, manages, and cross-covers assigned surgical patients and services; responds to surgical consultation requests; evaluates postoperative concerns; initiates care within privileges; and coordinates escalation, higher levels of care, or transfers when indicated. The role also includes authorized bedside procedures, prompt documentation, and structured handoffs to daytime teams. The salary range is $98,000.00–$130,083.20 annually. Individual compensation is set within the range based on factors that may include market data, education, experience, qualifications, expertise, and internal equity.

Requirements

Completion of an accredited educational program qualifying the applicant for licensure as a Physician Assistant or Nurse Practitioner in New York State.
Current New York State PA or NP licensure, or eligibility for licensure.
American Heart Association Basic Life Support (BLS) certification required.
Excellent communication and collaboration skills across clinical and administrative staff levels.

Nice To Haves

One to two years of experience in a surgical inpatient setting is preferred; new graduates may be considered.
First-assist certification for Nurse Practitioners is preferred but not universally required; operating room assistance depends on applicable training, certification, privileging, and institutional requirements.

Responsibilities

Provide assigned daytime surgical subspecialty coverage, including inpatient and emergency consultations, admissions, preoperative and postoperative evaluations, and daily rounds.
Obtain histories, reconcile medications, perform comprehensive examinations, develop assessments and plans of care, and enter appropriate orders.
Coordinate laboratory testing, imaging, medication management, perioperative pain management, discharge planning, and patient and family education.
Provide coverage for assigned services, which may include Neurosurgery, Urology, Plastic Surgery, Surgical Oncology, Bariatric/Colorectal/General Surgery, Otolaryngology, Vascular Surgery, and Ophthalmology.
When assigned and appropriately privileged, perform operating room first- or second-assist functions, wound closure, approved procedures, and postoperative transfer and evaluation.
Communicate and coordinate with surgeons, consulting clinicians, residents, nurses, and other team members to promote safe, coordinated care.
Provide overnight assessment, management, and cross-coverage for assigned surgical patients and services, including changes in clinical condition.
Respond to surgical consultation requests from inpatient and emergency settings and escalate to the appropriate on-call surgeon or resident.
Evaluate postoperative concerns, order and interpret appropriate tests, initiate treatments within privileges, and facilitate higher levels of care or transfers when indicated.
Perform authorized bedside procedures, document assessments and interventions promptly, and provide structured handoffs to daytime teams.
Coordinate with on-call attending physicians, residents, nursing, and interdisciplinary colleagues to maintain continuity and timely escalation.