Neurosurgery, IP - Spinal Deformity- Nurse Practitioner/Physician Assistant- Piedmont Atlanta Hospital

Piedmont Healthcare Inc.•Atlanta, GA

11d•Onsite

About The Position

Piedmont Healthcare is recruiting a full-time, primarily inpatient Advanced Practice Provider to join its Neurosurgery practice at Piedmont Atlanta Hospital. The APP will help manage hospitalized neurosurgical patients, including patients with complex spine and spinal deformity conditions, in a fast-paced, high-acuity setting. The role involves daily rounding, consultations, perioperative management, postoperative care, discharge planning, and coordination across the hospital. The APP works collaboratively with neurosurgeons and a multidisciplinary team that includes other APPs, nursing, critical care, neurology, rehabilitation, case management, and other specialists. A rotating weekend coverage requirement is part of the Neurosurgery APP team. Limited outpatient support may also be provided according to practice needs.

Requirements

Graduate of an accredited Physician Assistant or Advanced Practice Registered Nurse program.
Bachelor's or master's degree as required for professional licensure.
Current national certification applicable to the APP discipline.
Current Georgia license or eligibility for Georgia licensure.
Eligibility for hospital credentialing and clinical privileges.
Strong neurological assessment and clinical decision-making skills.
Ability to independently assess hospitalized patients, identify changes in clinical condition, and appropriately escalate concerns.
Ability to function effectively in a high-acuity, fast-paced inpatient environment.
Strong communication, documentation, interdisciplinary collaboration, and care-coordination skills.
Willingness to participate in a rotating weekend coverage schedule.

Nice To Haves

Three to five years of Neurosurgery experience, particularly in an inpatient, surgical, neurocritical care, trauma, or other acute-care environment.
Experience managing preoperative and postoperative neurosurgical patients.

Responsibilities

Serve as an integral member of the inpatient Neurosurgery service, caring for and managing hospitalized neurosurgical patients.
Conduct daily hospital rounds, independently evaluate assigned patients, and collaborate with attending neurosurgeons on care plans.
Perform comprehensive and focused histories, physical examinations, and neurological assessments.
Evaluate new inpatient and emergency department neurosurgical consultations and communicate findings and recommendations to the attending neurosurgeon.
Manage patients throughout hospitalization, including preoperative, immediate postoperative, and ongoing postoperative care.
Monitor neurological status, laboratory results, diagnostic imaging, medications, drains, wounds, and response to treatment.
Recognize changes in neurological or medical condition and initiate appropriate evaluation, escalation, and intervention.
Enter appropriate orders for medications, laboratory studies, imaging, consultations, therapies, and other care within scope of practice and privileges.
Write admission histories and physicals, consultation notes, daily progress notes, postoperative documentation, and discharge summaries.
Coordinate transitions between intensive care, intermediate care, acute care, inpatient rehabilitation, and home.
Facilitate discharge planning and coordinate post-discharge follow-up, medications, patient education, and outpatient services.
Communicate with patients and families about the care plan, anticipated clinical course, procedures, discharge needs, and follow-up.
Provide comprehensive preoperative and postoperative management for hospitalized neurosurgical patients.
Assist with surgical and procedural care based on training, credentialing, and service needs.
Ensure required preoperative testing, imaging, laboratory studies, consultations, and medical clearances are completed.
Perform postoperative evaluations and monitor for neurological changes, wound complications, pain-control issues, and other potential complications.
Identify potential postoperative complications and collaborate with the neurosurgeon and other specialists on timely intervention.
Help facilitate patient progression from admission through surgery, recovery, rehabilitation, and discharge.
Collaborate with Neurosurgery physicians and APPs, Neurocritical Care, Neurology, Hospital Medicine, Emergency Medicine, nursing, rehabilitation, case management, and other consulting teams.
Communicate relevant changes in neurological status, imaging, laboratory results, and clinical condition to the attending neurosurgeon.
Participate in multidisciplinary rounds and patient-care discussions.
Support quality, safety, and performance-improvement initiatives related to inpatient neurosurgical care.
Promote efficient patient flow, appropriate length of stay, and safe transitions of care.
Participate in rotating weekend coverage, including inpatient rounding and management of Neurosurgery patients during assigned rotations.
Participate in first-call coverage for Neurosurgery patients as assigned and appropriate to the practice model.
Assist with urgent inpatient and emergency department consultations during scheduled coverage periods.
Ensure effective handoffs and continuity of care between weekday and weekend teams.
As needed, provide limited outpatient support, including postoperative follow-up visits, preoperative evaluations and surgical-readiness assessments, coordination after discharge, and patient and family education about surgery and recovery.