Physician Assistant-Neuro ICU

Catholic Health•West Islip, NY

4d•$70 - $93•Onsite

About The Position

The Neuro ICU Advanced Practice Provider (APP) delivers comprehensive, high-acuity care to patients with complex neurological and neurosurgical conditions at Good Samaritan University Hospital, an academic tertiary-care center within Catholic Health. The APP works collaboratively with intensivists, neurosurgeons, neurologists, and critical care RNs to manage critically ill patients, perform advanced procedures, and optimize outcomes in a fast-paced Neuro ICU.

Requirements

Current NYS license as Nurse Practitioner (FNP/AGACNP preferred) or Physician Assistant
Master’s or Doctorate degree from an accredited NP or PA program
National board certification (AANP/ANCC for NP; NCCPA for PA)
BLS and ACLS certification
At least 1–2 years of critical care, neurology, neurosurgery, or ICU-related experience (new graduates with strong ICU RN background may be considered)
Advanced neurological assessment skills
Strong critical thinking and autonomous decision-making
Ability to manage multiple high-acuity patients in a dynamic ICU setting
Excellent communication and interdisciplinary collaboration
Compassionate, patient-centered care philosophy
Willingness to work in a 24/7 service with rotating shifts

Nice To Haves

ACNP or AGACNP certification for NPs
Neuro ICU or neurosurgical APP experience
Experience with EVD/ICP monitoring and neurocritical care protocols
CCRN, CNRN, or NCCPA specialty certifications
NIH Stroke Scale certification

Responsibilities

Perform comprehensive neurologic and critical care assessments on Neuro ICU patients, including acute stroke, traumatic brain injury, subarachnoid hemorrhage, status epilepticus, brain tumors, spinal cord injury, and complex post-operative neurosurgical patients.
Formulate and implement evidence-based medical management plans in collaboration with attending physicians.
Interpret diagnostic studies including CT, MRI, EEG, continuous neuromonitoring, and lab results.
Manage advanced neuromonitoring devices such as: Intracranial pressure (ICP) monitors External ventricular drains (EVDs) Licox and cerebral perfusion monitoring systems
Initiate and titrate critical care infusions (vasoactive, sedation, hyperosmolar therapies, anticonvulsants).
Respond to emergencies including code strokes, rapid response activations, seizures, airway compromise, and acute neurologic deterioration.
Central venous catheter placement
Arterial line insertion
Lumbar puncture
Ventilator management and airway stabilization
Bedside ultrasound for procedural guidance
Removal of EVDs or drains per neurosurgical protocols (if credentialed)
Participate in daily multidisciplinary rounds with neurosurgery, neurology, neurointensivists, nursing, respiratory therapy, rehab services, pharmacy, and case management.
Communicate clinical plans clearly to patients and families; provide education and support regarding neurological diagnoses.
Serve as a clinical resource to nursing staff and contribute to ongoing improvement of Neuro ICU protocols.
Maintain accurate, timely documentation in the electronic medical record.
Follow all hospital guidelines for patient safety, infection prevention, and critical care standards.
Participate in Neuro ICU quality initiatives including stroke metrics, morbidity/mortality reviews, CLABSI and CAUTI reduction, and evidence-based neurocritical care pathways.
Participate in continuing education specific to neurocritical care.
Maintain required certifications and hospital competencies.
Engage in research, performance improvement projects, or academic collaboration as appropriate.