PA or CRNP (ACNP), Nights - UPP Neurosurgery - UPMC Presbyterian

UPMC•Pittsburgh, PA

7d•Onsite

About The Position

This is a dedicated overnight inpatient neurosurgery APP role at UPMC Presbyterian (PUH), the system’s largest academic center and a Level 1 trauma center. The night APP is an integral member of the neurosurgery care team, providing continuity of care during overnight hours and managing a broad range of neurosurgical conditions. Because PUH supports all neurosurgical subspecialties, APPs in this role gain exceptional exposure across the full spectrum of neurosurgery, making it an outstanding opportunity for both experienced clinicians and motivated new graduates seeking high acuity training and professional growth. UPMC Presbyterian is the system’s flagship academic hospital and a Level 1 Trauma Center, offering overnight APPs unmatched exposure to the full spectrum of neurosurgical care — from trauma and emergencies to complex subspecialty cases. As the largest neurosurgery site, PUH manages all neurosurgical service lines. Night APPs gain hands on experience with high acuity consults, ICU and floor management, and bedside procedures — making this an exceptional role for new graduates and APPs seeking rapid clinical development. You’ll practice at the top of your license with strong attending and resident support, while enjoying a consistent schedule. Overnight APPs are essential to patient safety, continuity of care, and resident support at PUH. This role offers meaningful responsibility, clinical independence, and the opportunity to make a visible difference every shift. Structured onboarding, clear scope of practice, and a collaborative overnight culture make this a welcoming and supportive environment for APPs at all experience levels. The Staff or Senior Advanced Practice Provider (APP) is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team. The APP is responsible to set the standards for the level and quality of care. The APP has responsibility, authority, and accountability for the provision of care through supervision by and collaboration with a physician. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members. The role of the APP encompasses the beginnings of leadership, partnership, collaboration, and supervision. The APP establishes and maintains collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care. The APP begins to demonstrate a commitment to the community and to their healthcare profession. The successful candidate will be placed according to years and months of experience for employment purposes.

Requirements

Certified Registered Nurse Practitioner (CRNP): The successful completion of an approved nurse practitioner program is required
Current state RN license and CRNP certification are required
National certification, eligible for licensure by Pennsylvania board of nursing, eligible for certification as a CRNP by Pennsylvania state board of nursing
Current CPR certification is required
Act 34 Clearance required
Physician Assistant (PA): A graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the physician assistant (ARC-PA) is required
Current state PA license certified by the National Commission on Certification of Physician Assistants (NCCPA) is required
Current CPR certification is required
Act 34 Clearance required

Nice To Haves

BSN, MSN is preferred
Professional nursing experience and/or nurse practitioner experience is preferred
ACNP Preferred
BS or MS candidate is preferred
Experience as a physician assistant and/or experience in a clinical setting is preferred

Responsibilities

Manage neurosurgical consults overnight
Provide inpatient and ICU cross coverage
Perform and assist with bedside procedures (e.g., wound checks, line assistance, drain management as credentialed)
Conduct overnight rounds and patient assessments
Collaborate closely with attending neurosurgeons, residents, and nursing teams
Respond to acute changes in patient condition and participate in rapid clinical decision making
Facilitate safe handoffs to day teams to ensure continuity of care
Applies basic professional practice knowledge and skills appropriate for practice setting.
Communicates effectively, both verbally and in documentation.
Demonstrates critical thinking in all areas of professional practice.
Learns to incorporate acceptable standards of professional practice as well as business unit and health system's goals to improve patient safety, quality, and satisfaction.
Formulates a plan of care that considers individual patient needs.
Demonstrates initiative and seeks formal and informal opportunities to improve clinical practice.
Seeks guidance and asks questions to continuously improve professional practice.
Builds relationships with patients, families, and colleagues.
Identifies ethical situations within patient care or within the workplace and seeks assistance.
Professionally accepts assignments that gradually increase patient load and complexity.
Actively engages in clinical development of all members of the healthcare team.
Requests opportunities to learn advanced professional practice techniques from senior healthcare team members.
Seeks, accepts, and utilizes performance feedback from peers, preceptors, and unit/department Leaders as a learning opportunity and to improve practice.
Demonstrates enthusiasm for continuous learning and identifies and creates a plan for the continuation of learning and development.
Identifies patient and family needs for education and provides basic education to support the episode of care.
Seeks professional development and involvement through membership in a professional organization and/or reading professional literature on a regular basis.
Demonstrates a basic knowledge of research, how it affects practice and who/what resources are available to assist with evidence-based practice by asking questions, demonstrating interest, participating in journal clubs.
Clinical practice demonstrates knowledge of how quality and innovation impacts patient satisfaction, safety, and clinical quality outcomes.
Identifies opportunities for improvement in the clinical area.
Demonstrates the ability to communicate clearly and effectively with all members of the health care team.
Begins to demonstrate awareness of cultural diversity, horizontal violence, and impairment in the health professions.
Cares for patients and self by supporting safety in the workplace.
Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care.
Makes recommendations for the improvement of clinical care and the health of the workplace and welcomes and participates in change initiatives.
Leads by investing and building healthy relationships among colleagues and other disciplines.
Shows the ability to set priorities.
Begins to serve as an engaged member of a team supporting colleagues in service to patients and families and may participate in task forces or other initiatives.
Demonstrate the knowledge and skills necessary to provide care and/or interact appropriately with the patients served as specified below
Demonstrate knowledge of the principles of growth and development over the life span
Possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs
Provide the care needs as described in the department policy and procedures