Neurological Surgery APP Primary Outpatient, Spine Center

Department of Neurological Surgery Mission:
To provide the highest quality specialized neurosurgical care advance nervous system discovery and the science of practice and train outstanding and compassionate leaders in a diverse and inclusive environment that promotes wellness.

Department of Neurological Surgery Vision:
Leading neurosurgical care through innovation.

As Oregons only academic health center OHSU integrates education research patient care and community service to improve the well-being of Oregonians. The Department of Neurological Surgery delivers comprehensive care for patients with brain spinal cord and peripheral nerve conditions at OHSU and Doernbecher Childrens Hospital. Our surgeons combine deep expertise with advanced technology and a patient-centered approach.

The department is nationally recognized for pioneering innovations including North Americas first deep brain stimulation surgery and the worlds first neuronal stem cell transplants. We house leading neurosurgical training programs and advanced fellowships and contribute significant research on pain perception and cerebral blood flow.

The Department of Neurological Surgery in the OHSU School of Medicine is a safe respectful and welcoming place for people of all races cultures ethnicities genders national origins abilities ages colors religions and sexual orientations. We are committed to creating a respectful inclusive and equitable work environment. Diversity is a core value and all members participate in ongoing education and initiatives to support equity and inclusion within OHSU and the communities we serve.

Primary location: OHSU Main Campus at Marquam Hill and Center for Health and Healing South Waterfront campuses.

Schedule: Four 10-hour days Monday through Friday with occasional evening/weekend administrative work as needed. Schedules including clinic templates are determined by department policy and protocols.

The Advanced Practice Provider (APP) is a practitioner certified through the Oregon State Board of Nursing (NP) and authorized to practice within the parameters described in Division 50 of the Oregon Nurse Practice Act (Oregon Revised Statute Chapter 678) or is a Physician Associate licensed to practice by the Oregon Medical Board (PA). The APP is credentialed by the Credentials Committee and approved by the Professional Board of OHSU and other locations as required to practice in the hospital setting and to perform such procedures as authorized by the Credentials Committee and by the Professional Board. The APP is authorized to prescribe medications according to the state and federal guidelines and laws.

This faculty position specializes in caring for adult patients with neurological disorders and is primarily responsible for outpatient clinical care as well as other clinical operations within the Department of Neurological Surgery and OHSU Spine Center. The role involves independent patient care procedural work care coordination and administrative tasks and educational contributions. The APP collaborates closely with faculty physicians APP colleagues and others in the interdisciplinary team to ensure the highest standards of patient care and service.

The APP will support OHSUs missions including teaching research patient care outreach and public service.

Clinical Care

• Primarily in the outpatient environment evaluate new and returning patients including pre-operative assessments and post-operative follow-up.
• Manage complex medical care including wound care chronic follow-up and unscheduled visits.
• Develop and coordinate patient care plans with faculty and house staff to ensure continuity and quality of care.
• Perform neurosurgical procedures according to protocol and competency training.
• Perform administrative and unscheduled patient care. Respond promptly to patient/family inquiries (phone MyChart letters) collaborating with team members such as nurses APPs and physicians to resolve clinical concerns.
• Prescribe medications (short- and long-term) and respond to peer-to-peer insurance requests for imaging or prescriptions.
• Utilize telemedicine and virtual care platforms as appropriate per OHSU policies and payer guidelines.
• Identify urgent clinical situations and respond autonomously and effectively including providing situational resuscitation and emergency treatment.

Care Coordination & Communication

• Coordinate with interdisciplinary teams including outpatient staff and other APPs to ensure streamlined patient-centered care.
• Collaborate with surgeons physicians and external providers to optimize patient outcomes.
• Triage patient calls messages and requests and determine the appropriate plan of care for new or returning patients within the practice.
• Educate house staff and clinic medical teams on care plans and best practices to improve patient outcomes.

Patient and Family Education

• Contribute to patient and family education including development and presentation of educational materials. Provide condition-specific education and counseling to patients and families.
• Use available educational materials and resources to promote patient understanding and self-management.

Program Development Teaching & Quality Improvement

• Engage in continuous process improvement adhering to OHSU policies service standards and regulatory guidelines.
• Participate in quality improvement initiatives program development and staff development activities.
• Teach neurosurgical principles procedures and patient care to medical students house staff nurses and support staff.
• Contribute to hospital accreditation efforts and maintain knowledge of compliance standards.
• Actively support OHSUs diversity equity and inclusion initiatives.

Additional Responsibilities

• Provide exceptional service to patients families faculty staff and referring providers.
• Demonstrate excellent communication and problem-solving skills to support timely efficient and high-quality care.
• Serve as a resource within the department and community regarding neurosurgical care.
• Represent the department in quality safety and accreditation activities.
• Maintain flexibility to meet internal service needs including coverage and cross-functional teamwork. Provide occasional coverage across neuroscience units within OHSU.
• Actively participate in department meetings training and process improvement initiatives.
• Maintain confidentiality and comply with OHSU and healthcare industry service standards.
• Demonstrate a strong commitment to teamwork patient-centered care and continuous learning.

• Deliver high-quality customer service to patients families faculty staff referring providers and other stakeholders.
• Collaborate with department leaders to uphold service standards policies and regulations ensuring patient care excellence.
• Exhibit strong interpersonal and communication skills excelling in a dynamic team-oriented environment.
• Demonstrate clinical experience with the ability to perform comprehensive history and physical examinations.
• Strong multi-tasking prioritization and organizational skills.
• Excellent interpersonal communication and customer service skills.
• Proven ability to function effectively and problem-solve as a team member in a complex healthcare environment.
• Ability to manage complex patient care prioritize tasks and work effectively as part of a multidisciplinary team.
• Clinical experience as an APP.

For Physician Associate (PA) Candidates:

• Current Oregon licensure through the Oregon Medical Board.
• Current active Drug Enforcement Administration (DEA) registration and prescriptive authority. OHSU is a DEA fee-exempt institution.
• Current National Commission on Certification of Physician Associates (NCCPA) certification.

For Nurse Practitioner (NP) Candidates:

• Current Oregon licensure through the Oregon State Board of Nursing.
• Authorized practice within Division 50 of the Oregon Nurse Practice Act (ORS Chapter 678).
• Current active Drug Enforcement Administration (DEA) registration and prescriptive authority. OHSU is a DEA fee-exempt institution.
• Acute Care NP certification may be required.

• Neurosurgical Spine or surgical specialty experience.

• Skilled in conducting comprehensive history and physical examinations.

• Experience in outpatient procedural care.