ERG | NY | Neurosurgery APP | APPs

Complex spine and cranial care succeeds when the right clinician is in the room before the incision after the complication and through the long recovery. This role owns the clinical work that keeps a high-acuity neurosurgery service moving: precise assessment decisive perioperative management and clear communication with patients who are scared and surgeons who cannot afford delay. You will be measured by outcomes you can seesafer discharges fewer missed findings and a team that trusts your judgment.

• Complete timely accurate histories exams and workups for clinic inpatient and consult patients so surgical decisions are made on complete information.
• Manage perioperative careorders medications neuro checks and complication responseso patients progress to discharge criteria without avoidable delay.
• First-assist in the operating room with reliable exposure hemostasis support and closure that matches attending standards.
• Identify neurologic change early and escalate with a clear differential so deterioration is treated before it becomes a crisis.
• Counsel patients and families in plain language on diagnosis risk and the plan and document so the next clinician can act without rework.
• Close the loop with nursing therapy and referring physicians so handoffs do not drop critical details.
• Contribute to service quality by tracking complications readmissions and documentation gaps and fixing the patterns you find.

• Practice alongside neurosurgeons covering cranial and spine pathology in clinic OR and inpatient settings.
• Report to the lead neurosurgeon or APP director with defined backup for after-hours decisions.
• Work with hospital EMR imaging and OR teams; dedicated APP support for scheduling and prior authorization.
• Protected time for case review and a structured onboarding path before independent call or first-assist volume.

• Graduate of an accredited PA program and current NCCPA certification with active state licensure or eligibility.
• Neurosurgery neurology or high-acuity surgical experienceor a documented pathway that produced equivalent perioperative judgment.
• Demonstrated first-assist or procedural competence appropriate to spine and cranial cases.
• Ability to interpret neuro exams and imaging in context and to escalate without hesitation.
• Clear written and spoken communication under time pressure.
• DEA registration and hospital credentialing eligibility.

• Real operative responsibility not clinic-only overflow.
• Breadth across cranial and spine rather than a single procedure line.
• Direct access to attending decision-making and case review.
• A service that treats APP judgment as part of the standard of care.

If you want your days judged by patients who leave safer than they arrived apply with a CV that shows the cases you have managed and the outcomes you owned.