Neurological Surgery Advanced Practice Provider - Primary Outpatient

Department Overview

As Oregon's 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 Children's Hospital. Our surgeons combine deep expertise with advanced technology and a patient-centered approach.

The department is nationally recognized for pioneering innovations, including North America's first deep brain stimulation surgery and the world's 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.

Position Summary:
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 Assistant 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. 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. In addition, the position will primarily support the Division of Functional Neurosurgery. Candidate will possess (by training) specialized knowledge and skills in the care of chronic pain, spasticity, and movement disorder patients. Primary responsibilities include assessing established patients, refilling baclofen pumps, reprogramming spinal cord and DBS stimulators using established protocols and guidelines.

The APP will support OHSU's missions including teaching, research, patient care, outreach, and public service.

Supervision and Reporting:

• Clinical Oversight: Department Chair or designee
• Administrative Supervision: Department Administrator
• Operational Direction: Lead APP (as appropriate)

Function/Duties of Position

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 OHSU's diversity, equity, and inclusion initiatives.

Other duties as assigned.

Required Qualifications

Education & Licensure:

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.

Qualifications & Requirements:

• 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.

Preferred Qualifications

• Neurosurgical or surgical specialty experience.
• Skilled in conducting comprehensive history and physical examinations.
• Experience in outpatient procedural care.

Additional Details

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 coverage as needed.

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.