Neurosurgery Physician Assistant or Nurse Practitioner

Job Description

Job Description

About Us
Minimally Invasive Neurosurgery is a physician-led neurosurgical practice in Sherman, Texas, with its own ambulatory surgery center. We care for patients with spine and neurosurgical conditions across North Texas and Southern Oklahoma, and we are a small, close-knit team that genuinely supports each other.

The Role
We are adding an advanced practice provider to our clinic team. This is a part-time hourly position, 20 or more hours per week to start. You will work alongside our experienced PA and our neurosurgeon, sharing the clinic workload and helping us see more patients without sacrificing the time and care each one deserves. The role is primarily clinic-based, with clinic hours Monday through Friday, 8 a.m. to 5 p.m. Some surgery days may occasionally start earlier or run later. There is no hospital call and only very rare weekend coverage. As our patient volume grows, this position can move to full-time salaried.

What You Will Do

• See new and follow-up spine and neurosurgery patients in clinic, including post-operative visits.
• Take histories, perform neurological exams, review imaging, and develop conservative care plans.
• Document visits thoroughly to support prior authorizations and medical necessity.
• Educate patients on their diagnosis, treatment options, and what to expect before and after surgery.
• Coordinate care with our clinical team, referring providers, and therapy services.
• Provide occasional surgical first assist coverage when our other PA is unavailable. Training is provided.

Room to Grow
New graduates are welcome. You will train directly with our neurosurgeon and an experienced PA, not through a rotating system of attendings. That means real-time feedback in clinic, case reviews, and graduated responsibility as your skills grow. From there, you can expand into surgical first assisting, take on a broader clinical role, and move to full-time as our practice grows.

What You Need

• A Texas PA license with NCCPA certification, or a Texas NP license with APRN recognition and national board certification. New graduates who are eligible for or pending licensure are welcome to apply.
• Strong communication skills and attention to detail in documentation.
• Willingness to practice under a supervision and prescriptive authority agreement with our neurosurgeon.

Nice to Have

• Clinical rotation or work experience in neurosurgery, spine, orthopedics, or pain management.
• Experience with eClinicalWorks (eCW).
• Surgical or first assist experience.

Compensation and Benefits
$48 to $55 per hour based on experience, with performance-based bonus opportunities. We provide medical malpractice coverage and paid time off that accrues based on hours worked. As clinic volume grows, this position can move to a full-time salaried role.

Minimally Invasive Neurosurgery is an equal opportunity employer.