Neurosciences - APP

Inpatient Neurosciences APP

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These valuesintegrity, patient-centered care, respect, accountability, and compassionguide what we do as individuals and professionals every day.

The Inpatient Neurosciences APP provides comprehensive, team-based care for hospitalized patients across Neurology, Neurosurgery, and Stroke services. This role supports high-acuity inpatient management, consultative services, perioperative (pre- and post-operative) care, and select procedures. The position is integral to expanded neurosciences service lines and will help support inpatient operations as part of the opening and growth of the Adams Neuroscience Center.

Schedule / Coverage Model:

• 12-hour shifts
• Average 40 hours/week (variable based on staffing model and service needs)
• Participates in a 24/7 coverage schedule (days, nights, weekends, and holidays as assigned)
• Works collaboratively within an interdisciplinary model with attending physicians, residents/fellows, nursing, therapy, pharmacy, case management, and other services

Essential Responsibilities:

Inpatient Clinical Care (Neurology/Neurosurgery/Stroke)

• Manage inpatient care for a diverse neurosciences census, including acute neurologic conditions and neurosurgical patients.
• Perform daily rounds, ongoing assessments, and develop diagnostic and treatment plans.
• Provide inpatient management of pre-operative and post-operative patients, including risk stratification, optimization, monitoring for complications, and coordination of perioperative plans.
• Manage post-procedure and post-operative issues (e.g., neurologic status changes, pain control, DVT prophylaxis, wound and drain considerations per protocol, mobility restrictions, nutrition, and delirium prevention).

Consultative Services

• Respond to and manage inpatient consults across the hospital (e.g., altered mental status, seizures, focal deficits, headache, spine/brain pathology evaluation, and post-operative neurologic changes).
• Obtain focused histories, perform neurologic and/or post-operative assessments, interpret diagnostic data, and document consult recommendations.
• Coordinate with attending physicians to triage consult urgency and ensure timely follow-up and continuity of care.

Stroke Care

• Participate in acute stroke workflows and inpatient stroke management in collaboration with stroke neurology, emergency department teams, imaging, and nursing.
• Support evaluation and ongoing management of ischemic and hemorrhagic stroke patients, secondary prevention planning, and discharge readiness.
• Coordinate transitions of care, including rehabilitation placement and outpatient follow-up planning.

Procedures (as credentialed and trained)

Perform procedural work consistent with privileging and service needs, which may include:

• Lumbar puncture
• Arterial/venous access and ultrasound-guided peripheral IV placement (if applicable)
• Wound assessment and dressing changes; staple/suture removal
• Drain management support per protocol (e.g., monitoring outputs and escalating concerns)
• Other inpatient bedside procedures aligned with departmental privileges

Ensure informed consent (when applicable), procedural documentation, and post-procedure monitoring.

Care Coordination, Throughput, and Quality

• Collaborate to optimize length of stay, safe discharge planning, and timely consult completion.
• Communicate effectively with patients and families, providing education on diagnoses, procedures, and care plans.
• Participate in quality, safety, and process improvement initiatives, particularly those supporting the Adams Neuroscience Center opening and ongoing growth.
• Support service line protocols, order sets, evidence-based practice guidelines, and documentation standards.

Documentation & Communication

• Complete accurate and timely documentation, including H&Ps, progress notes, consult notes, post-operative notes, and discharge summaries, as applicable.
• Provide thorough handoffs using standardized tools to ensure continuity of care across 24/7 coverage.
• Escalate clinical deterioration promptly and participate in rapid response events and codes as trained.

Qualifications:

• Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program.
• Current licensure (or eligibility) as an NP or PA in the state of employment.
• National certification (AANP/ANCC for NPs; NCCPA for PAs).
• BLS and ACLS required.
• Inpatient Neurology, Neurosurgery, Stroke, ICU, or Hospital Medicine experience preferred; new graduates with strong clinical preparation and a demonstrated interest in neurosciences are encouraged to apply.

Knowledge, Skills, and Abilities:

• Strong neurologic assessment skills and comfort managing high-acuity inpatients.
• Ability to independently evaluate patients, prioritize tasks, and manage multiple consults.
• Excellent interdisciplinary communication and a patient- and family-centered approach.
• Commitment to evidence-based care, patient safety, and continuous improvement.
• Willingness to work a rotating schedule supporting 24/7 coverage.

Work Environment / Physical Requirements:

• Hospital-based inpatient setting with frequent walking and standing; occasional lifting and assisting patients in accordance with organizational policy.
• Exposure to infectious diseases and other inpatient hazards; use of appropriate PPE as required.

What We Offer:

• Competitive sign-on bonus available for eligible candidates.
• Opportunity to be part of a growing neurosciences program with the opening of the Adams Neuroscience Center.
• Collaborative physician-APP model with strong interdisciplinary support.
• Professional development opportunities, including stroke education, procedural training, and quality improvement initiatives.
• Competitive compensation and comprehensive benefits package.

LICENSURE:

• Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA), Connecticut State Physician Assistant License, ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. OR Connecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, Board specialty certification, as appropriate for position profile ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty.

To learn more, please email our In-House Physician Recruiter Nathalie Martinez at View email address on click.appcast.io