Advanced Practice Provider (NP/PA) - Overnight Surgical Specialties

Overview Position Summary

The Advanced Practice Provider (APP) provides overnight inpatient coverage for Surgical Specialties including Orthopedics, Neurosurgery, and related consult services. This role is focused on acute floor-based patient care, emphasizing clinical evaluation, cross-coverage, and timely management of patient needs. No ICU coverage is required.

Key Responsibilities

Clinical Care

Provide comprehensive overnight cross-coverage for surgical patients on inpatient floors

Perform focused assessments, develop care plans, and implement appropriate interventions

Respond to acute clinical changes, pages, and nursing concerns in a timely manner

Manage post-operative patients, including monitoring recovery, pain control, and complications

Evaluate new consults as assigned by supervising surgical teams

Procedures (as credentialed and applicable)

Wound assessment and bedside management

Removal or care of drains, lines, staples, or sutures

Assist with minor bedside procedures as required

Care Coordination

Communicate effectively with attending surgeons, residents (if applicable), and day teams

Provide clear and concise sign-out to incoming day team providers

Collaborate with nursing staff and interdisciplinary teams to ensure safe patient care

Documentation

Complete timely and accurate documentation in the electronic medical record (EMR)

Document cross-cover events, consult notes, progress notes, and clinical decisions

Coverage Scope

Orthopedics

Neurosurgery

Spine

Floor patients only - no ICU responsibility

Schedule

Overnight shifts (e.g., 6:00 PM - 6:00 AM; may vary by department)

Rotating weekends and holidays as required

Qualifications

Required

Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program

Active state licensure as NP or PA

Certification by appropriate national board (e.g., AANP, ANCC, NCCPA)

Current BLS and ACLS certification

Minimum 1 year of inpatient or surgical experience preferred

Preferred

Experience in Orthopedics, Neurosurgery, or Surgical Hospital Medicine

Strong clinical decision-making and triage skills

Ability to work independently in a fast-paced overnight environment

Key Competencies

Excellent clinical judgment and prioritization skills

Strong communication and teamwork abilities

Ability to manage multiple patients and urgent situations simultaneously

Comfort with autonomous practice with physician support as needed

Work Environment

Inpatient hospital setting

Frequent walking between units

Fast-paced overnight coverage with variable patient acuity

Reporting Structure

Reports to: APP Manager / Clinical Manager

Clinical supervision: Attending surgeons (Orthopedics, Neurosurgery, and consulting services)

Additional Notes

This role is non-ICU, focusing strictly on floor-level care

APP will act as a key overnight resource for nursing staff and consulting teams

Opportunity to develop expertise in surgical cross-coverage and acute inpatient care

Additional Information To learn more, please email our In-House Physician RecruiterNathalie Martinez at Websites: YNHHS Requisition ID172541