Advanced Practitioner - Neurology

PALMETTO PRIMARY CARE PHYSICIANS L.L.C.; Summerville (SC); Sur place; USD 100 000 - 130 000; Plein temps

Avantages offerts par ce poste

401K with generous company match

Disability insurance (short/long term)

Résumé du poste

PALMETTO PRIMARY CARE PHYSICIANS L.L.C. is seeking a dedicated Advanced Practitioner (NP or PA) to join our neurology-focused healthcare team. The APP will provide high-quality patient care, collaborate with physicians, and support delivery of comprehensive neurological services.

The role emphasizes comprehensive assessment, diagnostic testing, medication management, and care coordination across multidisciplinary teams in an outpatient neurology clinic.

Qualifications

• PA or NP required with current state license and national certification.
• Clinical neurology experience preferred; neurology rotations or fellowship treated as valuable.
• Strong documentation and coding knowledge; proficient with EHR and prescriptions.
• Ability to educate patients and families about diagnoses, treatment options, and prognosis.

Responsabilités

• Obtain patient histories and perform neurological and general examinations.
• Evaluate referrals and follow-up patients; formulate differential diagnoses and treatment plans.
• Diagnose and manage acute and chronic neurological conditions per guidelines.
• Order and interpret diagnostic tests including MRI/CT, EEG, EMG/NCS, LP results.
• Prescribe and manage medications; monitor efficacy and interactions.

Connaissances

Neurological examination

Clinical reasoning

Verbal communication

Team collaboration

EHR/e-prescribing

Formation

PA: Bachelor’s degree and accredited PA program

NP: Master’s degree and CRNP certification

Current, unrestricted licensure (NP/PA)

DEA registration and prescriptive authority

BLS certification

Description du poste

• Employee Type Full Time
• Manage Others No

Description

Palmetto Primary Care Physicians (PPCP) is seeking a dedicated and compassionate Advanced Practitioner (Nurse Practitioner or Physician Assistant) to join our healthcare team. The ideal candidate will provide high-quality patient care, collaborate with physicians and clinical staff, and support the delivery of exceptional medical services.

• Offer 401K with generous company match
• Short Term and Long Term Disability Offered

Essential Duties and Responsibilities

• Obtain comprehensive patient histories and perform thorough neurological and general physical examinations.
• Evaluate new patient referrals and follow-up patients, formulating differential diagnoses and individualized treatment plans.
• Diagnose and manage acute and chronic neurological conditions in accordance with evidence-based guidelines and clinic protocols.
• Order, perform, and interpret diagnostic tests as appropriate, including laboratory studies, neuroimaging (MRI, CT), EEG, EMG/nerve conduction studies, and lumbar puncture results, and collaborate with the supervising neurologist on complex findings.
• Prescribe and manage medications and monitor for efficacy, side effects, and drug interactions.
• Perform or assist with in-clinic procedures as credentialed and trained.
• Provide medication management and monitoring for patients on disease-modifying therapies, anti-seizure medications, and other specialty therapies, including coordination of prior authorizations and infusion services.
• Recognize neurological emergencies and urgent presentations; initiate stabilization and arrange emergency transfer or direct admission when needed.
• Consult with and refer to the supervising neurologist, subspecialists, and other health care providers when a patient's condition exceeds the APP's scope or requires additional expertise.
• Educate patients, families, and caregivers about diagnoses, treatment options, medications, lifestyle modification, safety (including seizure precautions and driving guidance), and prognosis.
• Coordinate care with primary care providers, hospitalists, therapy services (physical, occupational, speech), neuropsychology, social work, and community resources.
• Participate in shared decision-making and goal setting with patients and families, including discussions of chronic disease management and quality-of-life concerns.
• Respond to patient portal messages, telephone calls, and refill requests in a timely, clinically appropriate manner.
• Document all patient encounters accurately and in a timely manner in the electronic health record (EHR), supporting appropriate coding, billing, and medical necessity.
• Comply with all applicable federal, state, and organizational regulations and policies, including HIPAA, infection control, and medication prescribing requirements.
• Maintain current licensure, certifications, prescriptive authority, DEA registration, and credentialing/privileging requirements.
• Collaborate with neurologists, nurses, medical assistants, front desk staff, and administrative personnel to ensure efficient clinic workflow and a positive patient experience.
• Participate in team meetings, case conferences, and clinical protocol development.
• Maintain professional competence through continuing education and incorporate current research and best practices into patient care.

Non-essential Duties and Responsibilities

• Precept or mentor NP/PA students, residents, and new APPs, and assist with orientation of new clinical staff.
• Contribute to the development of patient education materials, clinic policies, standing orders, and care pathways.
• Participate in community outreach, health fairs, patient support groups, and professional presentations.
• Perform other duties as assigned to support the mission of the clinic and organization.

Requirements

Required Education, Licensure, and Experience

• Physician Assistant: Bachelor's degree and successful completion of accredited physician assistant program.
• Nurse Practitioner: Master's degree and certification as a Certified Registered Nurse Practitioner (CRNP) based on RN licensure and state authority for advanced practice.
• Current, unrestricted state licensure as an NP or PA, with national certification (e.g., ANCC, AANP, or NCCPA).
• Current DEA registration and state prescriptive authority (or ability to obtain).
• Current Basic Life Support (BLS) certification.
• Minimum of one year of clinical experience preferred; prior neurology or neuroscience experience strongly preferred. New graduates with neurology clinical rotations or fellowship training may be considered.

Required Knowledge, Skills, and Abilities

Knowledge

• Advanced knowledge of neuroanatomy, neurophysiology, and neuropathology.
• Thorough understanding of the pathophysiology, diagnosis, and management of common neurological disorders, including headache, epilepsy, stroke, movement disorders, multiple sclerosis, neuromuscular disease, neuropathy, and neurodegenerative and cognitive disorders.
• Knowledge of pharmacology, including neurological medications, disease-modifying therapies, and management of side effects and drug interactions.
• Familiarity with neurodiagnostic testing and interpretation, including neuroimaging, EEG, EMG/NCS, and cerebrospinal fluid studies.
• Knowledge of evidence-based practice guidelines, such as those from the American Academy of Neurology.
• Understanding of outpatient clinic operations, medical coding and billing, prior authorization processes, and regulatory and compliance requirements.
• Knowledge of patient safety principles, infection control, and quality improvement methods.

Skills and Abilities

• Ability to perform a comprehensive neurological examination and accurately localize lesions and interpret findings.
• Strong clinical reasoning, critical thinking, and diagnostic skills.
• Excellent verbal and written communication skills, with the ability to explain complex neurological concepts to patients and families at an appropriate level of understanding.
• Compassionate, patient-centered approach, including the ability to deliver difficult diagnoses and engage in sensitive conversations about chronic and progressive illness.
• Proficiency with electronic health records, e-prescribing, patient portals, and standard office software; ability to learn new systems.
• Ability to manage a busy patient schedule, prioritize competing demands, and manage time effectively.
• Ability to work both independently and collaboratively as part of a multidisciplinary team.
• Skill in recognizing emergencies and responding calmly and appropriately.
• Commitment to ethical practice, patient confidentiality, and lifelong learning.

Mental Requirements

• Ability to concentrate and maintain attention to detail while evaluating complex, often subtle neurological findings.
• Ability to analyze information, solve problems, and make sound clinical decisions, sometimes under time pressure.
• Ability to recall and apply a broad base of medical knowledge and integrate new information.
• Ability to manage stress and remain composed when working with patients and families who may be distressed, frustrated, or coping with serious illness.
• Ability to multitask, adapt to changing priorities, and manage interruptions in a fast-paced clinic.
• Ability to maintain confidentiality and exercise good judgment and professional discretion.

Physical Requirements

• Ability to sit, stand, and walk for extended periods throughout the workday.
• Ability to use hands, fingers, and arms for neurological examination techniques (e.g., reflex testing, strength testing, sensory testing) and for procedures requiring fine motor skills.
• Ability to bend, stoop, kneel, and reach to examine patients, including those in wheelchairs or on exam tables.
• Ability to lift, push, or pull up to 25 pounds occasionally, and to assist with safe patient transfers and positioning using appropriate equipment and techniques, with assistance as needed.
• Visual acuity sufficient to observe patients, read screens and documentation, and detect subtle physical findings such as tremor, gait abnormalities, and facial asymmetry.
• Hearing sufficient to communicate with patients and colleagues, assess patient responses, and use auscultation tools.
• Ability to use a computer, keyboard, and mouse for extended periods.
• Ability to wear personal protective equipment as required.
• Work is performed primarily in an outpatient neurology clinic with exam rooms, procedure rooms, and shared office or workstation space. Some telehealth work may be performed from a remote or home setting, as permitted by organizational policy.
• Typical schedule is Monday through Friday, daytime hours, with occasional extended hours or schedule variation based on patient volume.
• Fast‑paced setting with a high volume of patient visits and frequent interaction with patients, families, caregivers, physicians, nurses, and clinic staff.
• Exposure to routine risks associated with patient care, including infectious diseases, bodily fluids, and occasional patients with agitation or unpredictable behavior. Standard precautions and infection‑control practices are followed.
• Regular use of medical equipment (e.g., reflex hammers, tuning forks, ophthalmoscopes, injection supplies) and computer systems.
• Noise level is moderate. The environment is generally clean, well‑lit, and climate‑controlled.

Summary

An exempt position, the Neurology Advanced Practice Provider (APP) delivers comprehensive, patient-centered care to patients with acute and chronic neurological conditions in an outpatient clinic setting. Working in collaboration with, and under the supervision of, neurologists, the APP evaluates, diagnoses, treats, and manages conditions such as headache and migraine, epilepsy and seizure disorders, movement disorders, multiple sclerosis, neuropathy, dementia and cognitive disorders, stroke follow-up, and other neurological disorders.

The APP functions as an integral member of the care team, performing independent assessments, ordering and interpreting diagnostic studies, prescribing treatment within the scope of licensure, providing patient and family education, and coordinating care with primary care, hospital services, and other specialties. The APP helps improve access to neurological care, patient outcomes, and patient satisfaction while upholding high standards of quality, safety, and compliance.