Neuro ICU & Stroke APP (NP/PA) — Autonomy in High-Acuity Care

The Queen's Health Systems; Honolulu (HI); On-site; USD 140,000 - 190,000; Full time

Job summary

The Queen's Health Systems seeks highly motivated Advanced Practice Providers (NP or PA) to join our neuroscience team. You will perform comprehensive neurological assessments, respond to stroke alerts, and manage ICU and stroke patient care.

Ideal candidates have board certification and state licensure as an NP (Acute Care) or PA, with strong clinical skills and autonomy in high-pressure settings. Neurology or critical care experience is preferred but training is available for the right

Qualifications

• Board certification and valid state licensure as Nurse Practitioner (Acute Care) or Physician Assistant (PA).
• Strong clinical skills in patient assessment, diagnosis and treatment.
• Neurology or critical care experience preferred but not required, we will train the right candidate.
• Ability to work autonomously and efficiently in high-pressure environment.

Responsibilities

• Respond to and evaluate acute stroke alerts/stroke codes.
• Perform comprehensive neurological assessments.
• Assist with thrombolytic eligibility evaluation and thrombectomy triage.
• Manage general stroke consults across inpatient units and emergency department.
• Procedures including: lumbar puncture/drain placement.
• Anticipate transition to primary stroke service in 2027 with admission and discharge coordination.
• Manage critically ill neurological and neurosurgical patients in the neuro ICU.
• Daily rounding, assessments, and care plan development with neurointensivists.
• Manage patients with ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, TBI, status epilepticus, postoperative neurosurgical care.
• ICU admissions, transfers and discharges.

Skills

Clinical assessment

Autonomy

Neurology knowledge

High-pressure environment

Education

NP/PA certification

Job description

The Queen's Health Systems seeks highly motivated Advanced Practice Providers (NP or PA) to join our neuroscience team. You will perform comprehensive neurological assessments, respond to stroke alerts, and manage ICU and stroke patient care.

Ideal candidates have board certification and state licensure as an NP (Acute Care) or PA, with strong clinical skills and autonomy in high-pressure settings. Neurology or critical care experience is preferred but training is available for the right