Outpatient Neurosurgery Nurse Practitioner/Physician Assistant

NPACE; Arlington, Northern (VA, KY); Hybrid; USD 110,000 - 234,000; Full time

Job summary

VHC Health in Northern Virginia seeks an Advanced Practice Provider (APP) to join the neurosurgery team. This fully outpatient role supports care from pre-op to post-op in brain and spine disorders.

The APP collaborates with neurosurgeons, conducts evaluations, educates patients, and coordinates referrals. Requires NP/PA credentials, VA licensure, and ACLS/BLS; position is weekday outpatient with no OR duties.

Qualifications

• Graduate NP or PA program completion is required.
• Master's degree or higher is required.
• Current Virginia licensure as a Nurse Practitioner or Physician Assistant with national certification is required.

Responsibilities

• Conduct comprehensive patient assessments including histories and neurological exams.
• Perform pre-operative evaluations to assess surgical readiness.
• Provide post-operative follow-up care for spine and cranial neurosurgical patients.
• Review imaging, labs, and test results to guide care.
• Prescribe medications within state regulations and scope of practice.
• Document accurately in the EHR and participate in quality initiatives.

Skills

Patient care

Clinical assessment

Care coordination

Education

Graduate NP or PA program

Master's degree or higher

Job description

Position Summary

VHC Health is seeking a highly motivated and patient-focused Advanced Practice Provider (APP) to join our Neurosurgery team. This is a fully outpatient position providing comprehensive clinical management for patients with disorders of the brain, spine, and nervous system. Working closely with board-certified neurosurgeons, the APP serves as an integral member of the care team, supporting patients throughout their surgical and non-surgical treatment journey.

The APP will provide pre-operative evaluations, post-operative follow-up care, neurological assessments, patient education, and treatment coordination while ensuring exceptional patient outcomes and continuity of care. This position offers the opportunity to develop expertise in neurosurgical care within a collaborative, high-performing clinical environment.

This is a Monday through Friday outpatient position with no operating room responsibilities, hospital rounding, call requirements, or invasive procedures.

Essential Duties and Responsibilities

Clinical Patient Care

• Conduct comprehensive patient assessments, including medical histories, neurological examinations, and review of diagnostic findings.
• Perform pre-operative evaluations to assess surgical readiness and identify potential risk factors.
• Provide post-operative follow-up care for patients recovering from spine and cranial neurosurgical procedures.
• Monitor patient progress and communicate findings to supervising neurosurgeons.
• Assess and manage patients with conditions such as degenerative spine disease, spinal stenosis, disc herniation, radiculopathy, peripheral nerve disorders, and other neurosurgical conditions.
• Review and interpret diagnostic imaging, laboratory studies, and test results.
• Prescribe medications and manage medication therapies in accordance with state regulations and scope of practice.

Post-Surgical Management

• Evaluate and monitor surgical incision sites for healing and signs of infection or complications.
• Perform wound care management.
• Remove sutures and staples as indicated.
• Identify post-operative concerns and elevate complex clinical issues when appropriate.
• Reinforce post-operative instructions and recovery expectations.
• Monitor patients for complications and coordinate timely interventions as needed.

Patient Education and Care Coordination

• Educate patients and families regarding diagnoses, treatment recommendations, medications, surgical procedures, and recovery expectations.
• Coordinate referrals to physical therapy, pain management, neurology, primary care, imaging services, and other specialty providers.
• Facilitate communication among patients, physicians, specialists, and ancillary services.
• Promote patient engagement and adherence to treatment plans.
• Serve as a clinical resource for patients throughout their continuum of care.

Documentation and Quality

• Maintain accurate, timely, and comprehensive documentation in the electronic health record (EHR).
• Ensure compliance with organizational policies, clinical standards, and regulatory requirements.
• Participate in quality improvement initiatives and patient safety programs.
• Support clinic workflow efficiency and patient access initiatives.
• Contribute to departmental goals focused on quality outcomes, patient satisfaction, and operational excellence.

Why Join VHC Health

VHC Health is a nationally recognized health system committed to excellence in patient care, innovation, and clinical collaboration. Located in Northern Virginia, VHC Health offers providers the opportunity to practice in a highly respected organization while enjoying access to outstanding schools, vibrant communities, and the resources of the Washington, D.C. metropolitan area.

Join a team that values clinical excellence, professional growth, patient-centered care, and a commitment to improving the health and well-being of the communities we serve.

Compensation

At VHC Health, every role contributes to exceptional care, better outcomes, and stronger communities.

Compensation Range:

• Nurse Practitioner: $123,260.80 – $234,145.60 annually
• Physician Assistant: $110,406.40 – $209,768.00 annually

In addition to your base compensation, VHC Health offers a comprehensive benefits package, including medical, dental, and vision coverage (subject to eligibility requirements), as well as additional wellness and retirement benefits designed to support our employees and their families.

VHC Health is committed to wage transparency and equitable pay practices. The compensation offered for this position—whether expressed as an annual salary or hourly rate—determine based on a variety of legitimate, non-discriminatory factors. These factors include, but are not limited to, a candidate’s qualifications, relevant training and experience, skill level, shift differentials (where applicable), internal equity, and current market conditions.

The posted hiring range reflects the range VHC Health, in good faith, believes is appropriate for this role at the time of posting. This range may be adjusted in the future based on business needs or market changes. No portion of compensation is considered earned until it is vested and determined in accordance with the terms of applicable policies and benefit plans. The availability and amount of any bonuses, incentives, or other benefits are subject to the terms of those plans and may be modified at the sole discretion of VHC Health, in accordance with applicable law.

VHC Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy‑related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

VHC Health maintains a drug‑free workplace. The unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited at all VHC Health locations.

Education

• Graduate of an accredited Nurse Practitioner or Physician Assistant program required.
• Master's degree or higher required.

Experience

• Minimum of one (1) year of experience as a Nurse Practitioner or Physician Assistant required.
• Experience in neurosurgery, orthopedics, spine surgery, neurology, surgical specialties, or outpatient specialty practice strongly preferred.

Certification and Licensure

• Current Virginia licensure as a Nurse Practitioner or Physician Assistant required.
• Current national certification as a Nurse Practitioner (ANCC, AANP, or equivalent) or Physician Assistant (NCCPA).
• Current Basic Life Support (BLS) certification.
• Current Advanced Cardiovascular Life Support (ACLS) certification.