PA (First Assist) / NP (RNFA)- Neurosurgery Inpatient (Multi-Campus) NIGHT

Hackensack Meridian Health; Neptune City (NJ); On-site; USD 141,000 - 173,000; Full time

Job summary

Hackensack Meridian Health is seeking a Neurosurgery Inpatient Physician Assistant or Nurse Practitioner (RNFA/First Assist) to support day‑to‑day patient care under physician supervision. The role covers multiple campuses (JSUMC, OUMC, and RMC) with day, night, weekend, and holiday shifts.

The successful candidate will perform comprehensive history and physical exams, manage medical and surgical conditions, and participate in interdisciplinary rounds to optimize patient outcomes.

Qualifications

• Excellent written and verbal communication skills.
• Strong clinical assessment and decision-making abilities.
• Proficient in documentation and medical records.
• Knowledge of NJ regulations and hospital policies.
• Ability to collaborate with physicians and care teams.

Responsibilities

• Provide medical services under physician supervision.
• Perform history and physical assessments appropriate for patient age and condition.
• Order, perform, and interpret labs and diagnostic tests.
• Prescribe medications following guidelines and policies.
• Promote professional practice recognition through conferences and publications.
• Ensure patient- and family-centered care and safety in all settings.

Skills

Communication skills

Clinical assessment

Pharmacology knowledge

Team collaboration

Documentation skills

Education

Master's or Doctorate in Nurse Practitioner program

Graduate from Physician Assistant program

Tools

Microsoft Office

Google Suite

Job description

Overview

The Neurosurgery Inpatient Physician Assistant or Nurse Practitioner (RNFA/First Assist) assists, monitors, and manages the day‑to‑day needs of patients as requested by, in conjunction with, and under the supervision of a physician. Performs the duties and responsibilities of a Physician Assistant according to customary and generally accepted medical standards.

Schedule: days, nights, weekends and holidays

Multiple campus coverage (JSUMC, OUMC, and RMC)

Weekends as NeededHoliday Work As NeededNo On-Call Required

Responsibilities

1. Provide medical services under the supervision of a licensed physician, consistent with the PA's education, training and experience. 2. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem. 3. Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate. 4. Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities. 5. Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed. 6. Seeks opportunities to promote Hackensack Meridian Health (HMH) PA practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations. 7. Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease. 8. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges. 9. Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes. 10. Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions. 11. Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty. 12. Translates `best practice` into clinical practice by evaluating current protocols and standards of care. 13. Provides culturally sensitive and educationally appropriate health management education to patients and families. 14. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds. 15. Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate. 16. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities. 17. Participates in organizational and departmental meetings, committees, and workgroups as necessary. 18. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes. 19. Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars. 20. Mentors other PAs, precepts students in PA programs and participates in educational programs as a clinical expert. 21. Identifies patient/family educational needs and collaborates to implement appropriate teaching materials. 22. Promotes innovation by integrating new clinical knowledge into practice. 23. Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications. 24. Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them. 25. Comply with HMH and department-specific scope of services, policies and procedures as applicable to role. 26. Adheres to all HMH infection control and safety policies. 27. Other duties and/or projects as assigned. 28. Adheres to HMH Organizational competencies and standards of behavior.

1. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem. 2. Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate. 3. Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities. 4. Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed. 5. Seeks opportunities to promote Hackensack Meridian Health (HMH) APN practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations. 6. Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease. 7. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges. 8. Adheres to HMH nursing protocols, standards of care, and disease‑specific quality indicators. 9. Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes. 10. Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self‑management promotion for chronic conditions. 11. Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty. 12. Completes medication reconciliations as appropriate. 13. Participate in annual APN peer review. 14. Translates `best practice` into clinical practice by evaluating current protocols and standards of care. 15. Provides culturally sensitive and educationally appropriate health management education to patients and families. 16. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds. 17. Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate. 18. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities. 19. Participates in organizational and departmental meetings, committees, and workgroups as necessary. 20. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes. 21. Collaborates with medical staff to support nursing‑led protocols. 22. Mentors other APNs, precepts students in APN programs and participates in educational programs for nursing as a clinical expert. 23. Identifies patient/family educational needs and collaborates to implement appropriate teaching materials. 24. Facilitates and participates in nursing educational programs as a clinical expert. 25. Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars. 26. Promotes innovation by integrating new clinical knowledge into practice. 27. Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications. 28. Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them. 29. Adheres to the legal framework and scope of practice defined by the NJ Division of Consumer Affairs, ensuring compliance with all applicable statutes and professional standards. 30. Comply with HMH and department‑specific scope of services, policies and procedures as applicable to role. 31. Other duties and/or projects as assigned. 32. Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:1. Successful completion of an approved physician's assistant program, accredited by the AMA Council on Medical Education.2. Excellent written and verbal communication skills.3. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platformsLicenses and Certifications Required:1. Physician Assistant License.2. National Commission on Certification of Physician Assistants.3. BLS AHA Basic Health Care Life Support HCP Certification.4. AHA. Advanced Cardiac Life Support Certification.

• Graduate of an NLN/AACN accredited nursing program.
• Master's or Doctorate degree from an accredited Nurse Practitioner program.
• Maintains clinical competencies through continuing education and clinical practice.
• Experience in a relevant patient care setting (or as regulations dictate).
• National Provider Identifier (NPI).
• Prescriptive authority through CDS and DEA registration according to New Jersey state law.
• Collaborative agreement with physicians on staff.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms

Licenses & Certifications Required:

• NJ State Professional Registered Nurse License.
• Advance Practice Nurse License.
• BLS AHA Basic Health Care Life Support HCP Certification.
• Board certified by AANP or ANCC.
• AHA Advanced Cardiac Life Support Certification.
• RNFA or willing to obtain
• Acute Care NP cert

Starting Minimum Rate

Minimum rate of $156,977.60 Annually

Job Posting Disclosure

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market‑competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non‑discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance‑based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full‑time and part‑time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.