Nurse Practitioner or Physician Assistant - First Assist Outpatient Neurosurgery - MUSCP
Company: Medical University of South Carolina
Location: Charleston
Posted on: April 2, 2026
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Job Description:
Job Description Summary The Nurse Practitioner or Physician
Assistant will provide first assist support to Neurosurgeon(s) in
the operating room; provide support and care in spine/neuro-surgery
outpatient clinics; collaborate with Neurosurgery teams, hospital
and outpatient care teams to coordinate patient care; communicate
with patients regarding care and concerns; provide administrative
support and follow up to ensure patient care is orderly and
effective; follow protocols for clinical trials, if necessary.
Entity University Medical Associates (UMA) Only Employees and
Financials Worker Type Employee Worker Sub-Type? Regular Cost
Center CC000986 COM NSGY General CC Pay Rate Type Salary Pay Grade
Health-33 Scheduled Weekly Hours 40 Work Shift Job Description Fair
Labor Standards Act Status: Salaried/Exempt Hours per week: 40
Scheduled Work Hours/Shift: Monday - Friday Patient Population
Focus: Operating Room/First Assist, Outpatient Patient Population
Age Range: 13 years-death Required Minimum Training : Completion of
an accredited Physician Assistant program and currently licensed or
eligible for licensure as a Physician Assistant or completion of an
accredited Nurse Practitioner Program and currently licensed or
eligible for licensure as an APRN as noted below. Physician
Assistant or APRN License Type/Certification: AGPNP/ANP (Adult
Gerontology Primary Care NP or Adult NP): Adult pts (13 years to
death), stable chronic disease state management or primary care
setting. FNP (Family NP): (birth to death) Stable chronic disease
state management, primary care across the lifespan. Preferred
Experience: At least 3 years of outpatient spine/neurosurgery First
Assist Nurse Practitioner or First Assist Physician Assistant
experience is preferred. Degree of Supervision Advanced Practice
Registered Nurse or Physician Assistant will be assigned a Primary
Supervising/Collaborating Physician employed by MUSC and will
report directly to this physician. Required Licensure,
Certifications, Registrations All certifications must be current
and complete prior to start date: Basic Life Support (BLS). DHEC
and DEA license applications must be started prior to first day.
For NP candidates: RNFA (Registered Nurse First Assistant) Job
Duties (list job tasks) Provides direct care to patients through
the following activities: Takes comprehensive history and performs
physical examinations Evaluates and treats on the basis of history,
physical examination, radiological, laboratory, and other
diagnostic test results pursuant to the practice agreement or scope
of practice guideline Initiates referrals to other health care
providers, and/or consults with the attending physician or the
collaborating physician Documents and bills for direct care
provided Utilizes current research and evidence-based
decision-making in all clinical practice Performs and participates
in quality/performance improvement activities and clinical research
Participates in and supports accreditation, compliance, and
regulatory activities of the organization Demonstrates
responsibility for professional practice through active
participation in professional organizations and continuing
education Potential to precept students at MUSC enrolled as an
advanced practice provider student; and facilitates the learning of
other new team members APRN or PA must maintain licenses,
certifications, CNEs/CMEs, etc. as required by applicable policies
and state law Manage all outpatient needs for a large volume of
patients with neurosurgical problems. Assessment, diagnosis, and
management of outpatients with neurological problems. Recognize and
assess changes in patient status and respond appropriately.
Evaluating and managing neurosurgical patients; provide primary and
specialized care to the patient population; provide direct care at
the physician assistant/nurse practitioner level to spine and other
neurosurgery patients; analyze, interpret and prioritize subjective
and objective patient data; Assume responsibility and
accountability for managing independent patient load and bill
appropriately for services rendered. Be available to assess add-ons
in the clinic. Formulate and implement critical pathways to assist
with standardized care. 30% Plan, advocate and maximize use of OR
block time. Prepares all surgical posting slips and submits
paperwork for case posting. Works with Pre-Cert Office/CVU, if
necessary, to expedite all pre-authorization of surgical cases.
Triages outpatient phone calls and coordinates all necessary
paperwork in support of direct patient care. Communicate with
family members regarding patient care and concerns; provide patient
care support and follow up to ensure patient care is
coordinated/communicated effectively; provide clinical instruction
and oversight to nursing staff. Ensures appropriate communication
with all referring physicians. Works with the hospital nursing
team, residents, interns, inpatient APPs, etc., to provide
appropriate patient care through discharge and follow up. Works
with support staff and central offices to maximize efficiency in
clinic scheduling. Documents all patient care activities in EPIC in
a timely manner including disposition of patient telephone calls,
medication lists, etc. Attends departmental Case Management and
M&M conferences on a weekly basis. Maintains current license.
Collaborate with other first assist care team members and
physicians First assist with Neurosurgery/Spine Other duties as
assigned. Additional Job Description Physical Requirements:
Continuous requirements are to perform job functions while
standing, walking and sitting. Ability to bend at the waist, kneel,
climb stairs, reach in all directions, fully use both hands and
legs, possess good finger dexterity, perform repetitive motions
with hands/wrists/elbows and shoulders, reach in all directions.
Ability to be qualified physically for respirator use, initially
and as required. Maintain 20/40 vision corrected, see and recognize
objects close at hand and at a distance, work in a latex safe
environment and work indoors. Frequently lift, lower, push and pull
and/or carry objects weighing 50 lbs (/-) unassisted, exert up to
50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently
work in dusty areas and confined/cramped spaces. If you like
working with energetic enthusiastic individuals, you will enjoy
your career with us! The Medical University of South Carolina is an
Equal Opportunity Employer. MUSC does not discriminate on the basis
of race, color, religion or belief, age, sex, national origin,
gender identity, sexual orientation, disability, protected veteran
status, family or parental status, or any other status protected by
state laws and/or federal regulations. All qualified applicants are
encouraged to apply and will receive consideration for employment
based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal
E-Verify program to confirm the identity and employment
authorization of all newly hired employees. For further information
about the E-Verify program, please click here:
http://www.uscis.gov/e-verify/employees
Keywords: Medical University of South Carolina, Summerville , Nurse Practitioner or Physician Assistant - First Assist Outpatient Neurosurgery - MUSCP, Healthcare , Charleston, South Carolina