Advanced Practice Provider; Nurse Practitioner NP or Physician Assistant PA

We are seeking a highly motivated and clinically skilled Neurology Advanced Practice Provider (NP or PA) to join our neuroscience team. This position offers flexible practice opportunities in both Inpatient Stroke Neurology or the Neurocritical Care Unit (Neuro ICU) depending on skill and education.

• 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 which will include admission and discharge to hospital, care coordination and multidisciplinary rounding
• Manage critically ill neurological and neurosurgical patients in the neuro ICU
• Perform daily rounding, assessments, care plan development in collaboration with neurointensivists
• Manage patients with conditions including ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, traumatic brain injury, status epilepticus and post-operative neurosurgical care
• Responsible for ICU admissions, transfers and discharges

• 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

• Opportunity to focus on Stroke, Neuro ICU or combination of both based on experience and interest
• All APPs join the team as day/night rotators to maintain scheduling equity and cross‑coverage expertise. Most new hires begin a predominantly night‑based schedule, which offers:
• Reduced monthly shift requirement (10 shifts in a 4 week schedule period compared to 12)
• High‑acuity learning and clinical autonomy opportunities
• As providers gain seniority within the team, they gain increased flexibility in schedule preferences and rotation distribution

• Comprehensive Stroke and Trauma Center:
  As Hawaii’s only Level 1 Trauma Center and Comprehensive Stroke Center, you will gain exposure to a wide range of challenging and rewarding cases
• Competitive compensation
• CME allowance and professional development support
• Collaborative and supportive neuroscience team
• Opportunity to develop specialized expertise in stroke and neurocritical care

Base salary begins at $, subject to change and based on years of experience, opportunity for value based incentives