Neurological Surgery Clinical APP Associate - Primary Outpatient

Department Overview

As Oregon’s only academic health center, OHSU integrates education, research, patient care, and community service to improve the well-being of Oregonians. The Department of Neurological Surgery delivers comprehensive care for patients with brain, spinal cord, and peripheral nerve conditions at OHSU and Doernbecher Children’s Hospital. Our surgeons combine deep expertise with advanced technology and a patient-centered approach.

The department is nationally recognized for pioneering innovations, including North America's first deep brain stimulation surgery and the world’s first neuronal stem cell transplants. We house leading neurosurgical training programs and advanced fellowships and contribute significant research on pain perception and cerebral blood flow.

The Department of Neurological Surgery in the OHSU School of Medicine is a safe, respectful and welcoming place for people of all races, cultures, ethnicities, genders, national origins, abilities, ages, colors, religions, and sexual orientations. We are committed to creating a respectful, inclusive, and equitable work environment. Diversity is a core value, and all members participate in ongoing education and initiatives to support equity and inclusion within OHSU and the communities we serve.

The Clinical APP Associate (APP) is a practitioner certified through the Oregon State Board of Nursing (NP) and authorized to practice within the parameters described in Division 50 of the Oregon Nurse Practice Act (Oregon Revised Statute Chapter 678) or is a Physician Assistant licensed to practice by the Oregon Medical Board (PA). The APP is credentialed by the Credentials Committee and approved by the Professional Board of OHSU and other locations as required to practice in the hospital setting and to perform such procedures as authorized by the Credentials Committee and by the Professional Board.

The APP is authorized to prescribe medications according to the state and federal guidelines and laws.

This position specializes in caring for adult patients with neurological disorders and is primarily responsible for outpatient clinical care as well as other clinical operations within the Department of Neurological Surgery. The role involves independent patient care, procedural work, care coordination and administrative tasks, and educational contributions. The APP collaborates closely with faculty physicians, APP colleagues, and others in the interdisciplinary team to ensure the highest standards of patient care and service.

The APP will support OHSU’s missions including teaching, research, patient care, outreach, and public service.

Primary location: OHSU Main Campus at Marquam Hill and Center for Health and Healing South Waterfront campuses.

Schedule:
Four 10-hour days, Monday through Friday, with occasional evening/weekend coverage as needed.

Clinical Care

• Primarily in the outpatient environment, evaluate new and returning patients, including pre-operative assessments and post-operative follow-up.
• Manage complex medical care, including wound care, chronic follow-up, and unscheduled visits.
• Develop and coordinate patient care plans with faculty and house staff to ensure continuity and quality of care.
• Perform neurosurgical procedures according to protocol and competency training.
• Perform administrative and unscheduled patient care. Respond promptly to patient/family inquiries (phone, MyChart, letters), collaborating with team members such as nurses, APPs and physicians to resolve clinical concerns.
• Prescribe medications (short- and long-term) and respond to peer-to-peer insurance requests for imaging or prescriptions.
• Utilize telemedicine and virtual care platforms as appropriate per OHSU policies and payer guidelines.
• Identify urgent clinical situations and respond autonomously and effectively, including providing situational resuscitation and emergency treatment.

Care Coordination & Communication

• Coordinate with interdisciplinary teams, including outpatient staff and other APPs, to ensure streamlined, patient-centered care.
• Collaborate with surgeons, physicians, and external providers to optimize patient outcomes.
• T…