Physician Assistant or Nurse Practitioner - Neuro ICU Per Diem

"Job Details

Neuro ICU Physician Assistant and Nurse Practitioner

Good Samaritan University Hospital – West Islip, NY

(Nurse Practitioner or Physician Assistant)

Per Diem

The Neuro ICU Advanced Practice Provider (APP) delivers comprehensive, high-acuity care to patients with complex neurological and neurosurgical conditions at Good Samaritan University Hospital, an academic tertiary-care center within Catholic Health. The APP works collaboratively with intensivists, neurosurgeons, neurologists, and critical care RNs to manage critically ill patients, perform advanced procedures, and optimize outcomes in a fast-paced Neuro ICU.

• Clinical Care & Patient Management
  • Perform comprehensive neurologic and critical care assessments on Neuro ICU patients, including acute stroke, traumatic brain injury, subarachnoid hemorrhage, status epilepticus, brain tumors, spinal cord injury, and complex post-operative neurosurgical patients.
  • Formulate and implement evidence-based medical management plans in collaboration with attending physicians.
  • Interpret diagnostic studies including CT, MRI, EEG, continuous neuromonitoring, and lab results.
  • Manage advanced neuromonitoring devices such as:
    • Intracranial pressure (ICP) monitors
    • External ventricular drains (EVDs)
    • Licox and cerebral perfusion monitoring systems
  • Initiate and titrate critical care infusions (vasoactive, sedation, hyperosmolar therapies, anticonvulsants).
  • Respond to emergencies including code strokes, rapid response activations, seizures, airway compromise, and acute neurologic deterioration.
• Procedures (Depending on training & privileges)
  • Central venous catheter placement
  • Arterial line insertion
  • Lumbar puncture
  • Ventilator management and airway stabilization
  • Bedside ultrasound for procedural guidance
  • Removal of EVDs or drains per neurosurgical protocols (if credentialed)
• Communication & Collaboration
  • Participate in daily multidisciplinary rounds with neurosurgery, neurology, neurointensivists, nursing, respiratory therapy, rehab services, pharmacy, and case management.
  • Communicate clinical plans clearly to patients and families; provide education and support regarding neurological diagnoses.
  • Serve as a clinical resource to nursing staff and contribute to ongoing improvement of Neuro ICU protocols.
• Quality, Safety & Documentation
  • Maintain accurate, timely documentation in the electronic medical record.
  • Follow all hospital guidelines for patient safety, infection prevention, and critical care standards.
  • Participate in Neuro ICU quality initiatives including stroke metrics, morbidity/mortality reviews, CLABSI and CAUTI reduction, and evidence-based neurocritical care pathways.
• Professional Development
  • Participate in continuing education specific to neurocritical care.
  • Maintain required certifications and hospital competencies.
  • Engage in research, performance improvement projects, or academic collaboration as appropriate.

• Current NYS license as Nurse Practitioner (FNP/AGACNP preferred) or Physician Assistant
• Master’s or Doctorate degree from an accredited NP or PA program
• National board certification (AANP/ANCC for NP; NCCPA for PA)
• BLS and ACLS certification
• At least 1–2 years of critical care, neurology, neurosurgery, or ICU-related experience (new graduates with strong ICU RN background may be considered)

• ACNP or AGACNP certification for NPs
• Neuro ICU or neurosurgical APP experience
• Experience with EVD/ICP monitoring and neurocritical care protocols
• CCRN, CNRN, or NCCPA specialty certifications
• NIH Stroke Scale certification

• Advanced neurological assessment skills
• Strong critical thinking and autonomous decision-making
• Ability to manage multiple high-acuity patients in a dynamic ICU setting
• Excellent communication and interdisciplinary collaboration
• Compassionate, patient-centered care philosophy
• Willingness to work in a 24/7 service with rotating shifts

• High-acuity Neuro ICU with 24/7 coverage
• Shifts may include days, nights, weekends, and holidays
• Exposure to emergency situations requiring rapid intervention
• Fast-paced, team-based clinical setting with opportunities for growth and specialization

USD $105.00 - USD $105.00 /Hr.