Premier Health·Dayton, Ohio
Provide advanced, evidence-based care for critically ill patients with complex neurological and neurosurgical conditions in a hospital setting. Manage acute stroke, traumatic brain injury, and post-operative conditions while collaborating with a multidisciplinary care team.
Clinical Neuroscience Institute – MVH FT/ Nights/ 80 Hours per pay Accepting Nurse Practitioners and Physician Assistants Summary The Advanced Practice Provider in Neurosurgery provides advanced, evidence-based care for critically ill patients with complex neurological and neurosurgical conditions. In collaboration with attending physicians, residents, and the inter-professional care team, the APP delivers comprehensive care that includes patient assessment, diagnosis, treatment planning, and continuous management in the hospital setting. The APP plays a vital role in patient stabilization, critical decision-making, and family support during high-acuity situations. Nature and Scope · Applies advanced knowledge of acute care medicine and neuroscience to critically ill patients. · Skilled in evaluating unstable conditions, interpreting diagnostic data, and initiating life-sustaining interventions. · Maintains quality assurance standards while responding effectively in emergent and rapidly changing clinical situations. · Demonstrates strong communication skills with patients, families, and the healthcare team, particularly in high-stress environments.
The APP functions as a clinician, educator, consultant, and collaborator in the delivery of neurosurgical care. The role requires in-depth knowledge of neuroanatomy, neurophysiology, critical care management, and evidence-based guidelines. The APP is expected to:
Manage patients with acute stroke, intracerebral hemorrhage, subarachnoid hemorrhage, traumatic brain injury, post-operative neurosurgical conditions, and other neurological emergencies.
Partner with physicians to develop and implement individualized treatment plans.
Provide ongoing assessment and timely interventions in the critical care environment.
Support patients and families through education, communication, and advocacy. Key Responsibilities · Perform comprehensive histories and physical exams on critically ill patients. · Order, interpret, and act on diagnostic tests including CT, MRI, EEG, and laboratory studies. · Develop, implement, and evaluate treatment plans in collaboration with the supervising physician(s). · Manage and interpret intracranial pressure devices. · Prescribe medications, therapies, and interventions in accordance with licensure and collaborative agreement. · Respond to emergencies and acute neurological deteriorations. · Provide education and guidance to patients, families, and inter-professional staff. · Document all care provided in the electronic medical record. · Uphold HIPAA standards and ethical guidelines in all patient interactions. Experience
Two (2) to three (3) years of acute/critical care nursing experience preferred
Prior critical care, neurocritical care, or neurosurgical ICU experience preferred Knowledge / Skills · Advanced understanding of neurological and neurosurgical critical care · Proficiency in advanced diagnostic interpretation and invasive monitoring · Excellent clinical judgment and ability to manage high-acuity patients · Strong organizational, multitasking, and critical thinking skills · Effective communication and teamwork skills in high-pressure environments · Computer literacy including Excel, Word, Outlook; EMR experience required Population Served Defined by the APP’s scope of licensure and certification. The APP provides neurosurgical care services to patients with acute and life-threatening neurological or neurosurgical conditions, ensuring safe, effective, and compassionate care.
Requires completion of an Acute Care Nurse Practitioner or Physician Assistant program with current licensure in the State of Ohio. BLS, ACLS, and national certification (ANCC or NCCPA) are mandatory.
Market context
In Ohio, advanced-practice roles are typically in demand across primary care, urgent care, and specialty settings, especially for clinicians who can deliver holistic, evidence-based care and handle immunizations and vaccine counseling. These roles are competitive because employers often look for at least two years of medically relevant experience, current BLS certification, and quick completion of required credentialing steps such as the DOT certification exam. If you are considering applying, confirm that your experience aligns with the immunization and certification requirements and review the AI-summarized job requirements and benefits here to save time versus reading the original posting line by line.