Advanced Practice Provider - Neuroscience ICU

About the role

The Neuroscience ICU Advanced Practice Provider (APP) delivers inpatient critical care to patients with complex neurologic and neurosurgical conditions. The APP works collaboratively with attending physicians to provide high‑quality medical and surgical patient care, including histories, physicals, diagnostic testing, treatment, counseling, and procedural assistance. New graduate providers are encouraged to apply, though neurology/neuroscience experience is preferred. The position involves rotating shifts, including weekends.

Responsibilities

• Perform histories, physical examinations, order and interpret diagnostic tests, and make diagnoses.
• Treat injuries and illnesses, prescribe medications, and counsel patients and families.
• Assist with surgical procedures and perform therapeutic interventions as defined by the Virginia Board of Medicine.
• Make rounds with attending physicians and coordinate patient care across the continuum of services.
• Document all pertinent information in the patient’s medical record.
• Develop and prioritize short‑term and long‑term treatment plans, incorporating physical, spiritual, cultural, and psychosocial aspects.
• Initiate emergency procedures and practice safety, environmental, and infection‑control methods.
• Supervise and coordinate activities of patient‑care and support staff within the assigned area.
• Serve as a consultant to multidisciplinary team members on routine and unusual therapeutic interventions.
• Act as liaison, translator, and negotiator for staff, patients, and families; facilitate patient education.
• Provide training to residents, fellows, and other health‑care staff in the specialty area.
• Participate in research, clinical trials, and the development of critical paths and standards of care.
• Apply ethical decision‑making principles, mediate ethical dilemmas, and respect patient rights.
• Engage in professional development through education, certifications, and participation in teaching programs.
• Perform other duties and special projects as assigned to support VCU Health’s mission.

Requirements

• Graduation from an accredited Nurse Practitioner, Nurse Midwife, or Physician Assistant program.
• Current Virginia licensure as a Nurse Practitioner, Nurse Midwife, or Physician Assistant.
• Current national certification appropriate to the role.
• Current CPR and Basic Life Support (BLS) certifications; Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) may be required at the department level.
• Credentialing in accordance with medical‑staff bylaws for the specific job title.

Qualifications

• Previous clinical experience with the neuroscience ICU population (preferred).
• Three (3) years of clinical experience with the population served (preferred).
• Experience in an academic health‑care system (preferred).
• Demonstrated cultural responsiveness.
• Strong problem‑solving, reasoning, and communication skills.
• Ability to handle a fast‑paced environment, multiple priorities, and frequent change.

Working Conditions

• Physical demands include lifting/carrying up to 100+ lb, pushing/pulling, stooping, kneeling, squatting, crawling, climbing, bending, and standing.
• Manual dexterity, eye‑hand coordination, and ability to maneuver patients.
• Exposure to alarms, telephone, and electronic equipment; need to hear and speak clearly.
• Hazards: latex gloves, chemicals, moving mechanical parts, dust/fumes, potential electrical shock, x‑ray/electromagnetic energy, high‑pitched noise, and gaseous exposures.
• Mental/sensory demands: strong recall, logical thinking, reading, writing legibly, and emotional resilience in a noisy, high‑intensity environment.

Schedule

Rotating shifts, including weekends, with shift work required.

Pay

• APP – Ambulatory: $127,595.60 – $154,073.84
• APP – Hospital: $130,408.90 – $155,200.02
• APP – Critical Care: $137,327.32 – $165,786.33
• APP – C/T Surgery: $141,620.36 – $176,276.81