Advanced Practice Provider (APP) - Neurological Surgery – Columbia Medical Center Northeast

MUSC Health – Columbia Medical Center Northeast is seeking an Advanced Practice Provider for its Neurological Surgery practice located in Northeastern Columbia, SC.  The ideal candidate will be interested in hospital and office-based support, preparing discharges, pre and post-op patient care, and providing support to the Neurosurgeon in all aspects of care. Call coverage will be required via phone and in-person, as appropriate, in alignment with the physician’s call schedule.

Fair Labor Standards Act Status: Salaried/Exempt

Hours per week: 40

Scheduled Work Hours/Shift: Monday-Friday, hours will vary depending on physician’s schedule. Typical shift is 8:00am-5:00pm, but shift may start earlier or end later.  The APP will take first call, in alignment with the physician’s call schedule. The APP can be compensated for call coverage over and above the minimum.  

Patient Population Focus
Inpatient, Outpatient, Operating Room/First Assist, Procedural Unit, Emergency Department Management/Consultation.

Patient Population Age Range
13 years-death

Required Minimum Training and Experience 
Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.  

APRN License Type/Certification:

• FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan. The NP must hold an RNFA certification upon hire to first assist in the operation room.

Preferred Training and Experience

Training: Physician Assistant or if APRN License Type/Certification:

• AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.) The NP must hold an RNFA certification upon hire to first assist in the operation room.

Experience: Previous neuro-surgery experience, orthopedic spine, or surgical experience.

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

Basic Life Support (BLS)

Advanced Cardiovascular Life Support (ACLS)

DHEC and DEA license applications must be started prior to first day

Job Duties

• Provides direct care to patients through the following activities:
• Takes comprehensive history and performs physical examinations
• Evaluates and treats based on history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
• Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
• First or second assistant in the operating room. Assist with use of monitoring devices
• Initiate appropriate emergency care in the inpatient and outpatient setting until the arrival of the supervising physician
• Manage discharge of patients with appropriate disposition, follow-up planning, adjunctive therapy management and education
• Make assessment of emergency conditions and, in conjunction with attending physician, implement management
• Provide pre-and post-operative patient education to patients and their families
• Communicate with referring or primary care physicians regarding patient care and treatment
• Provide follow-up and health maintenance care including the appropriate adjustment of medications in accordance with established protocols or in response to specific instructions from the Attending Physician

Physical Requirements

Continuous requirements are to perform job functions while standing, walking, and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see, and recognize objects nearby and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. 

MUSC Health – Columbia Medical Center Northeast is a 75-bed hospital conveniently located in the northeast Columbia area with easy access to I-77, and I-20. Our care team members are highly skilled professionals dedicated to compassionate care for the Richland County community and beyond.

MUSC Health, the clinical enterprise of The Medical University of South Carolina (MUSC), is dedicated to the pursuit of Changing What’s Possible in health care. We see more than one million patient encounters annually, and our specialized care teams consistently rank among the best in the country.

• In 2022, for the 8^th consecutive year, U.S. News & World Report named MUSC Health the No. 1 Hospital in South Carolina
• In 2023, MUSC Health was included in the Top 100 on Forbes’ list of America’s Best Large Employers

MUSC Health is dedicated to delivering transformational patient care and leading-edge treatment while training generations of innovative and compassionate health care leaders to serve the people of South Carolina and beyond. At MUSC Health, we empower our providers to transform expertise, learning and discovery into unrivaled patient-centered care, and to demonstrate our values of Compassion, Teamwork, Diversity, Accountability, and Innovation in everything we do.

Our integrated health care system includes a downtown Charleston campus featuring five unique hospitals, nine regional medical centers located throughout the state, affiliations with numerous healthcare partners, more than 300 telehealth sites, and nearly 750 care locations situated in the Lowcountry, Midlands, Pee Dee and Upstate regions of South Carolina.