Advanced Practice Provider - Multiple options including stroke, Neuro ICU and Neurointerventional Radiology

Position Overview

We are seeking highly motivated and clinically skilled Advanced Practice Providers (NP or PA) to join our neuroscience team. There are multiple positions including Inpatient Stroke Neurology, Neurocritical Care Unit (Neuro ICU) or Neurointerventional Radiology.

Qualifications

• Board certification and valid state licensure as Nurse Practitioner (Acute Care) or Physician Assistant (PA)

Ideal Candidate

• Strong clinical skills in patient assessment, diagnosis and treatment
• Neurology or critical care experience preferred but not required, we will train the right candidate
• Ability to work autonomously and efficiently in high-pressure environment

More about the positions can be found on job postings https://www.queens.org/careers/jobs/

Inpatient Stroke Neurology APP Responsibilities -

• Respond to and evaluate acute stroke alerts/stroke codes
• Perform comprehensive neurological assessments
• Assist with thrombolytic eligibility evaluation and thrombectomy triage
• Manage general stroke consults across inpatient units and emergency department
• Procedures including: lumbar puncture/drain placement
• Anticipate transition to primary stroke service in 2027 which will include admission and discharge to hospital, care coordination and multidisciplinary rounding

Neurocritical Care (Neuro ICU) APP Responsibilities -

• Manage critically ill neurological and neurosurgical patients in the neuro ICU
• Perform daily rounding, assessments, care plan development in collaboration with neurointensivists
• Manage patients with conditions including ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, traumatic brain injury, status epilepticus and post-operative neurosurgical care
• Responsible for ICU admissions, transfers and discharges
• Procedures including: arterial lines, central venous catheters, EVD management, ventilator management, intubation, lumbar puncture/drain placement

Schedule & Flexibility for ICU & Stroke Positions

• All APPs within Stroke & ICU teams join the team as day/night rotators to maintain scheduling equity and cross-coverage expertise. Most new hires begin a predominantly night-based schedule, which offers:
• Reduced monthly shift requirement (10 shifts in a 4 week schedule period compared to 12)
• Night shift differential compensation
• High-acuity learning and clinical autonomy opportunities
• As providers gain seniority within the team, they gain increased flexibility in schedule prefences and rotation distribution

Neurointerventional Radiology APP Responsibilities (40h day shift, Saturday rotating) -

• Perform comprehensive patient assessments, history taking and physical examinations for patients referred for neurointerventional procedures
• Review diagnostic imaging, lab data and relevant medical records to assist with procedural planning and patient optimization
• Collaborate with physicians and interdisciplinary teams to develop individualized patient care teams
• Provide ongoing management and follow-up care for patients before and after procedures
• Assist with obtaining informed consent for neurointerventional procedures
• Perform select procedures including lumbar punctures under fluoroscopy
• Conduct outpatient clinic visits for pre- and post-procedure follow-up

Schedule for Neurointerventional Radiology Position

• 40 hour day shift position
• Once third APP is hired, it will be expectation of all 3 APPs to rotate working Saturdays, would be every third weekend at most

Why Queen’s Medical Center?

• Comprehensive Stroke and Trauma Center: As Hawaii’s only Level 1 Trauma Center and Comprehensive Stroke Center, you will gain exposure to a wide range of challenging and rewarding cases
• Competitive compensation
• Comprehensive benefits package
• CME allowance and professional development support
• Collaborative and supportive neuroscience team
• Opportunity to develop specialized expertise in stroke and neurocritical care