Physician Assistant - Neurosurgery

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Employees of Confluence Health receive a wide range of benefits in addition to compensation.

• Medical, Dental & Vision Insurance
• Flexible Spending Accounts & Health Saving Accounts
• Paid Time Off
• Generous Retirement Plans
• Life Insurance
• Long-Term Disability
• Gym Membership Discount
• Tuition Reimbursement
• Employee Assistance Program
• Adoption Assistance
• Shift Differential

In addition to the base salary, this position may receive additional compensation based on call pay and extra shift incentives as applicable.

For more information on our Benefits & Perks, click here!

Provides appropriate specialized inpatient and outpatient Neurosurgery & Orthopedic Spine Health Care Services.

Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic tests; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.

Position Reports To: Practice Manager

1. Sees new office patients and completes a thorough history and physical examination that is problem-oriented for neurosurgical conditions. Evaluates post-operative patients and does routine follow-up visits.

2. Formulates a differential diagnosis and establishes a working diagnosis. Interprets laboratory and diagnostic tests.

3. Develops a treatment plan for neurosurgical conditions within the scope of practice and in conjunction with the neurosurgeon. Refers patients to specialty services when appropriate.

4. Evaluation and reprogramming of VP shunts.

5. Assisting in OR and outpatient clinic with on call duties as assigned, cross trained to work with all department surgeons.

6. Assists with neurosurgical and orthopedic spine procedures, including craniotomies, Intrathecal Baclofen Pump placement, spinal procedures (including instrumentations) and microscopic procedures.

7. Closes deep and superficial wounds.

8. Conducts hospital rounds of all patients including those admitted to the intensive care unit. Handles discharge planning and dictates discharge summaries.

9. Performs initial evaluations on hospital consults and ED consults as directed.

10. Placement and management of ventricular/ICP monitoring.

11. Placement and management of lumbar drains.

12. Writes prescriptions and perform procedures within the scope of expertise, protocols, and available equipment.

13. Maintains accurate and complete patient records in compliance with organizational policy.

14. Required to maintain active Basic Life Support (CPR) certification.

15. Performs other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Required:

• Active Physician Assistant licensure with prescriptive authority in the state of Washington, required by start date.

Desired:

• Related experience.

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.

F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.

C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position:

• Walking - F
• Sitting/Standing - F
• Reaching: Shoulder Height - F
• Reaching: Above shoulder height - O
• Reaching: Below shoulder height - F
• Climbing - O
• Pulling/Pushing: 25 pounds or less - O
• Pulling/Pushing: 25 pounds to 50 pounds - O
• Pulling/Pushing: Over 50 pounds - O
• Lifting: 25 pounds or less - O
• Lifting: 25 pounds to 50 pounds - O
• Lifting: Over 50 pounds - O
• Carrying: 25 pounds or less - O
• Carrying: 25 pounds to 50 pounds - O
• Carrying: Over 50 pounds - O
• Crawling/Kneeling - O
• Bending/Stooping/Crouching - O
• Twisting/Turning - F
• Repetitive Movement - F

  Working Conditions:  

• Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.

  Job Classification:

• FLSA: Exempt
• Hourly/Salary: Salary

  Physical Exposures:

• Unprotected Heights - No
• Heat - No
• Cold - No
• Mechanical Hazards - No
• Hazardous Substances - Yes
• Blood Borne Pathogens Exposure Potential - Yes
• Lighting - No
• Noise - No
• Ionizing/Non-Ionizing Radiation - No
• Infectious Diseases - Yes