Reports To: Anesthesiologist in Charge (AIC) / Chief CRNA
Status: Independent Contractor (1099)
The Certified Registered Nurse Anesthetist (CRNA) provides safe, high-quality anesthesia care for patients undergoing surgical and diagnostic procedures across hospital and ambulatory surgery center (ASC) settings. The CRNA works collaboratively with anesthesiologists, surgeons, nursing staff, and other healthcare professionals to ensure optimal patient outcomes.
This role requires strong clinical judgment, adherence to established anesthesia protocols, and a commitment to patient safety, efficiency, and professionalism across multiple clinical sites within the Maryland region.
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Perform comprehensive preoperative anesthesia assessments, including review of medical history, medications, allergies, and diagnostic results
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Develop, implement, and adjust individualized anesthesia care plans in coordination with supervising anesthesiologists and procedural teams
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Administer all forms of anesthesia (general, regional, MAC, spinal, epidural, and local) in accordance with clinical guidelines and scope of practice
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Continuously monitor patient status throughout procedures and respond promptly to changes in condition
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Manage airway support and provide appropriate interventions during routine and emergency situations
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Deliver safe and effective postoperative care, including pain management and recovery monitoring until patient stabilization
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Collaborate effectively with anesthesiologists, surgeons, registered nurses, surgical technicians, and administrative staff
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Provide timely updates regarding patient status, intraoperative events, and clinical concerns
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Participate in case discussions, handoffs, and care coordination across all assigned facilities
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Support a team-based approach to perioperative care across hospital and ASC environments
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Complete accurate and timely anesthesia records, including medications administered, dosages, patient responses, and procedure details
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Ensure compliance with all applicable federal, state, and facility regulations, as well as ANCO clinical policies and standards
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Maintain proper documentation within electronic medical record systems and anesthesia record systems used at each site
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Adhere to credentialing, privileging, and regulatory requirements for all assigned facilities
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Maintain current CRNA certification, licensure, ACLS/PALS (as required), and continuing education requirements
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Participate in ongoing training, clinical education, and skills development activities
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Engage in quality improvement initiatives, peer review, and patient safety programs
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Contribute to clinical excellence through adherence to best practices and evidence-based anesthesia care
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Clinical assignments include hospitals and ambulatory surgery centers throughout the Maryland region
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May require rotation across multiple facilities based on operational needs and mutual agreement
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Work involves standing for extended periods and participation in physically and mentally demanding surgical environments
As a 1099 independent contractor, the CRNA is responsible for managing their own taxes, insurance, and benefits. This role does not establish an employment relationship and is governed by the terms of the independent contractor agreement.
Qualifications:
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Active CRNA certification and state licensure.
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Current BLS and ACLS certifications; PALS preferred.
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Ability to work independently while collaborating effectively within a team environment.
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Strong critical thinking, decision-making, and communication skills.
Work Schedule & Expectations:
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CRNAs may work in hospital or ASC settings based on assigned shifts.
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Guaranteed minimum hours apply per shift ([e.g., 6 hours for ASC, 8 hours for hospitals]).
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Flexibility to accommodate varying surgical schedules is required.
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Participation in departmental meetings, case discussions, and mandatory trainings as scheduled.
Accountability:
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CRNAs are responsible for maintaining the highest standards of patient safety, professionalism, and adherence to clinical protocols.
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Any deviations from policy or unsafe practices must be reported immediately to the Medical Director.
