Job Summary
This is a clinical lead role, not a traditional staff RN position. Dr. Leschke is building a lean, high-performance neurosurgical practice and the RN is the clinical and operational backbone of the team. You will serve as the primary clinical point of contact for patients, manage triage, own surgical scheduling, support both Dr. Leschke and the mid-level provider, lead the daily team huddle, and oversee the Medical Assistant.
On clinic days you are on-site and in the flow. The rest of the week you work remotely, which demands a specific kind of professional: someone who is highly self-directed, documents in real time so the entire team has current information and communicates proactively without needing to be prompted. At the same time, this is not a role for someone who operates in isolation - you are free to check in with Dr. Leschke throughout the day, and a structured daily team huddle is a cornerstone of how this practice runs.
One reality that shapes everything about this job: an emergency case can arrive without warning. When that happens, the clinical and administrative engine of the practice must not stall. The RN always operates ahead of the workload - tasks completed, documentation current, and nothing left to accumulate. Preparedness is the baseline.
Responsibilities
Clinical Operations & Triage
- Serve as the clinical operations lead - the connective tissue between physician, mid-level, MA, and Practice Administrator
- Apply RN-level clinical judgment to triage patient calls and messages; identify urgent cases and escalate appropriately
- Ensure clinical protocols and administrative processes are followed consistently across the team
- Support the mid-level provider in day-to-day clinical coordination and patient communication
Surgical Operations
- Own surgical scheduling end-to-end - coordinate cases across hospital ORs with efficiency and precision
- Manage surgical clearances, pre-op labs, imaging requirements, and hospital coordination
- Collaborate with the mid-level provider on pre-op order sets and peri-operative medication plans
- Ensure all surgical patients are thoroughly prepared and educated before their procedures
- Maintain the weekly schedule review cadence - cases, clinic days, equipment, and scheduling conflicts
Patient Communication & Follow-Up
- Field patient calls and inbox messages with RN-level clinical insight and a strong customer-service orientation
- Conduct results calls, post-op follow-up, and treatment plan reinforcement in clear, patient-friendly language
- Prioritize same-day communications wherever possible - neurosurgery-level responsiveness is the standard
- Escalate complex clinical questions to the mid-level or Dr. Leschke promptly and document escalations
Team Communication & Daily Rhythm
- Facilitate the structured daily team huddle - Dr. Leschke will lead these sessions, and the RN ensures they happen consistently as a cornerstone of the practice operating rhythm
- Maintain open, proactive communication with Dr. Leschke throughout the day; surface issues early, don’t wait
- Enter information into the EMR in real time so the entire team always has current, accurate patient data
- Coordinate with Practice Administrator on administrative workflows, credentialing, compliance, and operational matters
MA Mentorship
- Directly supervise and mentor the Medical Assistant in daily clinical workflow
- Set clear expectations for chart prep quality, patient intake, and support tasks
- Identify training needs and address performance gaps proactively and constructively
Post-Operative Care
- Communicate standard post-operative protocols to patients with empathy and clinical clarity
- Identify and escalate complex post-op issues to the mid-level or Dr. Leschke without delay
- Contribute to process improvement as the practice grows - surface bottlenecks, propose solutions, follow through
Professional Conduct & Team Culture
- Participate actively and constructively in the daily team huddle and team meetings
- Maintain open, proactive communication with Dr. Leschke and the team throughout the day
- Receive feedback with openness and apply it - continuous improvement is a shared value here
- Communicate directly and constructively; bring solutions and positive energy to every interaction
- Model the practice’s core values in every patient and team interaction: trust, collaboration, doing right
- Embrace the startup nature of this practice - be flexible, be curious, and help build what doesn’t exist yet
Experience
- Active Wisconsin RN license required; BSN preferred
- Minimum 2-3 years of clinical RN experience; neurosurgery, spine, or orthopedics strongly preferred
- Demonstrated experience with surgical scheduling, pre/post-op education, and clinical triage
- Experience in a hybrid or remote clinical coordination role is a strong plus
- Strong EMR proficiency; ability to document in real time is essential; experience with eClinicalWorks preferred
- Demonstrated ability to function independently without daily in-person supervision
- Approved professional background screening
- Sit, walk, stand, bend, squat, climb, kneel, twist, and lift up to 30 pounds independently
Join us to be part of a vibrant team committed to delivering compassionate nursing care that transforms lives!
Pay: $64,000.00 - $110,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
Experience:
- nursing : 2 years (Required)
License/Certification:
- Wisconsin Registered Nurse License (Required)
Ability to Commute:
- Appleton, WI 54914 (Required)
Work Location: Hybrid remote in Appleton, WI 54914
