Position Type: Full-Time
Location: Cedar Knolls, NJ
Department: Neurosurgery
Reports To: Lead Neurosurgeon / Practice Administrator
Compensation: Starting at $140,000+ (based on experience), plus full benefits package
About the Role:
Our neurosurgery team is seeking an experienced Physician Assistant (PA-C) or Nurse Practitioner (NP) with RNFA (Registered Nurse First Assistant) certification to join our practice in a hybrid clinical role. This position splits time between the Operating Room assisting neurosurgeons directly during surgical procedures, and the outpatient office, managing patient care from initial consultation through post-operative follow-up. This is an excellent opportunity for a skilled advanced practice provider who thrives in both high-acuity surgical settings and continuity-of-care clinical environments.
Key Responsibilities:
- Serve as first assist to neurosurgeons during spinal and cranial procedures
- Assist with patient positioning, prepping, and draping
- Provide intraoperative assistance including tissue handling, hemostasis, retraction, wound closure, and suturing
- Ensure adherence to sterile technique and surgical safety protocols
- Coordinate with OR staff and anesthesia teams to support efficient case flow
- Conduct new patient consultations, history and physical exams, and pre-operative evaluations
- Manage post-operative follow-up visits, wound checks, and suture/staple removal
- Order and interpret diagnostic imaging (MRI, CT, X-ray) relevant to neurosurgical conditions
- Develop and adjust treatment plans in collaboration with the supervising neurosurgeon(s)
- Prescribe medications and manage pain control regimens as appropriate to license and state scope of practice
- Educate patients and families on diagnoses, procedures, and recovery expectations
- Maintain thorough, accurate, and timely documentation in the EMR
Required:
- Active, unrestricted license as a Physician Assistant (PA-C) or Nurse Practitioner (NP) in NJ
- RNFA certification** (current and in good standing)
- Board certification (NCCPA for PAs; ANCC/AANP for NPs)
- Current BLS/ACLS certification
- Prior experience in Neurosurgery, Orthopedic surgery, or a related surgical specialty strongly preferred
- Demonstrated first-assist experience in the OR
- Strong clinical judgment and ability to work independently under physician supervision/collaboration agreement
- 2+ years of experience as a surgical first assist
- Experience with spine and/or cranial neurosurgical procedures
- Familiarity with neurosurgical EMR and imaging systems
- Starting salary: $150,000+, commensurate with experience
- Comprehensive benefits package, including:
- Medical, dental, and vision insurance
- Retirement plan (e.g., 401(k)/403(b) with employer match)
- Paid time off and holidays
- CME allowance and paid CME time
- Malpractice/liability coverage
- License and certification renewal reimbursement
- Full-time; hybrid between OR and outpatient clinic
- 40 hr. work week, call requirements, weekend/on-call expectations
How to Apply
Interested candidates should submit a resume/CV and copies of current licensure and RNFA certification to [email protected]
MAXIM SPINE is an Equal Opportunity Employer
Pay: $135,000.00 - $150,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Professional development assistance
Work Location: In person
