The Staff Neurosurgeon at VA St. Louis Health Care System provides advanced Complex Spine and peripheral nerve care within Surgical Service. Candidates must be Board Certified or Board Eligible with a Complex Spine Fellowship or other neurosurgery-based advanced spine fellowship. Duties include clinical care, spinal procedures, teaching, and administrative support. A Recruitment/Relocation Incentive has been authorized for highly qualified individuals.
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U.S. Citizens, Nationals or those who owe allegiance to the U.S.
All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.
VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Recruitment/Relocation Incentive (Sign-on Bonus): Authorized and may be offered to highly qualified individuals.
Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting
Major Duties and Responsibilities
The Staff Neurosurgeon is a key member of the Surgical Service team, responsible for delivering high-quality, patient-centered neurosurgical care to Veterans. This role encompasses a wide range of clinical, educational, administrative, and potentially research-related duties.
Outpatient Care:
- Evaluate, diagnose, and treat Veterans with cranial, spinal, and peripheral nerve conditions.
- Collaborate with Advanced Practice Providers (APPs), nurses, and technicians to ensure efficient clinic operations and timely follow-up.
- Delegate tasks appropriately while maintaining oversight of all clinical care.
Inpatient Care:
- Serves as an attending neurosurgeon for admitted patients, supported by APPs, RNs, and residents (if present).
- Work closely with inpatient nursing staff, case managers, and technicians to manage daily care, post-operative recovery, and discharge planning.
Operative Care:
- Perform complex spinal surgical procedures, including spinal reconstruction.
- Lead perioperative teams, including anesthesiologists, surgical nurses, APPs, and scrub technicians.
- Provide intraoperative teaching and model best practices in teamwork, sterile technique, and safety.
Emergency Surgical Care:
- Respond promptly to urgent neurosurgical consults and emergent operative cases.
- Direct multidisciplinary emergency responses involving ER physicians, ICU staff, and nursing teams.
On-Call Duties:
- Participate equitably in the neurosurgical call schedule.
- Collaborate with inpatient and on-call surgical teams to triage and manage emergency consults.
Community Care Coordination:
- Work with Care in the Community staff, APPs, and case managers to coordinate external referrals.
- Review and integrate external operative and imaging reports into VA care plans.
Team-Based Care
- Provide leadership within a multidisciplinary team of APPs, nurses, surgical technicians, and allied health professionals.
- Ensure team members operate at the top of their license and competencies.
- Mentor and guide APPs in both clinic and inpatient settings.
- Collaborate with nursing leadership to optimize patient care processes and perioperative protocols.
- Participate in interdisciplinary care teams, tumor boards, and spine conferences
Teaching and Education
- Supervise and educate residents, APPs, nursing staff, and other health professions trainees.
- Deliver structured learning experiences focused on neurosurgical principles, patient safety, and team-based care.
- Conduct in-service training for OR nurses and technicians on neurosurgical instrumentation and sterile technique.
Administrative and Professional Duties
- Attend Surgical Service meetings and participate in peer review and quality improvement initiatives.
- Collaborate with nursing leadership, OR managers, and APP supervisors to enhance workflows and patient outcomes.
- Ensure timely and accurate documentation in the Electronic Health Record (EHR).
Research and Scholarly Activity (if applicable)
- Engage in research related to neurosurgical outcomes, spine surgery, and neuromodulation.
- Promote APP and nursing involvement in scholarly projects and quality improvement initiatives.
Scope of Practice / Privileges
- Includes outpatient, inpatient, elective, and emergent neurosurgical care, with a focus on complex spine and functional neurosurgery.
- Provide oversight of care delivered by APPs, RNs, and technicians.
- Clinical privileges are subject to approval by the Professional Standards Board and Chief of Staff.
Supervisory Controls
- Reports directly to the Associate Chief of Staff, Surgical Services.
- Provides direct clinical supervision to APPs and indirect oversight of nurses and surgical technicians.
- Performance is evaluated through clinical outcomes, peer reviews, and quality metrics.
Work Schedule: Full-Time tour of duty to be negotiated upon selection.
- U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
- Selective Service Registration is required for males born after 12/31/1959.
- Must be proficient in written and spoken English.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Must pass pre-employment physical examination.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- As a condition of employment for accepting this position, you will be required to
serve a 2-year trial period during which
we will evaluate your fitness and whether your continued employment advances the
public interest. In determining if your employment advances the public interest, we
may consider:
- your performance and conduct;
- the needs and interests of the agency;
- whether your continued employment would advance organizational goals of
the agency or the Government; and
- whether your continued employment would advance the efficiency of the
Federal service.
Upon completion of your trial period, your
employment will be terminated unless you receive certification, in writing, that your
continued employment advances the public interest.
- Complete all application requirements detailed in the "Required Documents" section of this announcement.
To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.
Basic Requirements:
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.
- Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
- Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR
[(2) Those approved by the American Osteopathic Association (AOA),OR
(3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences.
Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent or fee-basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs.
- Proficiency in spoken and written English.
Additional Requirement: Must be eligible for Faculty Appointment with an established Academic Affiliate Partner of VA St. Louis Health Care System.
Preferred Experience: Demonstrated expertise in complex spine surgery, including deformity correction and revision procedures.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: More information can be found in VA Handbook 5019.
Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:
- Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
- Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.
- For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.]
NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
You will be evaluated for this job based on how well you meet the qualifications above.
Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.
Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
To apply for this position, you must submit a C.V. and/or resume. Other documents may be requested later in the process if needed.
Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.
Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
To apply for this position online, complete steps 1 and 2 above by 11:59 PM (ET) on 07/23/2027 to receive consideration. Please note, this announcement may close prior to the closing date indicated if the position is filled through other means. If you are unable to apply online before the closing date click here and include the CBSS-13019555-26-DRB in the Notes field.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
Brandy Molitor
Address
VA St Louis Health Care System
1 Jefferson Barracks Drive
St. Louis, MO 63125
US
Once your online application is submitted you will receive a confirmation notification by email. We will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued, and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
Accepting applications
Location
1 vacancy in the following location:
No matching locations found.
Work site options
Relocation expenses reimbursed
No
Salary
$400,000 - $400,000 per year
Pay scale & grade
VM 15
Learn more about pay scale and grade
Pay scale and grade determines the salary of the job.
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Federal service type
This job is in the Excepted Service
Represented by a union
No
Security clearance
Not Required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
CBSS-13019555-26-DRB
