Neurosurgery, Pituitary & Endocrinology- Nurse Practitioner/Physician Assistant- Piedmont Atlanta Hospital

Overview

Position Overview

Piedmont Healthcare is seeking an experienced Advanced Practice Provider (Physician Assistant or Nurse Practitioner) to join our Neurosurgery team with a specialized focus on pituitary and skull base disorders.

The APP will work closely with a pituitary neurosurgeon and pituitary endocrinology team to provide coordinated, multidisciplinary care for patients with pituitary tumors and other disorders of the sellar and parasellar region.

This is a highly collaborative role spanning the complete patient journey, including outpatient consultation, preoperative evaluation and optimization, operating room support, inpatient rounding, postoperative management, discharge, and longitudinal follow-up.

The ideal candidate will have a strong interest in developing advanced expertise at the intersection of neurosurgery and pituitary endocrinology and becoming an integral member of a comprehensive pituitary program.

Responsibilities

• Key Responsibilities

• Operating Room & Surgical Support

• Provide operative support for pituitary and skull base neurosurgical procedures.

• Serve as First Assist when appropriate based on training, credentialing, and procedural needs.

• Participate in perioperative management of patients undergoing endoscopic transsphenoidal and other pituitary procedures.

• Coordinate with neurosurgery, anesthesia, ENT/skull base surgery, endocrinology, nursing, and other members of the operative team.

• Support standardized clinical pathways designed to promote safe, efficient surgical care.

• Preoperative & Perioperative Care

• Conduct comprehensive histories and physical examinations.

• Coordinate preoperative testing, imaging, specialty consultations, medication management, and medical clearances.

• Review surgical preparedness and identify potential clinical issues requiring physician evaluation before surgery.

• Provide patient and family education regarding the surgical process, anticipated hospitalization, recovery, and follow-up.

• Collaborate with endocrinology regarding preoperative assessment of pituitary hormonal function.

• Inpatient & Postoperative Management

• Perform daily inpatient rounds on pituitary neurosurgery patients.

• Complete progress notes, orders, consultations, discharge documentation, and care coordination.

• Monitor neurological and endocrine status following surgery.

• Assist in the recognition and management of postoperative issues associated with pituitary surgery, including:

• Diabetes insipidus and disturbances in sodium/fluid balance

• Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

• Adrenal insufficiency

• Cortisol and other pituitary hormone abnormalities

• Cerebrospinal fluid leak

• Visual or neurological changes

• Postoperative infection or other surgical complications

• Collaborate closely with the neurosurgeon and endocrinologist when escalation or treatment modification is required.

• Coordinate safe and timely discharge, including medication management, laboratory monitoring, patient education, and follow-up appointments.

• Outpatient Responsibilities

• Participate in new and established patient consultations for pituitary and sellar disorders.

• Obtain comprehensive histories, perform physical examinations, and review relevant imaging and laboratory results.

• Participate in postoperative clinic visits and longitudinal surveillance.

• Coordinate laboratory testing, MRI surveillance, specialty referrals, and postoperative follow-up.

• Provide education regarding diagnosis, surgical treatment, recovery, medications, symptoms requiring urgent evaluation, and long-term follow-up.

• Participate in night and weekend call and hospital rounding rotation with other APPs.

• Pituitary Endocrinology Support

• A distinguishing feature of this position is its close integration with pituitary endocrinology.

The APP will:

• Support coordinated neurosurgery/endocrinology evaluation of pituitary patients.

• Facilitate appropriate pituitary hormone testing and ensure results are available for physician review.

• Assist with coordination of postoperative endocrine surveillance.

• Reinforce medication and hormone-replacement education established by the treating endocrinologist.

• Help coordinate management of cortisol, thyroid, sodium/fluid balance, gonadal and other pituitary-axis abnormalities.

• Facilitate communication between neurosurgery, endocrinology, primary care, and other specialists.

• Help ensure patients do not become lost to follow-up after surgery and receive appropriate long-term endocrine and imaging surveillance.

• Multidisciplinary Program Responsibilities

The APP will serve as an important clinical connector within the pituitary program and may participate in:

• Multidisciplinary pituitary or skull base conferences

• Case review and treatment planning

• Patient navigation and care coordination

• Development of standardized clinical pathways

• Patient and referring-provider education

• Quality and outcomes monitoring

• Clinical documentation and program development

• Referral coordination and timely access for new pituitary patients

Qualifications

• Qualifications

• Required

• Graduate of an accredited Physician Assistant or Nurse Practitioner program.

• Current or eligible Georgia PA or APRN licensure.

• Appropriate national board certification.

• Current BLS certification.

• Ability to obtain appropriate hospital privileges and meet Piedmont credentialing requirements.

• Excellent clinical judgment, communication, organization, and patient-care skills.

• Preferred

• 1–2+ years of neurosurgery, endocrinology, neuroendocrinology, ENT/skull base surgery, or other surgical experience.

• Prior operating room or First Assist experience.

• Experience caring for neurosurgical patients in the inpatient setting.

• Experience with pituitary, skull base, neuroendocrine, or endocrine disorders is highly desirable.

• Experience coordinating multidisciplinary patient care.

• Strong interest in developing specialized expertise in pituitary disease.

• Ideal Candidate

• The ideal candidate is a highly collaborative APP who is comfortable functioning across multiple clinical environments including the OR, inpatient unit, neurosurgery clinic, and endocrinology clinic.

• Because pituitary care bridges surgical and medical specialties, the successful candidate should enjoy multidisciplinary practice, complex patient management, detailed care coordination, and developing long-term relationships with patients.

• The candidate should also be interested in becoming a pituitary-focused clinical expert, rather than functioning solely as a general neurosurgery APP.

Business Unit : Company Name

Piedmont Medical Care Corporation