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 karen.samra@maximspine.com

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