Advanced Practice Provider (Nurse Practitioner/Physician Associate), Neurosciences Stepdown Unit
Company : Oregon Health & Science University
Location : Portland, OR
Job Type : Full Time / Part Time
Date Posted : 11 January 2026
Department Overview
The Department of Anesthesiology & Perioperative Medicine is integral to the healthcare, education, and research missions at OHSU. We provide clinical services at OHSU hospitals and collaborate with the VA Portland Health Care System and community hospitals. We specialize in providing excellent perioperative care and anesthesia services to our patients using state-of-the-art technology and pharmacologic tools with an emphasis on patient safety. Pre-operative assessment is facilitated by electronic data collecting systems and is integral to minimizing patient risk. In the operating rooms our anesthesiologists work in care teams with our fellows, residents, and nurse anesthetists as well as independently. Pre- and post-operative care is under the medical supervision of our department. We play a prominent role in the caring for patients in the cardiovascular, neurosciences, and virtual intensive care units. In the ICU our team includes anesthesiology intensivists, critical care fellows, physician assistants/nurse practitioners, and residents. The role of our team in the ICUs is comprehensive and critical to achieving the highest quality outcomes for our patients.
The Advanced Practice Provider (APP) provides patient care in the Neurosciences Stepdown Unit. The APP faculty works in partnership with faculty physicians and primary teams to provide excellent clinical care and customer service. The APP faculty works in conjunction with other faculty and OHSU leadership to promote OHSU’s missions of excellence in patient care, teaching, research, and public service as well as the strategic goals to excel in patient safety, quality, cost-effective, and efficient care.
Function/Duties of Position
The Neurosciences Stepdown Unit treats patients with neurological injuries, who require active medical management. Care in the Neurosciences Stepdown Unit follows evidence-based guidelines and clinical pathways developed by the multidisciplinary team. The APP faculty is expected to work a fair share of weekday and weekend shifts.
Clinical Responsibilities:
- Assessment and treatment of patients in the Neurosciences Stepdown Unit in consultation with critical care trained physician faculty, including placement and management of arterial and central lines and lumbar puncture.
- Rounding on patients in the Neurosciences Stepdown Unit as requested by the primary team, and developing and implementing clinical plans of care.
- Close communication and collaboration with the primary team to advance patient care.
- Consultation with the critical care physician as appropriate.
- Consultation with specialty care providers when appropriate.
- Communication with patients and families about medical conditions, treatment plans, and progress.
- Collaboration with primary teams and hospital and unit staff to develop and implement discharge plans for patients in the Neurosciences Stepdown Unit, and promote patient health through education and counseling.
- Timely and accurate documentation in the electronic medical record.
- Collaboration with other members of the multidisciplinary and interprofessional care team to ensure optimal patient care and continuously improve quality of care.
- Adherence to best practice protocols and policies
- Delivery of care compliant with the regulations and guidelines by the relevant regulatory bodies.
- Treating all patients and co-workers with dignity and respect in alignment with the OHSU Code of Conduct.
- Supporting a safe and welcoming environment where all can contribute and prosper.
Education and Quality Improvement Responsibilities:
- Education of nursing staff, peers, trainees and students in formal and informal settings.
- Participation in all relevant conferences and team meetings.
- Collaboration with multidisciplinary and interprofessional care team members to establish or revise clinical pathways and patient education materials.Academic and professional development through attendance and/or participation at national/regional conferences is encouraged. The APP faculty may participate in a program of scholarly research activity directed toward improved understanding of the causes, detection, and treatment of diseases.
Required Qualifications
- Successful completion of a Master Degree in Nursing or Master of Science in Nursing in the specialty of Acute Care Nurse Practitioner (ACNP), or Adult-Gerontology Acute Care Nurse Practitioner (AG ACNP) from an accredited program.
- Current RN and NP licensure with the Oregon Board of Nursing.
- Current ANCC Certification in the area of specialization.
- Current ACLS certification.
- DEA certificationOR
- Successful completion of a Master Degree in Physician Assistant Studies from an accredited program.
- Current PA licensure with the Oregon Medical Board.
- Current NCCPA Certification.
- Current ACLS certification.
- DEA certification
Preferred Qualifications
- Previous experience as provider in inpatient care setting, ideally with focus on neurological injuries.
- Education directed at critical care.
- Interest in learning advanced clinical skills.
- Interest in further developing leadership skills.
- Passion for care of neurologically injured patients.
Additional Details
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
All are welcome
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
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Frequently asked questions
Advanced Practice Providers in the Neurosciences Stepdown Unit perform complex clinical duties such as managing arterial and central lines, conducting lumbar punctures, and collaborating closely with critical care physicians. Their role extends into interdisciplinary coordination, patient education, and clinical pathway development, ensuring specialized neurological care.
Professionals in this role often advance through gaining expertise in neurocritical care, leadership development, and academic contributions like research or education. Opportunities may expand into specialized neurology teams, administrative roles, or regional clinical leadership, reflecting a dynamic career path in neuroscience-focused advanced practice.
Key skills include proficiency in critical care procedures, effective interdisciplinary communication, evidence-based clinical decision-making, and familiarity with electronic health record systems. Additionally, cultural competence and commitment to patient safety align with OHSU’s mission to provide exemplary neurological patient care.
Portland shows a growing need for specialized neuroscience practitioners due to expanding neurocritical care programs and aging populations. The demand is moderate to high, driven by institutions like OHSU and affiliated hospitals, making it a promising location for advanced practice providers with neurology expertise.
Portland’s traffic congestion during peak hours and limited parking near OHSU can pose challenges. Many providers opt for public transit, biking, or carpooling to navigate downtown and the Marquam Hill campus efficiently, balancing convenience with environmental sustainability.
Beyond national certifications, holding current Oregon RN and NP or PA licensure is mandatory. Certifications such as ACLS and DEA registration are crucial, while additional training in neurological or critical care certifications can significantly boost employability within Oregon's specialized healthcare settings.
OHSU fosters professional growth by encouraging attendance at national conferences, participation in scholarly research, and collaborative educational initiatives. The environment supports mentorship from faculty physicians and interprofessional teams, promoting advanced clinical skills and leadership development.
At OHSU, providers engage with complex neurological cases within a multidisciplinary academic setting, benefiting from cutting-edge technology and research integration. Community hospitals may offer broader but less specialized experiences, with fewer resources dedicated specifically to neuroscience-focused care.
In Portland, Advanced Practice Providers in neurosciences typically earn between $110,000 and $140,000 annually, depending on experience, certifications, and clinical expertise. OHSU’s compensation aligns competitively with regional academic medical centers, reflecting the specialized nature of this role.
OHSU commits to a culturally competent workforce by promoting equal opportunity and supporting diversity in hiring. Advanced Practice Providers contribute by fostering respectful patient care environments and participating in initiatives that enhance inclusivity across clinical and educational settings.