Hackensack Meridian Health logo
Hackensack Meridian Health
Neptune, New Jersey

PA (First Assist) / NP (RNFA)- Neurosurgery Inpatient (Multi-Campus)

Physician AssistantIncludes weekendsNo callFull-Time

Listed compensation

$156,977.60+

The week · per this posting · weekdays assumed

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 31m ago · Verified live

Job Description

The Neurosurgery Inpatient Physician Assistant or Nurse Practitioner (RNFA/First Assist) assists, monitors, and manages the day-to-day needs of patients as requested by, in conjunction with, and under the supervision of a physician. Performs the duties and responsibilities of a Physician Assistant according to customary and generally accepted medical standards.

  • Multiple campus coverage (JSUMC, OUMC, and RMC)
  • Weekends as NeededHoliday Work As NeededNo On-Call Required

Responsibilities

1. Provide medical services under the supervision of a licensed physician, consistent with the PA's education, training and experience. 2. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem. 3.

Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate. 4.

Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities. 5.

Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed. 6.

Seeks opportunities to promote Hackensack Meridian Health (HMH) PA practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations. 7.

Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease. 8. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges. 9.

Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes. 10. Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions. 11.

Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty. 12. Translates `best practice' into clinical practice by evaluating current protocols and standards of care. 13.

Provides culturally sensitive and educationally appropriate health management education to patients and families. 14. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds. 15.

Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate. 16. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities. 17.

Participates in organizational and departmental meetings, committees, and workgroups as necessary. 18. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes. 19.

Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars. 20. Mentors other PAs, precepts students in PA programs and participates in educational programs as a clinical expert. 21.

Identifies patient/family educational needs and collaborates to implement appropriate teaching materials. 22. Promotes innovation by integrating new clinical knowledge into practice. 23. Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications.

24. Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them. 25. Comply with HMH and department-specific scope of services, policies and procedures as applicable to role. 26. Adheres to all HMH infection control and safety policies. 27. Other duties and/or projects as assigned. 28. Adheres to HMH Organizational competencies and standards of behavior.

1. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem. 2. Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate. 3.

Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities. 4.

Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed. 5.

Seeks opportunities to promote Hackensack Meridian Health (HMH) APN practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations. 6.

Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease. 7. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges. 8.

Adheres to HMH nursing protocols, standards of care, and disease-specific quality indicators. 9. Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes. 10.

Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions. 11. Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty. 12.

Completes medication reconciliations as appropriate. 13. Participate in annual APN peer review. 14. Translates `best practice' into clinical practice by evaluating current protocols and standards of care. 15.

Provides culturally sensitive and educationally appropriate health management education to patients and families. 16. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds. 17.

Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate. 18. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities. 19.

Participates in organizational and departmental meetings, committees, and workgroups as necessary. 20. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes. 21.

Collaborates with medical staff to support nursing-led protocols. 22. Mentors other APNs, precepts students in APN programs and participates in educational programs for nursing as a clinical expert. 23. Identifies patient/family educational needs and collaborates to implement appropriate teaching materials. 24.

Facilitates and participates in nursing educational programs as a clinical expert. 25. Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars. 26. Promotes innovation by integrating new clinical knowledge into practice. 27.

Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications. 28. Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them. 29.

Adheres to the legal framework and scope of practice defined by the NJ Division of Consumer Affairs, ensuring compliance with all applicable statutes and professional standards. 30. Comply with HMH and department-specific scope of services, policies and procedures as applicable to role. 31.

Other duties and/or projects as assigned. 32. Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Required Education, Knowledge, Skills, and Abilities

  • Graduate of an NLN/AACN accredited nursing program.
  • Master's or Doctorate degree from an accredited Nurse Practitioner program.
  • Maintains clinical competencies through continuing education and clinical practice.
  • Experience in a relevant patient care setting (or as regulations dictate).
  • National Provider Identifier (NPI).
  • Prescriptive authority through CDS and DEA registration according to New Jersey state law.
  • Collaborative agreement with physicians on staff.
  • Excellent written and verbal communication skills.
  • Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms

Licenses & Certifications Required

  • NJ State Professional Registered Nurse License.
  • Advance Practice Nurse License.
  • BLS AHA Basic Health Care Life Support HCP Certification.
  • Board certified by AANP or ANCC.
  • AHA Advanced Cardiac Life Support Certification.
  • RNFA or willing to obtain

Acute Care NP Cert

Education, Knowledge, Skills and Abilities Required:1. Successful completion of an approved physician's assistant program, accredited by the AMA Council on Medical Education.2. Excellent written and verbal communication skills.3.

Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms Licenses and Certifications Required:1. Physician Assistant License.2. National Commission on Certification of Physician Assistants.3. BLS AHA Basic Health Care Life Support HCP Certification.4. AHA. Advanced Cardiac Life Support Certification.

  • Starting Minimum Rate
  • Minimum rate of $156,977.60 Annually

Job Posting Disclosure

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pa

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

ACLSDEA LicenseBoard Certification

Key Skills

Patient assessmentPharmacologic managementMedication prescriptionPatient advocacyElectronic health recordsSurgical assistanceEvidence-based medicineMentoringClinical documentation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates PA (First Assist) / NP (RNFA)- Neurosurgery Inpatient (Multi-Campus) at Hackensack Meridian Health a 6.1 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Surgery (PA) — ranked against 340 active Surgery (PA) listings on WeekdayDoc. Contributing factors include no on-call duties.

Surgery — Physician Assistant Career Context

Of the 50 active Surgery listings this role was benchmarked against, 8% are remote, 74% have no call, 68% require no weekends.

Surgery pay on WeekdayDoc is down 2.2% vs. the prior quarter (through Oct 2026).

Surgery PA by the numbers
MeasureThis jobMarket
Work-life score6.1 / 10 · top 25% in surgery (pa)ranked against 340 Surgery (PA) listingslisting-based score, 0–10
Listed paynot listedSurgery PA median $141k (middle half $125k–$153k)14 comparable listings, Nov 2026
Cost of livingNew Jersey index 108.8US average = 100BEA Regional Price Parities (2024)
Surgery PA listings in New Jersey14 active343 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 8% remote · 74% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS physician assistant listings (all specialties): 19% state a sign-on bonus (median $15k) · 8% offer loan repayment1,000 active listings, Nov 2026
Surgery PA hiring demand#6 of 6 specialtiespostings stay open a median 41 daysWeekdayDoc Hiring Index, October 2026 · 107 postings, 230 closed
New Surgery PA listings118 in the last 30 days96 the 30 days before (+23%)U.S., first seen on WeekdayDoc, Nov 2026
Surgery PA pay trend−2.2% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (340 Surgery (PA) listings), BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Physician Assistant Jobs

29 matches · ranked by pay

Salary Distribution

29 jobs · 18 employers
9
<$150k
4
$150k-175k
12
$175k-200k
2
$200k-225k
2
$225k+

Annual compensation range

Benefits & Perks

29 jobs · 18 employers
401k / retirement match
90% this job
CME allowance
62%
Sign-on bonus
59%
Relocation assistance
34%
Loan repayment
21%

Share of similar jobs offering each benefit

#1

Outpatient Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associates

Oregon Health & Science University · Portland, Oregon

$172k-$229k
#2

Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associate

Oregon Health & Science University · Beaverton, Oregon

$172k-$229k
#3

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

$210k
#4

Nurse Practitioner or Physician Assistant Inboxologist

$134k-$200k
+ 27 more · ranked by pay

Work-life snapshot

median 1.7this job 6.1
Better work-life than 80% of Surgery (PA) listings

Listing-based score, 0–10, across 340 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • Includes weekends
Hackensack Meridian Health logo

About Hackensack Meridian Health

Hospitals and Health Care
Edison, New Jersey
10,000+ employees

Benefits & Perks

Health Insurance
Dental
Vision
Paid Leave
Tuition Reimbursement
Retirement Benefits
No On-Call Required
Collaborative Practice Agreement Required

Living in Neptune Township

Typical 3-bedroom home value
$611k≈ 3.9× annual pay
Typical market rent
$2,461/mo≈ 19% of gross pay
State income tax
Up to 10.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026).

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.