<p>A high-volume inpatient Neurosurgery NP or PA opportunity is open at a prestigious academic medical center and Level I Trauma Center in Columbia, Missouri. This role places you at the center of a comprehensive neurosurgery program within one of the Midwest's leading university health systems, working directly alongside fellowship-trained neurosurgeons across cranial, spinal, and trauma cases. The position offers a structured 4-day, 10-hour-shift schedule, Public Service Loan Forgiveness eligibility, and an 8% employer retirement match — a rare combination of clinical depth and financial upside in a genuinely livable Midwest city.</p>
<h3>Perks and Benefits</h3> <ul> <li>Competitive base salary plus sign-on bonus</li> <li>Optional weekend shift bonus: $50/day additional compensation</li> <li>Relocation allowance available</li> <li>Public Service Loan Forgiveness (PSLF) eligible position</li> <li>Retirement plan with up to 8% employer match across both 403(b) and 457(b) accounts</li> <li>Tuition discount extended to employee and immediate family members</li> <li>Malpractice insurance provided</li> <li>Comprehensive health, dental, and vision insurance</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>10-hour shifts, 4 days per week, Monday through Friday schedule</li> <li>First-assist in neurosurgical procedures including cranial and spinal cases alongside fellowship-trained neurosurgeons</li> <li>Manage inpatient neurosurgery consults, admissions, and discharges across a high-volume academic service</li> <li>Perform lumbar punctures, drain management, suturing, and a range of minor bedside procedures</li> <li>Round on neurosurgery inpatients and coordinate multidisciplinary care teams</li> <li>Telemedicine coverage and stroke call support integrated into the role</li> <li>Order and interpret diagnostic studies and laboratory work</li> <li>Active participation in clinical research and quality improvement initiatives within an academic health system</li> <li>Level I Trauma Center designation with full subspecialty neurosurgical support infrastructure</li> </ul>
<h3>Qualifications</h3> <ul> <li>Minimum 3 years of inpatient neurosurgery APP experience required</li> <li>Nurse Practitioners: Active Missouri RN and APRN licensure with a Document of Recognition required</li> <li>Physician Assistants: Graduation from an AMA-accredited PA program with active NCCPA certification required</li> <li>Active BLS certification required</li> <li>Comfort with the full procedural scope of inpatient neurosurgery, including first-assist in cranial and spinal cases, lumbar punctures, and drain management</li> </ul>
<h3>About the Community</h3> <p>Columbia is a vibrant university city of 130,000 residents, positioned two hours from both Kansas City and St. Louis, offering genuine big-city cultural amenities at a cost of living 15–20% below the national average. Home to the University of Missouri, the city features a thriving downtown with locally owned restaurants, craft breweries, live music, and a year-round farmers market, alongside 60-plus miles of trails, Rock Bridge Memorial State Park, and easy weekend access to the Lake of the Ozarks. Public schools consistently rank among Missouri's best, and the university brings SEC athletics, world-class arts programming, and a diverse, educated community — making Columbia an exceptional place to build both a career and a life.</p>