To provide direct pain specialty health care to patients and families on the Adult Acute Pain Service team. This position involves a significant level of autonomy in decision-making within the scope of responsibilities but will also require collaboration with a multidisciplinary inpatient pain team including the acute pain service pharmacist, residents, fellows, and faculty. Exercise autonomy in medical decision-making and provide a range of therapeutic services to adult patients with various painful conditions. This will include managing patients with complex, acute, subacute, and chronic pain conditions, including, but not limited to, postoperative care, post trauma care, end-of-life and palliative care, and pain management in patients with a history of substance use disorder. Collects and assists in the interpretation of reports from diagnostic and laboratory tests, radiographic procedures and clinical studies and uses these to inform treatment plans. Provide recommendations on a variety of analgesic options including ketamine infusions, lidocaine infusions, epidural and/or nerve catheters, opioid conversions, and transitions from PCA to PO analgesic regimen. Round on inpatients with indwelling epidural catheters and/or peripheral nerve catheters and adjust therapy as needed. Assist in the placement of epidurals, peripheral nerve blocks, and peripheral nerve catheters as needed. The provider must be familiar with non-pharma options for pain and symptom management. Perform routine, non-image-guided peripheral nerve blocks and trigger point injections. Interrogation and refill of intrathecal pain pumps in hospitalized patients undergoing surgery and advanced imaging studies.