Director, Orthopaedic Ambulatory Advanced Practice Providers

Director of Advanced Practice Providers

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The Director of Advanced Practice Providers (APPs) in the Department of Orthopaedics, is a senior clinical and administrative leader who partners with the Chair, Vice Chairs, and Division Chiefs to advance the Orthopaedics Care Team Model and ensure high-quality, efficient, and productive APP practice across all YNHH hospital delivery networks. The role provides clinical leadership, operational oversight, and administrative support for hospital-employed Physician Assistants and Nurse Practitioners working in ambulatory and inpatient settings within a complex academic medical environment.

Reporting dually to the physician Vice Chair of Ambulatory Ortho Advanced Practice Providers and the Associate Director for the Department of Orthopedics & Rehabilitation, the Director/Chief APP serves as a key liaison among APPs, physicians, departmental leadership, and hospital administration to support strategic growth, operational excellence, and continuous quality improvement. The incumbent collaborates closely with physicians, NPs/PAs, nurses, medical assistants, administrative staff, and the department leadership team to ensure seamless, patient-centered, evidence-based care and effective care coordination.

This position blends independent clinical practice (approximately two days per week in an orthopaedic specialty of the incumbent's choice; 40% effort) with leadership and administrative responsibilities (60% effort). Core leadership functions include APP recruitment, onboarding, training, performance management, and scheduling; development and optimization of clinic templates; monitoring and improving productivity and documentation completion (including timely closure of notes); and partnering with Division Chiefs to align staffing, workflows, and service-line goals. The role also oversees key operational processes and systems (e.g., Infor HR, Kronos, timecards) and tracks performance against relevant quality, access, patient experience, efficiency, and productivity metrics.

Leadership & Administration

• Supervise & Manage all PAs and APRNs.
• Oversee staffing, scheduling, payroll, and coverage.
• Lead recruitment, onboarding, performance management & professional development.
• Maintain compliance with credentialing, HIPPA, and regulatory standards.
• Ensures all required licensure and certifications for APPs are kept up to date.
• Works with VC of APPs to drive quality, service, benchmarking standards and coverage that align with the Department of Orthopaedics and Yale Medicine standards and goals.
• Manage discretionary budgets, compensation alignment, and benchmarking productivity.
• Serve as liaison with Human Resources and hospital leadership.
• Represent the department at management, quality, and strategic meetings with stakeholders from the Aligned Clinician Enterprise and hospital system(s).
• Responds to patient complaints (related to care given by APPs) and reports patient satisfaction concerns to appropriate leadership and Patient Relations.
• Leads/assist with the deployment of new initiatives as directed by the VC of APPs.

Education and Development

• Lead new hire orientation and training.
• Mentor and support professional development.
• Provide procedural training and supervision.
• Promote continuing education opportunities and support career advancement.
• Ensures APPs competency and compliance with HIPPA, CME, regulatory and accreditation standard.
• Provides opportunities for APPs to participate in Departmental Grand Rounds and Mid-level Provider Grand Rounds.
• Promotes the dissemination of the newest clinical evidence in literature to improve patient care.

Clinical Practice

• Provide direct patient care as assigned.
• Perform approved procedures within scope.
• Ensure accurate and compliant documentation).

Operations & Access

• Build/optimize clinic templates (APP independent visits, shared visits, post-op pathways, injection clinics, urgent slots).
• Coordinate APP utilization across ambulatory/operating rooms to meet demand; flex staffing by volume and seasonality.
• Reduce operational friction: rooming/workflow standards, order sets, pre-op optimization, discharge processes, prior auth pathways.

Professional Responsibilities

• Complete required training and certifications.
• Attend departmental and health system meetings.
• Maintain professional conduct in compliance with Yale standards.

Required Skills and Abilities

1. Certified APRN or Physician Assistant.

2. Orthopaedics experience required.

3. Strong clinical and leadership abilities.

4. Excellent communication and organizational skills.

5. Ability to work independently with minimal supervision, develop and lead programmatic initiatives and foster a positive work environment.

Preferred Skills and Abilities

1. Minimum 3 years inpatient/outpatient PA or APRN experience.

2. Leadership or educational experience preferred.

3. Demonstrated experience as a supervisory/manager in clinical setting.