Lead APP (NP / PA) Hospital Medicine and Care at Home Program

Lead Advance Practice Provider (Nurse Practitioner/Physician Assistant)

At Stanford Health Care, Hospital Medicine is at the forefront of delivering high-quality, patient-centered care within one of the nation's leading academic medical centers. Our Hospital Medicine service is uniquely positionedcombining world-class clinical expertise, cutting-edge research, and a deeply collaborative, multidisciplinary environment to care for medically complex patients across the continuum.

We are seeking a dynamic and motivated Advanced Practice Provider (APP) to join our leadership team for the Hospital Medicine (Med7 APP team) and Stanford Health Care @ Home Program. This position will focus administratively on hospital medicine. This position offers a rare opportunity to shape the future of hospital-level care delivery, blending hands-on clinical practice with strategic leadership. The role is structured with a clinical and administrative split, allowing the APP to remain grounded in patient care while driving program development, workforce engagement, and operational excellence. Hours are typically 2, 12 hours days and 2, 8 hours days per week (40 hours/week), includes weekends and holidays.

Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line. Provides clinical direction and education, works closely with operational and physician leaders, and has oversight of hiring, termination, and professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant (PA) Job Description approved by the Interdisciplinary Practice Committee (IDPC).

The essential functions of a Lead Advanced Practice Professional fall in three categories: Clinical Oversight and Leadership; Administration; and Internal/External Legal/Regulatory Issues. The Lead APP must supervise a minimum of 10 APPs.

Clinical Oversight and Leadership:

• Co-direct the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team.
• Conduct regularly scheduled meetings with the staff APPs.
• Ensure clinical competency and adherence to policy through practice analysis and case review of APPs with physicians.
• Investigate and respond to patient/family complaints from patients and families about care.
• Orient new staff APPs.
• Provide education to staff APPs.
• Participates as a representative the in hospital-wide committees.
• Serve as a representative on the professional and evaluation committees.
• Ensures all operational mandates and initiatives are completed (e.g., C-I-CARE rounds).

Administration:

• Review and participate in financial planning and issues for the service.
• Participate in the hiring, evaluation, coaching, mentoring, and discipline of staff APPs.
• Investigate and resolve operational issues.
• Coordinate quality improvement/process improvement programs.
• Provide 24-hour administrator on-call coverage for the service line.
• Coordinate the scheduling of the APPs.
• Other duties as assigned.

Internal and External Legal/Regulatory Issues:

• Ensure compliance and participate in Medical Staff Services initiatives, policies and procedures.
• Be informed of and advocate for practice models that allow clinicians to practice to the fullest extent of their scope of practice.
• Participate in regional and national discussions that affect APP practice.
• Work with hospital operations in regards to funding/billing/reimbursement models.
• Participate in the legislative and health policy issues affecting advanced practice.

Education Qualifications:

• Advanced Practice Nurse: Master's or Doctorate Degree in Nursing or other healthcare-related field from an accredited university.
• Physician Assistant: Bachelors degree in Science, Physician Assistant Studies, or Healthcare related field from an accredited university.

Experience Qualifications:

• A minimum of one (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist).
• Three (3) years of APP experience preferred.
• Management experience preferred.

Required Knowledge, Skills and Abilities:

• Knowledge of management principles and practices such as, but not limited to, employee hiring, evaluation, counseling, and termination; budgeting; and employee recognition and rewards.
• Practice evaluation and process improvement.
• National professional organizational and regulatory agency initiatives.
• Standards of care and practice of APP roles.
• Knowledge and demonstrated clinical competence and in depth knowledge in specialty.
• Knowledge of the organization and operation of trauma services necessary to ensure the delivery of quality, cost-effective and efficient patient care.
• Ability to communicate effectively, both orally and in writing.
• Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation.
• Ability to plan, organize, prioritize, work independently and meet deadlines.
• Ability to promote a spirit of inquiry and practice based on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient care and/or participating in research, clinical investigatory or quality projects.
• Ability to use educational strategies to influence the development of staff and the provision of quality care for patients and families.
• Communicate effectively in many venues from individual 1-on-1 sessions to a large audience.
• Recognize/reward or counsel staff.
• Have strong written and verbal communication skills.
• Conduct efficient and supportive process improvement activities.
• Contribute positively, proactively, and adeptly in institution-wide and Center of Advanced Practice initiatives.
• Translate and implement national initiatives at SHC.
• Ability to work full-time.

Licenses and Certifications:

• PA - Physician Assistant State Licensure or
• RN - Valid California license to practice as a Registered Nurse - AND - one of the following advanced practice nursing licenses is qualifying:
• (a) NP - Valid California license to practice as a Nurse Practitioner as well as having current national certification,
• (b) CNS - Valid California license to practice as a Clinical Nurse Specialist as well as having current national certification, or
• (c) CRNA - Valid California license to practice as a Certified Registered Nurse Anesthetist as well as having current national certification.

These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $100.03 - $132.51 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.