Physician Assistant, Sr. Vascular Surgery (Stanyan and Hyde Hospitals)

Join our dynamic Vascular Surgery Team.  This team provides advanced surgical and endovascular treatment of vascular disease. Our Vascular advanced practice providers manage patients across the continuum of care from new patient consultation to surgery to post operative follow up and surveillance management.  The Vascular Surgery Physician Assistant serves as a high-level professional with clinical, surgical/procedural, administrative and educational responsibilities in the care of adult patients requiring vascular and endovascular surgery. Under the clinical supervision of the Vascular Surgeon and management of Stanyan administrative leadership in partnership with the Heart & Vascular Director and Center Director of Surgical Services, the Vascular Surgery Physician Assistant will have a critical role in the inpatient and outpatient settings with both team member and individual duties. These responsibilities will include preoperative and postoperative patient examination and assessment, diagnosis and planning; treatment implementation, coordination and continuity; performance of specific procedures; development of practice protocols and evaluation of quality of care; education of patients, families and other health care practitioners. The Physician Assistant will also be cross-trained with colleagues on the General Surgical Service to provide mutual coverage during vacations, leaves, and periods of increased patient volume, as operational needs and staffing capacity permit. 

30% Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)

1.1.       Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.

1. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
2. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations.
3. Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01.
4. APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.

1.2. Performs procedures granted to them via privileges/standardized procedures.

1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.

1.4. Initiates consultations as indicated.

1.5. Documents independent assessment findings and recommends appropriate treatments.

1.6. Participates in service rounds and patient evaluation and treatment planning. 

1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.

1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.

1.9. Interprets and acts upon completed tests, procedures, and radiographic studies.

1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations.

1.11. Effectively communicates findings, treatment options, and care plans with patients and their families 

1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.

1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.

1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.

10% Inpatient – Care Coordination (may include some or all of the responsibilities listed)

1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.

1.2. Coordinates episodic care and determines timing of routine clinic follow up.

1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.

1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans. 

1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.

1.6. Formulates and implements protocols to improve quality an