Advanced Practice Manager - Neurosurgery

UCSF•San Francisco, CA

About The Position

The Advanced Practice Manager manages advanced practice operations in Neurosurgery and oversees clinical care provided by advanced practice providers (APPs), ensuring compliance with organizational and regulatory standards. The role provides clinical leadership for nurse practitioners and physician assistants responsible for patient evaluation, testing, diagnosis, plans of care, and treatment within the neurosurgical service line at Parnassus and Marin. Assignments are given as objectives with goals and processes for achieving them. Approximately 15–20% of the role involves clinical work in the Neurosurgical department at Parnassus. The manager also collaborates with the adult cancer services APP fellowship program leads, the Office of Advanced Practice, and the Office of Nursing Excellence. The position manages APP staffing, performance, professional development, clinical quality, patient safety, operational workflows, budgets, productivity, and human resources matters. It oversees Cancer Acute Care Clinic operations and collaborates with clinical and administrative leaders to support service expansion, effective transitions of care, and improved patient outcomes. The manager also provides direct patient care, particularly for patients with oncologic diagnoses and complex chronic medical problems.

Requirements

Hold an NPIII title, or be an NPII or Senior PA with progressive leadership experience in at least five of the listed areas: developing or revising clinical policies and standardized procedures; participating in clinical, quality, or process improvement projects; precepting or mentoring APPs or students; serving as a clinical resource; participating in in-service education or outreach; membership in a relevant professional practice organization; participation on a unit-based or hospital-wide committee; presenting at a regional, national, or international meeting on a relevant clinical topic; or authoring, submitting, or publishing written materials such as a book chapter, opinion piece, or journal article.
Advanced communication and interpersonal skills, including the ability to explain complex clinical information clearly and concisely and to serve as a liaison among APPs, nursing, ancillary staff, and administrative staff.
Ability to collaborate with senior management on operational and performance issues and on plans and programs to improve and integrate APP functions across specialties, departments, and the medical center.
Advanced knowledge of software and specialized applications used by advanced practice providers.
Ability to analyze and interpret data and develop reports and action plans.
Demonstrated ability to supervise a team effectively and manage complex workflows and competing priorities while providing quality care as an advanced practitioner.
Strong knowledge of human resources practices and policies, with the ability to direct, organize, motivate, and mentor staff.
Master's degree in a clinical area of study.
Licensed Nurse Practitioner (NP) or Physician Assistant (PA) in California.
Registered Nurse (RN) license for Nurse Practitioners.
National board certification in the applicable profession if engaged in clinical practice (ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC, AGNP-C, ANP-C, FNP-C, or FNP-BC).
BRN furnishing license and Drug Enforcement Administration (DEA) license if engaged in clinical practice.
Current American Heart Association (AHA) Basic Life Support (BLS) certification.

Nice To Haves

Advanced experience in a clinical specialty supervising APPs.
Advanced knowledge of legislative issues affecting advanced practice providers.
Ability to organize operations and implement initiatives.
Demonstrated knowledge of state and national regulatory requirements.
Strong operational management skills.
Excellent leadership, fiscal, and operational management skills, with the ability to collaborate effectively with physicians, management, and staff across disciplines and foster goal-oriented teamwork and achievement of objectives.
Doctorate or PhD.
LEAN certification.
Diversity, Equity, and Inclusion (DEI) Champion certification.

Responsibilities

Ensure APPs work within their scope of practice and follow ethical and quality standards, including conducting examinations, ordering diagnostic and screening tests, diagnosing and treating patients, developing care plans, documenting care, completing accurate and timely charge capture, and educating and consulting with patients and families.
Monitor patient care for quality and compliance with regulatory requirements, internal policies, and best practices; oversee procedures and policies supporting adequate care; ensure licenses and certifications are current and documented; and facilitate continuing education.
Manage staffing to support high-level patient care, including on-call, vacation, weekend, evening, night, and holiday coverage procedures.
Collaborate on policies and procedures supporting quality care and patient safety, oversee safety and risk-management issue resolution, and work with Infusion Services Medical Directors on quality improvement projects.
Oversee the Cancer Acute Care Clinic (CACC), including evidence-based clinical pathways, provider skill development, service demand, continuous improvement, daily management, and collaboration with stakeholders to support program growth.
Collaborate with senior managers to develop, improve, and integrate advanced practice functions and systems across specialties and departments.
Make budget recommendations, prepare and review budget variance analyses, coordinate resource needs, and meet APP productivity targets. Work with the Office of Advanced Practice to define and monitor productivity and other work-effort metrics in infusion services, and maintain target visit volumes, staff productivity, and revenue capture while identifying benchmarks.
Serve on interdisciplinary committees and participate in quality improvement and clinical systems initiatives. Collaborate with APP managers in Cancer Services to align best practices, communication, and teamwork in support of patient outcomes.
Promote teamwork and collaboration and mentor APPs. Provide direct care to patients with multiple, often complex chronic medical problems, emphasizing patients with oncologic diagnoses. Coordinate patient management with clinical stakeholders and administrative staff, including E/M services, histories and physicals in CACC, procedure planning and coordination such as HAI pumps and PICC removals, responses to changes in patient status, and prescriptions, evaluations, referrals, or treatments as permitted under standardized procedures.
Manage human resources activities, including recruitment, performance evaluation, and progressive discipline. Develop APP orientation, support integration into clinical practice, and oversee training and competency assessments to ensure APPs can provide safe care.
Work with the CACC Medical Director on clinic operations, staffing, standardized protocols, training and education, interdepartmental workflows, and data and quality management.
Work with the Director of Nursing, APP team, Medical Director, and Cancer Center leadership to develop expanded services across the cancer community; represent CACC in multidisciplinary workgroups; and partner with Emergency Department, inpatient, and outpatient teams to improve transitions of care, patient experience, and clinical outcomes.
Collaborate with labor relations on employee and bargaining-unit issues and contract negotiations, and oversee resolution of human resources, labor relations, employee safety, and risk-management issues.