Advanced Practice Manager - Neurosurgery

University of California, San Francisco•San Francisco, CA

About The Position

Manages advanced practice operations in Neurosurgery and provides clinical leadership for a team of Advanced Practice Providers (APPs). Oversees Nurse Practitioners (NPs) and Physician Assistants (PAs) responsible for patient evaluation, testing, diagnosis, plans of care, and treatment within the neurosurgical service line at Parnassus and Marin. The manager receives assignments as objectives, with goals and processes for attaining them. Approximately 15–20% of the role involves clinical work in the Neurosurgical department at Parnassus. The position collaborates with leads for the APP fellowship program in adult cancer services, the Office of Advanced Practice, and the Office of Nursing Excellence. It also oversees the Cancer Acute Care Clinic (CACC) and works with its Medical Director and other clinical and administrative leaders on operations, staffing, protocols, education, workflows, quality management, service expansion, and transitions in care.

Requirements

Holds an NPIII title, or is an NPII or Senior PA with progressive leadership in at least five listed areas: policy and standardized-procedure development or revision; clinical, quality, or process-improvement projects; precepting or mentoring APPs or students; serving as a clinical resource; in-service education or outreach; professional practice organization membership; unit-based or hospital-wide committee participation; presenting at a regional, national, or international clinical meeting; or authoring, submitting an abstract, or publishing written materials.
Advanced communication and interpersonal skills, including the ability to explain complex clinical information clearly and concisely.
Ability to serve as a liaison between APPs, nursing, ancillary staff, and administrative staff on policy, operational, and clinical practice issues.
Ability to collaborate with senior management on operational and performance issues and on plans and programs to improve and integrate APP functions and systems.
Participates in department and division meetings and committees.
Advanced knowledge of software and specialized applications used by APPs.
Ability to analyze and interpret data and develop reports and action plans.
Demonstrated ability to supervise a team and manage complex workflows and competing priorities while providing quality care as an Advanced Practitioner.
Strong knowledge of human resources practices and policies.
Ability to direct, organize, motivate, and mentor staff.
Master's degree in a clinical area of study.
California license as a Nurse Practitioner (NP) or Physician Assistant (PA); Nurse Practitioners must also have a Registered Nurse (RN) license.
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 clinical specialty experience supervising APPs.
Advanced knowledge of legislative issues affecting APPs.
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, including the ability to collaborate effectively with physicians, management, and staff across disciplines.
Ability to create and maintain a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives.
Doctorate or PhD.
LEAN certification.
Diversity, Equity, and Inclusion (DEI) Champion certification.

Responsibilities

Ensures APPs perform duties within their scope of practice and follow ethics and quality standards, including patient examinations, diagnostic and screening tests, diagnosis and treatment, care planning, documentation, charge capture, and patient and family education and consultation.
Monitors patient care for quality and compliance with regulatory requirements, internal policies, and best practices; oversees development of procedures and policies; ensures licenses and certifications are current and documented; and facilitates continuing education.
Manages staffing and coverage procedures for on-call, vacation, weekend, evening, night, and holiday needs.
Collaborates on policies and procedures supporting high-quality care and patient safety, oversees resolution of safety and risk-management issues, and works with Infusion Services Medical Directors on quality-improvement projects.
Oversees the Cancer Acute Care Clinic (CACC), including evidence-based clinical pathways, provider learning and development, service demand, continuous improvement, daily management, and stakeholder collaboration to support program growth.
Collaborates with senior managers to develop, improve, and integrate advanced practice functions and systems across specialties and departments.
Makes budget recommendations, prepares and reviews budget variance analyses, coordinates resources, and works toward APP productivity targets and related metrics. Ensures visit volume, staff productivity, and revenue capture meet targets and that benchmarks are identified.
Serves on interdisciplinary committees and participates in quality-improvement and clinical-systems initiatives. Collaborates with APP managers in Cancer Services to align best practices and support communication, teamwork, and patient outcomes.
Promotes teamwork and collaboration and mentors APPs. Provides direct care to patients with multiple, often complex chronic medical problems, emphasizing patients with oncologic diagnoses. Coordinates patient management with clinical stakeholders and administrative staff, including E/M services, CACC histories and physicals, procedure planning and coordination, responses to changes in patient status, and prescriptions, evaluations, referrals, and treatments as permitted under standardized procedures.
Administers human resources activities, including recruitment, performance evaluations, progressive discipline, APP orientation, integration into clinical practice, training, and competency assessments.
Works with the CACC Medical Director on clinic operations, staffing, standardized protocols, training and education, interdepartmental workflows, and data and quality management.
Works with the Director of Nursing, APP team, Medical Director, and Cancer Center leadership to develop service expansion, represent the CACC in multidisciplinary workgroups, and partner with emergency, inpatient, and outpatient teams to improve transitions in care, patient experience, and clinical outcomes.
Collaborates with labor relations on employee and bargaining-unit issues and contract negotiations, and oversees resolution of human resources, labor relations, employee safety, and risk-management issues.