APP (Nurse Practitioner/Physician Assistant)- Neurology Clinic (Autonomic Disorders)- FT (10 Hour) Days

Stanford Health Care•Palo Alto, CA

2d•$89 - $118•Onsite

About The Position

The APP role in Neurology, Autonomic Disorders supports the autonomic neuroscience subspecialty under the supervision of a Neurology attending physician. The APP delivers high-quality, patient-centered care for adults with acute and chronic autonomic symptoms and disorders (e.g., postural orthostatic tachycardia syndrome, neurocardiogenic syncope, orthostatic hypotension, diabetic autonomic neuropathy, and related conditions). Care is delivered within standardized procedures and protocols approved by the Interdisciplinary Practice Committee (IDPC) and aligned with hospital governance, quality, and safety standards. The APP collaborates with multidisciplinary teams to optimize diagnostic evaluation, treatment, education, and care coordination across inpatient and outpatient settings.

Requirements

Master’s or Doctoral degree in nursing (APN) or a graduate degree from an accredited physician assistant program.
For APNs: graduation from a program accredited by NLNAC or CCNE; for PAs: graduation from an ARC-PA–accredited program.
Current credentialing to practice as an APP in the State of California (or applicable state licensure); appropriate board certification in specialty area (e.g., Neurology APN/PA certification or equivalent) as applicable.
State licensure as an Advanced Practice Nurse (APN) or Physician Assistant (PA) and any required state practice privileges.
National board certification for the APP discipline (e.g., ANCC, AANP for NPs; NCCPA for PAs) with ongoing recertification.
Prescriptive authority appropriate to role (e.g., DEA registration; prescriptive authority under state law and institutional policy).
Basic Life Support (BLS); Advanced Cardiac Life Support (ACLS) as required by site and role.
Other certifications as required by the neurologic/autonomic clinic or hospital policies.
Autonomic syndrome evaluation, dysautonomia workups, reflex testing coordination, tilt-table test oversight and interpretation in collaboration with neurologic autonomic testing services.
Management of chronic autonomic disorders with emphasis on symptom control, disease modification where appropriate, and coordinated multimodal therapy.
Integration of lifestyle modification counseling, rehabilitation referrals, and patient self-management strategies into care plans.

Responsibilities

Provide care only for autonomic patients within the APP’s scope of competence, education, training, and experience, under the supervision of a Neurology attending who remains responsible for the patient’s overall care.
Consult with or refer to a collaborating physician when tasks or decisions exceed current level of competence.
Evaluate and manage patients with acute and chronic autonomic complaints and health maintenance concerns per standardized procedures.
Take comprehensive histories and perform targeted physical examinations; document findings and develop assessment and management plans for new and returning patients.
Order, interpret, and coordinate diagnostic studies appropriate to autonomic disorders (e.g., autonomic function testing, laboratory studies, imaging) in line with formal clinical protocols.
Administer, order, furnish, and prescribe medications according to approved formulary/protocols; monitor responses, adverse effects, and interactions; initiate non-pharmacologic therapies as indicated.
Coordinate laboratory testing, imaging, autonomic testing, rehabilitation therapies, and other services (e.g., physical therapy, occupational therapy, speech therapy) as clinically appropriate.
Perform designated procedures after documented competency and in accordance with protocols relevant to autonomic care.
Obtain informed consent when required and participate in shared decision-making with patients and families.
Enroll eligible patients in IRB-approved research studies as directed by the supervising physician; order tests and medications for trial participation as appropriate; comply with regulatory requirements for off-label use per patient-specific orders.
Assist with inpatient admissions and discharges as directed; coordinate transitions of care to ensure seamless outpatient follow-up.
Recognize age-specific needs and implement appropriate, sensitive communication and care planning for diverse patient populations.
Provide clear, compassionate communication with patients, families, and multidisciplinary teams; advocate for patients and coordinate with community resources as needed.
Promote safety, quality improvement, and evidence-based practice; participate in performance improvement initiatives and clinical protocol updates.
Deliver patient education and counseling; reinforce self-management strategies and adherence to treatment plans.
Other duties as assigned within scope of practice and under supervision.