About The Position

The Advanced Practice Practitioner (NP, CNS, or PA) provides inpatient palliative medicine consultation throughout the adult hospital. The clinician visits patients and families directly and recommends care to primary healthcare teams across acute care settings, including general medical-surgical floors, specialty units, and critical care areas. The role provides expert pain and symptom management, psychosocial support, and advance care planning, while helping patients and families develop comprehensive care plans aligned with patient goals and needs. The practitioner participates in daily interprofessional palliative care team rounds and supports team communication and collaboration. The position also includes the broader duties described for a Physician Assistant at Stanford Health Care, such as evaluating and treating patients, obtaining histories and performing physical examinations, ordering and interpreting diagnostic studies, administering or ordering medications under applicable protocols, coordinating care and services, providing patient education and counseling, and ensuring compliance with clinical and regulatory requirements. The PA works under the applicable job description and service-specific procedures approved by the relevant medical and nursing administrators and committees. This is a fixed-term, part-time, day-shift position. The service operates seven days a week from 8 a.m. to 6 p.m.; the practitioner must work at least one weekend per month and one holiday per year. There are no on-call requirements.

Requirements

  • Master’s-prepared Nurse Practitioner, Physician Assistant, or Clinical Nurse Specialist.
  • At least 1–3 years of experience as an Advanced Practice Provider.
  • Strong communication skills and ability to work independently with a wide variety of medical and surgical services.
  • For the PA role: graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
  • For the PA role: Physician Assistant state licensure, Basic Life Support (BLS), and Drug Enforcement Administration (DEA) credentials.
  • For the PA role: bachelor’s degree or above from an accredited college or university, subject to the stated exception for PAs hired before July 1, 2012.
  • Adopt and execute Stanford Health Care’s C-I-CARE standards for patient-, family-, and colleague-centered interactions.

Nice To Haves

  • Training or experience in palliative care, hospice, or geriatrics.

Responsibilities

  • Provide inpatient palliative care consultation across the adult hospital and visit directly with patients and families.
  • Offer recommendations to primary healthcare teams and help develop personalized care plans aligned with patient goals.
  • Provide pain and symptom management, psychosocial support, and advance care planning.
  • Participate in daily interprofessional palliative care team rounds and facilitate team communication and collaboration.
  • Evaluate and treat patients with acute and chronic complaints and health-maintenance concerns related to the specialty.
  • Obtain patient histories, perform physical examinations, and assess normal and abnormal findings.
  • Perform or request and evaluate diagnostic studies as indicated.
  • Administer medications or transmit prescriptions in accordance with formulary protocols and required supervising-physician approvals.
  • Order and collect specimens for laboratory tests, screening, and therapeutic procedures, including blood and blood products.
  • Order physical, occupational, and respiratory therapy; radiology examinations; and nursing services.
  • Perform designated procedures after demonstrating competency and in accordance with written standardized procedures where applicable.
  • Obtain informed consent as indicated.
  • Initiate hospital admission and discharge arrangements and complete the appropriate paperwork.
  • Enroll patients in approved investigational studies and order necessary tests and medications as directed by the supervising physician.
  • Assist the supervising physician in the operating room after appropriate training; act as first or second assistant under supervision and perform surgical procedures in the supervising physician’s presence.
  • Recognize and consider age-specific patient needs; communicate and interact effectively with patients, families, staff, and community members from diverse backgrounds.
  • Recognize situations requiring immediate physician attention and initiate life-saving procedures when necessary.
  • Facilitate coordination of inpatient and outpatient care and services, collaboration between providers, and coordination of community resources.
  • Ensure compliance with legal, regulatory, and clinical policies and procedures.
  • Participate in quality-improvement initiatives and provide and coordinate patient teaching and counseling.
  • Work at least one weekend per month and one holiday per year.
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