Director of APP (CRNA) - Surgical Services - Full Time

Stanford Health Care•Stanford, CA

8d•$119 - $158•Onsite

About The Position

Provides direction and supervision for Advanced Practice Providers (APPs) including Nurse Practitioners (NP), Physician Assistants (PA), Certified Registered Nurse Anesthetists (CRNA) and Clinical Nurse Specialists (CNS) in designated in-patient and out-patient services lines in collaboration with the Center for Advanced Practice. Leads and supports advanced practice to ensure quality and efficient patient care and ensuring all clinical standards are met. Assists with identifying, measuring and evaluating clinical and departmental outcomes and provides direction and oversight of hiring, onboarding, terminating and managing disciplinary action within the Service Line. The Director will be responsible for staffing allocation, ensuring independent practice where appropriate and the presence of consistent and fair coverage across the Service Line. The Director also supports both clinical operational teams including CRNA and APP leadership within the perioperative and procedural environments on Interventional Platform, ensuring high standards in surgery and anesthesia care delivery, fostering collaboration between CRNAs, anesthesiologists, surgeons, and APPs along with cross collaboration with Interventional Platform teams in advancing the clinical and professional practice in alignment with Stanford Health Care's mission, regulatory compliance, and patient safety initiatives.

Requirements

Master's degree in a related field from an accredited college or university
Graduation from an accredited Nurse Anesthesia program
Minimum of five (5) years of experience as an Advanced Practice Provider
In addition, five (5) years of broad and extensive experience managing and leading programs, work units or departments of comparable size, scope and complexity
Demonstrated experience providing effective staff supervision, including planning and assigning work according to the nature of the job to be accomplished, the capabilities of subordinates and available resources; controlling work through periodic reviews and/or evaluations; determining subordinates' training needs and arranging for such training; motivating subordinates to work effectively; determining the need for disciplinary action and either recommending or initiating disciplinary action
Ability to lead investigations and mitigation strategies related to adverse events or clinical incidents involving CRNA and APP care.
Knowledge of anesthesia billing practices, preoperative optimization pathways, and intraoperative workflows involving CRNA and APP-delivered care.
Knowledge of professional nursing theory, clinical practice standards, medical practice guidelines, and scope of APP roles.
Ability to evaluate anesthesia-specific quality and safety metrics, and drive performance improvement projects related to anesthesia outcomes.
Demonstrated experience providing leadership and promote change in a positive manner that supports all employees of the department and health system
Demonstrated experience independently seeking out resources and solving complex problems under stressful and/or crisis situations
Demonstrated experience communicating effectively with APPs, team leaders, patients, families, visitors, healthcare team, physicians, administrators, leadership, and others
Ability to prepare reports and presentations
Demonstrated proficiency in using standard business software applications and ability to quickly learn new software programs
Demonstrated experience providing leadership in clinical area of expertise and in meeting organizational goals
Demonstrated experience to navigate the Hospital to provide clinical expertise to specific patient populations
Knowledge of the principles and practices of leadership and management, including planning, organizing, directing, motivating, controlling and decision making; organization and operation of hospitals; standards and requirements relating to compliance with external regulatory, accrediting, and certifying bodies for assigned programs/areas of responsibility; principles and practices of human resources management, employee relations, organizational behavior, program planning, and financial management
Demonstrated ability to sell a vision, strategic planning/thinking abilities, values diversity and team work; collaborative work style, demonstrates integrity and ethics in conduct and decision-making, demonstrates initiative, creativity and flexibility, demands accountability of self and others, even when "others" are not direct reports
CRNA - Certified Registered Nurse Anesthetist required

Nice To Haves

Minimum of five (5) years of CRNA experience with at least five (5) years in a leadership, supervisory, or administrative role within anesthesia services preferred

Responsibilities

Responsible for the recruitment, hiring, orientation, onboarding, ongoing mentorship and preceptorship and managing Service Line APPs and CRNAs in collaboration with Service Line operational and medical leadership and the Center for Advanced Practice.
In conjunction with operational leaders, allocates staffing and ensures appropriate coverage of patient care needs during transitions or leave of physicians or APPs. Provides leadership and direction for the other operational clinical teams as well as the CRNA and APP teams in collaboration with the Department of Anesthesiology and Surgery, including staffing models, onboarding, scope of practice, and quality of care.
Coordinates and integrates independent practice and monitors quality of care within and among the sections to achieve desired goals and outcomes.
Oversees the quality of clinical practices and procedures for Staff APPs and Lead APPs in collaboration with medical leadership. Partners with physician leadership to advance multidisciplinary collaboration and optimize anesthesia service line operations.
Collaborates with operational managers to implement and evaluate new programs in conjunction with division/service physicians and hospital and clinic leadership.
Collaborates with faculty, patient care directors, clinic managers, nursing staff and support services to determine staffing standards and ensure the appropriate number of APP staff; assessing scheduling practices based on service requirements, establishing productivity guidelines, and monitoring implementation of these guidelines and scheduling practices.
Manages patient care, human resources, systems and workflow processes to achieve and maintain a budget neutral status. Demonstrated leadership in CRNA, APP, or anesthesia practice, including regulatory compliance, scope of practice, and team-based perioperative models.
Participates in the Interdisciplinary Practice Committee and other APP leadership committees as appropriate. Supports CRNA professional development and credentialing, and participates in privileging processes and ongoing competency validation.
Provides mentorship and assists Lead APPs and staff APPs to accomplish inpatient and outpatient patient care mission and goals. Collaborates with perioperative and surgical services leadership to ensure CRNA and APP coverage and workflow support for all procedural and operative sites.
Initiates and maintains an organizational structure for the APPs and creates a culture that facilitates collaboration and participation within the service line.
Works collaboratively with the Center for Advanced Practice and the Nursing Shared Leadership structure in developing house wide APP initiatives. Aligns CRNA and APP practice with evolving perioperative models such as care pathways with surgical optimization clinics, and other institutional initiatives.
Communicates institutional and service line goals, develops a plan collaboratively for implementation and then operationalize quality goals and improvements in patient care. Fosters collaborative relationships between CRNAs and physician anesthesiologists within an academic medical center or integrated health system.
Collects, analyzes and synthesizes clinical, quality, financial and outcomes data for effective decision-making.
Serves on appropriate leadership committees in the Service Line and provides routine updates at those meetings to promote necessary changes and report on quality/outcomes data.