Lead Advance Practice Provider (NP/PA) - Pre-Anesthesia Evaluation - Full Time, Days (8HRS)

Stanford Health Care•Stanford, CA

10d•$100 - $133•Onsite

About The Position

Stanford Health Care, a quaternary academic medical center with more than 600 beds and nearly 100 operating rooms and 100,000 procedures, is seeking an experienced Nurse Practitioner or Physician Assistant to serve as Lead Advanced Practice Provider (APP) for our Pre-Anesthesia Clinic. Serving over 50,000 patients annually across six Bay Area sites, this role blends expert clinical practice with strategic leadership, providing oversight for approximately 20 Advanced Practice Providers while partnering closely with anesthesiologists, surgeons, nursing leaders, and administrative teams. The Lead APP plays a pivotal role in optimizing preoperative readiness, standardizing workflows, driving quality improvement initiatives, and advancing APP professional practice within a highly innovative academic environment. This position offers a unique opportunity to influence perioperative care at scale, lead meaningful change, and shape the future of pre-anesthesia services at one of the nation’s premier health systems. Pre-Anesthesia Clinic Stanford Health Care is a pioneer in pre-anesthesia evaluation, serving 48,000+ patients annually across six Bay Area sites. We are seeking an experienced NP or PA to join as Lead Advance Practice Provider (APP) in our Pre-Anesthesia Clinic. This full-time role combines direct patient care with clinical and operational leadership, supervising 20 APPs and partnering with anesthesiologists, surgeons, nursing leadership, and administrative teams to elevate standards, optimize preoperative readiness, and drive process improvements. A Brief Overview Provides supervision and management of advanced practice providers (APPs) in a distinct clincial service line. Provides clinical direction and education, works closely with operational and physician leaders, and has oversight of hiring, termination, and professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant (PA) Job Description approved by the Interdisciplinary Practice Committee (IDPC). What you will do The essential functions of a Lead Advanced Practice Professional fall in three categories: Clinical Oversight and Leadership; Administration; and Internal/External Legal/Regulatory Issues. The Lead APP must supervise a minimum of 10 APPs. Clinical Oversight and Leadership: Co-direct the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team. Conduct regularly scheduled meetings with the staff APPs. Ensure clinical competency and adherence to policy through practice analysis and case review of APPs with physicians. Investigate and respond to patient/family complaints from patients and families about care. Orient new staff APPs. Provide education to staff APPs. Participates as a representative the in hospital-wide committees. Serve as a representative on the professional and evaluation committees. Ensures all operational mandates and initiatives are completed (e.g., C-I-CARE rounds). Administration: Review and participate in financial planning and issues for the service. Participate in the hiring, evaluation, coaching, mentoring, and discipline of staff APPs. Investigate and resolve operational issues. Coordinate quality improvement/process improvement programs. Provide 24-hour administrator on-call coverage for the service line. Coordinate the scheduling of the APPs. Other duties as assigned. Internal and External Legal/Regulatory Issues: Ensure compliance and participate in Medical Staff Services initiatives, policies and procedures. Be informed of and advocate for practice models that allow clinicians to practice to the fullest extent of their scope of practice. Participate in regional and national discussions that affect APP practice. Work with hospital operations in regards to funding/billing/reimbursement models. Participate in the legislative and health policy issues affecting advanced practice.

Requirements

NP (CA) or PA with current license and national certification.
Master's Degree Advanced Practice Nurse: Master's or Doctorate Degree in Nursing or other healthcare-related field from an accredited university.
Physician Assistant: Bachelors degree in Science, Physician Assistant Studies, or Healthcare related field from an accredited university.
A minimum of 1 year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist)
Knowledge of: Management principles and practices such as, but not limited to, employee hiring, evaluation, counseling, and termination; budgeting; and employee recognition and rewards
Practice evaluation and process improvement
National professional organizational and regulatory agency initiatives
Standards of care and practice of APP roles
Ability to: Knowledge and demonstrated clinical competence and in depth knowledge in specialty
Knowledge of the organization and operation of trauma services necessary to ensure the delivery of quality, cost-effective and efficient patient care
Ability to communicate effectively, both orally and in writing
Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation
Ability to plan, organize, prioritize, work independently and meet deadlines
Ability to promote a spirit of inquiry and practice based on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient care and/or participating in research, clinical investigatory or quality projects
Ability to use educational strategies to influence the development of staff and the provision of quality care for patients and families
Communicate effectively in many venues from individual 1-on-1 sessions to a large audience
Recognize/reward or counsel staff
Have strong written and verbal communication skills
Conduct efficient and supportive process improvement activities
Contribute positively, proactively, and adeptly in institution-wide and Center of Advanced Practice initiatives
Translate and implement national initiatives at SHC
Ability to work full-time
PA - Physician Assistant State Licensure or
RN - Registered Nurse - State Licensure And/Or Compact State Licensure and
NP - Nurse Practitioner or
CNS - Clinical Nurse Specialist or

Nice To Haves

3 years APP experience in perioperative, critical care, or internal medicine preferred, but not required.
Leadership or project/operations experience preferred but not required.
Strong collaboration, communication, and proficiency in leading organizational change.
Management experience preferred

Responsibilities

Provide comprehensive preoperative evaluations and optimization strategies.
Lead and develop the APP team: onboarding, ongoing education, performance development, policy adherence, and regulatory compliance.
Collaborate with physicians and administrators to implement standardized workflows and quality improvement projects.
Oversee scheduling, credentialing, and administrative processes for the APP team.
Track and report on key metrics (e.g., quality of evaluations/clearance rates, cancellations, patient satisfaction) and drive data-informed improvements.
Ability to work across six Bay Area sites; comfortable with cross-site coordination to deliver patient care.
Co-direct the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team.
Conduct regularly scheduled meetings with the staff APPs.
Ensure clinical competency and adherence to policy through practice analysis and case review of APPs with physicians.
Investigate and respond to patient/family complaints from patients and families about care.
Orient new staff APPs.
Provide education to staff APPs.
Participates as a representative the in hospital-wide committees.
Serve as a representative on the professional and evaluation committees.
Ensures all operational mandates and initiatives are completed (e.g., C-I-CARE rounds).
Review and participate in financial planning and issues for the service.
Participate in the hiring, evaluation, coaching, mentoring, and discipline of staff APPs.
Investigate and resolve operational issues.
Coordinate quality improvement/process improvement programs.
Provide 24-hour administrator on-call coverage for the service line.
Coordinate the scheduling of the APPs.
Other duties as assigned.
Ensure compliance and participate in Medical Staff Services initiatives, policies and procedures.
Be informed of and advocate for practice models that allow clinicians to practice to the fullest extent of their scope of practice.
Participate in regional and national discussions that affect APP practice.
Work with hospital operations in regards to funding/billing/reimbursement models.
Participate in the legislative and health policy issues affecting advanced practice.