Nurse Practitioner / Physician Assistant, Neonatology

Stanford Medicine Children's Health • Palo Alto, CA

5d • $94 - $115 • Onsite

About The Position

The Advanced Practice Provider (APP) will join a multidisciplinary team providing care and support to high-risk neonatal patients with complex medical needs. Many patients are discharged home after lengthy hospitalizations and continue to require intensive follow-up. The APP provides ongoing medical and developmental evaluation and consultation through telehealth to support the transition home, working closely with inpatient NICU providers during the first six months after discharge and before routine follow-up in the High-Risk Infant Follow Up clinic.

The APP role is part of a collaborative team of attending physicians, fellows, nurse practitioners, and physician assistants. The APP receives sign-out from the overnight team, pre-rounds on assigned patients, develops and presents daily care plans, documents daily notes, implements plans established during rounds, and responds to concerns raised by nurses. Credentialed procedures may include intubation, central line placement, arterial line placement, chest tube insertion and removal, peritoneal dialysis drain placement, and pacing wire removal.

Nurse Practitioners work under the applicable standardized process protocol and in collaboration with supervising physicians. Physician Assistants work under the applicable role description and in collaboration with supervising physicians. The role requires practice within the APP’s education, training, experience, and demonstrated competence, with consultation or referral to a physician when needed. APPs evaluate and treat patients, obtain histories and perform physical examinations, order and interpret diagnostic studies, administer or prescribe medications within their authorized scope, coordinate care, provide patient and family education, participate in quality improvement, and comply with applicable clinical, legal, regulatory, safety, and hospital requirements. Supervision may include direct supervision, chart review and audits, and ongoing professional practice evaluation.

The position is not remote eligible. It is benefits eligible and scheduled for 24 hours per week on a day shift. The posted hourly minimum-to-midpoint range is $93.75 to $114.84; compensation depends on factors including education, experience, skills, location, and internal equity.

Requirements

• Physician Assistant applicants must have a bachelor's degree or higher from an accredited college or university.
• Physician Assistant applicants must graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
• Nurse Practitioner applicants must have a master's or doctoral degree in nursing from an accredited college or university.
• Nurse Practitioner applicants must graduate from an NP program accredited by NLNAC or CCNE.
• Physician Assistant applicants must hold California PA licensure and NCCPA certification.
• Nurse Practitioner applicants must hold California RN licensure, California NP certification, and national NP board certification from an ABNS-accredited agency. New graduate NPs have six months from graduation to obtain national board certification.
• BLS certification from the American Heart Association is required for both PA and NP applicants.
• A furnishing license issued by the California Board of Registered Nursing is required for NPs only if furnishing medications.
• An individual DEA license for Schedule II–V controlled substances is required only if prescribing controlled substances to outpatients.
• Additional board certifications may be required by particular services, specialties, or departments.
• Provide only medical services consistent with the APP’s education, training, experience, and demonstrated competence, in collaboration with a physician.
• Comply with applicable Joint Commission requirements, hospital policies and procedures, service standards, and the Code of Conduct.

Responsibilities

• Provide ongoing medical and developmental evaluation and consultation to high-risk neonatal patients through telehealth visits after NICU discharge.
• Coordinate with inpatient NICU providers to support patients during the first six months after discharge and before routine High-Risk Infant Follow Up clinic visits.
• Receive sign-out from the overnight team and pre-round on assigned patients.
• Develop and present patient care plans during rounds, write daily notes, implement agreed-upon plans, and respond to issues raised by nurses.
• Evaluate and treat patients with acute and chronic complaints and health maintenance concerns related to the specialty.
• Obtain patient histories and perform pertinent physical examinations, assessing normal and abnormal findings.
• Perform or request and evaluate diagnostic studies as indicated.
• Administer, order, furnish, and prescribe medications within the authorized scope of practice.
• Order and collect specimens for laboratory tests, screening, and therapeutic procedures, including blood and blood products.
• Order physical therapy, occupational therapy, respiratory therapy, radiology examinations, and nursing services.
• Perform designated procedures after demonstrating competency and according to applicable standardized procedures.
• Obtain informed consent when indicated.
• Initiate hospital admission and discharge arrangements and complete the required paperwork.
• Enroll patients in approved investigational studies and order necessary tests and medications when directed by the supervising physician.
• Assist the supervising physician in the operating room after appropriate training, as applicable to the role.
• Recognize age-specific patient needs and situations requiring immediate physician attention, initiating life-saving procedures when necessary.
• Facilitate inpatient and outpatient care coordination, collaboration among providers, and coordination of community resources.
• Communicate and interact effectively with patients, families, staff, and community members from diverse backgrounds.
• Ensure compliance with legal, regulatory, clinical, and hospital policies and procedures.
• Participate in quality improvement initiatives and ongoing professional practice evaluation.
• Provide and coordinate patient teaching and counseling.
• Consult with or refer cases to a collaborating physician when a task, procedure, or diagnostic problem exceeds the APP’s competence.

Benefits

• Eligible positions may receive up to $9,600 through the Student Loan Assistance Program, applied directly to the employee's student loan account.
• Benefits eligible.

What This Job Offers

• Job Type: Part-time