PHYSCN AST

UCSF•Fremont, CA

1d•$90 - $121•Onsite

About The Position

This Physician Assistant (PA) position is assigned to the Washington Health Cancer Center. In collaboration with the supervising physician and the administrative supervisor, the PA provides comprehensive care to patients with cancer who are receiving active treatment, patients in cancer survivorship, and patients with benign hematologic conditions. The PA delivers evidence-based clinical care, including assessment and management of treatment-related toxicities, oncologic emergencies, symptom management, survivorship care, and benign hematologic disorders. Responsibilities also include patient education, care coordination, triage, diagnostic evaluation, treatment planning in collaboration with the oncology team, and other duties as assigned to support the delivery of high-quality, patient-centered care. The UCSF Helen Diller Family Comprehensive Cancer Center is an accredited National Cancer Institute Comprehensive Cancer Center. The NCI-Designation recognizes the scientific leadership, resources, and the depth and breadth of the research in basic, clinical, and population science. As a Comprehensive Cancer Center, we demonstrate the added depth and breadth of research as well as substantial transdisciplinary research that bridges these scientific areas. The clinical services encompass adult and pediatric tumors across three campuses as well as regional satellite locations. The clinical cancer program is one of the largest clinical services at UCSF Medical Center and encompasses roughly 230 non-physician FTEs, 100+ cost centers, and dozens of grant and philanthropic funding sources. At the UCSF Helen Diller Family Comprehensive Cancer Center, we are truly pioneering care and leaders in all areas of cancer clinical care and research. We are consistently ranked as one of the top 10 programs by U.S. News and World Report.

Requirements

California Physician Assistant (PA) License without restriction
National Board Certification from the National Commission on Certification of Physician Assistants (NCCPA)
California Driver License (if required for position)
Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address
American Heart Association (AHA) Basic Life Support (BLS) certification
Graduation from a PA Program accredited by the Accreditation Review Commission on Education for the PA (ARC-PA).
Minimum 1 year experience as a Physician Assistant in a medical oncology setting or completion of a one-year comprehensive oncology APP fellowship program
Minimum 1 year experience as a Physician Assistant in a medical oncology, surgical oncology, or infusion setting, OR completion of a one-year comprehensive oncology APP fellowship program
Excellent verbal and written communication skills
Judgement skills to effectively meet the needs of patients
Self-direction and organizational skills to function in an independent role
Ability to cope with personal stress experienced by health care providers and team members
Ability to meet minimum standards for hospital credentialing and billing standards as a billable provider
Submit health plan (Medicare, Medicaid, and commercial for all APPs; also, CCS for pediatric providers) enrollment by first clinical day
At all times, must adhere to the UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center/campus/departmental policies and procedures
At all times, must adhere to all UCSF policies regarding HIPPA, privacy, communication, documentation, encounter closure, and billing
Mandatory attendance at the Office of Advanced Practice Providers Orientation Sessions
Mandatory attendance at the APP Onboarding Committee APP Onboarding Series
This position requires flexibility for the APP to work at all UCSF Health facilities/locations

Nice To Haves

Preferred education is a master’s or doctoral degree and/or completion of a Certificate of Added Qualification (CAQ) from the NCCPA that aligns with the patient population and clinical role. Currently, available CAQs may be found on the NCCPA website at https://www.nccpa.net/specialty-certificates/.
Experience caring for patients in a community oncology setting
Experience working in an academic medical center

Responsibilities

Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.
Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations.
Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01.
APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.
Performs procedures granted to them via privileges/standardized procedures.
Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.
Initiates consultations as indicated.
Documents independent assessment findings and recommends appropriate treatments.
Participates in service rounds and patient evaluation and treatment planning.
Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.
Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.
Interprets and acts upon completed tests, procedures, and radiographic studies.
Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations.
Effectively communicates findings, treatment options, and care plans with patients and their families.
May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.
Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.
Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.
Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
Coordinates episodic care and determines timing of routine clinic follow up.
Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
Consults with nursing staff on plan and implementation of individualized nursing care plans.
Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.
Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
Evaluates and manages patients in independent APP encounters, including telehealth.
Providing care to new, follow-up, acute, routine, and specialty patients.
Reviews or collaborates with attending physician as needed.
Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.
Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion.
Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.
Evaluates and manages patients in shared encounters with attending physician, including telehealth.
This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities.
Includes providing care to new, follow-up, acute, routine, and specialty patients.
Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.
Management of the EHR, including patient and staff messages and other inbasket tasks.
Attends department quality improvement meetings and participates in patient evaluation and planning.
Performs other duties as assigned.