Physician Assistant

UCSF•San Francisco, CA

9d•$98 - $104

About The Position

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here. Join us to find a rewarding career contributing to improving healthcare worldwide.

Requirements

Graduation from a PA Program accredited by the Accreditation Review Commission on Education for the PA (ARC-PA).
One year of PA experience in pain management, spine, neurosurgery, orthopedics.
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

Nice To Haves

At least 2 years recent experience in a neurosurgical setting.

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.
Performs procedures individually granted to them via standardized procedures/privileges.
Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.
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.
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.