Advanced Practice Manager - Neurosurgery
Description
Manages advanced practice operations in Neurosurgery. Oversees clinical care provided by advanced practice providers (APP) and ensures compliance with organizational and regulatory agency standards.
Provides clinical leadership for a team of Advanced Practice Providers (APPs) within the Neurosurgical service line. Manages Nurse Practitioners (NPs) and Physician Assistants (PAs) responsible for patient evaluation, testing, diagnosis, plans of care, and treatment within the neurosurgical service line at Parnassus, and Marin. As a manager, receives assignments in the form of objectives with goals and the processes by which to attain them. 15-20% of the role will require clinical work in the Neurosurgical department at Parnassus. This role collaborates with the leads for the APP fellowship program in adult cancer services working in collaboration with the Office of Advanced Practice and the office of Nursing Excellence.
20 |
| Ensures advanced practice providers perform duties within scope of practice. Ensures adherence to ethics and quality standards in the delivery of care, including performing exams, ordering diagnostic and screening tests, diagnosing and treating patients, developing plans of care, accurately documenting patient medical history and care, performing timely and accurate charge capture, and educating and consulting with patients and families. |
10 |
| Monitors patient care ensuring quality and compliance with all regulatory requirements, internal policies and best practices. Oversees the development of procedures and policies that ensure adequate care delivery. Ensures relevant licenses and certifications are current and documented.Facilitates continuing education for advanced practice providers. |
05 |
| Manages staffing to ensure high-level patient care. This includes on-call, vacation, and weekend/evenings/nights/holiday coverage procedures. |
10 |
| Collaborates in the development of policies and procedures that ensure high quality care and patient safety. Oversees resolution of safety and risk management issues. Works directly with the Infusion Services Medical Directors on QI projects. Oversee the Cancer Acute Care Clinic (CACC), ensuring high quality standards of care are supported by evidence based, relevant clinical pathways, provider skill is maintained through ongoing learning and development, and demand for services is supported through continuous improvement and active daily management, and a high level of collaboration with stakeholders that supports program growth. |
10 |
| Collaborates with senior managers to develop, improve, and integrate advanced practice functions and systems across specialties and departments. |
05 |
| Initiates budget recommendations, prepares and reviews budget variance analysis. Coordinates resource needs for areas of responsibility. Responsible for meeting APP productivity targets and working closely with the Office of Advanced Practice to define and monitor APP productivity and other work effort metrics in infusion services. Ensures visit volume activity, staff productivity and revenue capture remains at target and benchmarks are identified. |
10 |
| Serves on interdisciplinary committees. Participates in quality improvement and clinical systems initiatives. Works collaboratively with APP managers in Cancer Services to ensure alignment of best practices and foster communication and teamwork that improves patient outcomes. |
10 |
| Promotes a culture of teamwork and collaboration. Provides mentorship to advanced practice providers. Provide direct care to patients with multiple, often complicated chronic medical problems, with emphasis on patients with oncologic diagnoses. Work with patients, clinical stakeholders and administrative staff to ensure efficient patient management, including but not limited to, performing E/M services, histories/physicals (CACC), procedure planning/coordinating (HAI pumps, PICC removals), responding to change in patient status, providing needed prescriptions/evaluations/referral/treatments as permitted under standardized procedure. |
10 |
| Responsible for human resources administration including recruitment, performance evaluation and progressive discipline. Develops APP orientation and facilitates the integration into clinical practice. Responsible for training and competency assessments ensuring all APPs are competent in required skill-sets to provide safe patient care. |
5 |
| Works closely with the Medical Director of the Cancer Acute Care Clinic (CACC) on clinic operations, staffing, standardized protocols, training/education, interdepartmental workflows, data/quality management. Works with the Director of Nursing, APP team, Medical Director, and Cancer Center leadership to develop the expansion of services across the Cancer community, represent the CACC in multidisciplinary workgroups, and partners with the Emergency Department, Inpatient Teams, and Outpatient teams to optimize transitions in care across the health system to improve the patient experience and clinical outcomes. |
5 |
| Works collaboratively with labor relations on employee and bargaining unit issues and contract negotiations. Oversees resolution of issues relating to human resources, labor relations, employee safety, and risk management. |
Required Knowledge, Skills and Abilities:
Holds a NPIII title or is a NPII or a Senior PA with progressive leadership in at least 5 of the following areas: Participates in the development, review, and revision of appropriate policies and Standardized Procedures relevant to their clinical environment; Identifies and participates in clinical/quality/process improvement projects; Precepts and mentors new APPs and/or APP students; Functions as a clinical resource to other clinicians; Participates in-service education and outreach programs; Is a member of a professional practice organization relevant to his/her area of specialty or practice; Actively participates in at least one unit based or hospital wide committee; Has presented at regional, national or international meeting on clinical topic relevant to his/her practice; Has authored, submitted an abstract, and/or published written materials such as book a chapter, educated opinion piece, or journal article.
Advanced communication and interpersonal skills. Ability to convey complex clinical information in a clear and concise manner. Serves as liaison between APPs, nursing, ancillary staff, and administrative staff regarding policy, operational, clinical practice issues. Collaborates with senior management on operational and performance issues and the development of new plans and programs to improve and integrate APP functions and systems across specialties, departments, and throughout the medical center. Participates in department and division meetings and committees.
Advanced knowledge of software and specialized applications used by advanced practice providers.
Ability to analyze and interpret data, develop reports and action plans.
Demonstrated ability to effectively supervise a team and to manage the complex workflow and competing priorities involved with providing quality care as an Advanced Practitioner
Strong knowledge of human resources practices and policies. Ability to direct, organize, motivate and mentor staff.
Preferred Qualifications:
Advanced experience in clinical specialty supervising APPs.
Advanced knowledge of legislative issues affecting advanced practice providers.
Ability to organize operations and implement initiatives.
Demonstrated knowledge of state and national regulatory requirements.
Strong operational management skills.
Excellent leadership, fiscal, and operational management skills, with the ability to collaborate effectively with physicians, management, and staff from all disciplines. Ability to create and maintain a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives.
Education, Licenses, and Certifications:
Education:
Required
Master's degree in a clinical area of study
Preferred
Doctorate or PhD :
Licenses:
Required
Licensed Nurse Practitioner (NP) or Physician Assistant (PA) in the State of California
Registered Nurse (RN) license for Nurse Practitioners
Preferred
None specified
Certifications:
Required
National board certification in the applicable profession, if engaged in clinical practice (ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC, AGNP-C, ANP-C, FNP-C, or FNP-BC)
BRN furnishing license and Drug Enforcement Administration (DEA) license, if engaged in clinical practice
Current American Heart Association (AHA) Basic Life Support (BLS) certification
Preferred
LEAN certification
Diversity, Equity, and Inclusion (DEI) Champion certification
