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Day - 08 Hour (United States of America)

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.
Expectations:
• 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.

Requirements:
• NP (CA) or PA with current license and national certification.
• 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.

This is a Stanford Health Care job.

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).

Locations
Stanford Health Care

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.

Education Qualifications

Master's Degree Advanced Practice Nurse: Master's or Doctorate Degree in Nursing or other healthcare-related field from an accredited university.-OR- Physician Assistant: Bachelors degree in Science, Physician Assistant Studies, or Healthcare related field from an accredited university.

Experience Qualifications

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)
Management experience preferred

Required Knowledge, Skills and Abilities

Knowledge of:
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification
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

Licenses and Certifications

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

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $100.03 - $132.51 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

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

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