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About the Role

This Physician Assistant (PA) position is assigned to the Neuro-Spine practice within the UCSF Department of Neurosurgery. The role involves performing delegated functions within the PA's scope of practice, including managing chronic conditions, routine care, acute/critical care, and medical/surgical procedures. The APP will provide patient care in approved age groups and UCSF Health licensed settings, demonstrating self-direction and accountability in developing the role across all UCSF medical center locations. All Advanced Practice Practitioners (APP) must be credentialed through the Medical Staff Services Office (MSSO) prior to practicing.

Responsibilities

Independently or collaboratively evaluates and manages patients, including taking histories, performing physical examinations, and ordering medications/diagnostic tests.
Documents care provided in the electronic medical record in accordance with UCSF Rules and Regulations.
Responds to clinical documentation integrity inquiries within 3 days.
Performs procedures granted via privileges/standardized procedures.
Identifies patients with acute decompensation or failure and responds to the hospital plan of care.
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 and establishes individualized plans of care for disposition.
Interprets and acts upon completed tests, procedures, and radiographic studies.
Completes clinically relevant paperwork/EHR documentation, including ordering medications and completing episodic care notes and discharge summaries.
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.
Monitors and evaluates patients for discharge, setting parameters for continuum of care.
Discharges patients, including prescribing medications, ordering DME, and providing discharge teaching.
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 requiring close management.
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.
Evaluates and manages patients in independent APP encounters, including telehealth.
Provides care to new, follow-up, acute, routine, and specialty patients in outpatient settings.
Reviews or collaborates with attending physician as needed in outpatient settings.
Performs procedures individually granted via standardized procedures/privileges in outpatient settings.
Identifies high-risk groups and complex cases for review with attending physician in outpatient settings.
Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates consultations in outpatient settings.
Interprets and acts upon ordered tests, procedures, and radiographic studies in a timely fashion in outpatient settings.
Completes clinically relevant paperwork/EHR in outpatient settings, including ordering medications and completing episodic care notes and telephone encounters.
Evaluates and manages patients in shared encounters with attending physician, including telehealth.
Increases clinic access with a goal of doubling clinic volume by sharing clinic responsibilities.
Collaborates on evidence-based assessments and plans in shared outpatient encounters.
Manages the EHR, including patient and staff messages and other inbasket tasks.
Attends department quality improvement meetings and participates in patient evaluation and planning.
Does not include management of inpatients in outpatient care coordination.

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 an adult multi-disciplinary surgical specialty (for Physician Assistant role).
Experience in non-surgical management of spine problems, from diagnostics and injection therapy (for Physician Assistant role).
Five (5) or more years of PA experience in an adult multi-disciplinary surgical specialty (for Physician Assistant Senior role).
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.
Completion of required certification and proctoring for first assisting in the operating room.
Credentialing through UCSF Health's Medical Staff Services Office (MSSO) is required prior to practicing.

Skills

PA Program accreditation
PA experience in adult multi-disciplinary surgical specialty
Experience in non-surgical management of spine problems
PA experience in adult multi-disciplinary surgical specialty
California Physician Assistant (PA) License
National Board Certification from NCCPA
California Driver License
DEA Registration
American Heart Association (AHA) Basic Life Support (BLS) certification
Credentialing through MSSO

Location

UCSF medical center locations
Parnassus
Mt. Zion
Satellite Clinics

Work Type

Inpatient
Outpatient
Telehealth

Experience Level

Less than five (5) years of experience as a PA
Five (5) or more years of experience as a PA

Education Level

Graduation from a PA Program accredited by the Accreditation Review Commission on Education for the PA (ARC-PA)
Master’s or doctoral degree (preferred)
Completion of a Certificate of Added Qualification (CAQ) from the NCCPA (preferred)

Benefits

Total compensation details available at https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

About the Company

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.
UCSF is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.
UCSF is home to five Nobel laureates.
UCSF is a diverse community committed to professionalism, respect, integrity, diversity, and excellence (PRIDE values).
UCSF is committed to equity in care delivery and its workforce.
UCSF is committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for culturally competent education, discovery, and patient care.

Equal Opportunity

The University of California is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.