Director of APP (CRNA) - Surgical Services - Full Time

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

Provides direction and supervision for Advanced Practice Providers (APPs) including Nurse Practitioners (NP), Physician Assistants (PA), Certified Registered Nurse Anesthetists (CRNA) and Clinical Nurse Specialists (CNS) in designated in-patient and out-patient services lines in collaboration with the Center for Advanced Practice. Leads and supports advanced practice to ensure quality and efficient patient care and ensuring all clinical standards are met. Assists with identifying, measuring and evaluating clinical and departmental outcomes and provides direction and oversight of hiring, onboarding, terminating and managing disciplinary action within the Service Line. The Director will be responsible for staffing allocation, ensuring independent practice where appropriate and the presence of consistent and fair coverage across the Service Line.

The Director also supports both clinical operational teams including CRNA and APP leadership within the perioperative and procedural environments on Interventional Platform, ensuring high standards in surgery and anesthesia care delivery, fostering collaboration between CRNAs, anesthesiologists, surgeons, and APPs along with cross collaboration with Interventional Platform teams in advancing the clinical and professional practice in alignment with Stanford Health Care's mission, regulatory compliance, and patient safety initiatives.

Locations

Stanford Health Care

What you will do

• Responsible for the recruitment, hiring, orientation, onboarding, ongoing mentorship and preceptorship and managing Service Line APPs and CRNAs in collaboration with Service Line operational and medical leadership and the Center for Advanced Practice.
• In conjunction with operational leaders, allocates staffing and ensures appropriate coverage of patient care needs during transitions or leave of physicians or APPs. Provides leadership and direction for the other operational clinical teams as well as the CRNA and APP teams in collaboration with the Department of Anesthesiology and Surgery, including staffing models, onboarding, scope of practice, and quality of care.
• Coordinates and integrates independent practice and monitors quality of care within and among the sections to achieve desired goals and outcomes.
• Oversees the quality of clinical practices and procedures for Staff APPs and Lead APPs in collaboration with medical leadership. Partners with physician leadership to advance multidisciplinary collaboration and optimize anesthesia service line operations.
• Collaborates with operational managers to implement and evaluate new programs in conjunction with division/service physicians and hospital and clinic leadership.
• Collaborates with faculty, patient care directors, clinic managers, nursing staff and support services to determine staffing standards and ensure the appropriate number of APP staff; assessing scheduling practices based on service requirements, establishing productivity guidelines, and monitoring implementation of these guidelines and scheduling practices.
• Manages patient care, human resources, systems and workflow processes to achieve and maintain a budget neutral status. Demonstrated leadership in CRNA, APP, or anesthesia practice, including regulatory compliance, scope of practice, and team-based perioperative models.
• Participates in the Interdisciplinary Practice Committee and other APP leadership committees as appropriate. Supports CRNA professional development and credentialing, and participates in privileging processes and ongoing competency validation.
• Provides mentorship and assists Lead APPs and staff APPs to accomplish inpatient and outpatient patient care mission and goals. Collaborates with perioperative and surgical services leadership to ensure CRNA and APP coverage and workflow support for all procedural and operative sites.
• Initiates and maintains an organizational structure for the APPs and creates a culture that facilitates collaboration and participation within the service line.
• Works collaboratively with the Center for Advanced Practice and the Nursing Shared Leadership structure in developing house wide APP initiatives. Aligns CRNA and APP practice with evolving perioperative models such as care pathways with surgical optimization clinics, and other institutional initiatives.
• Communicates institutional and service line goals, develops a plan collaboratively for implementation and then operationalize quality goals and improvements in patient care. Fosters collaborative relationships between CRNAs and physician anesthesiologists within an academic medical center or integrated health system.
• Collects, analyzes and synthesizes clinical, quality, financial and outcomes data for effective decision-making.
• Serves on appropriate leadership committees in the Service Line and provides routine updates at those meetings to promote necessary changes and report on quality/outcomes data.

Education Qualifications

• Master's degree in a related field from an accredited college or university
• Graduation from an accredited Nurse Anesthesia program

Experience Qualifications

• Minimum of five (5) years of experience as an Advanced Practice Provider
• In addition, five (5) years of broad and extensive experience managing and leading programs, work units or departments of comparable size, scope and complexity
• Minimum of five (5) years of CRNA experience with at least five (5) years in a leadership, supervisory, or administrative role within anesthesia services preferred

Required Knowledge, Skills and Abilities

• Demonstrated experience providing effective staff supervision, including planning and assigning work according to the nature of the job to be accomplished, the capabilities of subordinates and available resources; controlling work through periodic reviews and/or evaluations; determining subordinates' training needs and arranging for such training; motivating subordinates to work effectively; determining the need for disciplinary action and either recommending or initiating disciplinary action
• Ability to lead investigations and mitigation strategies related to adverse events or clinical incidents involving CRNA and APP care.
• Knowledge of anesthesia billing practices, preoperative optimization pathways, and intraoperative workflows involving CRNA and APP-delivered care.
• Knowledge of professional nursing theory, clinical practice standards, medical practice guidelines, and scope of APP roles.
• Ability to evaluate anesthesia-specific quality and safety metrics, and drive performance improvement projects related to anesthesia outcomes.
• Demonstrated experience providing leadership and promote change in a positive manner that supports all employees of the department and health system
• Demonstrated experience independently seeking out resources and solving complex problems under stressful and/or crisis situations
• Demonstrated experience communicating effectively with APPs, team leaders, patients, families, visitors, healthcare team, physicians, administrators, leadership, and others
• Ability to prepare reports and presentations
• Demonstrated proficiency in using standard business software applications and ability to quickly learn new software programs
• Demonstrated experience providing leadership in clinical area of expertise and in meeting organizational goals
• Demonstrated experience to navigate the Hospital to provide clinical expertise to specific patient populations
• Knowledge of the principles and practices of leadership and management, including planning, organizing, directing, motivating, controlling and decision making; organization and operation of hospitals; standards and requirements relating to compliance with external regulatory, accrediting, and certifying bodies for assigned programs/areas of responsibility; principles and practices of human resources management, employee relations, organizational behavior, program planning, and financial management
• Demonstrated ability to sell a vision, strategic planning/thinking abilities, values diversity and team work; collaborative work style, demonstrates integrity and ethics in conduct and decision-making, demonstrates initiative, creativity and flexibility, demands accountability of self and others, even when "others" are not direct reports

Licenses and Certifications

• CRNA - Certified Registered Nurse Anesthetist required

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 $119.11 - $157.83 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.