Sutter Health

Nurse Practitioner, Family Medicine

$171,874.56 - $249,217.28 / year

We are so glad you are interested in joining Sutter Health! 

Organization:

PAMF-Palo Alto Medical Foundation CAD

Position Overview:

Assesses, diagnoses, plans and implements the medical care of patients in a group setting that includes collaboration with at least one physician. Functions within the full scope of licensure without standard procedures; accountable for the assessment, coordination delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care. Delivers holistic and individualized care to all patients in assigned area. Develops, implements, and manages an optimal interdisciplinary plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to entity policies, industry standards, best practices, and applicable laws/regulations and codes to promote a reliable and high-quality patient experience. Engages in continuous growth and development in professional advanced nursing practice. Follows ambulatory care and inpatient standardized procedures, protocols, policies, and procedures regulated by the State of California Nurse Practice Act.

Job Description:

JOB ACCOUNTABILITIES:

Nurse Practitioner, Family Medicine

-Position to cover 3 locations in the area:

- 2581 Samaritan Drive, San Jose, CA

-1950 University Avenue, East Palo Alto, CA

-39650 Liberty Street, Fremont, CA


  • Ultrasound competency preferred, can be trained or certified
  • Fertility background preferable, familiarity in women's health ideal
  • Supporting 6 physicians in full cycle fertility care
  • ASLS certified
  • .8 position, M, T, Th, F
  • Provides advance practice care within the full Nurse Practitioner (NP) scope of practice without standardized procedures and works in a group setting that includes at least one physician.
  • Conduct advanced health assessments and diagnostic examinations, compiling and updating detailed medical history.
  • Ensures individualized health maintenance status to include, but not limited to, vaccinations, screening for risk factors, mental status baseline, dental screening and other appropriate functional assessments.
  • Order, perform, and interpret diagnostic procedures, including radiologic and laboratory tests
  • Establishes primary and differential diagnoses.
  • Prescribes, administers, dispenses, and furnishes therapeutic measures, including, but not limited to the following:
    • Diagnoses, prescribes, and institutes therapy or referrals of patients to health care agencies, health care providers, and community resources.
    • Prescribes, administers, dispenses, and furnishes pharmacological agents, including over the counter, legend, and controlled substances.
    • Plans and initiates a therapeutic regimen that includes ordering and prescribing nonpharmacological interventions, including durable medical equipment, medical devices, nutrition, blood and blood products, and diagnostic and supportive services, including, home health care, hospice, and physical and occupational therapy.
  • Initiate referrals to healthcare providers, agencies, and community resources.
  • Consults or refers patients to physicians or other licensed providers in cases of abnormal examination, test findings or when conditions exceed the NP’s scope of education and training.
  • Certifies disability following physical examination, pursuant to Section 2708 of the Unemployment Insurance Code.

ASSEMENT AND PLANNING OF PATIENT CARE

  • Conducts patient and family assessments encompassing physiological, spiritual, and emotional areas.
  • Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate patient care plans to ensure a care plan that is patient centric with continuity of care.
  • Partners with peers, other healthcare providers, and management to effectively improve patient outcomes and provide the highest quality of care.
  • May partner to streamline patient workflow.
  • Communicates patients’ plan of care to co-workers and other departments.
  • May facilitate transfer to a community practitioner.

PROVISION OF PATIENT CARE:

  • Provides competent, compassionate and cost-effective patient care in accordance with unit, department, hospital policies, scientific principles, evidence-based nursing practice/process, nursing objectives and standards of care.
  • Maintains a safe, comfortable, and therapeutic environment for each patient and their families/support group in accordance with entity regulations.
  • Delegates tasks appropriately/effectively to team members based on legal scopes of practice, licensure, educational preparation, appropriate guidelines and individual capability.  Delegate tasks to medical assistants in accordance with applicable California regulations.
  • Communicates with and explains treatments/activities to patient and family in a clear, open- ended, collaborative manner showing care and concern, using teach-to-learn to ensure patient understanding of explanations, and integrating patient learning and educational needs.
  • Maintains mindfulness in delivery of individualized care and in communication with patients and families, with a safety focus.
  • Delivers safe and effective patient care in compliance with established entity policies and procedures, and local, state and federal regulations to provide the highest level of patient care.
  • Upholds the confidentiality of all patients’ protected health information (PHI) and protects all PHI from accidental, intentional or inappropriate disclosure.
  • Remains current in advancements, trends, and best practices related to acute care and area of specialty and professional nursing practice.
  • Participates in and supports system, operating unit, facility, and unit process improvement activities.


EVALUATION OF PATIENT CARE

  • Monitors patient care interventions, assesses therapies, evaluates outcomes, and intervenes.
  • Conducts ongoing education for patients and their families to ensure optimal patient care from admission through transitions of care.
  • Reassesses, evaluates, and documents each patient’s response to the plan of care and adjusts the plan.
  • Reports any events or near-misses in safety or compliance concerns via patient safety reporting mechanism.
  • Participates in analysis of safety events to prevent future occurrences.
  • Accurately documents and updates all treatment information in the patient’s electronic health record (EHR).
  • Develops, implements, and documents formal teaching and transition planning that includes the patient/family in care for identified health needs.

TYPICAL EXPERIENCE:

3 years recent relevant experience


SKILLS AND KNOWLEDGE:

Demonstrated general knowledge and competence with regard to advanced nursing theories, concepts and practices; medical terminology; anatomy; and physiology.
Working knowledge of the healthcare industry, safety precaution policies, best practices regarding patient care and privacy, and changes in local/state/federal regulations.
Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
Basic knowledge of computer applications, such as Microsoft Office Suite (Word and Outlook), Electronic Health Record.
Prioritize and delegate assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
Ensure the privacy of each patient’s protected health information (PHI).
Build collaborate relationships with peers and other healthcare providers to achieve departmental and corporate objectives.


Job Shift:

Days

Schedule:

Part Time

Days of the Week:

Friday, Monday, Thursday, Tuesday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

32

Employee Status:

Regular

Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $171,874.56 to $249,217.28 / annual salary

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. KNOWLEDGE 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. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $97.75 to $118.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant / Certified Nurse Midwife, Obstetrics

$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P143537-2799 Job Description DEPARTMENT DESCRIPTION The Obstetrics Clinic at LPCH Stanford is a fast-paced clinic that provides services for both low and high-risk expectant mothers through the continuum of their gestation. The OB APP will provide comprehensive care to both low- and high-risk obstetric patients across the continuum of inpatient and outpatient services. Clinical responsibilities may include postpartum rounding, obstetric triage evaluation and management, and care delivery within low- and high-risk obstetric clinics. The APP will support patient-centered care through both traditional one-on-one visits and Centering group prenatal care models, while collaborating closely with multidisciplinary teams to optimize patient outcomes, continuity of care, and clinical workflow efficiency. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. Certified Nurse Midwife (CNM): The Certified Nurse Midwife (CNM) provides routine prenatal and postpartum care to patients with normal prenatal histories and postpartum courses as well as the management of those patients with acute and chronic conditions related to (and during the course of) pregnancy, in collaboration with the physician(s) and through implementation of standardized procedures. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. Certified Nurse Midwife (CNM): Licensure as a Registered Nurse (RN) in the State of California CNM - Certified Nurse Midwife. KNOWLEDGE 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. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.