Physician Assistant, Orthopedic Surgery, (San Rafael), Full-Time, Days
Job Description
ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.
MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
Company:
MarinHealth Medical Group, Inc.Work Shift:
8 Hour (days) (United States of America)Scheduled Weekly Hours:
40Job Description Summary:
This position is for an Advanced Practice Provider supporting the UCSF-MarinHealth Orthopedics Service, as a team member with the Orthopedic Surgery program at MarinHealth Medical Center and MarinHealth Medical Network. The position is anticipated to include inpatient and outpatient care as well as assistance in the operating room. It will be primarily located in Marin County at locations including MarinHealth Medical Center and outpatient clinics. The Advanced Practice Provider will work with multiple attending physicians and will evolve with the growth of the program as a team member.Job Requirements, Prerequisites and Essential Functions:
Pay Range:
$92.96 - $108.45 - $127.12
Essential Functions and Responsibilities:
General Clinical Duties
Work with the physicians/surgeons/colleagues that provide emergency orthopedics call coverage for the hospital and other clinical and administrative staff to ensure efficient patient management based on accepted practice, including but not limited to, performing histories and physicals, pre-operative planning/coordinating with anesthesia/outside providers and PCPs as applicable, responding to change in patient status, providing needed prescriptions/evaluations/referral/treatments as permitted under their delegation of services agreement. Provide home health services and DME, DMV evaluations, referrals, consultations, PT, and order radiographic or diagnostic requests, and specialized treatment privileges (e.g. chemotherapy with privilege certification). May also provide patient education and arrange follow-up appointments. Performs clinical assessments and management services on Orthopedic patients which includes interpretation of a history and physical exam. Coordinates perioperative patient care including the following roles:
Performs pre-operative history and physical examinations.
Facilitates patient education.
Initiates pre-and-post-operative orders (subject to authorization/co-signature of responsible physician).
Makes daily rounds on in-hospital patients as needed to evaluate patient progress and enter notes in chart, which will be countersigned by the physician.
Makes daily rounds on weekends as set by a pre-determined schedule and as necessary
Dictates discharge summaries.
Removes sutures, staples, and drains; change dressings and performs appropriate wound care.
Assesses patients based on standardized protocols.
Assists in the operating room
Works with the practice assistants to address patient queries under the guidance of the supervising physician. Response to patients shall be timely
Serves as assistant during specified orthopedic surgical procedures.
Works in close collaboration with the emergency room and trauma teams to assist in caring for othopedic surgery patients.
Does literature search and participates in clinical investigations and education.
Manages prophylaxis, post-operative and pain medication management.
Responds to My Chart, In-Basket inquiries in a timely manner, no later than 24 hours.
To evaluate, assess and create a documented plan of treatment per patient’s presenting HPI or established plan of care under the collaboration/supervision of an attending physician.
To answer clinically relevant patient medical advice calls or during bedside communications or coordination with health care professionals, patients and their families as necessary.
To independently or in a shared visit model, evaluate routine, acute, critical, new patients, or specialty consultations when needed or required and discuss with attending and staff as appropriate.
Be able to interpret and act upon ordered tests, procedures, and radiographic studies.
To assist in formulating and implementing protocols to improve efficiency in the clinical specialty.
Effectively communicate with family or patients in person, telephone and/or other electronic modalities in a timely manner.
Initiates consultations and monitors scheduling by patients for special tests.
Consults with attending physician as needed, when patient requests it, or if the patient’s problem is beyond his/her scope of clinical management.
Evaluate for initial management of inpatient and emergency room consults when necessary and to assist the attending physician with management of consults as necessary.
Closes all encounters within 48 hours in Apex.
Performs other duties as set in the “Scope and Setting of Practice”
Other Functions and Responsibilities
Demonstrates ability to work cooperatively with others.
Maintains open communication channels with all members of the health care team.
Communicates well with patients and families.
Knowledgeable about and adheres to all applicable Medical Center and department specific infection control, health and safety policies and procedures, including annual safety training.
Maintain a safe, clean, and functional work environment.
Exemplary customer service is required.
Must be able to document competent performance of the skills required to perform in the role described.
Excellent verbal and written communication, professional, computer and interpersonal skills to effectively interact with a diverse professional and patient population.
In Inpatient
To assist in formulating and implementing protocols to improve efficiency in the clinical specialty/service/pathways. Engage in a timely and efficient discharge of patients on the inpatient service for which you are responsible. Assist in coordinating patient transfers according to policy.
May be required to act as first assist in the OR.
Qualifications – Nurse Practitioner:
Education:
BSN required; MSN preferred
Successful completion of advanced practitioner training and certification as a practitioner (general or specialized) from an approved nurse practitioner program
Completion of training in OR assistance.
License/Certifications:
Current Registered Nurse, as defined by the California Board of Registered Nursing and successful completion from a college or university-based Nurse Practitioner program
Active and unrestricted Nurse Practitioner license in state of CA
Current Nurse Practitioner Furnishing License and verification of experience to furnish (if applicable)
Must hold current national board certification by first day of work and maintain
Must hold an active and transferable DEA license to California as required by the clinical specialty
Must be eligible for payer enrollment with CMS Medicare and Medicaid
BLS Certification (American Heart Association) required
Experience:
2 years of experience in advanced practice or special preferred
2 years in specialty area highly desired
Prior experience in a medical office environment preferred
Qualifications – Physician Assistant:
Education:
Completion of graduation from an accredited Physician Assistant Program
Must be certified by the National Commission on Certification and licensed in the State of California
License/Certifications:
Active and unrestricted Physician Assistant license in state of CA
Must hold current national board certification by first day of work and maintain
Must hold an active and transferable DEA license to California as required by the clinical specialty
Must be eligible for payer enrollment with CMS Medicare and Medicaid
BLS and ACLS (American Heart Association) required
Experience:
2-5 years of PA experience preferred
2 years in specialty area highly desired
Prior experience in a medical office environment preferred
Accommodation:
Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or [email protected].
C.A.R.E.S. Standards:
MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues.
Health & Immunizations:
To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law.
Compensation:
The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements.
Equal Employment:
All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.