APP (Nurse Practitioner/Physician Assistant)- Neurology Clinic (Autonomic Disorders)- FT (10 Hour) Days

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Day- 10 Hour (United States of America)Position: Advanced Practice Provider (APP) – Neurology, Autonomic DisordersLocation: Stanford Health CareOverview: The APP role in Neurology, Autonomic Disorders supports the autonomic neuroscience subspecialty under the supervision of a Neurology attending physician. The APP delivers high-quality, patient-centered care for adults with acute and chronic autonomic symptoms and disorders (e.g., postural orthostatic tachycardia syndrome, neurocardiogenic syncope, orthostatic hypotension, diabetic autonomic neuropathy, and related conditions). Care is delivered within standardized procedures and protocols approved by the Interdisciplinary Practice Committee (IDPC) and aligned with hospital governance, quality, and safety standards. The APP collaborates with multidisciplinary teams to optimize diagnostic evaluation, treatment, education, and care coordination across inpatient and outpatient settings.What you will do:

• * Provide care only for autonomic patients within the APP’s scope of competence, education, training, and experience, under the supervision of a Neurology attending who remains responsible for the patient’s overall care.
• * Consult with or refer to a collaborating physician when tasks or decisions exceed current level of competence.
• * Evaluate and manage patients with acute and chronic autonomic complaints and health maintenance concerns per standardized procedures.
• * Take comprehensive histories and perform targeted physical examinations; document findings and develop assessment and management plans for new and returning patients.
• * Order, interpret, and coordinate diagnostic studies appropriate to autonomic disorders (e.g., autonomic function testing, laboratory studies, imaging) in line with formal clinical protocols.
• * Administer, order, furnish, and prescribe medications according to approved formulary/protocols; monitor responses, adverse effects, and interactions; initiate non-pharmacologic therapies as indicated.
• * Coordinate laboratory testing, imaging, autonomic testing, rehabilitation therapies, and other services (e.g., physical therapy, occupational therapy, speech therapy) as clinically appropriate.
• * Perform designated procedures after documented competency and in accordance with protocols relevant to autonomic care.
• * Obtain informed consent when required and participate in shared decision-making with patients and families.
• * Enroll eligible patients in IRB-approved research studies as directed by the supervising physician; order tests and medications for trial participation as appropriate; comply with regulatory requirements for off-label use per patient-specific orders.
• * Assist with inpatient admissions and discharges as directed; coordinate transitions of care to ensure seamless outpatient follow-up.
• * Recognize age-specific needs and implement appropriate, sensitive communication and care planning for diverse patient populations.
• * Provide clear, compassionate communication with patients, families, and multidisciplinary teams; advocate for patients and coordinate with community resources as needed.
• * Promote safety, quality improvement, and evidence-based practice; participate in performance improvement initiatives and clinical protocol updates.
• * Deliver patient education and counseling; reinforce self-management strategies and adherence to treatment plans.
• * Other duties as assigned within scope of practice and under supervision.Education Qualifications
• * Master’s or Doctoral degree in nursing (APN) or a graduate degree from an accredited physician assistant program.
• * For APNs: graduation from a program accredited by NLNAC or CCNE; for PAs: graduation from an ARC-PA–accredited program.
• * Current credentialing to practice as an APP in the State of California (or applicable state licensure); appropriate board certification in specialty area (e.g., Neurology APN/PA certification or equivalent) as applicable.Licenses and Certifications
• * State licensure as an Advanced Practice Nurse (APN) or Physician Assistant (PA) and any required state practice privileges.
• * National board certification for the APP discipline (e.g., ANCC, AANP for NPs; NCCPA for PAs) with ongoing recertification.
• * Prescriptive authority appropriate to role (e.g., DEA registration; prescriptive authority under state law and institutional policy).
• * Basic Life Support (BLS); Advanced Cardiac Life Support (ACLS) as required by site and role.
• * Other certifications as required by the neurologic/autonomic clinic or hospital policies.Specialized Autonomic Neurology Focus
• * Autonomic syndrome evaluation, dysautonomia workups, reflex testing coordination, tilt-table test oversight and interpretation in collaboration with neurologic autonomic testing services.
• * Management of chronic autonomic disorders with emphasis on symptom control, disease modification where appropriate, and coordinated multimodal therapy.
• * Integration of lifestyle modification counseling, rehabilitation referrals, and patient self-management strategies into care plans.Work Environment
• * Location: Stanford Health Care
• * Collaboration with Neurology, Autonomic Disorders Clinic, inpatient units, and related specialty services.
• * Compliance with all hospital policies, regulatory requirements, and clinical governance structures.Note
• * All APPs must practice within their scope, maintain competency through ongoing education, and follow standardized procedures and formulary protocols. Off-label orders or deviations from standard protocols require physician approval and appropriate documentation.This is a Stanford Health Care job.A Brief OverviewThe Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC).
• The NP provides routine are 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 NP and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee.This job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision. There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook. Here is a description of the various levels:Job Attributes:* LEVEL I* LEVEL II* LEVEL IIIFLSA Status:* Exempt* Exempt* ExemptJob Code:* 400077* 400169* 400170Requirement:LEVEL I: Entry levelLEVEL II: Meets Career Ladder criteria for NP II LEVEL III: Meets Career Ladder criteria for NP IIILocationsStanford Health CareWhat you will do
  • A. An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP’s education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP.
  • B. An NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.
  • C. Scope of Practice of the NP:
  • Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients]
  • Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized procedures. [see Appendix A Assessment & Management of Patients]
  • Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients]
  • Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Appendix B : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol]
  • 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. [see Appendix B: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician.
  • 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.
  Education Qualifications
  • Master’s or Doctoral degree in nursing from an accredited college or university. (Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement.)
  • Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
  Licenses and Certifications
  • Nursing\RN - Registered Nurse- State Licensure And/Or Compact State Licensure and
  • NP - Nurse Practitioner and
  • NPF - NP Furnishing Number and
  • BLS - Basic Life Support and
  These principles apply to ALL employees:SHC Commitment to Providing an Exceptional Patient & Family ExperienceStanford 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 inall ofits 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 $89.01 - $117.94 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.