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Full Job Description

Physician Assistant (PA), Orthopedics, Greenbrae/Novato, Hybrid

Novato, CA

About MARINHEALTH a UCSF Affiliate:

MarinHealth Medical Network is a medical foundation representing the physicians, their care teams and office staff, who previously operated under Prima Medical Foundation or the Marin Healthcare District. With a network of clinics across many different medical specialties throughout Marin and Southern Sonoma County, MarinHealth Medical Network functions as an extended family of healthcare advocates who take pride in knowing that we aren’t just making a living; we’re making a positive impact on the health of our patients and their families. Come and join us in touching and transforming lives every day!

External hires are subject to a background check and pre-employment medical screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with federal, state and local laws. 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 & local laws.

General Summary:

This position is for an Advanced Practice Provider supporting the UCSF-MarinHealth Musculoskeletal Service, as a team member with the UCSF Orthopedic Surgery program at MarinHealth Medical Center/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, outpatient clinics, and ambulatory surgery centers. The Advanced Practice Provider will work with multiple attending physicians and will evolve with the growth of the program as a team member.

Essential Functions and Responsibilities:

General Clinical Duties

Work with the physicians/surgeons/colleagues 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.
  • 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 within and outside UCSF Health according to policy.
  • May be required to act as first assist in the OR.
  • May include weekend rounding in the hospital

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
  • Previous orthopedic experience desirable

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

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
  • Registered Nurse First Assistant (RNFA) or Advanced Practice Nurse Practitioner (APRN) certification
  • 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
  • Certification, Orthopedic Nurse Practitioner (ONP-C), preferred

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
  • Previous orthopedic experience desirable

Behavioral Standards:

We have adopted the following standards of behavior in addition to the job responsibilities listed above so we can create and maintain an optimal workplace environment. Your application for this position assumes you agree with and can maintain the following workplace values:

  • Exceptional customer service
  • Professionalism on the phone, in person, and with each other
  • Respectful communication with patients, vendors, volunteers, and co-workers
  • Effective teamwork
  • Ability to maintain a safe work environment
  • A positive attitude
  • A good sense of humor and fun in the workplace
  • Support of each other the patients and the practice

MarinHealth remains committed to the health and safety of our employees, patients, and the entire community. As such, MarinHealth requires employees to receive all required immunizations, including, MMR, flu (seasonal availability), and COVID-19 vaccine + booster, as a condition of employment and annually thereafter, as required. Any exemptions from these requirements may be granted for limited and specific situations.

The compensation for this role listed on this posting is in compliance with applicable law. The selected candidate’s compensation will be determined based on the individual’s skills, experience, internal/market equity factors, and qualifications. This posted minimum and maximum range represents the minimum and maximum of what we reasonably expect to compensate for the position. Furthermore, all compensation decisions are ultimately determined in accordance with our compensation philosophy. Compensation for positions covered by collective bargaining agreements are governed by the agreements in the aforementioned document.

Additional Information

  • Department: 9314 COS – MHMN Ortho LKS-NV
  • Job Schedule: Part Time – 20 to 32 hours/week
  • Job Shift: Day
  • Hours per Two-Week Period: 40 – 79
  • Shift Hours: 8 Hour Shift
  • Job Number: MHMN20 – 1003