Physician Assistant, Sr.

About the role

The Critical Care Physician Assistant is a licensed physician assistant who possesses the advanced education, knowledge, clinical skills and experience necessary to provide expert advanced practice in critical care. The primary responsibility of the CCPA is providing and directing care for patients in the adult ICUs at the UCSF Medical Center.

Responsibilities

• Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)
  • Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
  • Performs procedures granted to them via privileges/standardized procedures.
  • Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.
  • Initiates consultations as indicated.
  • Documents independent assessment findings and recommends appropriate treatments.
  • Participates in service rounds and patient evaluation and treatment planning.
  • Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.
  • Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.
  • Interprets and acts upon completed tests, procedures, and radiographic studies.
  • Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations.
  • Effectively communicates findings, treatment options, and care plans with patients and their families.
  • May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.
  • Makes rounds to monitor and evaluate patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.
  • Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.
• Inpatient – Care Coordination (may include some or all of the responsibilities listed)
  • Care coordination throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
  • Coordinates episodic care and determines timing of routine clinic follow up.
  • Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
  • Consults with nursing staff on plan and implementation of individualized nursing care plans.
  • Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.
• Outpatient – Independent Encounters (may include some or all of the responsibilities listed)
  • Evaluates and manages patients in independent APP encounters, including telehealth. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
  • Performs procedures individually granted to them via standardized procedures/privileges.
  • Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.
  • Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.
  • Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion.
  • Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.
• Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed)
  • Evaluates and manages patients in shared encounters with attending physician, including telehealth. This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
  • Performs procedures individually granted to them via standardized procedures/privileges.
  • Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.
  • Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.
  • Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion.
  • Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.
• Outpatient – Care Coordination (may include some or all of the responsibilities listed)
  • Care coordination throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
  • Management of the EHR, including patient and staff messages and other inbasket tasks.
  • Coordinates episodic care and determines timing of routine clinic follow up.
  • Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
  • Attends department quality improvement meetings and participates in patient evaluation and planning.
  • Consults with nursing staff on plan and implementation of individualized nursing care plans.
  • Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.

Qualifications

• Graduation from a PA Program accredited by the Accreditation Review Commission on Education for the PA (ARC-PA).
• A minimum of one year of PA experience in adult critical care medicine or completion of an accredited APP fellowship incorporating critical care.
• Preferred qualifications: Completion of an accredited critical care practice transition program, a minimum of 2 years of recent experience as an inpatient Physician Assistant in an academic medical center, California Physician Assistant (PA) License without restriction, National Board Certification from the National Commission on Certification of Physician Assistants (NCCPA), California Driver License (if required for position), Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address, American Heart Association (AHA) Basic Life Support (BLS) certification, additional required AHA certifications: ACLS, additional required certifications: ENLS.

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here. Join us to find a rewarding career contributing to improving healthcare worldwide.

Salary Information

The final salary and offer components are subject to change based on the candidate's qualifications and experience.