Nurse Practitioner​/Physician Assistant, Adult Congenital Heart Disease

Category: Advanced Practice
Job Type: Full time
Shift: Day - 08 Hour
Location: Palo Alto, CA
Req: P
Employee Group: Exempt
Benefits Eligible: Yes
Remote Eligible: No
Department: Administration Adult Congenital Heart
Scheduled Weekly

Hours:

40

The Advanced Practice Provider (APP) will play an integral role in the Adult Congenital Heart Disease (ACHD) Program, a collaborative partnership between Stanford Health Care and Stanford Medicine Children's Health dedicated to providing comprehensive, lifelong care for adults with congenital heart disease throughout Northern California. This full‑time position offers a unique opportunity to develop expertise in a rapidly growing and nationally recognized ACHD program while caring for patients across the continuum of care in both inpatient and outpatient settings.

The APP will participate in inpatient consultations, perioperative management, postoperative care, and care transitions, while also managing independent outpatient ACHD clinics focused on longitudinal follow‑up, surveillance of congenital heart disease, disease progression, and cardiovascular risk reduction. Working alongside ACHD cardiologists, surgeons, and a multidisciplinary team, the APP will deliver evidence‑based care, coordinate complex patient management, educate patients and families, and contribute to quality improvement and program growth.

• 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.
• 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 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.
• 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),…