Nurse Practitioner​/Physician Assistant

About Our Practice

Monterey Bay Vascular is a leading multi-specialty vascular and endovascular practice serving Santa Cruz and Monterey Counties. We specialize in minimally invasive arterial and venous interventions, dialysis access management, limb preservation, and advanced wound care delivered in clinic, office-based lab (OBL), and ASC settings.

Vascura Wellness, our integrative health division, complements vascular care with metabolic optimization, weight management, hormone therapy, and wellness services designed to address the root causes of chronic disease.

Our mission is to deliver exceptional outcomes through high clinical standards, operational excellence, and compassionate, patient-centered care.

We are seeking an experienced and motivated Nurse Practitioner (NP) or Physician Assistant (PA) to join our growing clinical team. This is a per-diem position with opportunity for expanded hours and long-term growth for the right candidate.

This role supports both vascular procedural services and longitudinal outpatient management, while also contributing to wellness and metabolic optimization programs.

Monday – Friday | 8:00 AM – 4:00 PM
No nights. No weekends.

• Perform detailed new patient consultations, including full history and physical examinations focused on arterial, venous, and dialysis access conditions.
• Evaluate patients presenting with peripheral arterial disease (PAD), chronic limb-threatening ischemia (CLTI), venous insufficiency, varicose veins, DVT history, non-healing wounds, and dialysis access dysfunction.
• Develop evidence-based treatment plans in collaboration with supervising vascular surgeons.
• Manage conservative therapy pathways, including compression therapy, wound care protocols, medication optimization, and lifestyle modification.
• Perform longitudinal management of chronic vascular patients, ensuring appropriate surveillance intervals and follow-up imaging.
• Provide clear patient education regarding disease progression, procedural options, risk factors, and prevention strategies.

• Conduct pre-procedural evaluations, ensuring appropriate workup, medical clearance coordination, medication reconciliation, and risk stratification.
• Review imaging (duplex ultrasound, CTA, MRA, venography) and labs to confirm procedural readiness.
• Assist with day-of-procedure patient assessments and ensure informed consent documentation is complete and compliant.
• Provide post-procedure evaluations including vascular checks, access site assessment, pain management oversight, and discharge planning.
• Manage post-operative follow-up visits, including incision checks, wound care, surveillance imaging interpretation, and complication management.
• Identify early signs of complications such as hematoma, infection, thrombosis, or restenosis and elevate appropriately.
• Collaborate closely with nursing and procedural staff to maintain efficient patient flow and safety standards.

• Evaluate arteriovenous fistulas and grafts for maturation, dysfunction, stenosis, or thrombosis.
• Coordinate care with nephrologists and dialysis centers to ensure continuity and timely intervention.
• Participate in access surveillance review, including flow data interpretation and duplex results.
• Assist in pre-operative evaluation for fistula creation and post-intervention follow-up.
• Educate patients on dialysis access care and complication recognition.

• Perform wound assessments including measurement, staging, and documentation compliant with Medicare requirements.
• Develop and implement wound care plans incorporating debridement (if…