Physician Assistant - Vascular Surgery

ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. 

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. 

Company:

MarinHealth Medical Group, Inc.

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

20

Job Description Summary:

Pay Range: $92.96 - $108.45 - $127.12

The Vascular Surgical Physician Assistant (PA) is an advanced practice provider who delivers comprehensive perioperative care to patients with vascular disease. Working in close collaboration with vascular surgeons and the multidisciplinary care team, the PA plays an integral role in patient assessment, surgical assisting, and longitudinal management. Core responsibilities include performing preoperative evaluations, first-assisting in open and endovascular procedures, coordinating postoperative care, and managing patients in inpatient and outpatient settings.

The PA is expected to exercise a high degree of clinical judgment and autonomy while functioning within the scope of practice and institutional guidelines. This includes prescribing medications, ordering and interpreting diagnostic studies, and contributing to quality improvement initiatives. Strong communication skills, adaptability, and a collaborative mindset are essential to ensure efficient office workflows, optimal surgical outcomes and patient and provider satisfaction.

Job Requirements, Prerequisites and Essential Functions:

Qualifications

Education:

• Graduation from an accredited Physician Assistant Program

• Completion of a surgical residency preferred.

Experience:

• 2 - 5 years of PA working experience preferred, but would consider motivated new grad.

• Prior experience in wound care and/or minor office based procedures, like sclerotherapy, would be beneficial 

Licenses/Certifications:

• Must hold an active and current California Physician Assistant License (PA)

• Must hold current national board certification (NCCPA) 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.

• Must hold current AHA BLS and ACLS as minimum requirement.

Duties & Essential Job Functions

General Clinical Duties

• Collaborate with the provider team and support staff in the delivery of care and contributing to the overall patient experience

• Perform clinical assessments and management services independently or in a shared visit model on new and established Vascular Surgery patients, including history and complete vascular physical exam, prescription writing and refills, referrals, etc.

• Perform wound care, utilizing best available products and therapies

• Perform minor procedures including sclerotherapy, removal of tunneled catheters and wound debridement

• Comprehensive Perioperative management of patients including but not limited to:

• Surgical assisting Coordination of care between patients, families, other providers, ancillary staff Patient and staff education Facilitate efficient patient through-put and workflow in the Perioperative setting, including arrangements for add-on cases

• Rounding on patients in the hospitali

• Participate in clinical research projects and/or provide staff education

• Maintain vascular databases (VQI and any other that may be created)

• Order, interpret and act upon tests, procedures, and radiographic studies. Monitor or assist with scheduling of tests by patients.

• Provide warfarin management guidance, refills and orders as needed (ie. coumadin clinic)

• Formulate and implement protocols to improve efficiency in the practice.

• Effectively communicate with family or patients in person, telephone and/or other electronic modalities in a timely manner. 

• Confer with attending physician as needed, when patient requests it, or if the patient’s problem is beyond his/her clinical comfort and experience.

• Provide both initial and ongoing assessment and management of inpatient and emergency room consults when needed

• Document patient care activity appropriately in Apex and close all encounters within 48 hours.

• Work and interface with vendors as may be needed for patient care

• Perform other duties as set in the “Scope and Setting of Practice,” and additional roles and responsibilities.

Other Functions And Responsibilities

• Work cooperatively with others.

• Maintain open communication channels with all members of the health care team.

• Communicate well with patients and families.

• Knowledgeable about and adhere 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.

• Provide exemplary customer service.

• Must document competent performance of the skills required to perform in the role described.

• Excellent verbal and written communication, computer and interpersonal skills to interact effectively and professionally with a diverse clinician and patient population. 

Physical Demands – Advanced Practitioner

General

Length of shift is usually 8-12 hours per day.  The Vascular PA position is primarily a walking and standing position with sitting a secondary requirement.  Infrequent very heavy lifting and pushing/pulling occurs when assisting with patient transfers and transport. Reaching at all levels is needed for patient care activities and clerical duties.  Coordination and agility required to move in small spaces, manipulate equipment, transcribe orders, and operate computer/typewriter, copier, and telephone.  Must have good vision and color discrimination, auditory ability, and verbal and written communication skills to effectively work with others. Frequent exposure to radiation in the form of x-rays is expected.

Lifting Requirements

• 1–20 lbs: Light

• 21–50 lbs: Medium

• 51–100 lbs: Heavy

• 100+ lbs: Very Heavy

Carrying Requirements

• 1–10 lbs: Light

• 11–25 lbs: Medium

• 26–50 lbs: Heavy

• 50+ lbs: Very Heavy

Pushing/Pulling Requirements

• 1–20 lbs: Light

• 21–50 lbs: Medium

• 51–100 lbs: Heavy

• 100+ lbs: Very Heavy

Specific

Lifting: Lifts light loads continuously, such as charts, small supplies and equipment in patient rooms, at nursing stations and copier.  Lifts heavy loads frequently, including patient lifts and equipment and assisting patients with ambulation.  Lifts very heavy loads infrequently during assists with patient transfers/transport to/from gurneys and wheelchairs.  Uses appropriate lift equipment, assistive devices and additional staff as needed for very heavy and heavy loads

Carrying: Continuously carries light loads, consisting of charts, supplies and equipment.  Maximum distance carried is >100 feet.  Occasionally carries medium loads, equipment, and supplies.

Pushing/Pulling: Pushes light and medium loads frequently.  Very heavy loads moved infrequently, assists with patient transfers/transport on gurneys and wheelchairs.  Infrequently moves heavy loads such as chairs, beds and wheeled tables.

Standing: Total standing hours per work shift may be up to 10 hours. Standing may occur while communicating, treating patients, assisting with procedures, operating copier, restocking supplies and medication lockers, and assisting with patient transfers.  Requires frequent moving from place to place.  There is no optional position.

Walking: Total hours per work shift is 5-7 hours.  Walking may occur while communicating and directing visitors and patients, retrieving and restocking supplies and documents; going to and from patient rooms, operating room, copier.  There is no optional position.

Sitting: Total hours per work shift may be 3-5 hours or more.  Maximum consecutive time this activity occurs is 30-60 minutes.  Sitting may occur while communicating with patients, visitors, physicians and staff; operating computer/typewriter and telephone; transcribing orders, completing forms and other clerical duties.  Optional position available for certain tasks.

Climbing: Occurs infrequently while obtaining or restocking supplies through use of step stool.  May use stairs during emergency and when elevator unavailable.

Stooping: Occurs frequently to obtain supplies from low drawer/shelf, and perform physical exam or procedures/wound care.

Crouching: Occurs occasionally while obtaining supplies from bottom drawer/shelf, performing patient care, or to service copier.

Twisting: Occurs frequently while working at bedside and desk and changing position to perform another function.

Kneeling and Crawling: Infrequently when performing patient care and retrieving supplies.

Reaching Above Shoulder: Occurs frequently to obtain/replace supplies, hang IVs, and adjust equipment.

Reaching Below Shoulder: Occurs continuously to obtain/replace supplies on shelves/cabinets, in drawers and to operate computer/typewriter, perform direct patient care activities.

Reaching At Shoulder: Occurs frequently to adjust equipment alarms, to obtain/replace supplies, use telephone, copier and small desk supplies, assist with patient care and transfers.

Handling: Occurs continuously to perform patient assessment and treatments, obtain/return/store medical supplies and documents; assist with patient transfers/transport, answer telephone, and operate copier.

Finger Manipulation: Occurs continuously to operate electronic equipment, maintain effective written communication, operate computer/typewriter, telephone, copier; perform patient care; transcribe orders, order supplies, perform clerical duties.

Feeling: Occurs continuously to accomplish fine motor tasks such as physical exam, wound care, procedures etc.

Coordination: Occurs continuously while performing simultaneous functions, including direct care procedures, bedside equipment, operating computer/typewriter, telephone, copier; replace/obtain supplies; clerical duties.

Agility: Occurs frequently while moving about in small spaces in exam and patient rooms.

Near Vision: Should be perfect (with or without correction.  Continuously needed for observing patients, reading charts, supplies, transcribing orders, documenting, using telephone, computer, typewriter, receiving/responding to written communication from doctors, staff, patients, visitors and others, performing other clerical duties.

Color Discrimination: Color discrimination required frequently to assess patient condition.

Far Vision: Should be perfect (with or without correction). Occasionally needed for communicating with others, seeing emergency call lights, walking around office and hospital, running errands to other departments, walking quickly during emergencies.

Horizontal Field of Vision: Continuously needed for maneuvering in small spaces, around nursing station, patient rooms, office/clinic, to detect someone/something approaching from the side when facing forward and to be alert/aware of surroundings especially in emergencies.

Hearing Sensitivity: Normal hearing sensitivity continuously needed for face-to-face communications with others, use of phone, hearing emergency call buzzers and emergency signals such as fire alarms.

Talking: Clear speech and command of English language continuously needed for phone use and face-to-face communication with others, especially in emergency situations.

Accommodation:

Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or [email protected].

C.A.R.E.S. Standards:

MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues.

Health & Immunizations:

To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law.

Compensation:

The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements.

Equal Employment:

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, and local laws.