Jul 29, 2022


  • University of California, San Diego School of Medicine
  • UC San Diego Medical Center, La Jolla, CA & San Diego, CA
Physician Assistant/Nurse Practitioner

Job Description

The Department of Orthopaedic Surgery is a vibrant and growing Orthopaedic Surgery Department of 30 full time faculty, 150 voluntary faculty, 15 physicians on MSP contracts, 29 trainees and 70+ staff (including clinics). The Department generates over $14M in professional clinical revenue and $5M in research grants and contracts for total annual expenditures of $21M. The Department of Orthopaedic Surgery at UCSD is the most comprehensive orthopaedic group in San Diego, offering the full spectrum of subspecialties including hand/elbow/shoulder, foot/ankle, spine surgery, joint replacement, arthritis surgery, orthopaedic oncology (bone and soft tissue/muscle), physical medicine and sports medicine.

Under the supervision of the Department Chair and in collaboration with the department physician, nursing leadership and administrative leadership within the Department and Physician group, this position will supervise Advance Practice Providers (Nurse Practitioners and Physician Assistants) in the Orthopaedic Surgery Department. In addition to supervisory responsibilities, the position will provide care for Orthopaedic patients in collaboration with physicians. Clinical care responsibilities will include performing exams, ordering diagnostic and screening tests, developing plans of care, accurately documenting patient medical history and care and education and consulting with patients and families.

Supervisory responsibilities include overseeing APPs in daily operations, ensuring adherence to ethics and quality standards in the delivery of patient care by Advanced Practice Providers. Position will collaborate with senior management and faculty on operational and performance issues and the development of new plans and programs to improve and integrate APP functions and systems across specialties, departments and throughout the medical center, including the development and implementation of APP Best Practice Models. The position will ensure appropriate professional development opportunities are developed and implemented. Facilitates items such as onboarding, training and orientation schedules, staff development and performance evaluations, time off requests, clinic schedule optimization, inpatient assignments, productivity, compliance, and other supervisory duties as assigned. Serves as a liaison between NPs, PAs, and supervising physicians.

Under the direction of the Department Chair and collaborating physicians, the incumbent will provide patient care in the support of Orthopedic Surgery Services. Contributes to physician and team effectiveness by identifying short term and long range patient care issues. Assess patient health and performs medical assessment and physical evaluation, surgical planning and coordination of care in the inpatient and outpatient settings. Works with physicians, residents and fellows, and other healthcare members to prescribe and administer treatments and communicates with supervising physician(s). Documents patient care services, orders therapeutics, medication, and diagnostic testing, and other services required. Provides patient education and patient triage, and manages patient forms and inquiries. Incumbent assists with clinical research protocols and data collection and functions as a liaison with health system personnel including case management coordinators, financial counselors and social workers. Incumbent may assist with surgical cases and completes other duties as assigned.

Supervises, coordinates, and administers the practice of advanced practice practitioners (APPs), including nurse practitioners and physician assistants. Ensures quality of care and services as a role model, expert clinician, and mentor Assists with the administration and management of personnel, fiscal and material resources. Supervises Nurse Practitioners (NPs) and Physician Assistants (PAs) responsible for patient evaluation, testing, diagnosis, plans of care, and treatment within a clinical department or specialty practice area. As a supervisor, receives assignments in the form of objectives with goals and the processes by which to attain them.

Depending on the credentials of the selected candidate, this position will be hired as a Nurse Practitioner or Physician Assistant Supervisor.

While not required, a cover letter is highly recommended when applying to this position.

Minimum Qualifications:

  • Must be a graduate from an accredited Nurse Practitioner or Physician Assistant program.

  • NP: Current California RN license, Nurse Practitioner license, and national certification as Nurse Practitioner (AANP, ANCC, NCC, PNCB, AACN).

  • PA: Current California Physician Assistant (PA) license and current PA Certification from NCCPA.

  • BLS/CPR certification at time of hire with commitment to get BART within six (6) months of hire date.

  • A minimum of five (5+) or more years of relevant experience as a NP or PA.

  • Demonstrated ability to effectively supervise a team and to manage the complex workflow and competing priorities involved with providing quality care.

  • Solid knowledge of the clinical and operational issues for nurse practitioners/physician assistants performing advanced-practice functions within departments and specialty areas, including evaluation, testing, diagnosis, and treatment, and patient-care concepts, policies, outcomes measurement, quality standards, ethics issues, quality improvement, and continuing staff education and professional development.

  • Proven knowledge of human resources management policies, with the ability to train, monitor, evaluate, and document staff issues and performance, and to participate in decision-making on human resources matters.

  • Strong analytical and critical thinking skills, with the ability to quickly analyze problems, determine appropriate level of intervention, and develop and apply effective solutions.

  • Excellent interpersonal skills for effective collaborations with all levels of clinical staff and management, consultants, researchers, and outside agencies.

  • Solid written and verbal communications skills, with the ability to train and mentor subordinates, convey complex clinical and technical information in a clear and concise manner, and to prepare and present a variety of reports, documentation, analyses, and project proposals.

  • Knowledge of clinical and administrative software and specialized applications and data management systems used by nurse practitioners in providing advanced-practice nursing care, research, documentation, and employee supervision.

  • Theoretical background in anatomy, physiology, general medicine, pulmonary, emergency and critical care medicine, management of common diseases, concepts of medicine and surgery, therapeutics, including pharmacology, counseling techniques and interpersonal dynamics.

  • Demonstrated ability perform initial history, and physical examination, identify major medical problems and formulate appropriate plans of action.


  • Experience supervising Advanced Practice Practitioners or direct experience in a relevant leadership role in a healthcare organization
  • Orthopedic Surgery experience.
  • Ability to lead and successfully resolve workforce concerns and issues.
  • Involvement or demonstrated ability to hire and/or participate in the recruitment process.


  • Employment is subject to a criminal background check and pre-employment physical.
  • Must be able to obtain UCSD Medical Staff privileges and maintain during employment.
  • Position may require on-call, overnight, evening and weekend hours.
  • Must be willing to travel to various locations.
Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

UC San Diego Health System is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

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