Established in 1994, NiteLines USA has successfully delivered contract support services to more than 144 government institutions and medical treatment facilities across the country. We’re a dynamic and growing health care organization, offering a wide range of employment opportunities. We are seeking professionals and dedicated individuals to be part of our team, where integrity, respect, accountability, and collaboration are among our core principles. Work with a dedicated and caring organization and start doing your life's best work.

We are currently looking to hire a Cardiothoracic Physician Assistant in the San Francisco area.

Location: San Francisco, CA.

Benefits:

• Competitive salary.
• 401(k).
• Dental insurance.
• Health insurance.
• Life insurance.
• Paid time off.
• Sick leave.
• Vision insurance.
• 11 paid holidays.

Hours: 

Work Schedule: Part-time, Monday through Friday, 8:00am to 4:30pm.

Duties:

The Cardiothoracic Surgery PA acts as an agent of his Supervising Physician (SP) and will exercise no independent authority. Each Cardiothoracic surgery attending will supervise the PA which on call for the service. The PA and a SP will be in daily communication regarding care of patients on the service.

The major duties and responsibilities include, but are not limited to:

• Perform initial and interim histories and physicals (H&Ps) on all inpatients and outpatients assigned to the Cardiothoracic Surgery Section.
• Perform initial CT surgery consultations as requested by the Emergency Department, other inpatient services, and/or outside referrals in clinic.
• Screen patients to determine the need for hospital admission and may so admit patients when indicated after informing SP or his designee of the decision to admit.
• Order and initially interpret tests including but not limited to blood lab work, such as chemistry, CBC, liver function tests, lactate, BNP, HgbA1c, PT/PTT, INR, TSH and thyroid tests, type and cross, hepatitis screens, MRSA screens, hematologic panels, urinary analysis, micro, all cultures, pathology, ECG, medical imaging studies, such as x-rays, echocardiograms results, ziopatch results, catheterization results, as well as other procedures needed for ensuring adequate diagnosis, differentials, and continued health maintenance.
• Initiate or expedite requests for consultation, special test and studies on assigned patients and will keep the SP or his designee apprised of results and progress.
• Make rounds on assigned inpatients and write interim progress notes and may write or dictate the discharge summary.
• Initiate social work consultation, work with social work on patient needs, initiate physical therapy and occupational therapy consultation, and work with therapists on patient care needs.
• Initiate specialty consultation to include but not be limited to endocrine consultation for diabetes, vascular surgery consultation, general surgery consultation, infection disease consultation, hematology/anticoagulation consultation, neurology consultation, pulmonary consultation, and cardiology/CHF/EP consultation.
• Provide necessary patient education and apply currently accepted preventive health care measures to our patients and/or their families.
• Monitor and evaluate the need for reordering medications which are routinely required for maintenance of various chronic medical conditions including, but not limited to, HTN, DM, COPD and arthropathies.
• Order or transmit an order for x-ray, other studies, therapeutic diets, physical therapy, occupational therapy, respiratory therapy, and nursing services and will be required to co-sign (certify) treatment plans developed by rehabilitation therapists.
• Document in the medical record consultations required for initiating or continuing medications.
• The PA will document controlled substances he/she administers or transcribes secondary to an order by a supervising physician for a particular patient. The entry will include the name of the SP.
• Evaluation of daily ECGs, adjustment of medications for heart rate and blood pressure with appropriate consultation, consultation with cardiology regarding pacemaker, treatment of atrial fibrillation with po and IV medication.
• Evaluation of daily CXRs with adjustment of diuretics.
• Adjustment of medications for glucose control under supervision of physician or endocrine consult.
• Initiation of anticoagulation, po or IV and adjustment as needed to therapeutic dosing. Reversal of anticoagulation as needed for over anticoagulation, therapeutic procedure, or preoperative planning.

Qualifications:

Physician Assistant Basic Requirements

• Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~
• Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~
• Currently hold a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia.