Director - Advanced Practice (1.0 FTE, Days)

Category: Healthcare Leadership
Job Type: Full-Time
Shift: Days
Req: 14563
FTE: 1

Nursing Management

1.0 FTE, 8 Hour Day Shift

At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

In collaboration with designated physicians, division/service chiefs, and the Chief Nursing Officer and Chief Medical Officer, the Director Advanced Practice provides the overall leadership and direction for Nurse Practitioners (NP) and Physician Assistants (PA), certified nurse midwives, and certified registered nurse anesthetists in all in-patient and out-patient services for Lucile Packard Children's Hospital and Stanford Children’s Health (SCH) collaborates with advanced practice providers (APP) Managers related to the supervision of APPs. The Director is responsible for leading and supporting advanced practice to ensure quality and efficient patient care. This position supports the credentialing and professional development of all advanced practice providers, ensuring all regulatory, accreditation and clinical standards are met¿ And identifying, measuring and evaluating clinical and departmental outcomes. The Director coordinates and facilitates continuing education and practice standards for advanced practice providers across the hospital and clinics. The Director provides direction and oversight, in conjunction with hospital financial and business management positions, billing services to maximize third-party reimbursement for advanced practice providers.  The Director oversees a team of Advanced Practice Professional managers and responsible for the team’s performance and development.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification.  They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities.  Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).


  • Identifies specific needs for self-development and implements a plan to achieve professional growth and networking. 
  •   Promotes the professional growth of APPs through coaching, mentoring and support. Participates with the School of Medicine, nursing schools and PA programs in the teaching programs for APP candidates. 
  • Facilitates education and staff development to APPs including establishing guidelines and financial resources for professional development, education and research.


  • Provides leadership and business development skills to accomplish inpatient and outpatient patient care mission, goals and strategic plan. 
  •  Initiates and maintains an organizational structure for the APPs and creates a culture that facilitates collaboration and participation. 
  • Supports the Shared Leadership structure   and collaborates with the Advanced Practice Provider Council. Determines the need for other professional practice advisory taskforces to prioritize projects, facilitate problem-solving, delegate tasks and improve communication among the departments. 
  •  Coordinates and integrates services within and among the divisions to achieve desired goals and outcomes. 
  •   Oversees the development/revision of standardized procedures for APPs. 
  •   Uses a systematic process to effectively plan, implement and evaluate new programs in conjunction with   division/service physicians and hospital and clinic leadership. 
  •  Establishes and maintains collaborative working relationships with the medical staff and all members of the patient care team to achieve mission and goals. 
  •   Serves   as a positive role model and effective liaison for Stanford Children’s Health (SCH) to its internal and external community. 
  •   Communicates effectively to facilitate positive working relationships and achieve desired outcomes. 
  •  Demonstrates the ability to collect, analyze and synthesize clinical, financial and outcomes data for effective decision making. 
  •   Fosters continuous process improvement to achieve and maintain quality patient care. 
  •  Serves on the Interdisciplinary   Practice Committee (IDPC) in a leadership capacity. 
  •  Assigns special projects and designates committee assignments to individual APPs. 
  •    Promotes and supports professional goals for regional, national and international professional practice including attending conferences, presenting at conferences, conducting research and generating publications. Is actively involved with governmental agencies related to State and National advanced practice.


  • Assures the delivery of quality and cost effective patient care by working collaboratively with the APPs in Ambulatory and in-patient settings. 
  • Ensures the availability and retention of high quality human resources for APP services, to include: developing/revising job descriptions and working with Human Resources to maintain a competitive compensation strategy. Developing mechanisms to determine the qualifications and competence of nurse practitioners and physician assistants who provide patient care services. Interviewing job applicants, collaborating with managers and making recommendations for employment. Supervising the performance and evaluation of APPs. Managers collaborating with faculty, patient care directors, clinic managers, nursing staff and support services to determine staffing standards and assuring the appropriate number of APP staff. Assessing scheduling practices based on service requirements, establishing productivity guidelines, and monitoring implementation of these guidelines and scheduling practices. Collaborating with medical staff and nursing management to define mandatory orientation, education requirements and ongoing staff development monitoring compact protocols and assuring compliance per the California provider act 
  • Manage a team of APP managers supporting the professional practice of advanced practice professional across the continuum 
  • In collaboration with the management team, creates, maintains, and updates staffing models to ensure appropriate staffing across all units and specialties 
  • In collaboration with the management team, leads a committee to review all new and replacement APP positions supporting resource stewardship and ensuring patient care needs are met.
  • The credentialing privileges and competencies for the professional staff and participation in peer review. 
  • Maintains/updates policies and procedures relating to the practice of the APPs. *Manages patient care, human resources, systems and workflow processes to achieve and maintain a budget neutral status.
  • Reviews the State Board of Nursing Practice Act and other regulations to ensure compliance. 
  • Coordinates the billing practices in conjunction with the Managed Care and Compliance Departments, as well as with physician practices. 
  • Works closely with physicians, patient care directors and clinic managers to assess and improve the division/service performance and incorporates continuous performance improvement into operations. 
  • Recommends space and other resources needed by the division/service.    


  • Development and implementation of best practices germane to integrated APP practice and developing at-risk metrics. Identification of system and service specific clinical performance goals. Development and adherence to policies relative to APP practice. Development and implementation of best practice integrated care models.


  • Develop and maintain formal onboarding strategies along with innovative programs to assure retention including but not limited to APP career ladder, APP fellowship (transition to practice) program, CME/grand rounds in collaboration with Human Resources.     


  • Educate on appropriate utilization of APPs in and across the system. Promote interdisciplinary practice and implement strategies to overcome barriers to collaboration. Market the APP role within and outside of the system.

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Master's degree in a related field from an accredited university required. Doctorate preferred.

Experience: Broad and extensive experience managing and leading programs, work units or departments of comparable size, scope and complexity, Multispecialty leadership experience preferred. Clinical experience of at least 5 years as an APP

License/Certification: CA Registered Nurse - valid license as a Registered Nurse issued by the California Board of Registered Nursing (BRN), -AND- NP - Certification to practice as a Nurse Practitioner through the California Board of Registered Nursing, NP Board Certification. Certification as a Nurse Practitioner by a nationally accredited nursing organization (e.g. American Association of Nurse Practitioners  AANP, American Nurses Credentialing Center  ANCC or any successor organizations) is required. 


CA Physician Assistant – Valid license as a Physician Assistant in CA, PA national board certification.

Knowledge, Skills, and Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

  • Ability to provide effective staff supervision, including planning and assigning work according to the nature of the job to be accomplished, the capabilities of subordinates and available resources. Controlling work through periodic reviews and/or evaluations. Determining subordinates' training needs and arranging for such training. Motivating subordinates to work effectively. Determining the need for disciplinary action and either recommending or initiating disciplinary action.

  • Knowledge of professional nursing theory, clinical practice standards, medical practice guidelines, and scope of advanced practice nursing and physician assistant roles. 
  • Ability to provide leadership and promote change in a positive manner that supports all employees of the department and health system. 
  • Ability to independently seek out resources and solve complex problems even under stressful and/or crisis situations. 
  • Ability to communicate effectively with APNs, physician assistants, team leaders, patients, families, visitors, healthcare team, physicians, administrators, leadership, and others. 
  • Ability to process and prioritize information, perform health assessments, treatment, and follow-up. 
  • Ability to prepare reports and presentations.
  • Ability to use a personal computer and proficiency in using standard business software applications and ability to quickly learn new software programs. 
  • Ability to provide leadership in clinical area of expertise and in meeting organizational goals. Ability to navigate the system to provide clinical expertise to specific patient populations.
  • Knowledge of the principles and practices of leadership and management, including planning, organizing, directing, motivating, controlling and decision making. Organization and operation of hospitals. Standards and requirements relating to compliance with external regulatory, accrediting, and certifying bodies for assigned programs/areas of responsibility. Principles and practices of human resources management, employee relations, organizational behavior, program planning, and financial management.


Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.


Equal Opportunity Employer

Lucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.