APP (Nurse Practitioner/Physician Assistant)- Neurology Clinic (Autonomic Disorders)- FT (10 Hour) Days

Stanford Health Care is seeking an Advanced Practice Provider (APP)—Nurse Practitioner or Physician Assistant—to join the Neurology Clinic specializing in Autonomic Disorders. This full-time position offers 10-hour day shifts in a hybrid work arrangement at the Palo Alto location.

You will provide high-quality, patient-centered care for adults with acute and chronic autonomic symptoms and disorders, including postural orthostatic tachycardia syndrome, neurocardiogenic syncope, orthostatic hypotension, diabetic autonomic neuropathy, and related conditions. You will work under the supervision of a Neurology attending physician who remains responsible for overall patient care. Care is delivered within standardized procedures and protocols approved by the Interdisciplinary Practice Committee and aligned with hospital governance, quality, and safety standards.

Responsibilities

• Evaluate and manage patients with acute and chronic autonomic complaints and health maintenance concerns per standardized procedures, providing care only within your scope of competence, education, training, and experience.
• Take comprehensive histories and perform targeted physical examinations; document findings and develop assessment and management plans for new and returning patients.
• Order, interpret, and coordinate diagnostic studies appropriate to autonomic disorders, including autonomic function testing, laboratory studies, and imaging, in line with formal clinical protocols.
• Administer, order, furnish, and prescribe medications according to approved formulary and protocols; monitor responses, adverse effects, and interactions; initiate non-pharmacologic therapies as indicated.
• Coordinate laboratory testing, imaging, autonomic testing, rehabilitation therapies, and other services such as physical therapy, occupational therapy, and speech therapy as clinically appropriate.
• Perform designated procedures after documented competency and in accordance with protocols relevant to autonomic care.
• Obtain informed consent when required and participate in shared decision-making with patients and families.
• Enroll eligible patients in IRB-approved research studies as directed by the supervising physician; order tests and medications for trial participation as appropriate; comply with regulatory requirements for off-label use per patient-specific orders.
• Assist with inpatient admissions and discharges as directed; coordinate transitions of care to ensure seamless outpatient follow-up.
• Recognize age-specific needs and implement appropriate, sensitive communication and care planning for diverse patient populations.
• Provide clear, compassionate communication with patients, families, and multidisciplinary teams; advocate for patients and coordinate with community resources as needed.
• Promote safety, quality improvement, and evidence-based practice; participate in performance improvement initiatives and clinical protocol updates.
• Deliver patient education and counseling; reinforce self-management strategies and adherence to treatment plans.
• Consult with or refer to a collaborating physician when tasks or decisions exceed your current level of competence.
• Other duties as assigned within scope of practice and under supervision.

Clinical Focus

• Autonomic syndrome evaluation and dysautonomia workups
• Reflex testing coordination and tilt-table test oversight and interpretation in collaboration with neurologic autonomic testing services
• Management of chronic autonomic disorders with emphasis on symptom control, disease modification where appropriate, and coordinated multimodal therapy
• Integration of lifestyle modification counseling, rehabilitation referrals, and patient self-management strategies into care plans

Required Qualifications

• Master's or Doctoral degree in nursing (APN) from an accredited college or university, OR a graduate degree from an accredited physician assistant program.
• For APNs: graduation from a program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
• For PAs: graduation from an ARC-PA–accredited program.
• Current credentialing to practice as an APP in the State of California or applicable state licensure.
• Appropriate board certification in specialty area (e.g., Neurology APN/PA certification or equivalent) as applicable.

Licenses and Certifications

• State licensure as an Advanced Practice Nurse (APN) or Physician Assistant (PA) and any required state practice privileges.
• National board certification for your APP discipline (ANCC or AANP for NPs; NCCPA for PAs) with ongoing recertification.
• Prescriptive authority appropriate to your role (DEA registration; prescriptive authority under state law and institutional policy).
• Basic Life Support (BLS) certification.
• Advanced Cardiac Life Support (ACLS) as required by site and role.
• Other certifications as required by the neurologic/autonomic clinic or hospital policies.

Schedule

• Full-time, 1.0 FTE
• 10-hour day shifts
• Hybrid work arrangement

Compensation

• Base pay scale: Generally starting at $89.01 - $117.94 per hour
• The salary of the finalist selected will be set based on a variety of factors, including but not limited to internal equity, experience, education, specialty, and training.

Work Environment

• Location: Stanford Health Care, Palo Alto, California
• Collaboration with Neurology, Autonomic Disorders Clinic, inpatient units, and related specialty services
• Compliance with all hospital policies, regulatory requirements, and clinical governance structures