Advanced Practice Provider (NP/PA/APP) - Preoperative Anesthesia Clinic

The Preoperative Anesthesia Clinic is a specialized ambulatory care practice dedicated to optimizing patients for surgery through comprehensive preoperative assessment, risk stratification, and perioperative planning. Advanced Practice Providers (APPs) serve as integral members of a multidisciplinary team, partnering closely with anesthesiologists, surgeons, nurses, pharmacists, and procedural teams to improve patient safety, reduce surgical delays, and enhance perioperative outcomes.

This dynamic outpatient practice offers APPs the opportunity to practice at the top of their license while managing patients with complex medical conditions across a broad spectrum of surgical specialties. Providers conduct detailed history and physical examinations, review diagnostic testing, assess anesthetic and surgical risk, develop evidence-based optimization plans, and coordinate care with specialty consultants when indicated.

The clinic is staffed by Family Nurse Practitioners (FNP), Acute Care Nurse Practitioners (ACNP), Adult-Gerontology Acute Care Nurse Practitioners (AG-ACNP), and Pediatric Nurse Practitioners (PCNP) who are passionate about perioperative medicine and patient-centered care. APPs function with a high degree of autonomy while collaborating within an established anesthesia-led model of care.

Highlights of the Practice:

-Outpatient, clinic-based setting with no inpatient rounding requirements

-Collaborative interdisciplinary team environment

-Opportunity to care for adult and pediatric surgical populations

-Focus on high-quality, evidence-based perioperative medicine

-Meaningful impact on surgical readiness, patient outcomes, and operational efficiency

-Professional development opportunities in perioperative and anesthesia-related practice

-Predictable schedule with minimal call requirements (customize as needed)

Typical Schedule:

Monday-Friday

Day shift hours

No nights, or holidays

No call requirements

Primary Responsibilities

-Perform comprehensive preoperative history and physical examinations for patients scheduled for surgery or procedural interventions.

-Assess medical comorbidities and identify perioperative risks utilizing current evidence-based guidelines.

-Order, review, and interpret diagnostic studies including laboratory tests, imaging, and cardiac evaluations as clinically appropriate.

-Develop and implement individualized preoperative optimization plans.

-Collaborate with anesthesia providers, surgeons, primary care providers, specialists, and ancillary departments to ensure surgical readiness.

-Provide patient and family education related to anesthesia, perioperative expectations, medication management, and procedural preparation.

-Document assessments, recommendations, and care plans within the electronic medical record.

-Facilitate care coordination and follow-up for identified optimization needs.

-Participate in quality improvement, patient safety initiatives, and departmental education activities.

-Maintain compliance with regulatory, accreditation, and organizational standards.

Minimum Qualifications

-Graduate of an accredited Nurse Practitioner program.

-Current certification as one of the following:

Family Nurse Practitioner (FNP-BC or FNP-C)

Acute Care Nurse Practitioner (ACNP-BC)

Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC)

Primary Care Nurse Practitioner (AG-PCNP or PCNP)

Current unrestricted licensure as a Nurse Practitioner in the Commonwealth of Virginia (or eligibility for licensure).

Current DEA registration (if required by state and organizational policy).

Current BLS certification.

Ability to obtain privileges within the health system.

Preferred Qualifications

-Minimum of 2 years of advanced practice experience preferred but required.

-Experience in anesthesia, perioperative medicine, surgery, hospital medicine, critical care, cardiology, internal medicine, family medicine, or pre-admission testing.

-Knowledge of perioperative risk assessment and optimization guidelines.

-Experience working within a multidisciplinary surgical and medical environments.

-Epic EMR experience.

-Demonstrated commitment to quality improvement and patient safety initiatives.

Administration

-Maintains accurate and timely documentation in the electronic health record.

-Coordinates care with patients, providers, and interdisciplinary team members to support surgical readiness.

-Adheres to organizational policies, regulatory requirements, and departmental standards.

-Participates in quality improvement and operational initiatives.

Professional

-Maintains required licensure, certification, and clinical competencies.

-Practices in accordance with professional standards, organizational policies, and evidence-based guidelines.

-Participates in continuing education and professional development activities.

-Promotes a collaborative, patient-centered care environment.

Clinical

-Conducts comprehensive preoperative evaluations, including history and physical examinations.

-Assesses patient risk and develops appropriate preoperative care and optimization plans.

-Orders, interprets, and evaluates diagnostic studies within scope of practice.

-Collaborates with anesthesia, surgical, primary care, and specialty teams to facilitate safe surgical care.

-Provides patient and family education regarding perioperative care and treatment plans.

-Documents clinical assessments, recommendations, and plans of care.

Leadership

-Serves as a clinical resource and subject matter expert within the perioperative care team.

-Participates in departmental quality, safety, and performance improvement initiatives.

-Contributes to the development and implementation of clinical processes and best practices.

-Supports education, onboarding, and mentorship activities as appropriate.

-Demonstrates leadership through effective communication, collaboration, and professional accountability.

MINIMUM REQUIREMENTS

Education: Graduate of an accredited graduate school of nursing or physician assistant program with a master’s degree.

Experience: Department and unit specific.

Licensure: License or license eligible as an Advance Practice Provider (Nurse Practitioner, and Physician Associate) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required, specific to position.

PHYSICAL DEMANDS

Job requires standing for prolonged periods, frequently bending/stooping, reaching (overhead, extensive, and repetitive); Repetitive motion: computer keyboard. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 50 - 100lbs. May be exposed to noise, radiation, radioactive materials, blood/body fluids and infectious disease.

The pay range for this role is $116,123.00 - $171,163.20 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance

• Generous Paid Time Off

• Retirement Savings

• Long-term and Short-term Disability

• Health Saving Plans, and Flexible Spending Accounts

• Certification and Education Support

UVA Health (https://jobs.virginia.edu/why-uva-health) is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide (https://health.usnews.com/best-hospitals/area/va/university-of-virginia-medical-center-6344000) rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s (https://jobs.virginia.edu/uva-childrens) is named by 2023-2024 U.S. News & World Report (https://health.usnews.com/best-hospitals/area/va/university-of-virginia-childrens-hospital-PA6344000) as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment (https://eocr.virginia.edu/notice-non-discrimination-and-equal-opportunity) .