Collaborating/Supervising Physician

Clinical Oversight and Delegation:

• Serve as supervising physician for up to four NPs at one time.
• Coordinate written nurse protocol agreements with Vynca and ensure timely filing.
• Be immediately available for consultation or designate a qualified backup physician.

Chart Review and Quality Monitoring:

• Review and countersign patient records as required by standardized procedures.
• Review 100% of patient records involving adverse outcomes within 30 days.
• Conduct quarterly medical record review and meetings with each APRN.

Palliative and Serious Illness Scope:

• Support symptom management and goals-of-care conversations.
• Delegate authority for death pronouncement and death certificates where permitted.
• Provide guidance on controlled substance management within California law.

Compliance and Program Integrity:

• Maintain principal place of practice in California.
• Support continuity of oversight during physician transitions.
• Participate in clinical governance and quality improvement activities.