Nurse Practitioner 2

Job Description

The UCSF Neurology Program seeks a full time Advanced Practice Provider (APP) to help support our program. The UCSF team consists of highly experienced physicians, surgeons, nurses, social workers, researchers and others. Our Neurology program is nationally known for cutting edge Neurology support in both the outpatient and inpatient setting and offers a variety of support systems (long-term and short-term).

The APP will care for patients on the inpatient Neurology services at UCSF, Division of Neurology. Specific duties will include rounding with the inpatient team, answering pages from nurses, writing orders, writing notes (admit H and P, discharge summaries, significant event), evaluation and management of patients and working with care team members for discharges. Will also include evaluation and management for recently discharged patients as they are establishing outpatient care. This job will provide opportunity to gain skills in evaluating neurological patients, perform neurological examinations and manage neurology conditions as part of a team-based care model.

Responsibilities

Participate in managing hospitalized patients in the ICU and floor settings, coordinating with other team members. Hospital Setting:

The APP rounds and is authorized to:

Examine patients
Record subjective and objective findings in the patient chart and report findings to the physician.
Check laboratory results, vital signs, intake/ output, pain scale, and report the results to the physician.
Order medications on the approved medication list.
Provide wound management, examine for signs of infection, order and change dressings, order or remove sutures or staples.

VI. Order speech therapy, respiratory therapy, physical therapy, psychological therapy, and occupational therapy, as appropriate.

VII.Refer patients to social work services, nutrition service and home health care.

VIII.Refer patients and call on consultation from medical specialties.

IX Order nutritional supplementation and enteric nutrition.

X.Order laboratory tests and radiologic studies.

XI.Write transfer orders to appropriate levels of care.

XII Removal and placement of chest tubes, internal jugular lines, central lines, intra- operatively placed drains, surgical dressings, and Foley catheters.

XIII Provide patient teaching, counseling, and discharge planning.

XIV. Obtain arterial blood gas and blood cultures.

XIV. Document in database and hospital Electronic Health Record system as directed by UCSF Health standard policies and procedures.

XV. The APP while concomitantly notifying the attending physician will initiate management of complications.

Care Coordination/Clinical Review/Administrative Duties

Clinical documentation and patient care follow up

Patient advice requests that are escalated from triage RNs, administrative staff or other care providers
In basket management – results review, expiring orders, telephone encounters, patient advice requests, cc’d charts.
Patient emails: Answer patient emails escalated to provider for further evaluation.
Participate in neurology-related CME activities.
Support development of unit-based procedures, clinical practice standards, provide in-house education through informal and formal educational sessions, and support the teaching mission through APP student placements in the clinic when possible.
Other

The Advanced Practice Provider (NP/PA/CRNA/CNM) is authorized to order, adjust, and furnish medications as appropriate for the care of the patient and according to the formulary listed in Standardized Procedures

To assist in formulating and implementing protocols to improve efficiency in the clinical specialty/service/pathways.
Engage in a timely and efficient discharge of patients on the inpatient service for which you are responsible.
Assist in coordinating patient trafers withing and outside UCSF Health according to policy
Be familiar with outcome metrics, guidelines, and expectations for providers in clinical specialty
Performs other duties as assigned.
This positions requires flexibility for the provider to work at all UCSF Health licensed facilitities
Support outpatient team as needed/indicated to ensure quality care of patients.

A Nurse Practitioner is an advanced practice registered nurse who possesses the advanced education, knowledge, clinical skills and experience to provide expert advanced nursing care in their area of specialization. They will be guided and follow the policies and standardized procedures, rules and regulations, requirement of supervision under CA statute, and bylaws of the UCSF Medical Center, some Nursing, Medical Staff and unique policies related to the provision of patient services. In California, nurse practitioners can practice, bill, and provide independent services under a standardized procedure in collaboration with a supervising physician.

Required

QUALIFICATIONS

One (1) year of employment as a Nurse Practitioner.
Flexibility to work in varying schedules as outlined (days/weekends/holidays rotations)

Preferred Qualifications

One (1 )year of experience as a Nurse Practitioner in neurology
One (1) to Two (2) years of experience as UCSF nurse or APP in acute care /critical care setting

License/Certifications

California driver’s license (CDL) if required for position.
Current national certification from an accepted certifying agency and provide by first day of work.

Accepted Certifications for this Adult position. Adult inpatient ( ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC)

Current and active RN and NP and Furnishing license in California.
Complete a BRN recognized graduate master’s degree program as a nurse practitioner.
Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address
Submit enrollment with CMS Medicare and Medicaid through credentialing by first clinical day. CCS enrollment as appropriate for pediatric environments.
Current AHA BLS.
Current AHA ACLS.
State regulation requires that you have a supervising physician to practice.
Incumbents with less than 6 months of NP experience will be hired as a Nurse Practitioner 1.

UCSF Medical Center and Campus requires certain healthcare providers to be credentialed. In most cases this is done through its Office of Medical Affairs & Governance (OMAG) prior to the first working day. Credentialing and approval of the Standardized Procedures takes between 60-90 days but can vary.

About UCSF

ABOUT US

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values .

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here .

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

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Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days. 1.2. Performs procedures granted to them via privileges/standardized procedures. 1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician. 1.4. Initiates consultations as indicated. 1.5. Documents independent assessment findings and recommends appropriate treatments. 1.6. Participates in service rounds and patient evaluation and treatment planning. 1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans. 1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care. 1.9. Interprets and acts upon completed tests, procedures, and radiographic studies. 1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations . 1.11. Effectively communicates findings, treatment options, and care plans with patients and their families 1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen. 1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries. Inpatient – Care Coordination (may include some or all of the responsibilities listed) 30 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. 1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty. Outpatient – Independent Encounters (may include some or all of the responsibilities listed) 0 Evaluates and manages patients in independent APP encounters, including telehealth. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Reviews or collaborates with attending physician as needed. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . 1.2. Performs procedures individually granted to them via standardized procedures/privileges. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed) 0 Evaluates and manages patients in shared encounters with attending physician, including telehealth. This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . May first-assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Care Coordination (may include some or all of the responsibilities listed) 0 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not include management of inpatients. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Attends department quality improvement meetings and participates in patient evaluation and planning. 1.5. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.6. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. Total 100 Qualifications Required Qualifications: Graduation from a California Board of Registered Nursing approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP). Demonstration of advanced interpersonal skills while working with families of acutely and critically ill children Excellent organization and communication skills Dedication to patient care Ability to critically think and problem solve Nurse Practitioner 1: Two (2) years with recent experience working as an RN in pediatric critical care or pediatric cardiology Nurse Practitioner 2: Minimum of six (6) months of NP experience in the Pediatric Cardiac ICU or Pediatric Critical Care Preferred Qualifications Three (3) years of working experience as an RN in the pediatric critical care or pediatric cardiology Licenses/Certifications California Registered Nurse (RN) License without restriction California Certified Nurse Practitioner (NP) without restriction California Nurse Practitioner Furnishing Number including Schedule II furnishing privileges NP national board certification from an accepted certifying agency aligned with the patient population and clinical role - Pediatric Inpatient (CPNP-AC). See Addendum A below for more detail. California Driver License (if required for position) Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address American Heart Association (AHA) Basic Life Support (BLS) certification Additional required AHA certifications: PALS Additional required certifications (such as ENLS): None About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html