Nurse Practitioner 1

UCSF Health Sunset District, CA 94143, US

Job Description

Come join our dynamic, highly skilled Cardiothoracic (CT) Surgery inpatient APP team. The Cardiothoracic Surgery Advanced Health Practitioner position has clinical, procedural, administrative, and educational responsibilities in the care of adult patients requiring cardiac and thoracic surgery. The CT surgery service provides advanced surgical treatments, including coronary artery bypass grafting, aortic and mitral valve replacement, extracorporeal membrane oxygenation, and heart transplantation. We value individuals who are professional, with strong interpersonal and communication skills, and able to prioritize and adapt to changing situations. Our CT surgery APPs manage patients collaboratively with CT Surgery Fellows and Physicians, perform bedside procedures, and assist in the operating room. The CT Surgery APP assists in the development of practice protocols, evaluation of quality of care, and education of patients, families, and other health care practitioners.

Responsibilities

90% Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)

1.1.Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.

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.

10% Inpatient – Care Coordination (may include some or all of the responsibilities listed)

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.

Requirements

QUALIFICATIONS

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master’s or doctoral degree aligned with the patient population and clinical role.

Nurse Practitioner 1

Five (5) years of experience in cardiovascular critical care as an RN.

Nurse Practitioner 2

One (1) year of cardiothoracic surgery, vascular surgery, cardiology, or critical care ICU NP experience.

Preferred Qualifications

Recent experience managing complex cardiac patients with heart failure, heart transplant, and ECMO
Specialty certification: RNFA

License/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. Adult Inpatient (ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC).
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: Both ACLS and PALS
Additional required certifications (such as ENLS): None

Minimum Knowledge, Skills, And Abilities (KSA)

Excellent verbal and written communication skills
Judgement skills to effectively meet the needs of patients
Self-direction and organizational skills to function in an independent role
Ability to cope with personal stress experienced by health care providers and team members
Ability to meet minimum standards for hospital credentialing and billing standards as a billable provider
Submit health plan (Medicare, Medicaid, and commercial for all APPs; also, CCS for pediatric providers) enrollment by first clinical day
At all times, must adhere to the UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center/campus/departmental policies and procedures
At all times, must adhere to all UCSF policies regarding HIPPA, privacy, communication, documentation, encounter closure, and billing
Mandatory attendance at the Office of Advanced Practice Providers Orientation Sessions
Mandatory attendance at the APP Onboarding Committee APP Onboarding Series
This position requires flexibility for the APP to work at all UCSF Health facilities/locations
Performs other duties as assigned

Preferred Knowledge, Skills, And Abilities (KSA)

Able to perform endoscopic vein harvesting
Able to perform thoracostomy tube placement
Experience with EPIC

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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