NP Full-time
Sutter Health

Discharge Support Nurse Practitioner

Sutter Health Hillsborough, CA 94010, US
$204,630.40 - $296,691.20 / year

We are so glad you are interested in joining Sutter Health! 

Organization:

SMPMC-Sutter Mills Peninsula Medical Center

Position Overview:

Provides advanced clinical management for medically complex patients participating in the Multidisciplinary Transition Support Program (MTSP), supporting safe, coordinated transitions from hospitalization to longitudinal care in collaboration with the supervising physician. Performs comprehensive transition-focused clinical assessments, develops and directs individualized transition support plans, and provides medication management, patient and caregiver education, care coordination, and ongoing clinical reassessment to optimize continuity of care and patient outcomes. Collaborates with physicians and the interdisciplinary team to facilitate safe transitions across the healthcare continuum. Participates in program development, quality improvement, and evaluation of the MTSP. Practices in accordance with organizational policies, evidence-based practice, the California Nurse Practice Act, and approved standardized procedures.

Job Description:

JOB ACCOUNTABILITIES

  • Performs comprehensive transition-focused clinical assessments and develops, implements, and directs individualized transition support plans for patients participating in the Multidisciplinary Transitional Support Program (MTSP).
  • Provides advanced clinical management across the continuum of care to support safe, coordinated transitions from hospitalization to the patient's longitudinal care team in collaboration with the supervising physician.
  • Monitors patient progress, performs ongoing clinical reassessment, modifies the plan of care as clinically indicated, and facilitates timely escalation of care.
  • Performs medication reconciliation, optimizes medication management, and provides patient and caregiver education to support safe transitions of care.
  • Collaborates with physicians and the interdisciplinary team to coordinate care across the healthcare continuum.
  • Identifies clinical, psychosocial, and social barriers to recovery and facilitates appropriate interventions and community resources.
  • Documents assessments, interventions, care plans, and patient outcomes accurately in the electronic health record.
  • Supports the development, implementation, and evaluation of clinical workflows, program processes, and best practices to advance the MTSP.
  • Participates in quality improvement, workflow optimization, program evaluation, and implementation of evidence-based transitional care practices.
  • Practices in accordance with approved standardized procedures, organizational policies, applicable regulatory requirements, and the California Nurse Practice Act.

SKILLS AND KNOWLEDGE

  • Knowledge of advanced nursing practice, clinical assessment, diagnostic reasoning, pharmacology, pathophysiology, and evidence-based management of medically complex adult patients.
  • Knowledge of transitional care, care coordination, medication management, chronic disease management, and continuity across healthcare settings.
  • Understanding of social determinants of health and available community resources.
  • Strong communication, collaboration, critical thinking, clinical decision-making, and organizational skills.
  • Proficiency with Electronic Health Record and Microsoft Office applications.
  • Ability to work independently while collaborating effectively with physicians and interdisciplinary teams.
  • Commitment to patient-centered care, professional accountability, continuous learning, and quality improvement.

MINIMUM QUALIFICATIONS

  • Master's or Doctoral degree from an accredited Nurse Practitioner program.
  • Minimum of five (5) years of inpatient Nurse Practitioner experience.
  • Strong clinical assessment, diagnostic reasoning, communication, and critical thinking skills.

PREFERRED QUALIFICATIONS

  • Acute Care Nurse Practitioner (AGACNP or ACNP) certification preferred.
  • Experience with discharge planning or transitions of care preferred.
  • Experience with Epic electronic health record preferred.

LICENSURE / CERTIFICATION

  • Current California Registered Nurse license and Advanced Practice Nurse licensure.
  • National Nurse Practitioner certification.
  • Basic Life Support (BLS).
  • Advanced Cardiovascular Life Support (ACLS).
  • DEA registration.

SCHEDULE

  • M-F, 5 8hr shifts/week

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $204,630.40 to $296,691.20 / annual salary

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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This APP position may perform delegated functions as appropriate to their “scope of practice”. In general, the “scope of practice” includes the management of chronic stable medical conditions, specialty protocols (e.g. chemotherapy), routine care, acute or critical care, and medical and surgical procedures. This position will provide outpatient care in approved age groups at UCSF Health settings. The APP has responsibility for the quality of standards of care for a specified patient population and evidence self-direction and accountability in the development of this role within the all UCSF medical center locations. UCSF Health requires all Advanced Practice Providers (APP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites (Parnassus, Mt. Zion, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 30-60 days and must be completed prior to the first working day. Qualifications 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 Outpatient (A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). 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: None additional to BLS Minimum of 3 years of recent experience or more related NP experience in adult oncology practice Strong interpersonal skills Skill to perform complex physical assessment Problem solving ability Triage skills Ability to work well with all healthcare provider This position requires flexibility to orient and work at all UCSF Health locations and in varying schedules as outlined. 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 Qualifications Experience in clinical database entry Familiar with Epic/Apex electronic charting system About Us About UCSF 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