Ambulatory Nurse - Pediatric Cardiology (BCH-Mission Bay)

University of California, San Francisco•San Francisco, CA

2d•Onsite

About The Position

The Ambulatory Pediatric Heart Center Nurse works under general supervision and in collaboration with providers and administrative management to assess, plan, coordinate, implement, and evaluate care for pediatric cardiology patients in an ambulatory setting. The nurse uses advanced clinical knowledge to meet patient needs, support efficient care, and provide patient education. Acting as a patient advocate and liaison among families, providers, insurers, inpatient and outpatient services, and other healthcare resources, the nurse coordinates timely care and contributes to the development of patient-care standards and practices. The role coordinates outpatient services for a panel of pediatric cardiology patients and providers. Work includes in-clinic procedures and clinic-flow support, insurance and medication authorizations, coordination with home-health agencies, ensuring adequate durable medical equipment and home supplies, medication refills, patient teaching, and coordination of care. The position is 100% in person and onsite, primarily supporting patient care in San Francisco and as needed in Oakland and satellite clinics.

Requirements

Five or more years of recent pediatric cardiac inpatient nursing experience.
Ability to obtain CCS paneling within one year of hire.
Bachelor’s Degree in Nursing (BSN).
Knowledge of pediatric congenital heart disease.
Strong heart-rhythm interpretation experience.
Strong peripheral intravenous (PIV) insertion skills.
Experience performing bubble studies.
Current Registered Nurse licensure in the State of California.
Current AHA ACLS certification.
Current AHA BLS certification.
Current AHA PALS certification.
Flexibility to orient and work at all UCSF Medical Center locations.

Nice To Haves

Master’s Degree in Nursing (MSN).
CCS paneled.
Recent experience working in an outpatient or ambulatory setting.
Experience with an electronic medical record system; EPIC/APeX strongly preferred.
Microsoft Outlook experience.

Responsibilities

Coordinate care with insurance companies, home-health agencies, DME companies, parents, pharmacies, CCS, and other support services; facilitate timely communication and submit paperwork.
Respond to pharmacy and parent calls about prescription renewals and provide patient education; assist with creating or reorganizing teaching materials.
Coordinate clinic operations and patient flow, use clinical judgment regarding testing, conduct regulatory chart audits, document assessments in APEX, and comply with clinical, safety, infection-control, and regulatory requirements.
Obtain medication authorizations, coordinate medication ordering, support safe medication administration, assist with refills, and document medication-related activity and patient interactions in APEX.
Coordinate lab requisitions and follow-up; obtain, review, and distribute outside lab results, flag abnormal results for ordering providers, and review results with families as directed.
Respond to phone calls, emails, CRMS, and InBasket messages; address patient-care needs within scope of practice and escalate questions to providers as appropriate.
Document patient communications and facilitate letters requested for school, employment, or other purposes; follow up with families after medication or diagnosis changes and hospitalizations.
Assess patient needs and responses to treatment, recognize and report physical or emotional concerns, and identify patients appropriate for transition education and planning.
Review and triage new patient referrals, troubleshoot provider schedules, coordinate multidisciplinary care, and connect patients with appropriate resources such as social work and child life.
Provide individualized, age-appropriate nursing care; prepare and instruct patients for procedures; perform or assist with EKGs, four-limb blood pressures, saline and contrast echocardiograms, and other procedures as needed.
Administer and document medications, use equipment safely, coordinate transition education and transfer to adult care, and respond appropriately to emergencies.
Coordinate continuity of care, triage and prioritize patient needs, maintain accurate records, communicate with patients and the healthcare team, and act as a liaison and patient advocate.
Participate in performance-improvement activities, data collection, safety reporting, and resource-conscious practice.
Attend relevant training and staff meetings, support the orientation of colleagues, maintain required professional credentials, and comply with work-time, scheduling, phone, and other workplace policies.
Perform other duties related to patient-care activities as required.