Ambulatory Nurse - Pediatric Cardiology (BCH-Mission Bay)

UCSF•San Francisco, CA

3d•$93 - $121•Onsite

About The Position

Under general supervision and guided by Medical Center and Ambulatory Services policies and procedures, the Ambulatory Pediatric Heart Center Nurse collaborates with providers and administrative management and works autonomously using the nursing process to assess, plan, coordinate, implement, and evaluate care in the ambulatory setting. The nurse applies advanced clinical knowledge to meet patient needs, support efficient care, and provide education. As a patient advocate and liaison among insurers, inpatient and outpatient services, patients and families, and other healthcare services, the nurse coordinates timely care and assists with developing patient-care standards and practices. The Pediatric Heart Center Nurse Care Coordinator coordinates outpatient services for a panel of pediatric cardiology patients and providers. Work includes in-clinic procedures, managing clinic flow, obtaining insurance and medication authorizations, contacting home health companies, ensuring adequate durable medical equipment and home supplies, assisting with medication refills, teaching patients, and coordinating timely care. The position is 100% in-person onsite, primarily supporting patient care in San Francisco and, as needed, in Oakland and satellite clinics. Flexibility to orient and work at all UCSF Medical Center locations is required.

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 California Registered Nurse license.
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 in an outpatient or ambulatory setting.
Experience with an electronic medical record system; EPIC/APeX experience strongly preferred.
Microsoft Outlook experience.

Responsibilities

Coordinate care with insurance companies, home health agencies, DME companies, parents, pharmacies, California Children’s Services, and other support services; facilitate communication and submit paperwork in a timely manner.
Return calls to pharmacies and parents to facilitate prescription renewals; assist with patient education and development or reorganization of teaching materials.
Use clinical judgment to assess the appropriateness of testing; conduct regulatory chart audits; document assessments and needs 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 authorizations, refills, and patient interactions in APEX.
Coordinate lab requisitions and follow up to confirm completion of studies; obtain, review, and distribute outside results; flag abnormal results for ordering providers; and review results with patients and families as directed.
Answer calls, emails, CRMS messages, and InBasket messages; address patient-care needs within scope of practice and escalate questions to providers as appropriate.
Document patient communications in the medical record; facilitate letters for school, employment, and other requests; contact families after medication or diagnosis changes and hospitalization; and follow up by phone or email as needed.
Assess patient needs and responses to treatment, recognize and report physical and emotional concerns, and identify patients appropriate for transition education and planning.
Collaborate with the healthcare team, review and triage new referrals, troubleshoot provider schedules, identify appropriate support resources, and coordinate multidisciplinary care and reporting for CCS patients.
Provide individualized, age-appropriate nursing care; prepare and instruct patients for procedures and treatments; perform or assist with EKGs, four-limb blood pressures, saline and contrast echocardiograms, and pending orders as needed.
Use equipment safely, administer and document medications, coordinate transition education and transfer to adult care, respond appropriately to emergencies, and complete required competency testing.
Organize clinic activities and patient flow; triage and prioritize needs; maintain continuity of care and accurate records; communicate effectively with patients, families, staff, insurers, and providers; and act as a patient advocate.
Participate in performance-improvement activities, recommend topics or solutions, assist with data collection, report safety and environmental issues, and support cost-effective use of resources.
Attend relevant training and staff meetings, maintain required licenses and certifications, contribute to team orientation and learning, follow timekeeping and scheduling procedures, and obtain supervisor approval before accruing overtime.
Perform other duties related to patient-care activities as required.