Nurse Practitioner PD - Adult Infusion

UCSF•San Francisco, CA

About The Position

The Nurse Practitioner works in the ambulatory Cancer Center Infusion team, providing care across five infusion centers for oncology and non-oncology patients and at the three-bed Cancer Acute Care Clinic (CACC). The team oversees care for approximately 50–75 patients per day, depending on unit size. The role requires practice in both the Infusion Center and CACC. Infusion APPs triage acute treatment-related symptoms in real time and coordinate with physician, surgeon, and APP colleagues and other clinical and administrative staff to support timely treatment, patients’ care goals, and positive outcomes. In the CACC, the NP assesses, diagnoses, and manages acute oncology symptoms suitable for outpatient care; when a higher level of care is needed, the NP coordinates direct hospital admission when appropriate or facilitates emergency evaluation and admission. The position includes independent outpatient encounters, which may include telehealth, as well as outpatient care coordination. Independent encounters can involve new, follow-up, acute, routine, and specialty patients. The NP takes histories, performs examinations, interprets diagnostic studies, develops evidence-based assessments and plans, responds to changes in patient status, and orders medications, tests, treatments, therapies, consultations, referrals, DME, and home health services. The NP reviews cases or collaborates with an attending physician as needed, performs procedures authorized through standardized procedures or privileges, and identifies high-risk groups and complex cases for attending review. The role also includes interpreting and acting on ordered tests and studies, completing clinically relevant documentation and paperwork, coordinating care across the continuum (excluding management of inpatients), and participating in huddles, quality improvement meetings, and patient evaluation and planning. UCSF Medical Center requires APPs to be credentialed through its Office of Medical Affairs and Governance before practicing in their clinical role. Credentialing takes 60–90 days and must be completed before the first working day.

Requirements

Master’s degree in nursing or Doctor of Nursing Practice (DNP) from a California Board of Registered Nursing-approved or verified school of nursing.
For the Nurse Practitioner Per Diem designation: at least two years of clinical experience as an NP in the same specialty and setting.
At least two years of recent inpatient hematology/oncology and/or oncology infusion center experience as a Nurse Practitioner.
At least one year of clinical experience managing patients receiving immunotherapy and biotherapy in an outpatient infusion center.
Unrestricted California Registered Nurse (RN) license.
Unrestricted California Nurse Practitioner (NP) license.
California Nurse Practitioner Furnishing Number.
National NP board certification from an accepted certifying agency aligned with the patient population and clinical role; listed adult outpatient certifications include A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, and ACNPC.
Drug Enforcement Administration registration with Schedules 2, 2N, 3, 3N, 4, and 5, registered to a California address.
American Heart Association Basic Life Support (BLS) certification.
Advanced Cardiovascular Life Support (ACLS) certification.
Credentialing through UCSF Medical Center’s Office of Medical Affairs and Governance, completed before the first working day.

Nice To Haves

One year of adult critical care medicine experience as a nurse or nurse practitioner.
Specialty certification such as OCN or AOCNP.
ECG and imaging interpretation experience, including X-ray, CT, and MRI.

Responsibilities

Evaluates and manages patients in independent APP encounters, including telehealth and care for new, follow-up, acute, routine, and specialty patients.
Takes patient histories, performs physical examinations, interprets diagnostic tests, formulates evidence-based assessments and plans, and responds to changes in patient status.
Orders medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
Reviews cases or collaborates with an attending physician as needed.
Performs procedures individually authorized through standardized procedures or privileges.
Identifies high-risk groups and complex cases for attending physician review and initiates consultations as appropriate.
Evaluates complex cases, establishes individualized rehabilitation plans, and facilitates occupational therapy, physical therapy, and physical medicine and rehabilitation consultations.
Interprets and acts on ordered tests, procedures, and radiographic studies in a timely manner.
Completes clinically relevant paperwork and EHR documentation, including medication orders, episodic care notes, and telephone encounters.
Coordinates care across the continuum, including hospital admission, coordination with staff and consulting services, and hospital discharge planning; inpatient management is excluded.
Coordinates episodic care and determines timing of routine clinic follow-up.
Participates in huddles with clinic and hospital staff and anticipates patients needing close management or intervention.
Attends department quality improvement meetings and participates in patient evaluation and planning.
Consults with nursing staff on individualized nursing care plans and their implementation.
Provides case summaries for disability, insurance agencies, workers’ compensation, work releases, and medical supply agencies.
Triages acute treatment-related symptoms in real time and collaborates with physicians, surgeons, APP colleagues, and clinical and administrative staff to support continuity of care.
Assesses, diagnoses, and manages acute oncology symptoms in the CACC that can be treated safely in an outpatient setting; coordinates direct admission or emergency evaluation and admission when a higher level of care is needed.