Nurse Practitioner

UCSF•San Francisco, CA

About The Position

Join UCSF’s dynamic, highly skilled Cardiothoracic (CT) Surgery inpatient advanced practice provider team. The CT surgery service provides advanced surgical treatments, including coronary artery bypass grafting, aortic and mitral valve replacement, extracorporeal membrane oxygenation, and heart transplantation. The team manages patients collaboratively across the inpatient continuum of care with CT Surgery Fellows and Cardiac Surgeons, performs bedside procedures, and may assist in the operating room. The expanding team offers an opportunity to contribute in a collaborative, evolving environment focused on exceptional patient care and innovation. The Nurse Practitioner independently or collaboratively evaluates and manages patients, performs procedures authorized through privileges or standardized procedures, and participates in rounds and care planning. The role includes responding to changes in patient status, coordinating consultations and treatment, interpreting diagnostic studies, documenting care, and communicating findings and plans to patients and families. The NP also helps determine patient disposition and discharge plans, including discharge teaching, prescriptions, equipment, and follow-up arrangements. The position requires flexibility to work at all UCSF Health facilities and locations.

Requirements

California Registered Nurse (RN) license without restriction.
California Nurse Practitioner (NP) license without restriction.
California Nurse Practitioner Furnishing Number.
National NP board certification from an accepted certifying agency aligned with the patient population and clinical role; adult inpatient certifications listed include 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.
American Heart Association Advanced Cardiovascular Life Support (ACLS) certification.
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.
At least one year of cardiothoracic surgery, vascular surgery, cardiology, or critical care ICU NP experience.
Excellent verbal and written communication skills.
Judgment skills to effectively meet patient needs.
Self-direction and organizational skills to function in an independent role.
Ability to cope with personal stress experienced by healthcare providers and team members.
Ability to meet minimum hospital credentialing and billing standards as a billable provider.
Submit health plan enrollment for Medicare, Medicaid, and commercial plans by the first clinical day.
Adhere to UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center, campus, and departmental policies and procedures.
Adhere to UCSF policies regarding HIPAA, privacy, communication, documentation, encounter closure, and billing.
Attend mandatory Office of Advanced Practice Providers Orientation Sessions.
Attend the mandatory APP Onboarding Committee APP Onboarding Series.
Flexibility to work at all UCSF Health facilities and locations.
California driver license if required for the position.

Nice To Haves

Recent experience managing complex cardiac patients with heart failure, heart transplant, and ECMO.
RNFA specialty certification.
Ability to perform endoscopic vein harvesting.
Ability to perform thoracostomy tube placement.

Responsibilities

Independently or collaboratively evaluate and manage patients.
Take histories, perform physical examinations, respond to changes in patient status, and perform consultations.
Order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
Document care in the electronic medical record in accordance with UCSF rules and regulations, including assessments, episodic care notes, medication orders, and discharge summaries.
Ensure provider services are billed to reflect the performing provider and comply with the APP Billing Policy.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Perform procedures authorized through privileges or standardized procedures.
Identify acute patient decompensation or failure, respond to the hospital plan of care, and review findings with a physician.
Initiate consultations as indicated.
Document independent assessment findings and recommend appropriate treatments.
Participate in service rounds, patient evaluation, and treatment planning.
Review laboratory tests, x-rays, and other diagnostic tests and initiate appropriate team plans.
Evaluate complex cases and establish individualized plans of care for disposition to a lower level of care.
Interpret and act upon completed tests, procedures, and radiographic studies.
Communicate findings, treatment options, and care plans effectively to patients and their families.
May first assist in the operating room if appropriately privileged through OMAG and after completing required certification and proctoring.
Monitor and evaluate patients for discharge and establish continuum-of-care parameters with the multidisciplinary team, including discharge regimens.
Discharge patients, including prescribing or furnishing medications, ordering durable medical equipment, recommending or referring for follow-up care, providing discharge teaching, and completing discharge summaries.
Perform other duties as assigned.