Nurse Practitioner - Pediatrics Digestive Health

University of California, San Francisco•Oakland, CA

About The Position

The Nurse Practitioner serves on a multidisciplinary team delivering high-quality, efficient, coordinated care to pediatric and young adult patients with gastroenterology conditions. The role provides direct care in outpatient Pediatric Gastroenterology and subspecialty clinics, as well as in the inpatient setting. Care includes evaluation, diagnosis, treatment, monitoring, and patient education. The NP coordinates complex care, including ordering medications and procedures, assisting with prior authorization, and communicating with patients and guardians about testing, results, and medical questions. The patient population includes people with conditions such as chronic constipation, gastroesophageal reflux, pancreatic insufficiency, abdominal migraines, celiac disease, eosinophilic esophagitis, hyperbilirubinemia, milk protein allergy, gastroparesis, abdominal pain, feeding difficulties, poor weight gain or failure to thrive, motility disorders, stool changes, and chronic conditions requiring nutritional or feeding support. Major role functions include clinical practice, consultation, education, research, and leadership. The NP acts as a liaison between the division and other healthcare professionals within UCSF and in the community, triages new patient referrals, and participates in outreach services. In collaboration with an attending, the NP provides orders, direct care, and education for patients receiving care in the Pediatric Treatment Center. Care and communication are documented in the electronic medical record. The NP also educates healthcare providers, nursing students, and fellows and contributes to the design, implementation, and revision of policies and procedures that support service efficiency and quality of care. The NP performs and maintains competencies for standardized procedures. The NP evaluates and manages patients in independent APP encounters, including telehealth, for new, follow-up, acute, routine, and specialty care. Duties include taking histories, performing physical examinations, interpreting diagnostic tests, developing evidence-based assessments and plans, responding to changes in patient status, and ordering medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services. The NP collaborates with an attending physician as needed, performs procedures authorized through standardized procedures or privileges, identifies high-risk groups and complex cases for attending review, initiates consultations, develops individualized rehabilitation plans for complex cases, and facilitates occupational therapy, physical therapy, and physical medicine and rehabilitation consultations. The NP interprets and acts on ordered tests, procedures, and radiographic studies promptly and completes relevant paperwork and electronic health record documentation, including medication orders, episodic care notes, and telephone encounters. Services must be documented and billed in accordance with UCSF rules and policies.

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.
Demonstrated clinical competence and in-depth knowledge of pediatric gastroenterology patients.
At least 2 years of recent NP experience working with pediatric gastroenterology patients.
California Registered Nurse (RN) license without restriction.
California Certified Nurse Practitioner (NP) license without restriction.
California Nurse Practitioner Furnishing Number.
NP national board certification from an accepted certifying agency aligned with the patient population and clinical role; listed examples include CPNP-PC, PPCNP-BC, CPNP-AC, FNP-C, and FNP-BC.
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.

Nice To Haves

Proficiency in Spanish.
Excellent communication skills.
Compassion and interest in chronic disorders.

Responsibilities

Evaluate, diagnose, treat, and monitor pediatric and young adult patients with gastroenterology conditions in outpatient clinics and inpatient settings.
Provide patient and guardian education about gastroenterology diagnoses, evaluations, and treatments.
Coordinate complex care, including ordering medications and procedures, assisting with prior authorizations, and communicating about testing, results, and medical questions.
Triage new patient referrals and participate in outreach services.
Collaborate with attending physicians to provide orders, direct care, and education for patients in the Pediatric Treatment Center.
Document care and communication in the electronic medical record in accordance with UCSF rules and policies, and ensure services are billed according to the APP Billing Policy.
Evaluate and manage new, follow-up, acute, routine, and specialty patients in independent APP encounters, including telehealth.
Take patient histories, perform physical examinations, interpret diagnostic tests, formulate evidence-based assessments and plans, and respond to changes in patient status.
Order medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
Perform procedures individually granted through standardized procedures or privileges.
Identify high-risk groups and complex cases for review with an attending physician and initiate consultations as appropriate.
Evaluate complex cases, establish individualized rehabilitation plans, and facilitate occupational therapy, physical therapy, and physical medicine and rehabilitation consultations.
Interpret and act promptly on ordered tests, procedures, and radiographic studies.
Complete clinically relevant paperwork and electronic health record tasks, including medication orders, episodic care notes, and telephone encounters.
Educate healthcare providers, nursing students, and fellows.
Design, implement, and revise policies and procedures to improve service efficiency and quality of care.
Perform and maintain competencies for standardized procedures.