Nurse Practitioner - Neurospine

UCSF•San Francisco, CA

3d•$220,284 - $284,606

About The Position

The Nurse Practitioner (NP) is assigned to the Neuro-Spine practice under the supervision of the UCSF Department of Neurosurgery and follows UCSF Medical Center policies, procedures, rules, regulations, bylaws, and applicable nursing and medical staff policies. The NP performs delegated functions within their scope of practice, which may include managing chronic stable conditions, routine care, acute or critical care, and medical and surgical procedures authorized by approved standardized procedures. The NP provides care to approved age groups in UCSF Health licensed settings and is accountable for the quality of care for a specified patient population across UCSF Medical Center locations. Credentialing through the Medical Staff Services Office and approval of applicable standardized procedures are required before the first working day; this process takes 30–60 days. The role supports the inpatient Neurospine service overnight and includes inpatient direct care and care coordination, as well as outpatient independent and physician-shared encounters and care coordination. The NP assesses and manages patients, coordinates transitions and follow-up, documents and bills services according to UCSF requirements, and collaborates with physicians, nursing staff, and multidisciplinary teams. Operating-room first assistance may be performed when the NP has the required privileges, certification, and proctoring.

Requirements

Unrestricted California Registered Nurse (RN) license.
Unrestricted California Certified Nurse Practitioner (NP) license.
California NP Furnishing Number, including Schedule II furnishing privileges.
National NP board certification from an accepted certifying agency aligned with the patient population and clinical role; for Adult Inpatient, listed certifications include ACNP-BC, AGACNP-BC, ACNPC-AG, or ACNPC.
DEA registration for Schedules 2, 2N, 3, 3N, 4, and 5, registered to a California address.
American Heart Association Basic Life Support (BLS) certification.
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 Nurse Practitioner 1 applicants with less than six months of NP experience: 2–3 years of RN experience in neurological nursing or pain management in an outpatient or inpatient environment.
For Nurse Practitioner 2 applicants with at least six months of NP experience: at least one year of NP experience in surgical specialties, neurology, and/or pain management in an outpatient or inpatient environment.
Skills, knowledge, and abilities essential to successfully perform the assigned duties.
Flexibility to orient and work at all UCSF Medical Center locations and in varying schedules.
Ability to work night shift, Saturday, and Sunday to support the inpatient Neurospine service overnight.

Nice To Haves

1–2 years of experience in academic medicine, neurological surgery, orthopedic spine surgery, and/or pain management.
Experience working independently during evenings and weekends.
Inpatient academic medicine experience with complex neurological and/or orthopedic spine surgery, supporting average daily census and overnight discharges.

Responsibilities

Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, responding to changes in patient status, and conducting consultations.
Order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
Perform procedures authorized through privileges or standardized procedures.
Identify acute decompensation or failure, respond to the hospital plan of care, and review the situation with a physician.
Document assessments, care plans, encounters, orders, discharge summaries, and other clinically relevant information in the electronic medical record in accordance with UCSF rules and regulations.
Ensure provider services are billed to reflect the performing provider and comply with UCSF's APP Billing Policy.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Participate in service rounds and patient evaluation and treatment planning; review and act on laboratory, radiographic, and other diagnostic results.
Evaluate complex cases and establish individualized plans for disposition, rehabilitation, and appropriate levels of care.
Communicate findings, treatment options, and care plans with patients and their families.
Monitor patients for discharge, define discharge regimens with the multidisciplinary team, prescribe or furnish discharge medications, order DME, arrange follow-up or referrals, provide discharge teaching, and complete discharge summaries.
Coordinate care across hospital admission, consulting services, care coordination, and discharge planning; coordinate episodic care and determine routine clinic follow-up timing.
Participate in staff huddles, anticipate patients needing close management or intervention, and consult with nursing staff on individualized nursing care plans.
Prepare case summaries for disability, insurance, workers' compensation, work releases, and medical supply agencies.
Formulate and implement protocols to improve quality and efficiency and control waste in the clinical specialty.
Evaluate and manage new, follow-up, acute, routine, and specialty outpatients in independent and shared physician encounters, including telehealth.
Identify high-risk groups and complex outpatient cases for attending physician review and initiate consultations as appropriate.
Facilitate occupational therapy, physical therapy, and physical medicine and rehabilitation consultations when developing rehabilitation plans.
Attend department quality improvement meetings and participate in patient evaluation and planning.
May first-assist in the operating room when appropriately privileged through OMAG and after completing required certification and proctoring.