Nurse Practitioner, Per Diem
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 values professionals with strong interpersonal and communication skills who can prioritize and adapt to changing situations. CT surgery APPs collaboratively manage patients across the inpatient continuum of care, in both ICU and floor settings, alongside CT Surgery Fellows, Cardiac Surgeons, and Intensivists. They perform bedside procedures and may assist in the operating room. The team is expanding as UCSF recruits surgeons from across the country, creating opportunities to contribute to a collaborative, forward-thinking team focused on innovation and exceptional surgical care. The Nurse Practitioner independently or collaboratively evaluates and manages patients, performs privileged procedures, responds to changes in patient status, and contributes to patient treatment and disposition planning. The role includes clinical documentation, communication with patients and families, discharge planning, and coordination of ongoing care. Flexibility to work at all UCSF Health facilities and locations is required.
Requirements
- 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; adult inpatient certifications listed include ACNP-BC, AGACNP-BC, ACNPC-AG, and ACNPC.
- DEA 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 two years of clinical experience as a nurse practitioner in the same specialty and setting.
- Excellent verbal and written communication skills.
- Sound judgment to effectively meet patients’ 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 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 the Office of Advanced Practice Providers Orientation Sessions.
- Attend the APP Onboarding Committee APP Onboarding Series.
- Flexibility to work at all UCSF Health facilities and locations.
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, perform consultations, and order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
- Document care 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 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 patients with acute 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 transition to a lower level of care.
- Interpret and act on completed tests, procedures, and radiographic studies.
- Complete clinically relevant paperwork and EHR documentation, including medication orders, episodic care notes, and discharge summaries.
- Communicate findings, treatment options, and care plans effectively to patients and their families.
- May first assist in the operating room if privileged through OMAG and after completing required certification and proctoring.
- Monitor and evaluate patients for discharge and establish continuum-of-care parameters and guidelines with the multidisciplinary team, including defining discharge regimens.
- Discharge patients, including prescribing or furnishing medications, ordering durable medical equipment, arranging or recommending follow-up care, providing discharge teaching, and completing discharge summaries.
- Perform other duties as assigned.
