Nurse Practitioner - Antepartum-Birth Center

University of California, San Francisco•San Francisco, CA

17h•Onsite

About The Position

UCSF is hiring a Nurse Practitioner for its inpatient Obstetric team, which provides care to patients experiencing high-risk pregnancies, chronic health conditions, or pregnancy complications. The role provides direct clinical and consultative care related to obstetric care and fetal disorders, with an estimated 75% of time spent on antepartum activities and 25% on postpartum activities. This allocation may change according to operational needs. Clinical work includes daily rounding on patients admitted to or followed by the antepartum service, antepartum consultations before and often after delivery, evaluating patients in the Obstetric Emergency Department, assessing and escalating findings from outpatient clinics or the antepartum testing unit, receiving initial consultations from outside providers, communicating clinical plans to consulting providers, and addressing ongoing needs of patients discharged from the antepartum service. The position works collaboratively with a Maternal-Fetal Medicine attending, MFM fellows, OB/GYN residents, and nurse coordinators in a high-acuity labor and delivery unit. The role requires flexibility to practice at all UCSF locations and to work weekends occasionally based on operational needs. The position provides inpatient and outpatient patient care, care coordination, patient and staff education, and support to other clinicians and staff. NPs are expected to practice within their granted privileges and standardized procedures, maintain required credentialing and privileging, document care, and meet applicable clinical and billing policies. The clinical setting is inpatient, and the patient population is adults, including adolescent and geriatric patients.

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.
Two years of Nurse Practitioner experience in Obstetrics.
Unrestricted California Registered Nurse (RN) license.
Unrestricted California Certified Nurse Practitioner (NP) certification.
California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges.
National board certification from an accepted certifying agency aligned with the patient population and clinical role: Adult Inpatient (ACNP-BC, AGACNP-BC, ACNPC-AG, or ACNPC) or Women’s Health (WHNP-BC).
Drug Enforcement Administration (DEA) registration for Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
American Heart Association Basic Life Support (BLS) certification.
Pediatric Advanced Life Support (PALS) certification.
Complete and maintain required credentialing, privileging, and health plan enrollment before the first working day.
Flexibility to practice at all UCSF locations and work weekends occasionally as operationally needed.

Nice To Haves

Four or more years of NP experience in inpatient Obstetrics within the past five years, including independently managing patients.
Ability to interpret Nonstress tests, ultrasound, and telemetry.

Responsibilities

Round daily on patients admitted to or followed by the antepartum service and provide antepartum consultations before and often after delivery.
Evaluate patients in the Obstetric Emergency Department and assess and escalate findings from outpatient clinics and the antepartum testing unit.
Receive initial consultations from outside providers, communicate clinical plans to consulting providers, and address ongoing needs of patients discharged from the antepartum service.
Evaluate and manage patients independently or collaboratively, including taking histories, performing physical examinations, responding to changes in patient status, ordering or furnishing medications and diagnostic tests, and initiating treatments, consultations, referrals, and services.
Perform procedures granted through privileges or standardized procedures and respond to acute patient decompensation in coordination with the hospital plan of care and physician.
Participate in service rounds, patient evaluation, treatment planning, review of diagnostic tests, and disposition planning for complex cases.
Document assessments, treatment plans, procedures, and other clinically relevant information in the electronic medical record; complete required clinical paperwork, episodic care notes, and discharge summaries.
Communicate findings, treatment options, and care plans effectively to patients and their families.
Monitor patients for discharge; coordinate multidisciplinary continuum-of-care plans; prescribe or furnish discharge medications, order durable medical equipment, provide discharge teaching, and arrange follow-up care.
Coordinate care across admission, hospitalization, consulting services, and discharge; coordinate episodic care and follow-up; participate in huddles; and consult with nursing staff on individualized care plans.
Provide case summaries for disability, insurance, workers’ compensation, work releases, and medical supply agencies.
Formulate and implement protocols to improve quality, efficiency, and waste control in the clinical specialty.
Provide outpatient independent encounters, including telehealth, for new, follow-up, acute, routine, and specialty patients; interpret tests and formulate evidence-based assessments and plans.
Identify high-risk groups and complex cases for attending physician review and initiate consultations as appropriate.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Participate in patient and staff education, serve as a resource to APPs, trainees, residents, nurses, and other staff, demonstrate leadership, and mentor newly hired APPs.
Maintain required credentialing and privileges at UCSF and, when applicable, at other facilities where UCSF clinical responsibilities require patient care.