Nurse Practitioner - Neurospine

University of California, San Francisco•San Francisco, CA

2d•Onsite

About The Position

The Nurse Practitioner (NP) is assigned to the Neuro-Spine practice and works under the supervision of the UCSF Department of Neurosurgery, following UCSF Medical Center policies, procedures, rules, regulations, bylaws, and applicable nursing and medical staff policies. The NP performs delegated functions within their approved scope of practice, which may include managing chronic stable conditions, routine and acute or critical care, and medical and surgical procedures authorized by standardized procedures and privileges. Patient care is provided to approved age groups and in UCSF Health licensed settings. The NP is accountable for the quality of care for a specified patient population and develops the role with self-direction across UCSF Medical Center locations. UCSF Health requires all Advanced Practice Practitioners to be credentialed through the Medical Staff Services Office before practicing in their clinical role. Credentialing and approval of standardized procedures takes 30–60 days and must be completed before the first working day. The position is intended to support the inpatient Neurospine service overnight and requires flexibility to work at UCSF Medical Center locations and on varying schedules, including night shifts and Saturdays and Sundays. The role includes inpatient direct patient care and care coordination, as well as outpatient independent and shared encounters and care coordination. Inpatient duties include assessing and managing patients, coordinating treatment and discharge, interpreting diagnostic studies, documenting care, and communicating with patients, families, and the multidisciplinary team. Outpatient duties include evaluating and managing new, follow-up, acute, routine, and specialty patients, including through telehealth; ordering and interpreting tests and treatments; and coordinating follow-up and rehabilitation. First assistance in the operating room may be performed if the NP has the required privileges, certification, and proctoring.

Requirements

California Registered Nurse (RN) license without restriction.
California Certified Nurse Practitioner (NP) license without restriction.
California NP Furnishing Number, including Schedule II furnishing privileges.
National board certification from an accepted certifying agency aligned with the patient population and clinical role; the listed adult inpatient certifications include ACNP-BC, AGACNP-BC, ACNPC-AG, or ACNPC.
Graduation from a California Board of Registered Nursing-approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP).
For Practitioner 1 applicants with less than six months of NP experience: 2–3 years of experience in neurological nursing or pain management as an RN in an outpatient or inpatient environment.
For Practitioner 2 applicants with at least six months of NP experience: a minimum of one year of experience in surgical specialties, neurology, and/or pain management as an NP in an outpatient or inpatient environment.
Possess skills, knowledge, and abilities essential to successfully perform the duties of the assigned position.
Flexibility to orient and work at all UCSF Medical Center locations and on varying schedules.
Must be able to work night shifts and Saturdays and Sundays.
Drug Enforcement Administration (DEA) registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
American Heart Association Basic Life Support (BLS) certification.
California driver license if required for the position.

Nice To Haves

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

Responsibilities

Independently or collaboratively evaluate and manage inpatient and outpatient patients, including taking histories, performing physical examinations, assessing changes in patient status, and developing care plans.
Order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
Perform procedures authorized by the NP’s privileges and standardized procedures.
Identify acute decompensation, high-risk patients, and complex cases; respond appropriately and consult or review cases with physicians as indicated.
Review and interpret laboratory, radiographic, and other diagnostic results, and initiate or act on appropriate care plans.
Participate in service rounds, patient evaluation and treatment planning, clinic and hospital huddles, and quality improvement meetings.
Coordinate care across the continuum, including admissions, consultations, staff coordination, episodic care, clinic follow-up, discharge planning, and rehabilitation services.
Develop individualized plans of care, including plans for disposition, rehabilitation, and continuity of care with the multidisciplinary team.
Evaluate patients for discharge; define discharge regimens; prescribe or furnish medications, order equipment, arrange follow-up or referrals, provide discharge teaching, and complete discharge summaries.
Document assessments, care, orders, episodic notes, telephone encounters, and discharge summaries in the electronic medical record in accordance with UCSF rules and regulations.
Communicate findings, treatment options, and care plans effectively to patients and their families.
Consult with nursing staff about individualized nursing care plans and their implementation.
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.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Provide clinical services and billing documentation that identify the performing provider and comply with UCSF APP billing policy.
First-assist in the operating room only when appropriately privileged and after completing required certification and proctoring.