Nurse Practitioner - Antepartum-Birth Center

UCSF•San Francisco, CA

2d•$219,440 - $284,606•Onsite

About The Position

The Nurse Practitioner joins UCSF’s inpatient Obstetric team and partners with antepartum specialists to provide expert care to patients with high-risk pregnancies, chronic health conditions, or pregnancy complications. The team delivers direct clinical and consultative services to patients and obstetric providers in obstetric care and fetal disorders. The role focuses on antepartum care (estimated at 75% of time) and postpartum activities (estimated at 25%); this distribution may change based on Birth Center coverage needs. Clinical duties include rounding on patients admitted to or followed by the antepartum service; conducting antepartum consultations before and often after delivery; evaluating patients in the Obstetric Emergency Department; assessing and escalating findings from clinics and the antepartum testing unit; receiving initial consultations from outside providers; communicating care plans to consulting providers; and addressing ongoing needs of patients discharged from the antepartum service. The NP works in close collaboration with Maternal-Fetal Medicine attendings and fellows, OB/GYN residents, nurse coordinators, and other members of a high-acuity interdisciplinary labor and delivery team. The position requires flexibility to practice at all UCSF locations and to work weekends occasionally as operational coverage needs require. The NP independently or collaboratively evaluates and manages patients, takes histories, performs physical examinations, responds to changes in patient status, performs consultations, orders or furnishes medications and diagnostic tests or treatments, and documents care in the electronic medical record. The NP participates in rounds and care planning, reviews and interprets diagnostic results, initiates consultations, develops individualized care and discharge plans, coordinates care across the continuum, and provides patient and family communication and discharge education. Outpatient independent encounters, including telehealth, may also be part of the work. Procedures and first assist in the operating room may be performed only when the NP has the relevant privileges and required certification and proctoring. UCSF APPs must complete credentialing, privileging, and health plan enrollment before their first working day and maintain applicable requirements for each facility where they provide care. The NP is expected to be accountable for their clinical practice, participate in patient and staff education, serve as a resource for colleagues and trainees, demonstrate leadership, and mentor newly hired APPs.

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.
At least two years of Nurse Practitioner experience in Obstetrics.
Unrestricted California Registered Nurse (RN) license.
Unrestricted California Certified Nurse Practitioner (NP) license.
California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges.
National NP 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).
DEA registration for Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
American Heart Association Basic Life Support (BLS) certification.
American Heart Association PALS certification.
Ability to complete and maintain required credentialing and privileging before starting and throughout employment.
Flexibility to practice at all UCSF locations and work occasional weekends as required by operational coverage needs.

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 clinics or 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.
Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, responding to status changes, and performing consultations.
Order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
Participate in service rounds, patient evaluation, and treatment planning; review and interpret laboratory, imaging, and other diagnostic results; and initiate consultations as indicated.
Identify acute decompensation or failure, respond to the hospital plan of care, and review findings with a physician.
Develop individualized care, disposition, and discharge plans; monitor patients for discharge; prescribe or furnish discharge medications, order equipment, provide discharge teaching, and complete discharge summaries.
Document assessments, plans, encounters, orders, and other clinically relevant information in the electronic medical record and respond to clinical documentation integrity inquiries within three days.
Coordinate care across admission, inpatient services, consultations, and discharge; coordinate episodic care and routine follow-up; participate in huddles; and consult nursing staff on individualized care plans.
Provide independent outpatient encounters, including telehealth, for new, follow-up, acute, routine, and specialty patients as applicable.
Perform procedures granted through privileges or standardized procedures; may first assist in the operating room if appropriately privileged and after required certification and proctoring.
Communicate findings, treatment options, and care plans effectively with patients and families.
Participate in patient and staff education, serve as a resource for APPs and other colleagues, demonstrate leadership, and mentor newly hired APPs.
Maintain required credentialing and privileging at UCSF and any other facility where providing patient care.
Work at UCSF locations as needed and work occasional weekends to support provider coverage.