Nurse Practitioner, Per Diem
About The Position
Join the Cardiothoracic (CT) Surgery inpatient advanced practice provider team, which provides care for patients receiving advanced surgical treatments such as coronary artery bypass grafting, aortic and mitral valve replacement, extracorporeal membrane oxygenation, and heart transplantation. The team cares for patients across the inpatient continuum, including in the ICU and on the floor, in collaboration with CT Surgery Fellows, Cardiac Surgeons, and Intensivists. APPs perform bedside procedures and may assist in the operating room if appropriately privileged. The position requires professionalism, strong interpersonal and communication skills, and the ability to prioritize and adapt to changing situations. The Nurse Practitioner evaluates and manages patients independently or collaboratively with physicians. Duties include assessing and treating patients, participating in rounds and care planning, performing privileged procedures, responding to changes in patient status, documenting care, communicating with patients and families, and coordinating discharge and follow-up. The position requires flexibility to work at all UCSF Health facilities and locations.
Requirements
- Unrestricted California Registered Nurse license.
- Unrestricted California Nurse Practitioner license.
- California Nurse Practitioner Furnishing Number.
- National board certification from an accepted certifying agency aligned with the patient population and clinical role; accepted adult inpatient certifications include ACNP-BC, AGACNP-BC, ACNPC-AG, and ACNPC.
- California driver license if required for the position.
- DEA registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
- American Heart Association Basic Life Support certification.
- American Heart Association 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.
- Judgment skills to effectively meet patients' needs.
- Self-direction and organizational skills to function independently.
- 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; CCS enrollment is also required for pediatric providers.
- 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 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, 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.
- Document care in the electronic medical record in accordance with UCSF Rules and Regulations, and ensure provider services are billed accurately under applicable 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 the situation 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 after completing required certification and proctoring.
- Monitor and evaluate patients for discharge, set care-continuum parameters with the multidisciplinary team, and define discharge regimens.
- Discharge patients, including furnishing or prescribing medications, ordering durable medical equipment, recommending or referring for follow-up care, providing discharge teaching, and completing discharge summaries.
- Perform other duties as assigned.
