Nurse Practitioner - NICU (BCH-Cross Bay)
About The Position
The Nurse Practitioner will serve as a member of the care team and take primary responsibility for the safe delivery of inpatient care to newborns and infants. The role is based in UCSF Benioff Children’s Hospital’s neonatal care services, which include the 58-bed Intensive Care Nursery in San Francisco and the 43-bed NICU in Oakland. These regional intensive care nurseries care for critically ill newborns and infants, including those requiring surgery for serious heart, lung, gastrointestinal, and other conditions. The Nurse Practitioner is expected to meet productivity expectations established by the Division Chief and perform appropriate, clearly delineated patient-care duties. The position’s listed workload is primarily inpatient direct patient care (70%) and inpatient care coordination (30%); outpatient encounter and coordination categories are listed at 0%. Direct care includes independently or collaboratively evaluating and managing patients; taking histories and performing examinations; responding to changes in patient status; performing consultations and privileged procedures; ordering or furnishing medications, tests, treatments, therapies, referrals, equipment, and services; documenting care and completing clinical paperwork; participating in rounds and care planning; reviewing and acting on diagnostic results; communicating care plans to families; and monitoring and arranging patient discharges. First assistance in the operating room may be performed when appropriately privileged and certified. Care coordination includes coordinating care through admission and discharge, arranging follow-up, participating in staff huddles and quality improvement activities, working with nursing and consulting services, and preparing case summaries for relevant agencies. Advanced Practice Providers must be credentialed through UCSF’s Office of Medical Affairs and Governance before practicing in the clinical role; credentialing takes 60–90 days and must be completed before the first working day.
Requirements
- Graduate from a California Board of Registered Nursing-recognized Nurse Practitioner program with a master’s or doctoral degree aligned with a Neonatal Nurse Practitioner specialization.
- At least one year of recent work experience as a Nurse Practitioner in a Level III or Level IV Neonatal Intensive Care Unit.
- Unrestricted California Registered Nurse (RN) license.
- Unrestricted California Nurse Practitioner (NP) license.
- California Nurse Practitioner Furnishing Number.
- National board certification from an accepted agency aligned with the patient population and clinical role: Neonatal (NNP-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.
- Advanced AHA NRP certification.
- Credentialing through UCSF’s Office of Medical Affairs and Governance before the first working day.
- California driver license if required for the position.
Nice To Haves
- More than two years of experience working as a Neonatal Nurse Practitioner in a Level III or Level IV Neonatal ICU.
- Lactation education experience or IBCLC certification.
Responsibilities
- Evaluate and manage inpatient newborn and infant patients independently or collaboratively with physicians.
- Take patient histories, perform physical examinations, respond to changes in patient status, and conduct consultations.
- Order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
- Perform procedures granted through privileges or standardized procedures.
- Identify acute decompensation or failure, respond to the hospital plan of care, and review the situation with a physician.
- Document independent assessment findings and recommend appropriate treatment; complete clinically relevant EHR documentation, episodic care notes, and discharge summaries.
- Participate in service rounds, patient evaluation, and treatment planning.
- Review laboratory, imaging, and other diagnostic results and initiate appropriate team plans; interpret and act on completed tests, procedures, and radiographic studies.
- Evaluate complex cases and establish individualized care and disposition plans, including plans for transition to a lower level of care.
- Communicate findings, treatment options, and care plans effectively to patients’ families.
- Monitor patients for discharge; define discharge regimens and coordinate continuity of care with the multidisciplinary team.
- Discharge patients, including furnishing or prescribing medications, ordering equipment, arranging follow-up or referrals, providing discharge teaching, and completing discharge summaries.
- Coordinate care across admission, inpatient services, consulting services, and discharge planning; coordinate episodic care and routine follow-up timing.
- Participate in staff huddles and anticipate patients needing close management or intervention.
- Consult with nursing staff on individualized nursing care plans.
- Provide case summaries for disability, insurance, workers’ compensation, work-release, 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.
- Comply with UCSF documentation and APP billing policies.
- May first-assist in the operating room if appropriately privileged through OMAG and after completing required certification and proctoring.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
