Nurse Practitioner - PICU/TCUP (BCH-Mission Bay)

UCSF•San Francisco, CA

7d•$106 - $137•Onsite

About The Position

UCSF Benioff Children's Hospital is hiring a Nurse Practitioner for its Pediatric Intensive Care Unit (PICU) and Pediatric Transitional Care Unit (TCUP) at the Mission Bay campus. The PICU provides continuous monitoring and high-level care for infants and children with a range of conditions or recovering from surgery. The 18-bed TCUP cares for patients with moderate to high disease complexity, including children recovering from solid organ transplantation or specialty surgery, receiving anticoagulant titration or infusions, and requiring respiratory support or mechanical ventilation with a tracheostomy. The Nurse Practitioner is a full member of the team and is responsible for safe care delivery in collaboration with attending physicians, fellows, and residents. The role includes inpatient direct patient care and care coordination, with other outpatient duties potentially included as described. Nurse Practitioners on the PICU and TCUP team work rotating 12-hour shifts and are expected to meet productivity expectations set by the Division Chief. The position requires graduation from a California Board of Registered Nursing-recognized Nurse Practitioner program with a master's or doctoral degree aligned with an Acute Care Pediatric Nurse Specialization. The applicable experience requirement depends on classification: Nurse Practitioner 1 requires at least two years of recent RN experience in a pediatric inpatient setting; Nurse Practitioner 2 requires at least two years of recent NP experience in a pediatric inpatient or high-acuity emergency department setting. UCSF requires APP credentialing through its Office of Medical Affairs and Governance before the first working day; credentialing takes 60–90 days.

Requirements

Graduation from a California Board of Registered Nursing-recognized Nurse Practitioner program with a master's or doctoral degree aligned with an Acute Care Pediatric Nurse Specialization.
For Nurse Practitioner 1: at least two years of recent experience working as an RN in a pediatric inpatient setting.
For Nurse Practitioner 2: at least two years of recent experience working as an NP in a pediatric inpatient or high-acuity emergency department setting.
Unrestricted California Registered Nurse (RN) license.
Unrestricted California Nurse Practitioner (NP) license.
California Nurse Practitioner Furnishing Number.
National board certification from an accepted certifying agency aligned with the patient population and clinical role; Pediatric Inpatient (CPNP-AC) is specified.
Drug Enforcement Administration registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
American Heart Association Basic Life Support (BLS) certification.
American Heart Association Pediatric Advanced Life Support (PALS) certification.
Credentialing through UCSF's Office of Medical Affairs and Governance must be completed before the first working day; the process takes 60–90 days.

Nice To Haves

At least three years of experience working as an Acute Care Pediatric Nurse Practitioner (AC-PNP) in a Level III Pediatric Intensive Care Unit.
California driver's license, if required for the position.

Responsibilities

Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, responding to changes in patient status, and providing 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 patients with acute decompensation or failure, respond to the hospital plan of care, and review the situation with a physician.
Initiate consultations and document assessment findings and recommended treatments.
Participate in service rounds, patient evaluation, and treatment planning; review diagnostic results and initiate appropriate team plans.
Evaluate complex cases and establish individualized care and disposition plans, including plans for transfer to a lower level of care when appropriate.
Interpret and act on completed tests, procedures, and radiographic studies.
Complete clinically relevant paperwork and electronic health record documentation, including medication orders, episodic care notes, and discharge summaries.
Communicate findings, treatment options, and care plans effectively with patients and families.
Monitor patients for discharge; establish continuity-of-care parameters with the multidisciplinary team; and discharge patients, including furnishing medications, ordering equipment, providing teaching, and arranging follow-up care.
Coordinate care across the continuum, including admissions, coordination with staff and consulting services, and discharge planning.
Coordinate episodic care and determine timing of routine clinic follow-up; participate in huddles and anticipate patients needing close management or intervention.
Consult nursing staff on individualized nursing care plans and 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.
When performing outpatient duties, evaluate and manage new, follow-up, acute, routine, or specialty patients in independent or shared encounters, including telehealth where applicable.
Identify high-risk groups and complex cases for physician review, initiate consultations, and establish individualized rehabilitation plans; facilitate occupational therapy, physical therapy, or physical medicine and rehabilitation consultations as appropriate.
Attend department quality-improvement meetings and participate in patient evaluation and planning.
May first-assist in the operating room if appropriately privileged through OMAG and after completing required certification and proctoring.