Nurse Practitioner PD - Adult Infusion

University of California, San Francisco•San Francisco, CA

About The Position

The Nurse Practitioner works in UCSF’s ambulatory Cancer Center Infusion APP team, providing care across five infusion centers for oncology and non-oncology patients and at the three-bed Cancer Acute Care Clinic (CACC). The team oversees care for approximately 50–75 patients per day, depending on unit size. The position requires working in both the Infusion Center and the CACC. Infusion APPs triage acute treatment-related symptoms in real time and support continuity of care through collaboration and communication with physicians, surgeons, APP colleagues, and clinical and administrative staff. At the CACC, the APP assesses, diagnoses, and manages acute oncology symptoms that can be treated safely in an outpatient setting. When a higher level of care is needed, the APP coordinates direct hospital admission when appropriate or facilitates emergency evaluation and admission. The role includes independent outpatient encounters, including telehealth, and outpatient care coordination. The APP evaluates and manages new, follow-up, acute, routine, and specialty patients; documents care in the electronic medical record; performs authorized procedures; interprets and acts on diagnostic results; and coordinates care across the continuum. Inpatient management is not included. Advanced Practice Providers must be credentialed through UCSF’s Office of Medical Affairs and Governance before their first working day; credentialing takes 60–90 days.

Requirements

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).
At least two years of recent inpatient hematology/oncology and/or oncology infusion center experience as a Nurse Practitioner.
At least one year of clinical experience managing patients receiving immunotherapy and biotherapy in an outpatient infusion center.
California Registered Nurse (RN) license without restriction.
California Nurse Practitioner (NP) license without restriction.
California Nurse Practitioner Furnishing Number.
National NP board certification from an accepted certifying agency aligned with the patient population and clinical role. Listed adult outpatient certifications include A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, and ACNPC.
Drug Enforcement Administration (DEA) registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
American Heart Association (AHA) Basic Life Support (BLS) certification.
Advanced Cardiovascular Life Support (ACLS) certification from the AHA.
Credentialing through UCSF’s Office of Medical Affairs and Governance (OMAG), completed before the first working day; credentialing takes 60–90 days.

Nice To Haves

One year of adult critical care medicine experience as a nurse or Nurse Practitioner.
Specialty certification such as OCN or AOCNP.
Experience interpreting ECG and imaging, including X-ray, CT, and MRI.

Responsibilities

Evaluate and manage patients in independent APP encounters, including telehealth and new, follow-up, acute, routine, and specialty visits.
Take patient histories, perform physical examinations, interpret diagnostic tests, formulate evidence-based assessments and plans, and respond to changes in patient status.
Order medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
Review cases with or collaborate with an attending physician as needed.
Perform procedures individually authorized through standardized procedures or privileges.
Identify high-risk groups and complex cases for review with an attending physician, and initiate consultations as appropriate.
Evaluate complex cases, establish individualized rehabilitation plans, and facilitate occupational therapy, physical therapy, and physical medicine and rehabilitation consultations.
Interpret and act on ordered tests, procedures, and radiographic studies in a timely manner.
Complete clinically relevant paperwork and electronic health record documentation, including medication orders, episodic care notes, and telephone encounters.
Document care in accordance with UCSF Rules and Regulations and ensure provider services are billed in accordance with the APP Billing Policy.
Coordinate care across the continuum, including hospital admission, coordination with staff and consulting services, and hospital discharge planning; inpatient management is excluded.
Coordinate episodic care and determine the timing of routine clinic follow-up.
Participate in huddles with clinic and hospital staff and anticipate patients who may require close management or intervention.
Attend department quality improvement meetings and participate in patient evaluation and planning.
Consult with nursing staff on individualized nursing care plans and their implementation.
Independently provide case summaries for disability, insurance agencies, workers’ compensation, work releases, and medical supply agencies.
Triage acute treatment-related symptoms and collaborate with clinical and administrative colleagues to support timely treatment, patient care goals, and positive patient outcomes.
Assess, diagnose, and manage acute oncology symptoms at the CACC that can safely be treated as an outpatient; coordinate direct hospital admission or facilitate emergency evaluation and admission when a higher level of care is needed.
Work in both the Infusion Center and the CACC.