NURSE PRACT 2
About The Position
The University of California, San Francisco (UCSF) Heart & Vascular Center’s Advanced Heart Failure Comprehensive Care Center is seeking a full-time Advanced Practice Provider (APP) to care for patients with mechanical circulatory support (MCS), heart transplant, and advanced heart failure. The UCSF team is comprised of experienced physicians, surgeons, APPs, nurses, pharmacists, social workers, and researchers dedicated to providing comprehensive care across the entire patient journey. Our Advanced Heart Failure & MCS programs are recognized nationally for their innovative approaches and robust support systems, serving patients in both outpatient and inpatient settings. The APP will function as the primary provider for these patients within the hospital, collaborating closely with the Advanced Heart Failure Cardiologist, Cardiothoracic Surgery, and Intensive Care teams, as well as nursing, case management, and social work staff. This role involves evaluating, treating, and managing a highly complex patient population in the Intensive Care and Acute Care Units.
Requirements
- Minimum of 4 years as a Nurse Practitioner in MCS, or Advanced Heart Failure
- Minimum of 2 years managing mechanical circulatory support patients
- 3 years critical care nursing experience managing all MCS devices as a: impella, extracorporeal membrane oxygenation (ECMO), left ventricular assist device (LVAD)
Responsibilities
- Pre-rounds on patients daily, providing a medical overview and care management plan to attending physicians.
- Works closely with CTS, CICU and AHF attending MDs, fellows, and hospitalists to manage both primary and consult MCS and AHF patients.
- Independently manages hospitalized patients across the AHF, MCS, and other Heart & Vascular service lines, escalating to the attending MD when needed.
- Monitors and transports MCS patients through procedures and studies as required.
- Manages and coordinates clinical care for Advanced Heart Failure, MCS, Pulmonary Hypertension and Heart Transplant patients in collaboration with the AHF, CTS, and CICU teams.
- Assesses and monitors patients during MCS procedures per clinical practice guidelines.
- Performs nursing histories and physical exams.
- Documents follow-up for VAD patients.
- Serves as a clinical resource to nursing and other UCSF staff.
- Identifies signs of acute decompensation or failure and communicates promptly with the physician.
- Participates in service rounds, patient evaluations, and treatment planning as part of the multidisciplinary team.
- Reviews labs, imaging, and other diagnostics to guide care plans.
- Evaluates complex cases to determine appropriate level of care.
- Sets discharge parameters in coordination with the broader care team.
- Coordinates care across inpatient and outpatient settings to ensure safe discharges and effective communication.
- Responds to urgent weekend calls for critical symptoms or lab results.
- Remains available to address time-sensitive patient issues outside normal hours.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
