Pediatric Cardiothoracic Nurse Practitioner - (BCH-Oakland/San Francisco)

UCSF•San Francisco, CA

9d•$106 - $137

About The Position

The Pediatric Cardiothoracic Nurse Practitioner delivers comprehensive healthcare under the clinical supervision of the Chief of Pediatric Cardiothoracic Surgery and the administrative supervision of the Director of Pediatric Critical Care at UCSF Benioff Children’s Hospital. The role collaborates with an interdisciplinary team to care for pediatric cardiothoracic surgery patients in the Pediatric Cardiac Transitional Care Unit, other inpatient areas, outpatient clinics, and via telehealth. Operating-room work may be possible depending on departmental need, experience, and interest. The position is primarily based at the San Francisco campus, with potential cross-training at the Oakland campus or other facilities where the surgeons operate. In inpatient and clinic settings, the Nurse Practitioner assesses, evaluates, plans, teaches, and manages cases for preoperative and postoperative cardiothoracic surgery patients. Responsibilities include direct patient care, care coordination, patient and family communication, documentation, discharge planning, and outpatient evaluation and management. First-assist duties in the operating room may be performed if the practitioner has the required privileges, certification, and proctoring. The role requires a California-approved or verified nursing education program and a master’s degree in nursing or DNP, along with at least six months of NP experience in Pediatric Critical Care or Pediatric Cardiology. Required credentials include unrestricted California RN and NP licenses, furnishing privileges, relevant national board certification, DEA registration, and AHA BLS and PALS certifications. Advanced Practice Providers must complete UCSF OMAG credentialing before their first working day; credentialing typically takes 60–90 days.

Requirements

Master’s degree in nursing or Doctor of Nursing Practice from a California Board of Registered Nursing-approved or verified school of nursing.
At least six months of NP experience in Pediatric Critical Care or Pediatric Cardiology.
Advanced interpersonal skills when working with families of acutely and critically ill children.
Excellent organization and communication skills.
Dedication to patient care.
Ability to think critically and solve problems.
Unrestricted California Registered Nurse license.
Unrestricted California Certified Nurse Practitioner license.
California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges.
National board certification from an accepted agency aligned with the patient population and clinical role; Pediatric Inpatient (CPNP-AC) is specified.
DEA registration for Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
American Heart Association Basic Life Support certification.
American Heart Association PALS certification.
Completion of UCSF Office of Medical Affairs and Governance credentialing before the first working day.

Nice To Haves

One year of working experience as an NP in pediatric cardiology.
RNFA certificate.

Responsibilities

Evaluate and manage pediatric cardiothoracic surgery patients independently or collaboratively, 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.
Perform procedures authorized through privileges or standardized procedures.
Identify acute decompensation or failure, respond to the hospital plan of care, and review findings with a physician.
Document assessments, care plans, medications, episodic care, telephone encounters, and discharge summaries in the electronic medical record in accordance with UCSF rules and regulations.
Participate in service rounds and patient evaluation and treatment planning; review and interpret laboratory, radiographic, and other diagnostic results and initiate appropriate team plans.
Evaluate complex cases and establish individualized care plans, including plans for disposition to a lower level of care and outpatient rehabilitation.
Communicate findings, treatment options, and care plans effectively to patients and families.
Monitor patients for discharge, define discharge regimens with the multidisciplinary team, prescribe or furnish discharge medications, order DME, arrange follow-up care, provide discharge teaching, and complete discharge summaries.
Coordinate care throughout admission, inpatient treatment, consultation, and discharge; coordinate episodic care and determine routine clinic follow-up timing.
Participate in staff huddles and anticipate patients needing close management or intervention; consult with nursing staff on individualized nursing care plans.
Prepare 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.
Evaluate and manage new, follow-up, acute, routine, and specialty patients in independent outpatient encounters, including telehealth.
Identify high-risk groups and complex cases for attending-physician review, initiate consultations as appropriate, and facilitate occupational therapy, physical therapy, and physical medicine and rehabilitation consultations.
May first-assist in the operating room if appropriately privileged through OMAG and after completing required certification and proctoring.