Registered Nurse-Transgender Care Program

UCSF•San Francisco, CA

6d•$93 - $121•Onsite

About The Position

The Registered Nurse works under Ambulatory Services policies and procedures and collaborates with the clinical team to deliver high-quality care to patients in the 360 Positive Care/Women’s Specialty Clinic and the Transgender Care Program. The 360/Women’s Specialty Clinic provides primary and consultative care for HIV and PrEP. The Transgender Care Program serves patients seeking primary or consultative care for gender-affirming services, including surgical interventions. Nursing care is individualized to patients’ physiological and psychosocial developmental levels and needs. The RN collaborates with the Clinic Manager and provider staff and provides nursing supervision to Medical Assistants and LVN staff within the scope of practice. UCSF Transgender Care is a multidisciplinary program providing gender-affirming medical and surgical services for adults. Current services include primary care and hormone therapy, chest surgery, gynecology and gynecologic surgery, vocal health, and reproductive health. The program’s mission is to provide high-quality, evidence-driven, patient-centered care; conduct research guided by community participation; and teach evidence-based, community-informed transgender care and research. Its vision is to eliminate disparities in access to transgender medical care and improve the quality and quantity of transgender medical and surgical research. The role includes clinical and administrative duties such as patient screening and assessment, care planning and implementation, patient education, telephone and MyChart triage, documentation, medication administration and refill review, appointment coordination, insurance authorization management, and support for emergencies. The RN also contributes to performance improvement, professional development, infection control, safety, and compliance with organizational policies, nursing standards, and applicable state laws. The position supports a multidisciplinary clinical team that includes physicians, nurse practitioners, registered nurses, social workers, medical assistants, outreach coordinators, and program coordinators.

Requirements

Graduate of an accredited nursing program.
Ability to perform phlebotomy.
At least 6–12 months of recent RN experience in an ambulatory setting; medical specialty experience is preferred within this qualification.
Familiarity with prior authorization processes for specialty biologic medications.
Experience working in a medical team with multiple providers and an administrative assistant, including in-basket management, medication-refill support, service coordination, and appointment and procedure scheduling.
Strong computer skills, including use of Microsoft Office.
Ability to prioritize work efficiently and independently and demonstrate initiative.
Excellent communication skills with patients and personnel at all levels, including excellent writing skills.
Excellent organizational and problem-solving skills.
Ability to use an electronic medical record.
Flexibility to orient and work at all UCSF Medical Center locations.
Current California Registered Nurse license.
Current CPR certification.

Nice To Haves

Three to six months of experience working with LGBTQ patients.

Responsibilities

Assess patients’ needs and responses to medical regimens and treatment through observation of symptoms, emotional state, cultural and socioeconomic background, and response to care.
Perform telephone and MyChart triage and in-person assessment and treatment; recognize and report patients’ physical and emotional conditions or concerns to the appropriate care team members.
Collaborate with the health care team to discuss care alternatives and develop short- and long-term goals to meet patients’ needs.
Provide individualized nursing care appropriate to patients’ developmental needs, age, and required treatments.
Manage patient flow; obtain vital signs; review health maintenance status; provide immunizations; and perform or support laser hair removal after training and under a certified physician’s supervision.
Set up examination rooms, perform intake, and protect patients’ physical and emotional privacy.
Prepare and instruct patients about diagnostic and therapeutic procedures and treatments, and assist with procedures as needed.
Use appliances and equipment correctly and maintain safe practices.
Administer medications and document them accurately; maintain pharmacology knowledge and competency in medication administration.
Review medication refill requests and approve them within the scope of practice and UCSF guidance.
Document patient complaints, observations, interventions, care plans, teaching, nursing actions, and patient responses in the electronic medical record.
Respond appropriately to emergencies, know the contents of the code blue cart and emergency kits, and initiate or assist with CPR as appropriate.
Support administrative functions, including patient registration, insurance verification, appointment scheduling, telephone and MyChart messaging, insurance authorization management, and new patient coordination.
Enter and review patient information in the electronic medical record and assist with in-basket messages as appropriate.
Provide patients with information and referrals to support informed decisions; explain available UCSF and community services and reinforce health teaching in understandable language; verify patient and family understanding.
Maintain examination-room supplies and assist with emergencies in accordance with the department Emergency Manual.
Participate in performance-improvement activities, recommend topics or solutions, assist with data collection, and report and follow up on environmental or safety issues.
Attend relevant classes, conferences, workshops, and staff meetings; share information; contribute to the orientation and learning of other health care team members.
Follow infection-control, safety, privacy, confidentiality, security, nursing, and organizational policies; comply with applicable professional standards and state laws; maintain current licensure and complete required training and competency testing.
Provide excellent customer service and communicate professionally and sensitively with patients, families, colleagues, and staff.
Notify the Administrative Nurse and clinical team of clinic problems; follow scheduling and timekeeping policies and other work-related requirements.
Maintain neat and orderly work areas, address or report unsafe conditions and damaged equipment, and help protect the facility, equipment, and patient confidentiality.
Perform other duties as assigned.