Registered Nurse-Outpatient Pulmonary

UCSF•San Francisco, CA

20h•$93 - $121

About The Position

The Outpatient Pulmonary Clinical Nurse II delivers direct care to adults receiving outpatient pulmonary services, including general pulmonary care and subspecialties such as asthma, advanced COPD, bronchiectasis/nontuberculous mycobacteria, cystic fibrosis, interstitial lung diseases, sarcoidosis, and neuromuscular lung diseases. Working under the supervision of the Clinical Manager and Practice Manager, the nurse works in a fast-paced environment, may work at multiple UCSF Medical Center locations, and cross-covers pulmonary subspecialties and other nurses as needed. The nurse uses the nursing process to assess, plan, implement, and evaluate safe, individualized care; applies pulmonary nursing standards; and works collaboratively across the continuum of care while following patient-safety requirements. The nurse is also a clinical resource and contributes to the development of the unit and organization. The role supports daily clinic operations and a safe environment for patients and staff. Duties include symptomatic telephone triage, managing in-basket messages, complex care coordination, prior authorization for complex and specialty medications, walk-test titration, and assisting with clinic emergencies. The nurse provides patient education and clinical treatments, coordinates care with physicians and other team members, and maintains professional and courteous communications in accordance with Medical Center policies and Telephone Standards. The position is accountable to the NURSE SVC SUPV 2 for overall work performance.

Requirements

Recent adult outpatient pulmonary experience within the past two years, such as asthma, bronchiectasis, cystic fibrosis, interstitial lung diseases, or COPD.
At least one year of recent RN experience in an adult outpatient medical specialty setting within the past two years.
At least one year of previous acute-care experience.
Experience with EPIC systems.
Experience working in a fast-paced environment.
Flexibility to orient to varying operational needs, cover pulmonary subspecialties, and work at all UCSF Medical Center locations.
Training and experience with electronic health records.
Current California Registered Nurse license.
Current BLS certification.

Nice To Haves

High level of interpersonal, written, and verbal communication skills.
Experience with IV antibiotics or complex care coordination.
Experience obtaining prior authorization for complex and specialty medications.
Experience with symptomatic telephone triage in a call-center environment.

Responsibilities

Assess patient needs and responses to treatment, document observations, and escalate significant physical or emotional concerns to appropriate members of the care team.
Collaborate with the health care team to plan individualized patient care, establish goals, and identify internal and external resources.
Provide and evaluate individualized nursing care, including patient preparation and instruction, nurse visits, wound care, vaccination, venipuncture, and other diagnostic or therapeutic procedures.
Administer and document medications and maintain current pharmacology knowledge and competency in medication administration.
Respond to emergencies, including initiating or assisting with CPR and following medical emergency, code blue, and disaster procedures.
Follow infection-control, safety, administrative, clinical-practice, and regulatory requirements, and complete annual competency testing.
Review in-basket messages and triage phone inquiries according to protocol; process medication refills and coordinate needed laboratory work or office visits.
Review laboratory results with physicians or nurse practitioners and communicate appropriate instructions and follow-up plans to patients.
Coordinate patient flow and continuity of care, maintain accurate records, and communicate information clearly with patients, families, and the health care team.
Assist with referral screening, patient scheduling, coordination of testing services, visit authorizations, and prior authorizations for specialty medications.
Provide patient and family education, verify understanding, maintain educational resources, and participate in reviewing or revising educational materials.
Participate in performance-improvement activities, recommend improvements, collect data, and report and follow up on safety or environmental concerns.
Attend required classes, conferences, workshops, and staff and clinical team meetings; contribute to the orientation and learning of other team members.
Rotate among practice support duties as needed, including answering phones, front-desk support, patient check-in, appointment scheduling, and referral work queues.
Maintain required professional and workplace policies, including license renewal, annual PPD, CPR certification, scheduling guidelines, and dress and identification policies.