Nurse Practitioner - Cardiothoracic Surgery APPs

Join our dynamic, highly skilled Cardiothoracic (CT) Surgery inpatient APP team. The CT surgery service provides advanced surgical treatments, including coronary artery bypass grafting, aortic and mitral valve replacement, extracorporeal membrane oxygenation, and heart transplantation. We value individuals who are professional with strong interpersonal and communication skills and able to prioritize and adapt to changing situations. Our CT surgery APPs manage patients collaboratively across the inpatient continuum of care with CT Surgery Fellows & Cardiac Surgeons, perform bedside procedures, and may assist in the operating room.

Our APP team is expanding as we recruit highly skilled surgeons from across the country, strengthening both our expertise and our commitment to exceptional patient care.  With this exciting growth comes new opportunities. Now is the ideal time to become part of a collaborative, forward-thinking team that is evolving, innovating, and setting a higher standard in surgical care.

If you are looking to contribute your skills in a dynamic environment where your experience is valued and your impact is meaningful, we invite you to explore joining us.  We look forward to connecting with you and sharing more about what makes our team unique.

Minimum License/Certification:

1. California Registered Nurse (RN) License without restriction

2. California Nurse Practitioner (NP) License without restriction

3. California Nurse Practitioner Furnishing Number
   NP national board certification from an accepted certifying agency aligned with the patient population and clinical role

4. Adult Inpatient (ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). See Addendum A below for more detail.

5. California Driver License (if required for position)

6. Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address

7. American Heart Association (AHA) Basic Life Support (BLS) certification

8. Additional required AHA certifications:  ACLS

Minimum Education/Experience:

Nurse Practitioner 2: 

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master’s or doctoral degree aligned with the patient population and clinical role.

• One (1) year of cardiothoracic surgery, vascular surgery, cardiology, or critical care ICU NP experience.

Preferred Quaiifications:

• Able to perform endoscopic vein harvesting

• Able to perform thoracostomy tube placement

• Experience with EPIC

• Recent experience managing complex cardiac patients with heart failure, heart transplant, and ECMO

• Specialty certification: RNFA

1. Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.

2. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.

3. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations.

4. Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01.

5. APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.

1.2. Performs procedures granted to them via privileges/standardized procedures.

1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.

1.4. Initiates consultations as indicated.

1.5. Documents independent assessment findings and recommends appropriate treatments.

1.6. Participates in service rounds and patient evaluation and treatment planning. 

1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.

1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.

1.9. Interprets and acts upon completed tests, procedures, and radiographic studies.

1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations.

1.11. Effectively communicates findings, treatment options, and care plans with patients and their families 

1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.

1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.

1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.

Budgeted Job Salary Range: 105.5 per hour to 136.86 per hour