UCSF

Public health sciences university in San Francisco

Nurse Practitioner - Infusion

Advanced Practice ProvidersConfirmed live in the last 24 hours

Full-timeSan Francisco, CA, USA$105.05 - $136.83

About the Job

Requirements

Hold an unrestricted California Registered Nurse license and an unrestricted California Nurse Practitioner license.
Hold a California Nurse Practitioner Furnishing Number and national board certification aligned with the patient population and clinical role.
Hold a California driver license if required for the position.
Maintain Drug Enforcement Administration registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
Hold American Heart Association Basic Life Support and Advanced Cardiovascular Life Support certifications.
Graduate 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.
Have at least six months of Nurse Practitioner experience for the Nurse Practitioner 2 classification.
Have at least two years of recent inpatient hematology/oncology and/or oncology infusion center experience as a Nurse Practitioner or Physician Assistant.
Have at least one year of clinical experience managing patients receiving immunotherapy and biotherapy in an outpatient infusion center.
Demonstrate verbal and written communication, judgment, self-direction, and organizational skills to function independently and meet patient needs.
Be able to cope with personal stress experienced by healthcare providers and team members.
Meet hospital credentialing and billing standards as a billable provider.
Submit health plan enrollment for Medicare, Medicaid, and commercial plans by the first clinical day; pediatric providers must also enroll with CCS.
Adhere to UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center, campus, and departmental policies and procedures.
Adhere to UCSF policies regarding HIPAA, privacy, communication, documentation, encounter closure, and billing.
Attend the Office of Advanced Practice Providers Orientation Sessions and the APP Onboarding Committee APP Onboarding Series.
Be flexible to work at all UCSF Health facilities and locations.
Peer references are expected to reflect an overall meets-or-exceeds assessment.

Responsibilities

Oversee and provide care for 50–75 patients per day across five infusion centers serving oncology and non-oncology patients.
Triage clinical concerns, including acute treatment-related symptoms, in real time and support continuity of care through collaboration and communication with physicians, surgeons, advanced practice provider colleagues, and clinical and administrative staff.
Work in both the Infusion Centers and the Cancer Acute Care Clinic.
Assess, diagnose, and manage acute oncology symptoms in the outpatient Cancer Acute Care Clinic; coordinate direct hospital admission or facilitate emergency evaluation and admission when a higher level of care is needed.
Evaluate and manage patients in independent advanced practice provider encounters, including telehealth, for new, follow-up, acute, routine, and specialty care.
Take histories, perform physical examinations, interpret diagnostic tests, formulate evidence-based assessments and plans, respond to changes in patient status, and order medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
Review care or collaborate with the attending physician as needed.
Perform procedures individually granted through standardized procedures or privileges.
Identify high-risk groups and complex cases for attending physician review and initiate consultations as appropriate.
Evaluate complex cases, establish individualized rehabilitation plans, and facilitate occupational therapy, physical therapy, and physical medicine and rehabilitation consultations.
Interpret and act on ordered tests, procedures, and radiographic studies in a timely manner.
Complete clinically relevant paperwork and electronic health records, including medication orders, episodic care notes, and telephone encounters.
Document care in the electronic medical record in accordance with UCSF Rules and Regulations and bill provider services to reflect the performing provider and comply with the APP Billing Policy.
Evaluate and manage patients in shared encounters with the attending physician, including telehealth, to increase clinic access and work toward doubling clinic volume.
Collaborate on evidence-based assessments and plans during shared encounters and respond to changes in patient status.
First-assist in the operating room when appropriately privileged through OMAG and after completing required certification and proctoring.
Coordinate care throughout the continuum, including hospital admission, coordination with staff and consulting services, and hospital discharge planning; inpatient management is not included.
Coordinate episodic care and determine timing of routine clinic follow-up.
Participate in huddles with clinic and hospital staff and anticipate patients requiring close management or intervention.
Attend department quality improvement meetings and participate in patient evaluation and planning.
Consult with nursing staff on individualized nursing care plans and their implementation.
Independently provide case summaries for disability, insurance agencies, workers' compensation, work releases, and medical supply agencies.
Perform other duties as assigned.

Desired Qualifications

Have one year of experience in adult critical care medicine as a nurse or Nurse Practitioner.
Hold specialty certification such as OCN or AOCNP.
Interpret electrocardiograms and imaging, including X-rays, CT, and MRI.

Interested in a dynamic, autonomous practice setting, working with a highly skilled and collaborative APP team? Consider joining our ambulatory care Cancer Center Infusion APP team. The Cancer Center Infusion APP team is responsible for overseeing and providing care for 50-75 patients per day (depending on the unit size) across five Infusion centers for Oncology and non-Oncology patients. Infusion APPs triage clinical concerns, such as acute treatment related symptoms, in real time and ensure continuity of care through collaboration and communication with physicians'/surgeons/APP colleagues, as well as other clinical and administrative staff. Together, the team supports timely patient treatment, works toward patients' goals of care, and promotes a positive patient experience and outcome. In addition to our infusion areas, APPs provide care at the three-bed Cancer Acute Care Clinic (CACC). There, they assess, diagnose, and manage acute oncology symptoms that can safely be treated in an outpatient setting. When a patient needs a higher level of care, APPs in the CACC coordinate a direct hospital admission when appropriate or facilitate emergency evaluation and admission. This role will require the ability to work in both the Infusion Centers and the CACC.

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
4. NP national board certification from an accepted certifying agency aligned with the patient population and clinical role
Adult Outpatient (A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC).
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
9. Additional required certifications (such as ENLS): None

Minimum Education/ Experience:

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.

Nurse Practitioner 2: These NP's have at least six (6) months of NP experience

1. At least two (2) years recent inpatient hematology/oncology and/or oncology infusion center experience as a Nurse Practitioner or Physician Assistant.
2. Demonstrated minimum one (1) year of clinical experience in managing patients receiving immunotherapy and biotherapy in an outpatient infusion center.

Minimum Knowledge, Skills, and Abilities(KSA):

1. Excellent verbal and written communication skills
2. Judgement skills to effectively meet the needs of patients
3. Self-direction and organizational skills to function in an independent role
4. Ability to cope with personal stress experienced by health care providers and team members
5. Ability to meet minimum standards for hospital credentialing and billing standards as a billable provider
6. Submit health plan (Medicare, Medicaid, and commercial for all APPs; also, CCS for pediatric providers) enrollment by first clinical day
7. At all times, must adhere to the UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center/campus/departmental policies and procedures
8. At all times, must adhere to all UCSF policies regarding HIPPA, privacy, communication, documentation, encounter closure, and billing
9. Mandatory attendance at the Office of Advanced Practice Providers Orientation Sessions
10. Mandatory attendance at the APP Onboarding Committee APP Onboarding Series
11. This position requires flexibility for the APP to work at all UCSF Health facilities/locations
12. Performs other duties as assigned

Preferred Qualifications:

Preferred Education/Experience:

1. One (1) year experience in adult critical care medicine as (Nurse or NP)
2. Specialty Certifications; OCN or AOCNP

Preferred Knowledge, Skills, and Abilities(KSA):

1. ECG and imagining; (X-ray, CT and MRI) interpretation

Special Conditions of Employment
Work Environment:

1. This position requires flexibility to work at all UCSF Health facilities/locations
2. This position may require the ability to work flexible hours to meet operational needs
3. This position may require other duties to meet operational needs
4. Peer references are expected to reflect an overall meet or exceeds

Evaluates and manages patients in independent APP encounters, including telehealth.

Includes providing care to new, follow-up, acute, routine, and specialty patients.

Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.

Reviews or collaborates with attending physician as needed.

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

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

1.2. Performs procedures individually granted to them via standardized procedures/privileges.
1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.

1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.
1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion.

1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.

Evaluates and manages patients in shared encounters with attending physician, including telehealth.

This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities.

Includes providing care to new, follow-up, acute, routine, and specialty patients.

Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.

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

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

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

1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.

1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.

1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOESnot include management of inpatients.
1.2. Coordinates episodic care and determines timing of routine clinic follow up.
1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
1.4. Attends department quality improvement meetings and participates in patient evaluation and planning.

1.5. Consults with nursing staff on plan and implementation of individualized nursing care plans.

1.6. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.

Budgeted Job Salary Range: 105.05-136.83

About the Company

UCSF

Public health sciences university in San Francisco

UC San Francisco is a public research university in San Francisco focused solely on health sciences, combining professional education with biomedical research and patient care. Its schools of dentistry, medicine, nursing and pharmacy train clinicians and scientists, while teams investigate cancer, immunology, genomics and neuroscience. UCSF Medical Center and Benioff Children's Hospitals connect clinical care with faculty research and training, and university clinics serve patients across Northern California. Founded in 1864, UCSF is the University of California campus dedicated to graduate and professional education and biomedical research, based in San Francisco.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: 1864

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