UCSF

Public health sciences university in San Francisco

Nurse Practitioner - PICU/TCUP

Advanced Practice ProvidersConfirmed live in the last 24 hours

Full-time$105.50 - $136.83In-person

About the Job

Requirements

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master's or doctoral degree aligned with an Acute Care Pediatric Nurse Specialization.
For Nurse Practitioner 1, at least two years of recent experience working as an RN in a pediatric inpatient setting.
For Nurse Practitioner 2, at least two years of recent experience working as a Nurse Practitioner in a pediatric inpatient or high-acuity emergency department setting.
California Registered Nurse license without restriction.
California Nurse Practitioner license without restriction.
California Nurse Practitioner Furnishing Number.
National board certification from an accepted certifying agency aligned with the patient population and clinical role, specifically Pediatric Inpatient (CPNP-AC).
California driver's license, if required for the position.
Drug Enforcement Administration registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
American Heart Association Basic Life Support certification.
American Heart Association Pediatric Advanced Life Support certification.
Credentialing through the UCSF Office of Medical Affairs and Governance must be completed before the first working day.

Responsibilities

Provide safe patient care as a full member of the PICU and TCUP team in collaboration with attending physicians, fellows, and residents.
Meet productivity expectations established by the Division Chief and perform duties related to patient care that are appropriate and clearly delineated.
Provide care in rotating 12-hour shifts.
Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, responding to changes in patient status, performing consultations, and ordering or furnishing medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
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.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Perform procedures authorized through privileges or standardized procedures.
Identify patients with acute decompensation or failure, respond to the hospital plan of care, and review the plan with a physician.
Initiate consultations as indicated.
Document independent assessment findings and recommend appropriate treatments.
Participate in service rounds, patient evaluation, and treatment planning.
Review laboratory tests, X-rays, and other diagnostic tests, and initiate appropriate team plans.
Evaluate complex cases and establish individualized plans of care for disposition to a lower level of care.
Interpret and act upon completed tests, procedures, and radiographic studies.
Complete clinically relevant paperwork and electronic health record documentation, including medication orders, episodic care notes, and discharge summaries.
Communicate findings, treatment options, and care plans to patients and their families.
First-assist in the operating room when privileged through OMAG and after completing required certification and proctoring.
Monitor and evaluate patients for discharge, set parameters and guidelines for continuity of care with the multidisciplinary team, and define discharge regimens.
Discharge patients, including prescribing or furnishing medications, ordering durable medical equipment, recommending or referring ongoing follow-up care, providing discharge teaching, and completing discharge summaries.
Coordinate care throughout the continuum, including hospital admission, coordination with staff and consulting services, and hospital discharge planning.
Coordinate episodic care and determine the timing of routine clinic follow-up.
Participate in huddles with clinic or hospital staff and anticipate patients who require close management or intervention.
Consult with nursing staff on plans and implementation of individualized nursing care plans.
Provide case summaries independently for disability, insurance agencies, workers' compensation, work releases, and medical supply agencies.
Formulate and implement protocols to improve quality and efficiency and control waste in the clinical specialty.
Evaluate and manage patients in independent APP encounters, including telehealth and care for new, follow-up, acute, routine, and specialty patients.
Interpret diagnostic tests, formulate evidence-based assessments and plans, respond to changes in patient status, and order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
Review independent encounters or collaborate with an attending physician as needed.
Perform procedures individually authorized through standardized procedures or privileges.
Identify high-risk groups and complex cases for review with an attending physician, and initiate consultations as appropriate.
Establish individualized rehabilitation plans for complex cases and facilitate occupational therapy, physical therapy, and physical medicine and rehabilitation consultations.
Interpret and act upon 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.
Evaluate and manage patients in shared encounters with attending physicians, including telehealth, to increase clinic access and work toward doubling clinic volume.
Collaborate on evidence-based assessments and plans during shared patient encounters.
Attend department quality-improvement meetings and participate in patient evaluation and planning.

Desired Qualifications

At least three years of experience working as an Acute Care Pediatric Nurse Practitioner in a Level III Pediatric Intensive Care Unit.

UCSF Benioff Children's Hospital is recognized throughout the world as a leader in health care, known for innovation, technology and compassionate care. UCSF has one of the top children's hospitals in the nation, according to a ranking by U.S. News & World Report. Our 183-bed UCSF Benioff Children's Hospital has more than 150 specialists in more than 40 areas of medicine.

The Pediatric Intensive Care Unit (PICU) at UCSF Benioff Children's Hospital provides extraordinary high-level care for children who require continuous monitoring. The unit has 20 beds for infants and children suffering from a variety of conditions or recovering from surgery. More than 1,000 children per year are admitted into the intensive care units at UCSF Benioff Children's Hospital arriving via ambulance, helicopter and airplane from throughout the western United States.

The Pediatric Transitional Care Unit (TCUP) is a 18-bed unit for infants and children suffering from a variety of conditions or recovering from surgery. The TCU provides care to patients with a moderate to high complexity of disease such as those recovering from solid organ transplantation, titration of anticoagulant therapy and other infusion, and post-operative specialty surgery care (ENT, neurosurgery). Patients requiring respiratory support including BIPAP, CPAP, high flow nasal cannula and patients requiring mechanical ventilation with tracheostomy in place are also routinely admitted to the TCUP. The Nurse Practitioner will act as a full member of the team taking responsibility for the safe delivery of care in collaboration with attending physicians, fellows and residents. This team member will meet productivity expectations as set forth by the Division Chief, performing any duties related to patient care activities that are appropriate and clearly delineated.

Nurse Practitioners on the PICU and TCUP Team provide care in rotating 12h shifts.

Required qualifications:

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master’s or doctoral degree aligned with an Acute Care Pediatric Nurse Specialization
Nurse Practitioner 1:
- Minimum of two (2) years of recent experience working as an RN in a pediatric inpatient setting.
Nurse Practitioner 2:
- Minimum of two (2) years of recent experience working as a NP in a pediatric inpatient or high acuity emergency department setting

Preferred qualifications:

Minimum of three (3) years of experience working as an AC-PNP in a level III Pediatric Intensive Care Unit

Licenses/Certifications:

California Registered Nurse (RN) License without restriction
California Nurse Practitioner (NP) License without restriction
California Nurse Practitioner Furnishing Number
NP national board certification from an accepted certifying agency aligned with the patient population and clinical role - Pediatric Inpatient (CPNP-AC). See Addendum A below for more detail.
California Driver License (if required for position)
Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address
American Heart Association (AHA) Basic Life Support (BLS) certification
Additional required AHA certifications: PALS
Additional required certifications (such as ENLS): None

UCSF Medical Center requires all Advanced Practice Providers (APPs) to be credentialed through its Office of Medical Affairs and Governance (OMAG) to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings. Credentialing takes between 60-90 days and must be completed prior to the first working day.

Function	% of time	Duties
Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)	70	Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. 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. 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. 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.
Inpatient – Care Coordination (may include some or all of the responsibilities listed)	30	1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. 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. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. 1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
Outpatient – Independent Encounters (may include some or all of the responsibilities listed)	##	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.
Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed)	##	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. 1.4. 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.
Outpatient – Care Coordination (may include some or all of the responsibilities listed)	##	1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not 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.
Total	100

Budgeted Job Salary Range: 105.50 to 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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