UCSF

Public health sciences university in San Francisco

Nurse Practitioner - Neurosurgery, Crani Inpatient

Advanced Practice ProvidersPosted on Nov 13

Full-timeSan Francisco, CA, USA$240kIn-person

About the Job

Requirements

Graduation from a California Board of Registered Nursing-approved or verified school of nursing with a master's degree in nursing or a Doctor of Nursing Practice (DNP).
California Registered Nurse (RN) license without restriction.
California Certified Nurse Practitioner (NP) certification without restriction.
California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges.
National board certification from an accepted certifying agency aligned with the patient population and clinical role; for Adult Inpatient, accepted certifications include ACNP-BC, AGACNP-BC, ACNPC-AG, and ACNPC.
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.
For Practitioner 1, less than six months of NP experience and one year of experience in an outpatient setting or experience as a Registered Nurse.
For Nurse Practitioner 2, at least six months of NP experience and two years in a busy surgical specialty in an ambulatory setting.

Responsibilities

Evaluate and manage inpatients independently or collaboratively, taking histories, performing physical examinations, responding to changes in patient status, performing consults, and ordering or furnishing medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
Document patient care in the electronic medical record in accordance with UCSF Rules and Regulations, bill provider services to reflect the performing provider and comply with APP Billing Policy 3.08.01, and respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Perform procedures granted through privileges or standardized procedures.
Identify patients with acute decompensation or failure, respond to the hospital plan of care, and review the situation 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 with patients and their families.
First-assist in the operating room when appropriately 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, including evaluating and defining the discharge regimen.
Discharge patients, including prescribing or furnishing medications, ordering durable medical equipment, recommending or referring patients for 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 timing of routine clinic follow-up.
Participate in huddles with clinic and hospital staff and anticipate patients who require close management or intervention.
Consult with nursing staff on the plan 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.
For outpatient independent encounters, evaluate and manage new, follow-up, acute, routine, and specialty patients, including through telehealth; 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.
For outpatient independent encounters, review cases or collaborate with the attending physician as needed; perform procedures granted through standardized procedures or privileges; identify high-risk groups and complex cases for review with the attending physician and initiate consultations as appropriate; establish individualized rehabilitation plans 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; and complete relevant paperwork and electronic health record documentation, including medication orders, episodic care notes, and telephone encounters.
For outpatient shared encounters with physicians, evaluate and manage patients, including through telehealth, to increase clinic access and support the goal of doubling clinic volume; provide care to new, follow-up, acute, routine, and specialty patients; take histories, perform physical examinations, interpret diagnostic tests, collaborate on 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.
For outpatient shared encounters, document care in the electronic medical record in accordance with UCSF Rules and Regulations, bill provider services to reflect the performing provider and comply with APP Billing Policy 3.08.01, first-assist in the operating room when appropriately privileged through OMAG and after completing required certification and proctoring, identify high-risk groups and complex cases for review with the attending physician and initiate consultations as appropriate, establish individualized rehabilitation plans 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, and complete relevant paperwork and electronic health record documentation, including medication orders, episodic care notes, and telephone encounters.
For outpatient care coordination, coordinate care throughout the continuum, including hospital admission, coordination with staff and consulting services, and hospital discharge planning; this does not include management of inpatients.
For outpatient care coordination, coordinate episodic care and determine timing of routine clinic follow-up; participate in huddles with clinic and hospital staff and anticipate patients who require 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 independently provide case summaries for disability, insurance agencies, workers' compensation, work releases, and medical supply agencies.

Desired Qualifications

Inpatient experience in neurosciences is preferred.
Previous experience in a neurosurgery setting is preferred.

Under the supervision of the UCSF Department of Neurosurgery and guided by the policies and procedures, rules and regulations, and bylaws of the UCSF Medical Center, some Nursing Policies, and Medical Staff Policies, and any unique ambulatory patient services this Nurse Practitioner (NP) position is assigned to the Neurosurgery practice. This APP position may perform delegated functions as appropriate to their “scope of practice”. In general, the “scope of practice” includes the management of chronic stable medical conditions, routine care, acute or critical care, and medical and surgical procedures per approved standardized procedures as identified by the list available on the Medical Staff Office website. The CIDP approved standardized procedures are unique to each person and are unlikely to include ALL SPs on the list. This position may provide patient care in approved age groups and UCSF Health licensed settings. The APP has responsibility for the quality of standards of care for a specified patient population and evidences self-direction and accountability in the development of this role within all UCSF medical center locations. UCSF Health requires all Advanced Practice Practitioners (APP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites (Parnassus, Mt. Zion, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 30-60 days and must be completed prior to the first working day.

Required Licenses and Certifications

California Registered Nurse (RN) License without restriction
California Certified Nurse Practitioner (NP) without restriction
California Nurse Practitioner Furnishing Number including Schedule II furnishing privileges
NP national board certification from an accepted certifying agency aligned with the patient population and clinical role. Adult Inpatient (ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). 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: None additional to BLS
Additional required certifications (such as ENLS): None

Education and Experience Requirements:

Graduation from a California Board of Registered Nursing approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP).

Practitioner 1 ( less than Nurse six (6) months of experience as an NP):

One (1) year experience in an OP setting or experience as a Registered Nurse

Nurse Practitioner 2 ( at least six (6) months of NP experience):

2 years in a busy surgical specialty in Ambulatory setting

Preferred Qualifications:

Preferred In Patient experience in Neurosciences
Previous experience in Neurosurgery setting

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)	0	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)	0	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)	0	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: 240,000

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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