The posting
Job Description
The Pediatric Cardiothoracic Nurse Practitioner will deliver comprehensive healthcare under the clinical supervision of the Chief of Pediatric Cardiothoracic Surgery at UCSF Benioff Children’s Hospital –Oakland/San Francisco and under the administrative supervision of the Director of Pediatric Critical Care at UCSF Benioff Children’s Hospital – San Francisco. The Nurse Practitioner will collaborate with a dynamic interdisciplinary team of providers to care for patients in the Pediatric Cardiac Transitional Care Unit and in all inpatient areas that care for pediatric cardiothoracic surgery patients. Care is also provided in the outpatient clinic, via telehealth, and potentially in the operating room (depending on departmental need, experience, and interest). In the clinic and inpatient areas, the Nurse Practitioner will be responsible for assessment, evaluation, planning, teaching, and case management of preoperative and postoperative cardiothoracic surgery patients. The Nurse Practitioner will primarily work at UCSF Benioff Children’s Hospital – San Francisco campus and may cross train to the UCSF Benioff Children’s Hospital – Oakland campus or other facilities where our Pediatric Cardiothoracic surgeons operate.
Responsibilities
Use this space for job functions and duties, separated by % of time for each function, totaling 100%
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)
25
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)
5
- 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
Qualifications
Required Qualifications:
- 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).
- Minimum of six (6) months of NP experience in the Pediatric Critical Care or Pediatric Cardiology
- Demonstration of advanced interpersonal skills while working with families of acutely and critically ill children
- Excellent organization and communication skills
- Dedication to patient care
- Ability to critically think and problem solve
Preferred Qualifications:
- One year of working experience as an NP in or pediatric cardiology
- RNFA certificate
Licensure/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 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.
About Us
About UCSF
The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary Information
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
