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UCSF nurse practitioners (NPs) are advanced practice providers (APPs) who possess the education, national board certification, California licensure, knowledge, clinical skills, and experience necessary to provide evidence-based patient care in their area of clinical practice. They provide routine, acute, critical, and specialty care as defined by their granted privileges/standardized procedures. These may include performing non-invasive or invasive procedures and operative first assist.
UCSF NPs are guided by and follow California regulations and the UCSF Medical Staff Bylaws, Rules and Regulations, and Policies*. They are authorized to exercise those privileges specifically granted to them by the Committee on Interdisciplinary Practice (CIDP), Executive Medical Board (EMB), and Governance Advisory Council (GAC),* and are expected to provide clinically indicated care that meets the applicable standard of care.
*UCSF-hired APPs whose UCSF clinical responsibilities require patient care at facilities/locations outside of UCSF Medical Center and Clinics must abide by California regulations and are expected to provide clinically indicated care that meets the applicable standards of care. Additionally, they must be credentialed and privileged and follow the Bylaws, Rules and Regulations, and Policies of those facilities/locations. Examples include but are not limited to Langley Porter Psychiatric Hospital (LPPH), Marin Health, UCSF Benioff Children's Hospital Oakland, UCSF Health Saint Francis & St. Mary's Hospitals and Clinics, Washington Hospital, and Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG).
Responsibilities
Function
% of time
Duties
Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)
70

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.
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

1. Evaluates and manages patients in independent APP encounters, including telehealth.
2. Includes providing care to new, follow-up, acute, routine, and specialty patients.
3. 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.
4. Reviews or collaborates with attending physician as needed.
5. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations.
6. 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

1. Evaluates and manages patients in shared encounters with attending physician, including telehealth.
2. This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities.
3. Includes providing care to new, follow-up, acute, routine, and specialty patients.
4. 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.
5. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations
6. Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01.
   
   1. 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).
• Nurse Practitioner 1:
  
  • One (1) year experience in an OP setting or experience as a Registered Nurse
• Nurse Practitioner 2:
  
  • Two (2) years in a busy surgical specialty in Ambulatory setting as a nurse practitioner

Preferred Qualifications:

• Previous experience in Neurosurgery in patient setting with Stroke, Vascular experience
• Preferred In patient experience in General Neurosurgery and or Neurovascular for at least 5 years.

Licenses/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

UCSF Medical Center and Campus requires certain healthcare providers to be credentialed. In most cases this is done through its Office of Medical Affairs & Governance (OMAG) prior to the first working day. Credentialing and approval of the Standardized Procedures takes between 60-90 days but can vary.
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