Neurosurgery Nurse Practitioner

Join UCSF Neurosurgery as a Nurse Practitioner supporting complex neuroscience patients in one of the nation's leading academic medical centers. This role combines inpatient and outpatient neurosurgical care in a collaborative environment alongside nationally recognized neurosurgeons and multidisciplinary specialists.

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-hires 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).

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)

60

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)

40

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

Required:

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).

• Two (2)years of experience in busy ambulatory neurosurgical specialty settings, including ICU, trauma surgery, orthopedic spine, and neurocritical care.

Preferred:

• Preferred Ambulatory OP experience and or inpatient experience in Neurosciences

License/Certification:

1. California Registered Nurse (RN) License without restriction
2. California Certified Nurse Practitioner (NP) without restriction
3. California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges
4. NP national board certification from an accepted certifying agency aligned with the patient population and clinical role. Adult Hybrid: Inpatient and Outpatient:(ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC).
5. California Driver's 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: None additional to BLS
9. 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 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

Required

Preferred

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