AFED Nurse Practitioner, Per Diem

The Division of Geriatrics seeks a per-diem Nurse Practitioner to support the Age-Friendly Geriatrics Emergency Department (AFED) consult service. UCSF is engaged in providing care based on "What matters" as part of the Age-Friendly Health System (AFHS). This position requires optimizing the care of older adults presenting to the emergency department setting when geriatric consultants are requested by ED providers. The clinical work involves providing consult services from Geriatrics to ED by completing structured assessments, patient exam, and making recommendations to the ED and Primary Care Physicians (PCPs) for ongoing care/ home management as indicated. It involves coordination with pharmacists, ED providers, geriatricians, social workers, community-based providers, and other interdisciplinary professionals and/or services to create an optimal discharge or ongoing transition of care for the patient. The position requires working collaboratively with the geriatricians in the Division of Geriatrics that are identified on scheduled shifts, and with the ED attendings and providers. The position DOES NOT involve direct clinical management responsibilities of patients in the emergency department. The per diem position requires commitment of at least 4 shifts per month and all shifts are 8-10 hours with onsite clinical coverage 7 days per week. This translates to approximately 20% FTE per month, not to exceed 40% FTE per month.

Our ideal candidate is a practicing nurse practitioner who possesses the advanced education, knowledge, clinical skills, and experience necessary to provide expert advanced nursing consultation in the geriatric specialty. Under the supervision of Geriatrics attending and guided by UCSF Health policies and procedures, the APP position offers a broad scope of practice in providing consultative services within a care pathway using multiple assessments and medical knowledge in the geriatric specialty in settings that involve coordinating with professionals managing chronic stable medical conditions, specialty protocols, routine care, acute or critical care per approved standardized procedures. The APP will provide high-quality patient-centered care to adult and geriatric patients at Parnassus campus but may involve consultation across all UCSF Health licensed settings. We value individuals who are professional, compassionate, and possess strong interpersonal and leadership skills. Ideal candidates are adaptable to changing situations, prioritize collaborative care, and are committed to enhancing the patient experience for older adults. This role provides the opportunity to lead impactful programs, innovate care delivery, and advance the field of geriatric medicine while helping UCSF Health improve health outcomes and empower older patients and their care partners.

1. Excellent verbal and written communication skills
2. Judgement skills to effectively meet the needs of patients
3. Self-direction and organizational skills to function in an independent role

4. Ability to cope with personal stress experienced by health care providers and team members
5. Ability to meet minimum standards for hospital credentialing and billing standards as a billable provider

6. Submit health plan (Medicare, Medicaid, and commercial for all APPs; also, CCS for pediatric providers) enrollment by first clinical day

7. At all times, must adhere to the UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center/campus/departmental policies and procedures

8. At all times, must adhere to all UCSF policies regarding HIPPA, privacy, communication, documentation, encounter closure, and billing

9. Mandatory attendance at the Office of Advanced Practice Providers Orientation Sessions

10. Mandatory attendance at the APP Onboarding Committee APP Onboarding Series

11. This position requires flexibility for the APP to work at all UCSF Health facilities/locations

12. Able to perform and interpret cognitive assessments

13. Able to perform and interpret functional assessments

14. Able to recognize and de-prescribe high-risk medications

15. Performs other duties as assigned

Required Qualifications:

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master's or doctoral degree aligned with the patient population and clinical role.

• Two (2) years of clinical experience as a nurse practitioner in the geriatric specialty and/or setting.

• One (1) year of experience in a setting with the majority in geriatrics or as a Gerontology Nurse Practitioner.

Preferred Qualifications:

• Experience in nursing leadership and program management

• Experience developing and implementing strategies to mitigate cognitive and functional decline in ED older adults

• Two (2) years of specific geriatric experience in the past 5 years

• One (1) year working in geriatrics as an NP

• Experience in precepting NP students

• Ability to qualify as UCSF Health trusted interpreter in a non-English second language

• Experience using EPIC EHR

License/Certifications:

1. California Registered Nurse (RN) License without restriction
2. California Nurse Practitioner (NP) License without restriction
3. California Nurse Practitioner Furnishing Number
4. NP national board certification from an accepted certifying agency aligned with the patient population and clinical role
Adult Outpatient (A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). MUST BE ACTIVE AND MAINTAINED THROUGHOUT EMPLOYMENT.
5. California Driver 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

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:

Required Qualifications:

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master's or doctoral degree aligned with the patient population and clinical role.

• Two (2) years of clinical experience as a nurse practitioner in the geriatric specialty and/or setting.

• One (1) year of experience in a setting with the majority in geriatrics or as a Gerontology Nurse Practitioner.

Preferred Qualifications:

• Experience in nursing leadership and program management

• Experience developing and implementing strategies to mitigate cognitive and functional decline in ED older adults

• Two (2) years of specific geriatric experience in the past 5 years

• One (1) year working in geriatrics as an NP

• Experience in precepting NP students

• Ability to qualify as UCSF Health trusted interpreter in a non-English second language

• Experience using EPIC EHR

License/Certifications:

1. California Registered Nurse (RN) License without restriction
2. California Nurse Practitioner (NP) License without restriction
3. California Nurse Practitioner Furnishing Number
4. NP national board certification from an accepted certifying agency aligned with the patient population and clinical role
Adult Outpatient (A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). MUST BE ACTIVE AND MAINTAINED THROUGHOUT EMPLOYMENT.
5. California Driver 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