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.
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
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:
California Registered Nurse (RN) License without restriction
California Nurse Practitioner (NP) License without restriction
California Nurse Practitioner Furnishing Number
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.
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
Function
% of time
Duties
Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)
95%
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, 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.
1.4. Completes consultations as ordered.
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.
1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.
1.9. Interprets completed tests, procedures, and radiographic studies.
1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to completing consultation care notes and any follow-up documentation 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. Communicates and coordinates with the ED team members and providers
1.13. Coordinates or orders DME, recommending or referring for ongoing follow up care, referrals, providing discharge teaching, and home care service orders and communication with primary care providers.
Inpatient - Care Coordination (may include some or all of the responsibilities listed)
5%
1.3. Participates in huddles with ED and inpatient hospital staff as necessary.
1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans.
1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
1.7. Communicates and collaborates with patient primary and specialty providers regarding geriatrics recommendations.
Total
100%
Function
% of time
Duties
Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)
95%
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, 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.
1.4. Completes consultations as ordered.
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.
1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.
1.9. Interprets completed tests, procedures, and radiographic studies.
1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to completing consultation care notes and any follow-up documentation 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. Communicates and coordinates with the ED team members and providers
1.13. Coordinates or orders DME, recommending or referring for ongoing follow up care, referrals, providing discharge teaching, and home care service orders and communication with primary care providers.
Inpatient - Care Coordination (may include some or all of the responsibilities listed)
5%
1.3. Participates in huddles with ED and inpatient hospital staff as necessary.
1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans.
1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
1.7. Communicates and collaborates with patient primary and specialty providers regarding geriatrics recommendations.
Total
100%