Nurse Practitioner 2

Come join our dynamic, highly skilled UCSF Geriatric Inpatient Services APP team! The UCSF Geriatric Inpatient Services include the Acute Care for Elders (ACE) Program and Inpatient Geriatrics Consultation, provided at UCSF Medical Center at UCSF Stanyan hospital. This position will be primarily based at the Stanyan Hospital, with cross-training to cover UCSF Parnassus. We are seeking a highly motivated Gerontology Nurse Practitioner (NP) to play a pivotal role in delivering patient-centered care for older adults and to serve as a Nursing leader in UCSF Health's innovative new ACE Program at Stanyan Hospital. The role includes direct patient care, inspiring and engaging nursing staff, and leading quality improvement initiatives to create and improve programs that enhance patient experiences and outcomes. Responsibilities also include developing an educational program to increase nursing and other disciplines geriatrics competencies across ACE units and the broader health system, participating in quality improvement initiatives, and expanding geriatrics programs into key areas such as the Age-Friendly Health System and other hospital units.

Under the supervision of the Medical Director and guided by UCSF Health policies and procedures, the APP position offers a broad scope of practice, including management of chronic stable medical conditions, specialty protocols, routine care, acute or critical care, and medical and surgical procedures, per approved standardized procedures. The APP will provide high-quality care to adult and geriatric patients across 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 hospital 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 families.

Requirements:

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.

• A minimum of six (6) months' experience as a Gerontology Nurse Practitioner

Preferred Qualifications:

• Experience in nursing leadership and program management
• Experience developing and implementing strategies to prevent cognitive and functional decline in acutely hospitalized older adults
• Minimum of 3 years of acute inpatient geriatric experience.
• Minimum of 1 year working as a Gerontology NP

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 Inpatient: (ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC).

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: ACLS

9. Additional required certifications (such as ENLS): None

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)

80%

• 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)

20%

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.

1.7. Communicates and collaborates with patient primary and specialty providers regarding geriatrics recommendations.

Outpatient - Independent Encounters (may include some or all of the responsibilities listed)

• 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)

• 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)

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.[KY1]

Total

100%

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)

80%

• 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)

20%

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.

1.7. Communicates and collaborates with patient primary and specialty providers regarding geriatrics recommendations.

Outpatient - Independent Encounters (may include some or all of the responsibilities listed)

• 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)

• 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)

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.[KY1]

Total

100%