Nurse Practitioner - Adult Epilepsy Service (UCSF)
Join one of the nation's leading epilepsy care teams at UCSF, a nationally recognized Level 4 Epilepsy Center. We provide advanced, personalized care for people living with epilepsy and seizure disorders, using the latest diagnostic tools and treatments.
As a Nurse Practitioner 1 or 2 on our Adult Epilepsy team, you'll play an important role in guiding patients through their care journey. You'll work closely with a supportive, multidisciplinary team that includes neurologists, neurosurgeons, neuropsychologists, neurodiagnostic techs, and nurses—focused on improving patients' quality of life.
What You’ll Do
- Support patients before and during planned hospital admissions for seizure monitoring.
- Help coordinate care by working with clinical and administrative teams.
- Partner with epilepsy specialists to evaluate treatment options, including surgical and device‑based therapies.
- Provide clear, compassionate education to patients and families about their care.
- 80% Inpatient Duties to include, but not limited to:
- Facilitate admission and discharge care coordination.
- Provide patient education.
- Liaison for epilepsy leadership/clinical staff and provide nursing training.
- Pre‑surgical care coordination.
- 20% Outpatient Duties to include, but not limited to:
- Independent outpatient visits.
- Order diagnostic testing and referrals.
- Manage in‑basket messages.
- Peer‑to‑peer authorization for procedures, medications, and admissions denials.
- Serve as the point of contact/subject‑matter expert alongside physicians.
- 20% Inpatient – Direct Patient Care (may include some or all of the responsibilities listed)
- 1.1 Independently or collaboratively evaluates and manages patients.
- 1.2 Performs procedures granted 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 diagnostics, 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/EHR documentation, including ordering medications, completing episodic care notes and discharge summaries in accordance with 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 through OMAG after required certification and proctoring.
- 1.13 Monitors and evaluates patients for discharge; sets parameters and guidelines for continuum of care with multidisciplinary team, including 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.
- 60% Inpatient – 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.
- 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.
- 10% Outpatient – Independent Encounters (may include some or all of the responsibilities listed)
- 1.1 Evaluates and manages patients in independent APP encounters, including telehealth.
- 1.2 Performs procedures individually granted 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 ordering medications, completing episodic care notes and telephone encounters.
- 5% Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed)
- 1.1 Evaluates and manages patients in shared encounters with attending physician, including telehealth.
- 1.2 May first‑assist in the operating room if privileged through OMAG after 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 ordering medications, completing episodic care notes and telephone encounters.
- 5% 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 in‑patients.
- 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.
Why This Role Is a Great Fit
- Strong team‑based environment with mentorship and learning opportunities.
- Exposure to advanced, cutting‑edge epilepsy care.
- Meaningful patient impact in a highly specialized field.
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).
- One (1) year or more of NP experience in epilepsy within the past five years.
Preferred Qualifications
- One (1) year or greater NP experience in epilepsy within the past five years, including independent ambulatory patient encounters.
License / 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).
- 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.
Minimum Knowledge, Skills, and Abilities (KSA)
- Excellent verbal and written communication skills.
- Judgement skills to effectively meet the needs of patients.
- Self‑direction and organizational skills to function in an independent role.
- Ability to cope with personal stress experienced by health care providers and team members.
- Ability to meet minimum standards for hospital credentialing and billing standards as a billable provider.
- Submit health plan enrollment by first clinical day (Medicare, Medicaid, and commercial for all APPs; also CCS for pediatric providers).
- Adhere to UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center/campus/departmental policies and procedures.
- Adhere to all UCSF policies regarding HIPAA, privacy, communication, documentation, encounter closure, and billing.
- Mandatory attendance at the Office of Advanced Practice Providers Orientation Sessions.
- Mandatory attendance at the APP Onboarding Committee APP Onboarding Series.
- Perform other duties as assigned.