Nurse Practitioner PD - PICU/TCUP (BCH-Mission Bay)

University of California - San Francisco; San Francisco (CA); On-site; USD 165,000 - 248,000; Part time

Job summary

UCSF Benioff Children's Hospital in San Francisco seeks a Pediatric Nurse Practitioner to join the PICU and Transitional Care Unit teams on a per diem basis. The role includes independent and collaborative patient management, with emphasis on safety, documentation, and coordination of care across inpatient and transitional services.

Applicants must hold a California RN license and NP licensure without restriction, with a master's in nursing or DNP, and at least three years in PICU or

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).
• Minimum of three (3) years PICU or Transitional Care Nurse Practitioner experience
• Current practice in Pediatric Critical and/or Transitional Care
• California RN License without restriction
• California Nurse Practitioner License without restriction
• NP Furnishing Number (CPNP-AC) required/maintained
• AHA BLS certification; PALS preferred

Responsibilities

• Evaluates and manages patients independently or collaboratively with physicians.
• Takes histories, performs exams, orders tests and medications, documents in EHR.
• May assist in the operating room after required certification and proctoring.
• Coordinates care across inpatient, care coordination, and outpatient services.
• Delivers discharge planning and patient/family education as part of the care team.

Skills

Critical care nursing

Nurse practitioner

Communication

Education

Master's degree in Nursing (MSN) or DNP

Job description

UCSF Benioff Children's Hospital is recognized throughout the world as a leader in health care, known for innovation, technology and compassionate care. UCSF has one of the top children's hospitals in the nation, according to a ranking by U.S. News & World Report. Our 183-bed UCSF Benioff Children's Hospital has more than 150 specialists in more than 40 areas of medicine.

The Pediatric Intensive Care Unit (PICU) at UCSF Benioff Children's Hospital provides extraordinary high-level care for children who require continuous monitoring. The unit has 20 beds for infants and children suffering from a variety of conditions or recovering from surgery. More than 1,000 children per year are admitted into the intensive care units at UCSF Benioff Children's Hospital arriving via ambulance, helicopter and airplane from throughout the western United States.

The Pediatric Transitional Care Unit (TCUP) is a 16-bed unit for infants and children suffering from a variety of conditions or recovering from surgery. The TCU provides care to patients with a moderate to high complexity of disease such as those recovering from solid organ transplantation, titration of anticoagulant therapy and other infusion, and post-operative specialty surgery care (ENT, neurosurgery). Patients requiring respiratory support including BIPAP, CPAP, high flow nasal cannula and patients requiring mechanical ventilation with tracheostomy in place are also routinely admitted to the TCUP. The Nurse Practitioner will act as a full member of the team taking responsibility for the safe delivery of care in collaboration with attending physicians, fellows and residents. This team member will meet productivity expectations as set forth by the Division Chief, performing any duties related to patient care activities that are appropriate and clearly delineated.

Nurse Practitioners on the PICU and TCUP Team provide care in rotating 12h shifts.

This per diem position includes holidays and weekends with the following MINIMUM AVAILABILITY REQUIREMENTS:

• Four (4) shifts per eight (8) week schedule or ratio of 2 shifts per 4 weeks scheduled Weekend/Night Commitment: Must be available and willing to work at least 4 weekend or 4 night shifts (Saturday or Sunday) per 8-week schedule.
• Holiday Commitment: Must be available to work one major UCSF holiday and one non-Major UCSF holiday per year (includes the holiday and the day before or after for a 2 day holiday period).
• Major UCSF Holidays: Thanksgiving, Christmas, New Years, Memorial Day, July 4th or Labor Day
• Non-Major UCSF Holidays: MLK Jr. Day, President's Day, Juneteenth, Mother's Day, Halloween
• May be scheduled for the holiday in addition to the day before or day after the holiday
• May be scheduled in the PICU or Transitional Care depending on the needs of each unit

Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)

70% of time

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)

30% of time

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)

##% of time

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)

##% of time

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)

##% of time

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.

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).
• Minimum of three (3) years PICU or Transitional Care Nurse Practitioner experience
• Current practice in Pediatric Critical and/or Transitional Care

Preferred Qualifications:

• Five (5) years of experience working as an AC-PNP in a level III Pediatric Intensive Care Unit

Licensure/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 - Pediatric Inpatient (CPNP-AC). See Addendum A below for more detail.
• 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: PALS
• Additional required certifications (such as ENLS): None

UCSF Medical Center requires all Advanced Practice Providers (APPs) to be credentialed through its Office of Medical Affairs and Governance (OMAG) to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings. Credentialing takes between 60-90 days and must be completed prior to the first working day.