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About the Role

This Nurse Practitioner (NP) position is assigned to the Neuro-Spine practice within the UCSF Department of Neurosurgery. The role involves managing chronic stable medical conditions, routine care, acute or critical care, and medical and surgical procedures within the NP's scope of practice. The APP is responsible for the quality of care for a specified patient population and must be credentialed through UCSF Health's Medical Staff Services Office.

Responsibilities

Independently or collaboratively evaluates and manages patients, including taking histories, performing physical examinations, and ordering necessary tests and treatments.
Documents care provided in the electronic medical record in accordance with UCSF Rules and Regulations.
Responds to clinical documentation integrity inquiries within 3 days.
Performs procedures granted through privileges/standardized procedures.
Identifies patients with acute decompensation or failure and responds to the hospital plan of care, reviewing with a physician.
Initiates consultations as indicated.
Documents independent assessment findings and recommends appropriate treatments.
Participates in service rounds and patient evaluation and treatment planning.
Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.
Evaluates complex cases and establishes individualized plans of care for disposition to a lower level of care.
Interprets and acts upon completed tests, procedures, and radiographic studies.
Completes clinically relevant paperwork/EHR documentation, including ordering medications and completing episodic care notes and discharge summaries.
Effectively communicates findings, treatment options, and care plans with patients and their families.
May first assist in the operating room if privileged to do so.
Monitors and evaluates patients for discharge, setting parameters and guidelines for continuum of care with the multi-disciplinary team.
Discharges patients, including prescribing medications, ordering DME, and providing discharge teaching.
Coordinates care throughout the continuum, including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
Coordinates episodic care and determines timing of routine clinic follow-up.
Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
Consults with nursing staff on the plan and implementation of individualized nursing care plans.
Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.
Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
Evaluates and manages patients in independent APP encounters, including telehealth, for new, follow-up, acute, routine, and specialty patients.
Reviews or collaborates with attending physician as needed for outpatient independent encounters.
Performs procedures individually granted through standardized procedures/privileges in outpatient settings.
Identifies high-risk groups and complex cases for review with attending physician in outpatient settings.
Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates therapy consultations in outpatient settings.
Interprets and acts upon ordered tests, procedures, and radiographic studies in a timely fashion in outpatient settings.
Completes clinically relevant paperwork/EHR in outpatient settings, including ordering medications and completing episodic care notes and telephone encounters.
Evaluates and manages patients in shared encounters with attending physician, including telehealth, to increase clinic access.
May first-assist in the operating room if privileged to do so through OMAG after completing required certification and proctoring.
Attends department quality improvement meetings and participates in patient evaluation and planning.
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).

Requirements

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
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).
Practitioner 1: 2-3 years experience in Neurological nursing or Pain management as an RN in outpatient or inpatient environment.
Practitioner 1: Must be able to work night shift, Saturday and Sunday to support inpatient Neurospine service overnight.
Nurse Practitioner 2: Minimum one (1) year of surgical specialties, neurology, and/or pain management experience as an NP in outpatient or inpatient environment.
Nurse Practitioner 2: Must be able to work night shift, Saturday and Sunday to support inpatient Neurospine service overnight.
Preferred: 1-2 years’ experience in academic medicine Neurological surgery, orthopedic spine surgery, and/or Pain management.
Preferred: Experience working evenings and weekends independently.
Preferred: Inpatient academic medicine experience in complex Neurological and/or Orthopedic spine surgery supporting Average daily census and discharges overnight.

Skills

Possess skills, knowledge, and abilities essential to successfully perform the duties of the assigned position

Location

UCSF Medical Center locations

Work Type

Inpatient
Outpatient
Full-time

Experience Level

Practitioner 1 (less than six (6) months of experience as an NP)
Nurse Practitioner 2 (at least six (6) months of NP experience)

Education Level

Master's degree in nursing or a Doctor of Nursing Practice (DNP)

Benefits

Total compensation details available at https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

About the Company

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.
UCSF is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.
UCSF is home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
UCSF is a diverse community made of people with many skills and talents.
UCSF is committed to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
UCSF is committed to equity – both in how we deliver care as well as our workforce.
UCSF is 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.

Equal 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.