Nurse Practitioner

Job description

UCSF Cancer Services is launching outpatient medical oncology, surgical oncology and infusion services at the Berkeley outpatient center. The Nurse Practitioner will be part of a small team initiating outpatient practice and infusion services in a new regional cancer services center. The Nurse Practitioner will provide direct patient care as well as clinical support to infusion patients and nursing teams.
Under the supervision of the UCSF Department of Surgery & Department of Medicine and guided by the policies and procedures, rules and regulations, and bylaws of the UCSF Medical Center, some Nursing Policies, and, Medical Staff Policies, and any unique to inpatient or ambulatory patient services (for those APPs providing services both in the inpatient and ambulatory environments) this Nurse Practitioner (NP) position is assigned to the Berkeley Cancer Outpatient Practice and Infusion Center. This APP position may perform delegated functions as appropriate to their “scope of practice”. In general, the “scope of practice” includes the management of chronic stable medical conditions, specialty protocols (e.g. chemotherapy), routine care, acute or critical care, and medical and surgical procedures. This position will provide outpatient care in approved age groups at UCSF Health settings. The APP has responsibility for the quality of standards of care for a specified patient population and evidence self-direction and accountability in the development of this role within the all UCSF medical center locations. UCSF Health requires all Advanced Practice Providers (APP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites (Parnassus, Mt. Zion, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 30-60 days and must be completed prior to the first working day.
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UCSF Cancer Services is launching outpatient medical oncology, surgical oncology and infusion services at the Berkeley outpatient center. The Nurse Practitioner will be part of a small team initiating outpatient practice and infusion services in a new regional cancer services center. The Nurse Practitioner will provide direct patient care as well as clinical support to infusion patients and nursing teams.
Under the supervision of the UCSF Department of Surgery & Department of Medicine and guided by the policies and procedures, rules and regulations, and bylaws of the UCSF Medical Center, some Nursing Policies, and, Medical Staff Policies, and any unique to inpatient or ambulatory patient services (for those APPs providing services both in the inpatient and ambulatory environments) this Nurse Practitioner (NP) position is assigned to the Berkeley Cancer Outpatient Practice and Infusion Center. This APP position may perform delegated functions as appropriate to their “scope of practice”. In general, the “scope of practice” includes the management of chronic stable medical conditions, specialty protocols (e.g. chemotherapy), routine care, acute or critical care, and medical and surgical procedures. This position will provide outpatient care in approved age groups at UCSF Health settings. The APP has responsibility for the quality of standards of care for a specified patient population and evidence self-direction and accountability in the development of this role within the all UCSF medical center locations. UCSF Health requires all Advanced Practice Providers (APP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites (Parnassus, Mt. Zion, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 30-60 days and must be completed prior to the first working day.
DUTIES & ESSENTIAL JOB FUNCTIONS
• Work with physicians/surgeons/APP colleagues and other clinical and administrative staff to ensure efficient patient management based on accepted practice, including but not limited to, taking histories, performing physical examinations, peri-operative planning/coordinating with outside providers and primary care providers (PCPs) as applicable, responding to changes in patient status, providing prescriptions/evaluations/referrals, diagnostic tests/treatments as permitted under core privileges and standardized procedures. Evaluate for and order home health services, durable medical equipment (DME), Department of Motor Vehicles (DMV) certifications, refer for consultations, physical therapy, order radiographic imaging or diagnostic tests, and specialized treatments (e.g. chemotherapy with the approved privilege). Provide patient and family education, arrange follow-up appointments, and engage in any approved privileges after the APP has demonstrated competency through proctoring and FPPE process. OMAG will identify independent practice for approved privileges on the ECHO website and procedural activity will be entered by the provider and monitored via the elog system.
• To evaluate, assess and create a documented plan of treatment per patient’s presenting HPI or established plan of care as defined by the UCSF Medical Staff Bylaws. •To answer clinically relevant patient medical advice calls or during bedside communications or in coordination with health care professionals, patients, and their families as necessary.
• To independently, or in a shared visit model, evaluate routine, acute, critical, new patients, or specialty consultations when needed or required and discuss with attending and staff as appropriate and document in the EHR. Any required documentation workflow must be adhered to.
• Be able to interpret and act upon ordered tests, procedures, and radiographic studies.
• To assist in formulating and implementing protocols to improve efficiency in the clinical specialty.
• Effectively communicate with family or patients in person, via telephone and/or via other electronic modalities in a timely manner. Ensure in their absence, appropriate clinical coverage has been arranged for patient management and communication as appropriate.
• At all times adhere to all policies and procedures of UCSF Health in terms of HIPPA/Communication/Privacy/Code of Conduct, and any other UCSF or Medical Center Policies, which includes meeting the encounter closure requirements of the Medical Staff Bylaws.
• Mandatory attendance at APP UCSF Onboarding Sessions for all new APP employees whether experienced or new to APP practice. Adhere to all scheduling and communication policies whether specific or as outlined in the collective bargaining agreement.
• Some duties, performed routinely orperiodically, may be unique tothe specific clinical service of the APP.

• 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 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). 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: None additional to BLS

Minimum of 3 years of recent experience or more related NP experience in adult oncology practice
• Strong interpersonal skills
• Skill to perform complex physical assessment
• Problem solving ability
• Triage skills
• Ability to work well with all healthcare provider

This position requires flexibility to orient and work at all UCSF Health locations and in varying schedules as outlined.
• 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 (Medicare, Medicaid, and commercial for all APPs; also, CCS for pediatric providers) enrollment by first clinical day
• At all times, must adhere to the UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center/campus/departmental policies and procedures
• At all times, must adhere to all UCSF policies regarding HIPPA, 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
• This position requires flexibility for the APP to work at all UCSF Health facilities/locations
• Performs other duties as assigned

Preferred Qualifications:
• Experience in clinical database entry
• Familiar with Epic/Apex electronic charting system