Nurse Practitioner - Advanced Heart Failure /Mechanical Circulatory Support

Responsibilities

• 60% Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)
  • Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.
  • Takes histories, performs physical examinations, responds to changes in patient status, performs consults, orders or furnishes 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.
  • Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with 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, 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/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.
  • 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 through OMAG after completing the required certification and proctoring.
  • Marks parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.
  • Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.
• 25% Inpatient – Care Coordination (may include some or all of the responsibilities listed)
  • Care coordinates throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
  • Carefully 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 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.
• 10% Outpatient – Independent Encounters (may include some or all of the responsibilities listed)
  • Evaluates and manages patients in independent APP encounters, including telehealth.
  • Provides 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.
  • Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.
• 0% 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.
  • Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.
• 5% Outpatient – Care Coordination (may include some or all of the responsibilities listed)
  • Carefully coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
  • Carefully 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.
  • Attends department quality improvement meetings and participates in patient evaluation and planning.
  • Consults with nursing staff on plan and implementation of individualized nursing care plans.
  • Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.

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 4 years as a Nurse Practitioner in Cardiology, MCS, or Advanced Heart Failure.
• Minimum of 2 years managing mechanical circulatory support patients.
• Minimum of 3 years critical care nursing experience managing all MCS devices as a: impella, extracorporeal membrane oxygenation (ECMO), left ventricular assist device (LVAD).
• Preferred qualifications: Previous experience as an APP in managing Advanced Heart Failure Patients, Heart Transplant & MCS Patients.
• 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: ACLS.
• 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; 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.