Nurse Practitioner 2 - Infusion

Job Description

Interested in a dynamic, autonomous practice setting, working with a highly skilled and collaborative APP team? Consider joining our ambulatory care Cancer Center Infusion APP team. The Cancer Center Infusion APP team is responsible for overseeing and providing care for 50-75 patients per day (depending on the unit size) across five Infusion centers for Oncology and non-Oncology patients. Infusion APPs triage clinical concerns, such as acute treatment related symptoms, in real time and ensure continuity of care through collaboration and communication with physicians'/surgeons/APP colleagues, as well as other clinical and administrative staff. Together, the team supports timely patient treatment, works toward patients' goals of care, and promotes a positive patient experience and outcome. In addition to our infusion areas, APPs provide care at the three-bed Cancer Acute Care Clinic (CACC). There, they assess, diagnose, and manage acute oncology symptoms that can safely be treated in an outpatient setting. When a patient needs a higher level of care, APPs in the CACC coordinate a direct hospital admission when appropriate or facilitate emergency evaluation and admission. This role will require the ability to work in both the Infusion Centers and the CACC.

Responsibilities

1. Evaluates and manages patients in independent APP encounters, including telehealth.

1. Includes providing care to new, follow-up, acute, routine, and specialty patients.

1. 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.

1. Reviews or collaborates with attending physician as needed.

1. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations.

1. 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.

1. Evaluates and manages patients in shared encounters with attending physician, including telehealth.

1. This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities.

1. Includes providing care to new, follow-up, acute, routine, and specialty patients.

1. 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.

1. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations

1. 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.

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.

Qualifications

Minimum License/Certification:

1. California Registered Nurse (RN) License without restriction
2. California Nurse Practitioner (NP) License without restriction
3. California Nurse Practitioner Furnishing Number
4. 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).
5. California Driver License (if required for position)
6. Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address
7. American Heart Association (AHA) Basic Life Support (BLS) certification
8. Additional required AHA certifications: ACLS
9. Additional required certifications (such as ENLS): None

Minimum Education/ Experience:

Nurse Practitioner 2:

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master's or doctoral degree aligned with the patient population and clinical role.

1. These NPs have at least six (6) months of NP experience.
2. least two (2) years recent inpatient hematology/oncology and/or oncology infusion center experience as a Nurse Practitioner.
3. Demonstrated minimum 1 year of clinical experience in managing patients receiving immunotherapy and biotherapy in an outpatient infusion center.

Minimum Knowledge, Skills, and Abilities(KSA):

1. Excellent verbal and written communication skills
2. Judgement skills to effectively meet the needs of patients
3. Self-direction and organizational skills to function in an independent role
4. Ability to cope with personal stress experienced by health care providers and team members
5. Ability to meet minimum standards for hospital credentialing and billing standards as a billable provider
6. Submit health plan (Medicare, Medicaid, and commercial for all APPs; also, CCS for pediatric providers) enrollment by first clinical day
7. 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
8. At all times, must adhere to all UCSF policies regarding HIPPA, privacy, communication, documentation, encounter closure, and billing
9. Mandatory attendance at the Office of Advanced Practice Providers Orientation Sessions
10. Mandatory attendance at the APP Onboarding Committee APP Onboarding Series
11. This position requires flexibility for the APP to work at all UCSF Health facilities/locations
12. Performs other duties as assigned

Preferred Qualifications:

Preferred Education/Experience:

1. One (1) year experience in adult critical care medicine as (Nurse or NP)
2. Specialty Certifications; OCN or AOCNP

Preferred Knowledge, Skills, and Abilities(KSA):

1. ECG and imagining; (X-ray, CT and MRI) interpretation

Special Conditions of Employment
Work Environment:

1. This position requires flexibility to work at all UCSF Health facilities/locations
2. This position may require the ability to work flexible hours to meet operational needs
3. This position may require other duties to meet operational needs
4. Peer references are expected to reflect an overall meet or exceeds