Nurse Practitioner - Washington Health

This Nurse Practitioner (NP) position is assigned to the Washington Health Cancer Center.

In collaboration with the supervising physician and the administrative supervisor, the NP provides comprehensive care to patients with cancer who are receiving active treatment, patients in cancer survivorship, and patients with benign hematologic conditions.

The NP delivers evidence-based clinical care, including assessment and management of treatment-related toxicities, oncologic emergencies, symptom management, survivorship care, and benign hematologic disorders.

Responsibilities also include patient education, care coordination, triage, diagnostic evaluation, treatment planning in collaboration with the oncology team, and other duties as assigned to support the delivery of high-quality, patient-centered care.

The UCSF Helen Diller Family Comprehensive Cancer Center is an accredited National Cancer Institute Comprehensive Cancer Center. The NCI-Designation recognizes the scientific leadership, resources, and the depth and breadth of the research in basic, clinical, and population science.

As a Comprehensive Cancer Center, we demonstrate the added depth and breadth of research as well as substantial transdisciplinary research that bridges these scientific areas. The clinical services encompass adult and pediatric tumors across three campuses as well as regional satellite locations.

The clinical cancer program is one of the largest clinical services at UCSF Medical Center and encompasses roughly 230 non-physician FTEs, 100+ cost centers, and dozens of grant and philanthropic funding sources.

At the UCSF Helen Diller Family Comprehensive Cancer Center, we are truly pioneering care and leaders in all areas of cancer clinical care and research. We are consistently ranked as one of the top 10 programs by U.S.

News and World Report.

Responsibilities

Function

% of time

Duties

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

0

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)

0

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)

80

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)

0

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.

Outpatient – Care Coordination (may include some or all of the responsibilities listed)

20

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.

Total

100

Qualifications

Minimum License/Certification

1. California Registered Nurse (RN) License without restriction

2. California Certified Nurse Practitioner (NP) without restriction