Nurse Practitioner - Advanced Heart Failure /Mechanical Circulatory Support at UC San Francisco in San Francisco, CA

Job description

The University of California, San Francisco (UCSF) Heart & Vascular Center’s Advanced Heart Failure Comprehensive Care Center seeks a full-time Advanced Practice Provider (APP) to treat mechanical circulatory support (MCS), heart transplant, and advanced heart failure patients, among others. The UCSF team consists of highly experienced physicians, surgeons, APPs, nurses, pharmacists, social workers, and researchers, caring for patients with advanced heart failure across the continuum of care. Our Advanced Heart Failure & MCS programs are nationally known for cutting edge advanced heart failure care and support in both the outpatient and inpatient setting and offers a variety of support systems (long-term and short-term). The APP serves as primary provider in the hospital setting for these patients and will work closely with the Advanced Heart Failure Cardiologist, Cardiothoracic Surgery and Intensive Care teams along with nursing, case management, social workers and other multidisciplinary teams to evaluate, treat and manage this highly complex patient population in the Intensive Care and Acute Care Units. Responsibilities 60% Inpatient - Direct Patient Care (may include some or all of the responsibilities listed) 1.1. Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. 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. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations. Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01. 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. 25% Inpatient – Care Coordination (may include some or all of the responsibilities listed) 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 cl