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' care goals, 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 direct hospital admission when appropriate or facilitate emergency evaluation and admission. This role will require the ability to work in both the Infusion Center and the CACC.

Outpatient – Independent Encounters (may include some or all of the responsibilities listed)

65%

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

35%

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.

Required 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).

Nurse Practitioner Per Diem:

• Minimum of two (2) years of clinical experience as an NP in the same specialty and setting.
• At least two (2) years of recent inpatient hematology/oncology and/or oncology infusion center experience as a Nurse Practitioner.
• Demonstrated minimum one (1) year of clinical experience in managing patients receiving immunotherapy and biotherapy in an outpatient infusion center

Preferred Qualifications:

• One (1) year experience in adult critical care medicine as (Nurse or NP)
• Specialty Certifications; OCN or AOCNP
• ECG and imagining; (X-ray, CT and MRI) interpretation

Licenses/Certifications:

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).

1. California Driver License (if required for position)
2. Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address
3. American Heart Association (AHA) Basic Life Support (BLS) certification
4. Additional required AHA certifications: ACLS
5. Additional required certifications (such as ENLS): None

UCSF Medical Center requires all Advanced Practice Providers (APPs) to be credentialed through its Office of Medical Affairs and Governance (OMAG) to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings. Credentialing takes between 60-90 days and must be completed prior to the first working day.