Nurse Practitioner

Job Description

Come join our dynamic, highly skilled Advanced Endoscopy inpatient APP team. The Advanced Endoscopy service provides state‑of‑the‑art surgical treatments, including cyst‑gastrostomy, endoscopic necrosectomy, endoscopy ultrasound‑guided gastrojejunostomy, and endoscopic ultrasound‑guided biliary drainage procedures. Opportunities to train in other advanced procedures, such as EMR, ESD, POEM, ESG, TIF, endoscopic suturing, balloon‑assisted enteroscopy, and endoscopic retrograde cholangiopancreatography, are also available. We value professional individuals who possess strong interpersonal and communication skills and can prioritize and adapt to changing situations.

Our Advanced Endoscopy APPs work at the top of the scope, managing patients independently in a collaborative environment with Fellows and Attending Physicians.

• 90% Inpatient – Direct Patient Care
• Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients, including taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications, diagnostics, therapies, referrals, DME, and home health services.
• Care provided must be documented in the electronic medical record in accordance with 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.
• Performs procedures granted through privileges and standardized procedures.
• 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/EHR documentation, including ordering medications, completing episodic care notes, and discharge summaries in accordance with UCSF Rules and Regulations.
• Effectively communicates findings, treatment options, and care plans with patients and families.
• May first assist in the operating room if privileged to do so through OMAG after completing required certification and proctoring.
• Monitors and evaluates patients for discharge, sets parameters for continuum of care with a multidisciplinary team, and defines discharge regimen.
• Discharges patients, including prescribing/furnishing medications, ordering DME, recommending or referring for ongoing follow‑up care, providing discharge teaching, and completing discharge summaries.

• Coordinates care throughout the continuum, including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
• 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.

• Excellent verbal and written communication skills.
• Judgment 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…