Nurse Practitioner - Pediatric ICU

UCSF Benioff Children’s Hospital is recognized worldwide as a leader in health care with a 183‑bed facility home to more than 150 specialists across 40+ specialties.

The Pediatric Intensive Care Unit (PICU) provides high‑level clinical care for infants and children requiring continuous monitoring. The PICU has 20 beds, while the Pediatric Transitional Care Unit (TCUP) is an 18‑bed unit that serves patients with moderate to high complexity of disease during recovery from surgery, transplant, or other significant interventions. Both units admit over 1,000 children annually from the western United States.

The Nurse Practitioner will act as a full member of the team, taking responsibility for the safe delivery of care in collaboration with attending physicians, fellows, and residents. The role involves rotating 12‑hour shifts and meeting productivity expectations set forth by the Division Chief.

Inpatient – Direct Patient Care (70%)

• Independently or collaboratively evaluates and manages patients, including taking histories, performing physical examinations, and responding to changes in patient status.
• Orders medications, diagnostic tests, and durable medical equipment, and provides home health services as indicated.
• Documents all care in the electronic medical record per UCSF Rules and Regulations.
• Provides accurate billing statements that reflect the performing provider and adhere to the APP Billing Policy 3.08.01.
• Responds to clinical documentation integrity inquiries within three days.
• Performs procedures within the scope of privileges and standard procedures.
• Identifies patients with acute decompensation, initiates the hospital plan of care, and reviews with the physician.
• Initiates consultations as indicated.
• Recommends appropriate treatments after documenting independent assessment findings.
• Participates in service rounds and patient evaluation and treatment planning.
• Reviews lab, X‑ray, and other diagnostic results and initiates team plans.
• Develops individualized plans of care for complex cases and disposition to a lower level of care.
• Interprets and acts upon completed tests, procedures, and radiographic studies.
• Completes all required paperwork and electronic health record documentation, including medication orders, episodic care notes, and discharge summaries.
• Communicates findings, treatment options, and care plans effectively with patients and families.
• May assist in the operating room, if privileged, following required certification and proctoring.
• Monitors patients for discharge, sets parameters, and defines discharge regimen with the multidisciplinary team.
• Discharges patients, prescribes medications, orders durable medical equipment, and recommends or refers for ongoing follow‑up care, providing discharge teaching and completing discharge summaries.

Inpatient – Care Coordination (30%)

• Coordinates care throughout the continuum—admission, intra‑hospital care coordination with staff and consulting services, and discharge planning.
• Coordinates episodic care and schedules routine clinic follow‑ups.
• Participates in huddles with clinic and hospital staff, anticipating patients who require close management or intervention.
• Consults with nursing staff on individualized nursing care plans.
• 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 to control waste in the clinical specialty.

Outpatient – Independent Encounters

• Evaluates and manages patients in independent APP encounters, including telehealth, for new, follow‑up, acute, routine, and specialty patients.
• Performs histories, physical examinations, interprets diagnostic tests, forms evidence‑based assessments and plans, responds to changes in patient status, and orders necessary services.
• Collaborates with attending physicians as needed.
• Documents care in the electronic medical record per UCSF Rules and Regulations.
• Provides accurate billing and complies with Appendix Billing Policy 3.08.01.
• Performs procedures via standardized procedures/privileges.
• Identifies high‑risk groups and complex cases for…