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Job Description

Nurse Practitioner
The UCSF Care at Home Program is a unique medical practice that provides in-home medical care to frail elders in San Francisco. The physicians and nurse practitioner are specialists in geriatric medicine/palliative medicine and bring their expertise to homebound elders who otherwise would not be able to receive high quality primary care.

Our patients have multiple medical problems, and many are nearing the end of their lives. We provide preventive, restorative, and palliative medical care as desired and appropriate. Care plans are developed with each patient, and the care is coordinated with family and community services to support elders in their homes. Our team consists of 12 - physicians, 3 - nurse practitioners, 2 - social workers, 2 - practice coordinators, a nurse coordinator, a health care navigator and operations manager.

UC Care at Home currently has 620 homebound patients and expects to grow the next year. The practice is located at the UCSF Laurel Heights campus, 3333 California St., Suite 380.

Under the direction of the Medical Director, the Nurse Practitioner will assist housecalls geriatricians to provide comprehensive primary care to a panel of medically complex, frail, homebound geriatric clients in their homes or assisted living facility. Patient population includes clients with advanced dementia, chronic conditions, neurologic movement disorders, and end of life care needs.

The Nurse Practitioner will provide initial, ongoing health assessments, manage chronic illness, and symptoms, triage acute exacerbations of chronic illness, provide health maintenance interventions, and furnish medications in accordance with a standardized procedure. S/he will educate family and caregivers about client condition, care needs, and health care decision-making. S/he will work closely with patient families and community agency personnel to coordinate and facilitate provision of appropriate social services and environmental support.

The Nurse Practitioner will also be involved in Bridges home-based services under the direction of the Bridge physician. These might include: 1) home-based geriatrics consults, 2) transitional care visits to patients discharged from the hospital or post-acute skilled nursing facility, and 3) urgent home visits for Bridge patients with acute symptoms.

Additional job responsibilities will include:

  • Occasional clinical teaching of medical and nursing trainees on geriatrics, home-based care, and interprofessional care
  • Assisting the Medical Director with tracking quality metrics and clinical performance standards for Housecalls providers
UCSF Medical Center requires all Advanced Health Professionals (AHP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric AHPs in the inpatient and outpatient clinical settings at all UCSF Medical Center sites (Parnassus, Mt. Zion, Mission Bay, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 60-90 days and must be completed prior to the first working day.

Required Qualifications
  • One year of experience in geriatrics and/or home care and/or primary care
  • One year of experience with dementia and movement disorders
  • One year of experience with palliative/hospice care
  • One year of experience with transitional care
  • One year of experience teaching interprofessional learners (undergraduate and graduate) on topics ranging from geriatric syndromes to pain management
  • Active Nurse Practitioner licensure in the State of California
  • Active Registered Nurse licensure in the State of California
  • Active American Heart Association CPR certification
  • Current national certification in the specialty of hire and provide by first day of work: Gerontology or Palliative Medicine
  • Current and active NP Furnishing license
  • Active and transferable DEA license to California as required by your clinical specialty; it is the responsibility of the employee to transfer their DEA license to their new place of employment via online DEA portal
  • Paneling with CMS Medicare and Medicaid eligible and CCS paneling as appropriate for pediatric environments
    • The reappointment process occurs every two years following initial approval of hospital privileges
  • Masters or Doctorate degree from an accredited graduate school of nursing and completion of primary care Nurse Practitioner residency program
  • Experience in collaborating with practice physicians
  • Proficiency in English, spoken and written
  • Possess mediation skills, critical analysis and problem-solving skills
  • Ability to work independently
  • Ability to interpret laboratory and radiographic data
  • Ability to work collaboratively through consultation with other healthcare team providers
  • Willingness to teach and interact with students, residents, and fellows
  • Willingness to advocate on behalf of patients and the Housecalls team
  • Willingness to continually learn about homebound patients and advance patient care and safety
  • Triage skills
  • Training and experience in Quality Improvement
  • The flexibility to orient and work at all UCSF Medical Center locations

Preferred Qualifications
  • Current national certification in the area of specialty (NPII+): Gerontology
  • Current national certification in the area of specialty (NPII+): Palliative Medicine
  • Experience in Home Health settings
  • Experience in palliative care and hospice settings
  • Proficiency in Spanish, spoken and written
  • Experience using APeX, UCare and STOR systems

Licensure/Certification
  • Active Nurse Practitioner licensure in the State of California
  • Active Registered Nurse licensure in the State of California
  • Active American Heart Association CPR certification
  • Current national certification in the specialty of hire and provide by first day of work: Gerontology or Palliative Medicine
  • Current and active NP Furnishing license
  • Active and transferable DEA license to California as required by your clinical specialty. It is the responsibility of the employee to transfer their DEA license to their new place of employment via online DEA portal
UCSF Medical Center requires all Advanced Health Professionals (AHP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric AHPs in the inpatient and outpatient clinical settings at all UCSF Medical Center sites (Parnassus, Mt. Zion, Mission Bay, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 60-90 days and must be completed prior to the first working day.

Living Pride Standards

Service Excellence
  • Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Center?s values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency.
  • Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards.
  • Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices
  • Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
  • Demonstrates an understanding of and adheres to safety and infection control policies and procedures.
  • Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets.
Work Environment
  • Keeps working areas neat, orderly and clutter-free, including the hallways. Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.
  • Picks up and disposes of any litter found throughout entire facility.
  • Posts flyers and posters in designated areas only; does not post on walls, doors or windows.
  • Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments.
  • Protects the physical environment and equipment from damage and theft.
The flexibility to orient and work at all UCSF Medical Center locations is required.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Further information about the University of California, San Francisco, is available at diversity.ucsf.edu. UCSF seeks candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence, and the communities we serve.