Under the supervision of the UCSF Department of Minimally Invasive Gynecologic Surgery and Urogynecology, in collaboration with the Medical Director, and guided by the policies and procedures, rules and regulations, and bylaws of the UCSF Medical Center, some Nursing Policies, and, Medical Staff Policies, and any unique ambulatory patient services this Nurse Practitioner 2 (NP 2) position provides direct care to minimally invasive gynecology surgery and urogynecology patients with multiple, often complicated chronic medical problems.
This APP position may perform delegated functions as appropriate to their “scope of practice”.
In general, the “scope of practice” includes the management of chronic stable medical conditions, routine care, acute or critical care, and medical and surgical procedures per approved standardized procedures (SPs) as identified by the list available on the Office of Medical Affairs and Governance (OMAG) website.
The NP’s primary responsibility will be to provide clinical care to all appropriate MIGS/Urogyn patients in need of new, routine, urgent, and same day visits.
The NP will provide triage care by phone and through MyChart, and provide direct support to our triage team.
The NP will communicate patient care updates and follow-up through phone and MyChart.
Responsibilities may include coordinating ongoing care for MIGS/Urogyn patients, managing clinical follow-ups, supporting the care team with In Basket messages and prescription refills.
The NP will independently see patients for both new and follow-up visits, and will also provide same-day access for urgent concerns, pre- and post-operative needs, and routine MIGS/Urogyn care.
Responsibilities
Outpatient – Independent Encounters (may include some or all of the responsibilities listed) 85% Evaluates and manages patients in independent APP encounters, including telehealth. Includes providing care to new, follow-up, acute, routine, and specialty patients. 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. Reviews or collaborates with attending physician as needed. 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. 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) 15% 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.
