NP Full-time

We are so glad you are interested in joining Sutter Health!

Organization:

ABSMC-Alta Bates Summit Med Center

Position Overview:

Assesses, diagnoses, plans and implements the medical care of patients in collaboration with a physician. Functions within the full scope of licensure; accountable for the assessment, coordination delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care. Delivers holistic and individualized care to all patients in assigned area. Develops, implements, manages an optimal interdisciplinary plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to entity polices, industry standards, best practices, and applicable laws/regulations and codes to promote a quality, highly reliable patient experience. Engages in continuous growth and development in professional advanced nursing practice. Follows ambulatory care and inpatient standardized procedures, protocols, policy and procedures regulated by the State of California Nurse Practice Act.

Job Description:

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

RESPONSIBILITIES:

  • Facilitate the timely discharge of admitted and observation Heart and Vascular (HV) patients, with an emphasis on achieving discharge prior to noon.
  • Coordinate and oversee the discharge of same-day procedure patients, ensuring completion prior to noon whenever possible.
  • Conduct pre-procedural evaluations and obtain informed consent for HV patients.
  • Manage post-procedural care, including wound and device assessments, patient education, and medication reconciliation.
  • Serve as the primary point of contact for registered nurses and consulting services, providing clinical guidance and support as needed.
  • Perform rounds on existing and new consults, as time and patient volume permit.
  • Participate in designated weekend rounding responsibilities in collaboration with on-call cardiologists.
  • Provide comprehensive transitional care services within the cardiology clinic to ensure continuity of care post-discharge.

JOB ACCOUNTABILITIES:

ADVANCED NURSE PRACTICE:

  • Manages the medical care for patients utilizing clinical protocols in collaboration with the physicians.

  • Performs a physical exam if indicated.

  • Ensures individualized health maintenance status to include, but not limited to, vaccinations, screening for risk factors, mental status baseline, dental screening and other appropriate functional assessments.

  • Conducts diagnostic examinations, complies and updates detailed medical histories.

  • Consults with supervising physician in cases of abnormal examination of test findings and when implementing clinical protocols.

  • Perform standardized procedures without the direct observation, supervision or approval of a physician.

  • May facilitate care to a community practitioner, upon discharge.

ASSESSMENT AND PLANNING OF PATIENT CARE:

  • Conducts patient and family assessment encompassing physiological, spiritual and emotional areas.

  • Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate patient care plan to ensure a plan of care that is patient centric with continuity of care.

  • Partners with peers, other healthcare providers, and management to effectively improve patient outcomes and provide the highest care quality.

  • May partner to streamline patient workflow.

  • Communicates patients’ plan of care to co-workers and other departments

  • May facilitate transfer to a community practitioner.

PROVISION OF PATIENT CARE:

  • Provides competent, compassionate and cos-t effective patient care in accordance with unit, department, hospital policies, scientific principles, evidence-based nursing practice/process, nursing objectives and standards of care.

  • Maintains a safe, comfortable and therapeutic environment for each patient and their families/support group in accordance with entity regulations

  • Delegates tasks appropriately/effectively to team members based on legal scopes of practice, licensure, educational preparation, appropriate guidelines and individual capability.

  • Communicates with and explains treatments/activities to patient and family in a clear, open- ended, collaborative manner showing care and concern, using teach back to ensure patient understanding of explanations, and integrating patient learning and educational needs.

  • Maintains mindfulness in delivery of individualized care and in communication with patients and families, with a safety focus

  • Delivers safe and effective patient care in compliance with established entity policies and procedures, as well as local, state and federal regulations to provide the highest level of patient care.

  • Upholds the confidentiality of all patients protected health information (PHI) and protects all PHI from accidental, intentional or inappropriate disclosure.

  • Remains current in advancements, trends, and best practices related to acute care and area of specialty and in professional nursing practice

  • Participates in and supports system, operating unit, facility and unit process improvement activities.


EVALUATION OF PATIENT CARE:

  • Monitors patient care interventions, assesses therapies, evaluates outcomes, and intervenes.

  • Conducts ongoing education for patients and their families to ensure optimal patient care from admission through transitions of care.

  • Reassesses, evaluates and documents each patient’s response to the plan of care and adjusts the plan.

  • Reports any events or near-misses in safety or compliance concerns via patient safety reporting mechanism

  • Participates in analysis of safety events to prevent future occurrences

  • Accurately documents and updates all treatment information in the patient’s electronic health record (EHR).

  • Develops, implements, documents formal teaching and transition planning that includes the patient/family in care for identified health needs

EDUCATION:

Graduate of an accredited school of nursing.
Master's: Nursing
CERTIFICATION & LICENSURE
NP-California Nurse Practitioner by California Department of Consumer Affairs

AANPCB-National certification by The American Academy of Nurse Practitioners Certification Board

OR ANCC-National Certification by American Nurses Credentialing Center

OR AACN-National Certification by American Association of Critical-CareNurses Certification Corporation

OR PNCP-National Certification by The Pediatric Nursing Certification Board

OR NCC-National Certifications by National Certification Corporation

NP-F - Nurse Practitioner Furnishing

RN-California Registered Nurse

CSRC-Controlled Substance Registered Certification (DEA) (not required for SHSO-Admin (Employee Health) or non-patient care positions)
BLS-Basic Life Support Healthcare Provider
Certification required based on the department requirements

DEPARTMENT REQUIRED CERTIFICATION & LICENSURE:

Department: SMCS-Sutter Child Center Outpatient Services, CPNP - Certified Pediatric Nurse Practitioner

Department: Hospital Based (except NICU)- ACLS-Advanced Cardiac Life Support

Department: Family Birthing Center, NRP-Neonatal Resuscitation Provider

TYPICAL EXPERIENCE:
5 years of recent relevant experience.

SKILLS AND KNOWLEDGE:
Demonstrated general knowledge and competence with regard to advanced nursing theories, concepts and practices; medical terminology; anatomy; and physiology.
Working knowledge of the healthcare industry, safety precaution policies, best practices regarding patient care and privacy, and changes in local/state/federal regulations.
Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
Basic knowledge of computer applications, such as Microsoft Office Suite (Word and Outlook), Electronic Health Record.
Prioritize and delegate assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
Ensure the privacy of each patient’s protected health information (PHI).
Build collaborate relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
PHYSICAL ACTIVITIES AND REQUIREMENTS:
See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements

Job Shift:

Varied

Schedule:

Full Time

Days of the Week:

Variable

Weekend Requirements:

Rotating Weekends

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $92.80 to $134.56 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

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Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
NP Outpatient Full-time
Stanford Health Care

NURSE PRACTITIONER I

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine are and management of the patient with acute and chronic complaints, in collaboration with the supervising physician, and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the NP and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee. This job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision. There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook. Here is a description of the various levels: Job Attributes: LEVEL I LEVEL II LEVEL III FLSA Status: Exempt Exempt Exempt Job Code: 400077 400169 400170 Requirement: LEVEL I: Entry level LEVEL II: Meets Career Ladder criteria for NP II LEVEL III: Meets Career Ladder criteria for NP III Locations Stanford Health Care What you will do A. An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP’s education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP. B. An NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. C. Scope of Practice of the NP: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized procedures. [see Appendix A Assessment & Management of Patients] Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Appendix B : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. [see Appendix B: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Education Qualifications Master’s or Doctoral degree in nursing from an accredited college or university. (Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement.) Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licenses and Certifications Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure and NP - Nurse Practitioner and NPF - NP Furnishing Number and BLS - Basic Life Support and These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.