(NP) Nurse Practitioner, Advanced GI/Endoscopy - 141520

UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 10% of all U.S. hospitals. Magnet is the "gold standard" for nursing excellence and is based on strengths in five key areas, which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011.

Under general supervision, the Advanced Gastroenterology Nurse Practitioner (NP) provides comprehensive care to patients with complex Advanced Gastroenterology (GI) and Advanced Endoscopy conditions within a fast-paced ambulatory specialty practice.

The NP provides independent clinical assessment and management of new and established patients, including patients seen through the Expedited Consultative Clinic (ECC), formal Advanced GI consultations, urgent visits, and post-procedure follow-up.

The NP performs comprehensive histories and physical examinations; orders, reviews, and interprets diagnostic testing; develops and implements individualized plans of care; provides patient education and counseling; and coordinates diagnostic, procedural, and specialty follow-up.

The NP works collaboratively with Advanced GI/Advanced Endoscopy physicians, APPs, nursing staff, and multidisciplinary teams to facilitate timely evaluation and treatment of patients with complex gastrointestinal conditions.

A primary responsibility of this position will be caring for Advanced GI patients, with an emphasis on new patient consultations generated from internal and external referral populations. The NP will participate in the clinical review and triage of Advanced GI referrals and facilitate appropriate diagnostic evaluation, procedural planning, and follow-up.

The Advanced GI patient population may include patients with:

* Pancreatic and biliary disorders

* Pancreatic cysts and lesions

* Biliary obstruction and strictures

* Complex gastrointestinal lesions

* Complex polyps requiring advanced endoscopic management

* Abnormal gastrointestinal imaging or diagnostic findings

* Conditions requiring Endoscopic Retrograde Cholangiopancreatography (ERCP)

* Conditions requiring Endoscopic Ultrasound (EUS)

* Advanced polypectomy and endoscopic resection

* Other complex diagnostic and therapeutic endoscopic procedures

* Urgent post-procedure concerns and complications

The NP is expected to independently assess patients, initiate appropriate diagnostic evaluation, formulate plans of care, coordinate procedures and follow-up, and recognize conditions requiring physician consultation or escalation.

Expedited Consultative Clinic (ECC)

A significant component of this position will be providing care through the Expedited Consultative Clinic (ECC), a rapid-access ambulatory model designed to provide timely specialty evaluation, improve access to GI care, reduce referral backlogs, and decrease patient wait times.

The NP will independently evaluate patients referred for expedited consultation, initiate appropriate diagnostic workups, formulate treatment plans, and facilitate timely transition to the appropriate Advanced GI, procedural, or specialty care pathway.

The NP may provide both ECC consultations and formal new-patient Advanced GI consultations and may assist with additional GI ECC coverage based on operational and patient access needs.

Additional responsibilities include Advanced GI referral review and triage, diagnostic results and follow-up, Epic In Basket and MyChart communications, telephone encounters, patient education and counseling, procedural planning, care coordination, and telehealth visits.

The NP will not routinely provide inpatient care but may assist with physician orders, transitions of care, and clinical coordination when appropriate.

The NP is expected to exercise independent clinical judgment within an interdisciplinary and multidisciplinary approach to patient care. The major emphasis of this position is ongoing direct patient care delivery to patients presenting with chronic, episodic, urgent, and complex Advanced GI conditions.

Other duties may be assigned based on clinical, operational, and patient access needs.

The Nurse Practitioner will assess and provide nursing actions as appropriate for patient care populations based on competence, professional expertise, and knowledge. The nurse is expected to practice consistent with ANA Standards of Practice and Professional Performance. Independent judgment is expected to be exercised within the context of interdisciplinary and multidisciplinary approaches to patient care. Under general supervision, incumbents perform operational level duties as described in the Series Concept. The major emphasis at this level is ongoing direct patient care delivery. Assignments at this level primarily encompass management of patients who present chronic and/or episodic health problems. Assignments at this level may include responsibility for occasional community teaching programs, participation in program planning and development of patient education information. Job standards are to be performed at the PRACTITIONER level.

While not required, a cover letter is highly recommended when applying to this position.

• Graduate from an accredited nurse practitioner program.

• Current California Registered Nurse (RN) license, California Nurse Practitioner (NP) license, and Furnishing License Certification.

• Current Nurse Practitioner Specialty Certification in an aligned specialty with the practice area from one of the following Nursing Boards: AANP, ANCC, NCC, PNCB, AACN.

• BLS/CPR certification at time of hire with commitment to obtain BART within 6 months.

• Six (6) months or more of experience as a licensed Nurse Practitioner.

• Demonstrated clinical experience and knowledge of Advanced Gastroenterology and Advanced Endoscopy, including the ability to independently manage complex conditions like pancreaticobiliary disorders and biliary disease.

• Demonstrated knowledge and clinical experience caring for patients undergoing or being evaluated for ERCP, EUS, advanced polypectomy/endoscopic resection, and other advanced diagnostic and therapeutic endoscopic procedures.

• Demonstrated ability to manage high referral volumes, multiple competing clinical priorities, and time-sensitive patient care needs while maintaining efficiency, accuracy, quality, and established turnaround expectations.

• Demonstrated ability to independently review and triage new, urgent, and complex Advanced GI referrals, determine appropriate diagnostic evaluation and level of urgency, and recognize when physician consultation or escalation is necessary.

• Proficiency in the clinical documentation of patient conditions and outcomes using electronic medical record systems; Epic experience preferred, including specific proficiency with In Basket, MyChart, results, orders, and referral management.

• Demonstrated ability to collaborate effectively within an interdisciplinary team to coordinate comprehensive care for complex patients and ensure seamless transitions between clinical and procedural settings.

• Proficiency in documentation of patient conditions and outcomes.

• Proven knowledge of common diagnostic tests, exams and procedures, e.g., laboratory blood tests, x-rays, EKG's, biopsies and GI endoscopies.

• Knowledge of clinical laboratory values and skill in identifying deviations.

• Experience providing care through telehealth, including video and telephone visits, with demonstrated ability to independently assess, triage, counsel, and manage patients in a virtual setting.

• Demonstrated experience providing patient education and counseling and developing and implementing long and short range treatment plans.

• Skill in patient interviewing, obtaining a concise medical history and acquiring pertinent data.

• Proven ability to manage complex patient populations with multiple comorbidities in an outpatient setting.

• Strong interpersonal and organizational skills.

• Knowledge of FDA and drug study requirements.

• Experience as a Nurse Practitioner in an academic medical center or tertiary referral setting.

• Experience supporting initiatives focused on patient access, referral optimization, and reduction of specialty wait times.

• Demonstrated experience in research techniques, such as following a protocol, and in collecting all data precisely.

• Demonstrated experience working in a clinical research environment. Ability to identify potential clinical trials patients.

• Knowledge of study formats, with ability to edit charts and resolve inconsistencies.

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.
• Must be able to obtain UCSD Medical Staff privileges and maintain during employmen
• Current University of California NPIII employees may be hired at the NPIII level pending review and approval by Health Human Resources and the UCSD Advanced Practice Council.