About this role
Complete this section with details about your department and the position responsibilities. This section will be used in the posting to attract providers to the position. Do not copy language from above. The University of California, San Francisco (UCSF) Heart & Vascular Center’s Advanced Heart Failure Comprehensive Care Center seeks a full-time Advanced Practice Provider (APP) to treat mechanical circulatory support (MCS), heart transplant, and advanced heart failure patients, among others. The UCSF team consists of highly experienced physicians, surgeons, APPs, nurses, pharmacists, social workers, and researchers, caring for patients with advanced heart failure across the continuum of care. Our Advanced Heart Failure & MCS programs are nationally known for cutting edge advanced heart failure care and support in both the outpatient and inpatient setting and offers a variety of support systems (long-term and short-term). The APP serves as primary provider in the hospital setting for these patients and will work closely with the Advanced Heart Failure Cardiologist, Cardiothoracic Surgery and Intensive Care teams along with nursing, case management, social workers and other multidisciplinary teams to evaluate, treat and manage this highly complex patient population in the Intensive Care and Acute Care Units.
The APP pre-rounds on patients daily, providing a medical overview and care management plan to attending physicians, and works closely with the CTS, CICU and AHF attending MDs, fellows, and hospitalists to manage both primary and consult MCS and AHF patients. They independently manage hospitalized patients across the AHF, MCS, and other Heart & Vascular service lines, escalating to the attending MD when needed, and monitor and transport MCS patients through procedures and studies as required. Clinical care for Advanced Heart Failure, MCS, Pulmonary Hypertension and Heart Transplant patients is managed and coordinated in close collaboration with the AHF, CTS, and CICU teams. During MCS procedures, the APP assesses and monitors patients per clinical practice guidelines, performs nursing histories and physical exams, and documents follow-up for VAD patients while serving as a clinical resource to nursing and other UCSF staff. They identify signs of acute decompensation or failure, communicate promptly with the physician, and participate in service rounds, patient evaluations, and treatment planning as part of the multidisciplinary team. The APP reviews labs, imaging, and other diagnostics to guide care plans, evaluates complex cases to determine appropriate level of care, and sets discharge parameters in coordination with the broader care team. Coordination of care across the inpatient and outpatietn setting is critical to ensure safe discharges and transfer of communicaiton and care across settings. They also respond to urgent weekend calls for critical symptoms or lab results and remain available to address time-sensitive patient issues outside normal hours.
Minimum of 4 years as a Nurse Practitioner in MCS, or Advanced Heart Failure • Minimum of one 2 years managing mechanical circulatory support patients • 3 years critical care nursing experience managing all MCS devices as a : impella, extracorporeal membrane oxygenation (ECMO), left ventricular assist device (LVAD)