Nurse Practitioner, Critical Care, (Greenbrae), Per Diem, DayEvenings

ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality Join MarinHealth an integrated independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team an affiliation with UCSF Health an ever-expanding network of clinics and a new state-of-the-art hospital MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center a 327-bed hospital in Greenbrae and 55 primary care and specialty clinics in Marin Sonoma and Napa Counties. We attract healthcares most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospitals personalized caring touch.

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades including being Named One of the Top 250 Hospitals Nationwide by Healthgrades receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services and being named the Best Hospital in San Francisco/Marin by Bay Area Parent among others.

Company:

Work Shift:

Scheduled Weekly Hours:

Job Description Summary:

Job Requirements Prerequisites and Essential Functions:

Pay Range:

$92.96 - $108.45 - $127.12

Essential Functions and Responsibilities:

Critical Care Advance Practice Providers duties in the Intensive Care Unit include:

• Conduct comprehensive medical and social history of individuals

• Conduct comprehensive or focused physical examination as condition requires

• Analyze data to determine health status

• Order and interpret laboratory tests and other diagnostic tests for the purpose of diagnosis and/or screening

• Make independent decisions regarding management and treatment of medical problems identified

• Confer with Intensivist as needed throughout the shift on plan of care and status

• Seek collaboration or referral to collaborating physician and other health care providers or agencies as needed

• Formulate a plan of care with patient and/or family; family updates

• Initiate appropriate non-pharmacologic interventions

• Prescribe medication in accordance with state prescriptive guidelines

• Assist with and perform procedures: arterial and central line insertion removal of chest tubes intra-aortic balloon pump and epicardial pacemaker wires removal of unneeded tracheostomy tube or reinsertion of tracheostomy tube only when well established tracheostomy present for greater than one month CXR and EKG assessment and plan of care based on findings

• Rounding on all patients with primary RNs and Intensivist

• Assess patients for possibility for transfer and writing transfer orders

• Provide appropriate patient discharge planning and/or education

• Provide information instruction and counseling on health maintenance health promotion social problems illness prevention illness management and medication use

• Obtain informed consent from patients

• New patients - initial assessment collaborate with Intensivist on plan of care and write admission and new orders as needed

• Support Intensive Care Unit RN during RRT calls

• Round on former ICU patients as appropriate in the Progressive & Metabolic Care Unit

• Track outcome of interventions and provide additional intervention as necessary for optimum results

• Assess cultural social and economic factors for each client and tailor care to those factors

• Manage care of patients in a way that balances quality and cost

• Represent the practice hospital and nurse practitioner profession at the state and federal level addressing bills concerning medical treatment and financial issues in healthcare

• Participate in professional meetings committees seminars and other continuing education to keep abreast in professional practice to enhance professional growth to meet professional standards and maintain current certification

• Any other responsibility that is deemed appropriate within the role of the Intensive Care Unit Advanced Practitioner

• Teach groups of staff or clients about health-related topics

• Participate in supporting the education/professional development of clinical staff

• Administrative-Clerical Duties

• Document findings and plan of care in medical record

• Complete test requisitions

• Complete referral and consultation requisitions

• Coordinate care of patients.

• Enhance communication between departments physicians hospitals and/or community agencies

• Dictate transfer/discharge H&P interval/progress notes or follow-up summaries

• Function under guidelines of HIPAA

Qualifications:

Prerequisite Skills:

• Demonstrated excellent communication skills both oral and written are necessary.

• Clinical research skills basic computer skills (access enter and retrieve data; Word and Excel skills preferred).

• Must be able to work with autonomy adaptability flexibility and maintain composure during pressures and adverse conditions and work as an effective team member in a collaborative role with other disciplines.

Education:

• Graduation from an accredited Physician Assistant or Nurse Practitioner Program.

License/Certifications:

• Must be certified by the National Commission on Certification and licensed in the State of California

• Must hold current national board certification by first day of work and maintain.

• Must hold an active and current California Physician Assistant or Nurse Practitioner License

• Must hold an active DEA license (or transferable to California) as required by the clinical specialty.

• Must be eligible for payer enrollment with CMS Medicare and Medicaid.

• BLS and ACLS within one year of hire.

• Non-Physician Medical Staff Privileges with Marin General Hospital within one year of hire.

• Must hold a valid Controlled Substance Registration Certificate from both the California Department of Public Health and the Drug Enforcement Administration

• Must complete a minimum 30 hours of pharmacology continuing education every 6 years or as required to maintain prescriptive privilege.

• Written practice guidelines will be maintained on site reviewed and updated annually by the PA and collaborating MD or medical director.

Experience:

• Previous critical care experience preferred.

• Knowledge and demonstrated competency in current Critical Care medical practice as it relates to Intensive Care Unit; knowledge of adult educational planning implementation and evaluation.

• Demonstrated competency in clinical practice with a minimum of 1-3 years of experience.

Accommodation:

Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at or .

C.A.R.E.S. Standards:

MarinHealth seeks candidates ready to model our C.A.R.E.S. standardsCommunication Accountability Respect Excellence Safetywhich foster a healing trust-based environment for patients and colleagues.

Health & Immunizations:

To protect employees patients and our community MarinHealth requires measles mumps varicella and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law.

Compensation:

The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills experience qualifications and internal/market equity consistent with MarinHealths compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements.

Equal Employment:

All qualified applicants will receive consideration for employment without regard to race color religion national origin sexual orientation gender identity protected veteran status or disability status and any other classifications protected by federal state and local laws.