Nurse Practitioner Jobs in San Francisco, CA

RESPONSIBILITIES:

The Staff Nurse Practitioner’s/Physician Assistant's primary responsibility is to provide consistently effective clinical services, behavioral health and physical, to the clients of the Dore Urgent Care Clinic. This includes the direct provision of psychiatric, medical and pharmacy services; assistance if needed with medical, behavioral health and pharmacy services for the Residential Treatment Program; establishing and maintaining effective relations with clients, client families and support people, and with the general community; and maintaining a comfortable, safe, non-institutional ambiance in the program. Services must be provided in a manner that is safe and helpful for clients, staff and the general community, and that evidences a non-institutional character that is congruent with Social Rehabilitation values and principles.

The Staff Nurse Practitioner/Physician Assistant is responsible for the direct clinical assessment of all newly admitted clients, the on-going monitoring and care of all clients being treated in the Urgent Care Clinic, and the proper referral of clients upon discharge from the UCC.

In addition, the Staff NP/PA is responsible for developing and maintaining effective relationships with personnel from the CBHS System of Care service providers, as well as related services such as the SFGH Dept of Psychiatry, SF Police Department, the SF Fire Department, Emergency Medical Transport Services, and providers of basic supports such as housing, temporary shelter, and entitlement advocacy.

The Staff NP/PA must demonstrate the on-going capacity work as an interdisciplinary team member in order to effectively respond to the needs of a diverse client population in psychological distress.

Under the direction of the Program Director and the medical supervision of the Program Psychiatrist ensures that services are provided in a manner consistent with prevailing standards of psychiatric and medical care, with applicable Federal, State, City and County laws and regulations, and with Progress Foundation policies and procedures.

Direct services include screening, formal evaluation, initial treatment, and referral for the full spectrum of non-emergent ambulatory psychiatric and primary care conditions presented at the Urgent Care Center. This will also include arranging a safe and timely transfer of clients to other needed treatment services.

LEADERSHIP

• Provide services within the UCC that is congruent with Social Rehabilitation values, and promote Social Rehabilitation values and philosophy within the Behavioral Health treatment community. (clinical)
• Attend staff meetings and other program meetings as needed, as well as special clinical and administrative meetings both inside and outside of Progress Foundation as required to promote the Agency goal of diverting clients and providers from the unnecessary use of institutional services. (clinical)
• Respond to program events, both routine and emergent, in a professional, thorough and timely manner, remaining in compliance with agency policy and regulatory requirements. (programmatic)
• Maintain an overall Agency focus and actively participate in Agency and program activities. (administrative)
• Serve as a positive role model for employee relations, professional functioning and conduct, and for adherence to the principles of Social Rehabilitation. (clinical)
• Maintain independent knowledge, skills, and abilities through continuing education and use of supervision and consultation. Maintain a valid California nursing license.
• Identify and report to the Program Director any trends that effect the UCC, including changes in referral patterns, atypical client clinical presentations, shifts in treatment outcomes, additions or eliminations of discharge opportunities, programmatic and systemic impediments to effective program services, and any information deemed by the Program Director to be pertinent to program planning or operations. (clinical)

BASIC JOB SKILLS

• Provide direct services to clients of the program, including initial medical and psychosocial assessments, evaluations for 5150 status, mental health status and safety assessments, and medication evaluations and prescriptions.
• Provide and/or order medications as indicated by the client’s clinical conditions, and according to the UCC standard protocols. Maintain required documentation in a timely and accurate manner and in accord with Progress Foundation policies and sound medical practice. (clinical)
• Participate in the collection of data concerning the UCC as required by funding sources and regulatory agencies and as requested by the Program Director. (administrative)
• Remain flexible to assist the UCC with staffing shortages on various shifts. (programmatic)
• Perform other duties and special projects as assigned by the Program Director. (administrative)

SYSTEM RELATIONSHIP

• Develop and maintain effective working relationships with all designated client referral sources and other related behavioral health and social services. This includes, as determined or approved by the Program Director, special clinical care or case conference meetings. (clinical)
• Maintain favorable relations with neighbors of the program facility and the general community. Report to the Program Director all non-service contacts with neighbors or local residents, including businesses, whether positive or negative in nature. (clinical)
• Work with the Program Director to identify and develop policies or resources to promote the mission of the agency and the goals of the program.

REGULATORY COMPLIANCE

• Ensure that all medication, charts and other client records are secure and confidential as determined by Progress Foundation and San Francisco Community Behavioral Health Services policies and procedures, and applicable laws and regulations. (programmatic)
• Prescribe, administer and monitor the effects of medications, and adhere to program medication practices and procedures. (programmatic)
• Comply with all applicable San Francisco Community Behavioral Health Services regulations and California Department of Mental Health (Title 9) requirements that affect the program. (administrative)
• Comply with all applicable federal, state and local governmental laws and regulations, as well as all agency policies and procedures, including the Progress Foundation Code of Ethics. Report to Progress Foundation Administration all incidents involving any program employee, regular or per diem that may constitute a violation of said laws, regulations, policies, and procedures. (administrative)
• Maintain compliance with Federal HIPAA regulations. (administrative)

WORK ENVIRONMENT/SAFETY

• Participate in maintaining the UCC facility environment so that it remains safe, attractive, and comfortable and non-institutional in character. (programmatic)
• Be thoroughly familiar with and adhere to emergency procedures to be followed in case of human injury, illness or adverse reaction to medications. Be thoroughly familiar with the UCC emergency evacuation plan for fire, earthquake, power failure or other such disruption. (administrative)

MINIMUM QUALIFICATIONS:

All qualifications must be met consistently and continuously.

• Degree in nursing from an accredited school of nursing, and certification as an Adult Nurse Practitioner with either a specialty in psychiatric nursing or 1 year documented experience providing nursing services in a psychiatric setting. Possession of or eligible for Furnishing License.
• Current valid California licensure as a Registered Nurse. Current CPR certification required.

or

• Graduate of an accredited Physician Assistant program.
• Must be NCCPA certified
• Current state-issued Physician Assistant license.
• DEA license
• Minimum 1 year of relevant, recent experience (psychiatry or mental health preferred).
• Must have the willingness and ability to actively, enthusiastically and effectively engage psychologically distressed clients and maintain a respectful and responsive attitude while providing therapeutically sound services. This includes being respectfully responsive to persons of differing ethnic, cultural, gender, socioeconomic, and sexual-orientation backgrounds.
• Must be able to communicate effectively with medical and mental health staff and other service providers both orally and in writing.
• Demonstrated on-going emotional stability, good judgment and effective team work.
• Able to work proficiently on computers and computer-based information systems.
• Must maintain a valid California driver’s license, and additionally must be insurable under the agency's current auto insurance policies.
• The employee must be able to quickly navigate several flights of stairs several times a day. The employee must be able to lift and/or move up to 20 pounds multiple times during each work shift. In addition, the employee must be able to assist individuals in exiting the facility in the case of an emergency and to perform CPR and standard Medical First Aid procedures to persons in prone positions at ground level.

The Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local "Fair Chance" laws.