Advanced Practice Clinician

About the Organization

Vanderbilt University Medical Center (VUMC), located in Nashville, Tennessee, is a global leader in teaching, discovery, and patient care. As part of Vanderbilt Health, VUMC is dedicated to advancing health and wellness through preeminent programs in patient care, education, and research. The organization values expertise, fosters professional growth, and celebrates individual uniqueness, creating an environment where everyone can thrive.

About the Role

The Advanced Practice Clinician (NP/PA) is aligned with a service or physician team, managing a distinct patient population in Women's Health. This role may involve both outpatient and inpatient care, facilitating discharges and outpatient follow-up. The APC ensures adherence to clinical pathways and protocols, promoting safe, high-quality care through evidence-based practice and education.

Responsibilities

• Perform and document complete history and physical examinations for acute and complex chronically ill patients in the medical record.
• Order and collect data using appropriate assessment techniques, including diagnostic information and procedures.
• Serve as the first responder for patient status changes, orders, and situations requiring procedural and resuscitative interventions.
• Assess risks associated with patient care, including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, and invasive interventions.
• Coordinate daily clinic schedules with the attending physician team, present patient reports, and collaborate on plans of care for assigned patient populations.
• Formulate and document individualized plans of care based on diagnoses, utilizing evidence-based practice guidelines and protocols.
• Prescribe diagnostic strategies and therapeutic interventions, including pharmacologic, non-pharmacologic, and surgical approaches.
• Manage diagnostic tests through ordering, interpretation, performance, and supervision; perform advanced procedures consistent with privileges and competency validation (e.g., minor suturing, complex wound management, line and tube placements/removals).
• Maintain ongoing communication and collaboration with the interdisciplinary healthcare team, patients, families, and staff to promote continuity of care.
• Document key components of patient progress, including daily progress notes, transfer/discharge summaries, H&Ps, procedure notes, and acute event notes, ensuring compliance with critical care standards and capturing patient acuity.
• Demonstrate professional practice behaviors, including precepting/mentoring students, nursing staff, and novice APCs; actively engage in research and evidence-based practice analysis.
• Participate in Grand Rounds, APN council meetings, faculty/unit meetings, and M&M presentations; maintain CEUs and professional organization memberships.

Requirements

• Active Tennessee license as a Nurse Practitioner (LIC-Licensed Nurse Practitioner) or Physician Assistant (LIC-Physician's Assistant Certified).
• Minimum of 1 year of relevant work experience.
• Master's degree in a relevant field.

Skills

• Advanced medical and nursing knowledge with strong clinical and technical competence.
• Sound clinical judgment and professional communication skills.
• Timely and compliant documentation practices.
• Commitment to professional development and competency validation.
• Ability to collaborate effectively with interdisciplinary teams and support colleagues.
• Problem-solving skills for complex clinical and operational challenges.
• Adaptability to change and enthusiasm for learning new technologies and procedures.

Benefits

• Affordable, high-quality health plan options, including dental and vision coverage.
• 403(b) retirement plan with employer contributions.
• Paid Time Off (flex PTO).
• Tuition reimbursement and adoption assistance (with maximums applied).
• Short-term and long-term disability coverage.
• Subsidized backup childcare.
• Current inpatient nursing supplemental pay program (where applicable).

Core Accountabilities

• Organizational Impact: Understands how job responsibilities affect and impact related areas within the team or organization.
• Problem Solving: Analyzes moderately complex problems using technical experience and judgment.
• Breadth of Knowledge: Expanded knowledge within a professional area gained through experience.
• Team Interaction: Provides informal guidance and support to team members.
• Supporting Colleagues: Invests in self and others' development, builds relationships, and communicates effectively across diverse audiences.
• Delivering Excellent Services: Serves others with compassion, solves complex problems creatively, and offers meaningful advice and support.
• Ensuring High Quality: Engages in dialogue about quality, addresses issues promptly, and drives continuous improvement.
• Managing Resources Effectively: Demonstrates accountability, stewards organizational resources, and makes data-driven decisions.
• Fostering Innovation: Generates new ideas, applies technology to address challenges, and adapts to change proactively.