Advd Practice Clinician PRN

About the Organization

Vanderbilt University Medical Center (VUMC), located in Nashville, Tennessee, is a global leader in teaching, discovery, and patient care. VUMC is a community where expertise is valued, knowledge is expanded, and abilities are challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive, and individual uniqueness is celebrated. Employees are part of something bigger, taking pride in their work and driving continuous improvement.

VUMC’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

About the Role

The Advanced Practice Clinician (NP/PA) is service/physician-aligned, managing a distinct patient population. The role involves performing outpatient and inpatient care, facilitating discharges, and ensuring follow-up. The APC ensures adherence to clinical pathways and protocols while maintaining an environment of safe, high-quality care. The position requires advanced medical and nursing knowledge, clinical competence, sound judgment, professional communication, and timely documentation.

Responsibilities

• Assessment of Health Status:
  • Performs and documents complete history and physical examinations for acute and complex chronically ill patients.
  • Orders and collects data using appropriate assessment techniques, including diagnostic information and procedures.
  • Serves as the first responder for patient status changes, orders, and procedural/resuscitative interventions.
  • Assesses risks associated with care, including medication side effects, immobility, impaired nutrition, fluid/electrolyte imbalance, immunocompetence, and invasive interventions.
  • Coordinates daily clinic schedules with the attending physician team, presents patient reports, and collaborates on care plans.
• Formulates Plan of Care:
  • Identifies expected outcomes from diagnoses and develops a dynamic, evidence-based plan of care applicable across the continuum.
• Implements and Modifies Plan of Care:
  • Prescribes diagnostic and therapeutic interventions, including pharmacologic, non-pharmacologic, and surgical approaches.
  • Manages diagnostic tests through ordering, interpretation, performance, and supervision.
  • Performs advanced procedures consistent with privileges and competency validation (e.g., minor suturing, complex wound management, line/tube placements and removals).
• Communication and Collaboration:
  • Maintains ongoing communication and collaboration with the interdisciplinary healthcare team.
  • Facilitates communication with patients, families, and staff to promote continuity of care.
• Documentation:
  • Documents key components of patient progress, including daily progress notes, transfer/discharge summaries, and clinic notes.
  • Ensures documentation is timely, compliant with critical care standards, and captures patient acuity.
• Professional Practice:
  • Demonstrates professional behaviors, including precepting/mentoring students, nursing staff, and novice APCs.
  • Actively engages in research, evidence-based practice analysis, and professional development (e.g., Grand Rounds, APN council meetings, M&M presentations).
  • Maintains CEUs and professional organization memberships.

Core Accountabilities

• Organizational Impact: Executes responsibilities with awareness of how output affects other areas/teams.
• Problem Solving: Analyzes moderately complex problems using technical experience and judgment.
• Breadth of Knowledge: Possesses expanded knowledge gained through professional experience.
• Team Interaction: Provides informal guidance and support to team members.

• Supporting Colleagues:
  • Develops self and others through investment in learning and performance improvement.
  • Builds and maintains relationships with key colleagues and stakeholders.
  • Adapts communication style to suit different situations and audiences.
• Delivering Excellent Services:
  • Understands and addresses current/future stakeholder needs with compassion.
  • Approaches problems from multiple angles to identify solutions.
  • Provides ongoing support and coaching to enhance employee effectiveness.
• Ensuring High Quality:
  • Engages in dialogue about quality and addresses issues promptly.
  • Applies learning experiences to uncover root causes of problems and drive continuous improvement.
  • Ensures compliance with safety and regulatory requirements.
• Managing Resources Effectively:
  • Demonstrates accountability and ownership of critical issues.
  • Stewards organizational resources effectively.
  • Makes data-driven decisions to identify opportunities.
• Fostering Innovation:
  • Proactively identifies new ideas/opportunities to improve processes.
  • Demonstrates enthusiasm for learning new technologies and tools.
  • Views challenges as opportunities for improvement and embraces change.

Requirements

• Licensure as a Nurse Practitioner or Physician Assistant in Tennessee.
• Minimum of 1 year of relevant work experience.
• Master’s degree.

Benefits

• Affordable, high-quality health plan options (medical, dental, and/or vision).
• 403(b) retirement plan.
• Paid Time Off (flex PTO).
• Tuition reimbursement and adoption assistance (with maximums applied).
• Short- and long-term disability coverage.
• Subsidized backup childcare.
• Supplemental pay program for inpatient nursing roles.