NP /PA PRN Vanderbilt Retail Clinics

About the Organization

Vanderbilt University Medical Center (VUMC), located in Nashville, Tennessee, operates at a global crossroads of 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 sought and celebrated. The 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 may require 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, quality care. This position demonstrates advanced medical and nursing knowledge, clinical competence, sound judgment, and professional communication skills.

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 the plan of care for assigned patient populations.
• Formulate and document individualized plans of care based on diagnoses, utilizing evidence-based practice guidelines or 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, such as minor suturing, complex wound management, and line/tube placements and removals.
• Maintain ongoing communication and collaboration with the interdisciplinary healthcare team.
• Facilitate communication with patients, families, and staff to promote continuity of care.
• Document key components of patient progress, including daily progress notes, transfer/discharge summaries, and procedure notes, ensuring compliance with critical care standards.
• Demonstrate professional practice behaviors, including precepting/mentoring students, nursing staff, and novice APCs.
• Seek opportunities for active engagement in research and evidence-based practice analysis.
• Actively participate in Grand Rounds, APN council meetings, faculty/unit meetings, and M&M presentations.
• Maintain CEUs and membership in a professional organization.

Requirements

• Licensed Nurse Practitioner (LIC-NP) or Physician’s Assistant Certified (LIC-PA) in Tennessee.
• Minimum of 1 year of relevant work experience.
• Master’s degree in a relevant field.

Benefits

• Affordable, high-quality health plan options.
• Dental and/or vision plans.
• 403(b) retirement plan.
• Paid Time Off (flex PTO).
• Tuition reimbursement and adoption assistance (maximums applied).
• Short-term and long-term disability coverage.
• Subsidized backup childcare.
• Inpatient nursing supplemental pay program (where applicable).

Core Accountabilities

• Organizational Impact: Executes job responsibilities with an understanding of how output impacts other areas related to the job/team.
• Problem Solving: Analyzes moderately complex problems using technical experience and judgment.
• Breadth of Knowledge: Expanded knowledge gained through experience within a professional area.
• Team Interaction: Provides informal guidance and support to team members.
• Supporting Colleagues:
  • Develops self and others by investing time and energy in professional growth.
  • Builds and maintains relationships with key colleagues and stakeholders.
  • Communicates effectively, adapting style to different situations and audiences.
• Delivering Excellent Services:
  • Serves others with compassion, understanding current and future needs.
  • Solves complex problems by approaching challenges from different angles.
  • Provides ongoing support and coaching to increase employee effectiveness.
• Ensuring High Quality:
  • Engages in dialogue about quality and addresses issues promptly.
  • Applies learning experiences to uncover root causes of problems and identify solutions.
  • Understands and fulfills safety and regulatory requirements.
• Managing Resources Effectively:
  • Demonstrates accountability by driving critical issues to closure.
  • Stewards organizational resources effectively.
  • Makes data-driven decisions to identify and elevate opportunities.
• Fostering Innovation:
  • Generates new ideas and opportunities to improve processes.
  • Demonstrates enthusiasm for learning new technologies and tools.
  • Adapts to change, viewing challenges as opportunities for improvement.