NP /PA PRN Vanderbilt Retail Clinics

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated.

About the Role

The Advanced Practice Clinician (NP/PA) is service/physician aligned, managing a distinct patient population. The APC may be required to perform some outpatient and inpatient care and facilitate discharges/outpatient follow-up. The APC has a strong foundation in evidence-based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and an environment of safe quality care. The APC demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and responsibility for professional development and competency validation.

Responsibilities

• Assessment of Health Status
  • Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients.
  • Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information, and diagnostic procedures where indicated.
  • Serves as the first responder for both nursing and staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
  • Assesses risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions, and diagnostic procedures.
  • Coordinates daily clinic schedule with the attending physician team, presents patient report, collaborates in the plan of care, and follows assigned patient population.
• Formulates Plan of Care
  • Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs.
  • Utilizes evidence-based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and Modifies Plan of Care
  • Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes.
  • Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
  • Performs advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements, and removals.
• Communication and Collaboration
  • Maintains ongoing communication and collaboration with the interdisciplinary health care team.
  • Facilitates and communicates with patient, family, and staff to promote continuity of care.
• Documentation
  • Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable (H&P, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries in the medical record per specific patient unit or service, death summary).
  • Ensures documentation is timely, meets critical care compliance standards, and captures patient acuity.
• Professional Practice
  • Demonstrates professional practice behaviors including preceptor/mentoring, education, and instruction of students, nursing staff, nurses, graduate, and novice APCs.
  • Seeks opportunities for active engagement in research and the analysis of evidence-based practice.
  • Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, and M&M presentations.
  • Maintains CEUs and membership in a professional organization.
• Technical Capabilities
  • Supports colleagues by investing time and energy in developing self and others to improve performance and gain knowledge.
  • Builds and maintains relationships with key colleagues and stakeholders.
  • Communicates effectively by adapting style to suit different situations and audiences.
  • Delivers excellent services with compassion, solving complex problems and offering meaningful advice and support.
  • Ensures high quality by engaging in dialogue about quality, addressing issues promptly, and applying learning experiences to improve processes.
  • Manages resources effectively by demonstrating accountability, stewarding organizational resources, and making data-driven decisions.
  • Fosters innovation by generating new ideas, applying technology, and adapting to change.

Requirements

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

Benefits

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

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.