VMG Nurse Practitioner (NP) - Pediatric Endocrinology

* In the outpatient setting, the NP will obtain histories, complete physical examinations, and provide appropriate assessments and plans for patients seen in the pediatric endocrinology and diabetes clinics.* The NP will also provide, and coordinate follow up care for this patient population.* This NP will order and interpret laboratory tests and procedures and coordinate with physicians according to established protocols.* The NP will initiate and/or recommend medical drug therapies or other forms of related therapeutic treatments and procedures in accordance with approved protocols/policy for the management of other pediatric endocrinology patients.* The NP will be responsible for accurate and complete documentation of all pertinent clinical findings, assessments, and plans in the electronic medical record.* The NP will participate in case management which may include education, counseling, and referrals when medically indicated.* The NP will participate in quality improvement activities and perform other duties as assigned by the Division Director.* 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.* Assesses for risks associated with the care of acute and complex endocrine disorders including medication side effects, hypoglycemia, hyperglycemia, growth suppression, impaired nutrition, fluid and electrolyte imbalance, autoimmunity, and need for diagnostic procedures.* Coordinates daily clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.* Diagnosis* Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.* Manages diagnostic tests through ordering, interpretation, performance, and supervision.* Formulates differential diagnoses by priority.* Diagnoses complications and orders appropriate interventions.* 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 evidenced 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 pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes.* Manages further diagnostic tests through ordering, interpretation, performance, and supervision.* Maintains ongoing communication and collaboration with interdisciplinary health care team.* Facilitates and communicates with patient, family and staff to promote continuity of care across the outpatient continuum of care.* Documentation.* Documents/dictates key components of patient's progress via daily progress note, transfer, and and/or clinic note, where applicable.* Documentation is timely, meets compliance standards and captures visit acuity.* Professional Practice* Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice nurse practitioners,* Seeks opportunities for active engagement in research and the analysis of evidenced based practice.* Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.* Maintains CEUs, and membership in a professional organization.* 1-3 years of NP experience preferred;* Prior experience in pediatrics is required## PEOPLE ARE AT THE HEART OF ALL WE DO.***Our vision:****The world leader in advancing personalized health.****Our mission:****personalizing the patient experience through our caring spirit and distinctive capabilities.****Making Health Care Personal.***We’re looking for like-minded individuals driven to make a difference. We invite you to explore careers at Vanderbilt University Medical Center.At VUMC, we place a priority on designing with and for our patients and families. We value collaboration, embrace continuous learning and discovery, and seek to be a place where everyone has the chance to thrive.We’re the largest private employer in Middle Tennessee, with a growing team and expanding footprint in towns and communities across the region.We employ more than 28,000 people who work in inpatient and outpatient clinical care, research, and graduate medical education as well as critical supporting roles in administration, information technology and informatics, finance, legal and community affairs, communications and marketing, fund-raising, groundskeeping and facilities, and many more. Our growing health system has more than 1,700 licensed hospital beds at:* Vanderbilt University Hospital* Monroe Carell Jr. Children’s Hospital at Vanderbilt* Vanderbilt Psychiatric Hospital* Vanderbilt Stallworth Rehabilitation Hospital* Vanderbilt Wilson County Hospital* Vanderbilt Bedford Hospital* Vanderbilt Tullahoma-Harton HospitalIt’s also home to hundreds of outpatient clinic and surgical locations throughout the region. We serve our community with many unique and specialized services including the Level 1 Trauma Center, a highly experienced Transplant Center that does the most heart transplants in the world, a National Cancer Institute-designated Comprehensive Cancer Center, Lung Institute, Burn Center and many more.World-leading academic departments and centers make scientific discoveries, advance clinical care and train the next generation of health care professionals. Our robust research enterprise consistently ranks among the highest in the country as measured by peer-reviewed grant funding from the National Institutes of Health.We’re honored to be consistently considered among the nation’s best hospitals, including being nationally ranked in multiple medical specialties for treating the most complex conditions in adults and children by *US News and World Report*. Monroe Carell Jr. Children’s Hospital at Vanderbilt ranked as the No. 1 children’s hospital in the southeast in 2024.We support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at VUMC for professional growth, appreciation of benefits, and a sense of community and purpose.Join us in **Making Health Care Personal.** #J-18808-Ljbffr