Vanderbilt University Medical Center
PRN Nurse Practitioner/Physician Assistant - VTHH/VBCH
Vanderbilt University Medical Center, Shelbyville, Tennessee, us, 37161
Job Title
PRN Nurse Practitioner/Physician Assistant – VTHH/VBCH
Organization Vanderbilt University Medical Center
Overview 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. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Job Summary The specialty nurse practitioner (NP) in the respective setting works in collaboration with a multidisciplinary health care team. The specialty NP is generally service/physician aligned, managing a distinct patient population. The NP may be required to perform some coordination of outpatient and inpatient care and facilitate discharges/outpatient follow‑up. The specialty NP has a strong foundation in evidence‑based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and for ensuring an environment of safe quality care. The NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.
Key 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
The nurse practitioner may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions
Assesses for 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 plan of care, and follows assigned patient population
Diagnosis
Diagnosis
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 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
May perform 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 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 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 medical record per specific patient unit or service, death summary)
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 nurse practitioners
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, M&M presentations
Maintains CEUs, and membership in a professional organization
Technical Capabilities Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing.
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‑/Long‑term disability
Subsidized backup childcare
And many more… Ask us about our current inpatient nursing supplemental Pay Program!
Core Accountabilities Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.
Core Capabilities Supporting Colleagues: Develops Self and Others, Builds and Maintains Relationships, Communicates Effectively. Delivering Excellent Services: Serves Others with Compassion, Solves Complex Problems, Offers Meaningful Advice and Support. Ensuring High Quality: Performs Excellent Work, Ensures Continuous Improvement, Fulfills Safety and Regulatory Requirements. Managing Resources Effectively: Demonstrates Accountability, Stewards Organizational Resources, Makes Data Driven Decisions. Fostering Innovation: Generates New Ideas, Applies Technology, Adapts to Change.
Position Qualifications Certifications:
LIC‑Licensed Nurse Practitioner – Tennessee
Work Experience:
Relevant Work Experience
Experience Level:
Less than 1 year
Education:
Master’s
Seniority level Mid‑Senior level
Employment type Part‑time
Job function Health Care Provider
Industries Medical Practices and Hospitals
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
#J-18808-Ljbffr
Organization Vanderbilt University Medical Center
Overview 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. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Job Summary The specialty nurse practitioner (NP) in the respective setting works in collaboration with a multidisciplinary health care team. The specialty NP is generally service/physician aligned, managing a distinct patient population. The NP may be required to perform some coordination of outpatient and inpatient care and facilitate discharges/outpatient follow‑up. The specialty NP has a strong foundation in evidence‑based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and for ensuring an environment of safe quality care. The NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.
Key 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
The nurse practitioner may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions
Assesses for 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 plan of care, and follows assigned patient population
Diagnosis
Diagnosis
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 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
May perform 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 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 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 medical record per specific patient unit or service, death summary)
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 nurse practitioners
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, M&M presentations
Maintains CEUs, and membership in a professional organization
Technical Capabilities Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing.
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‑/Long‑term disability
Subsidized backup childcare
And many more… Ask us about our current inpatient nursing supplemental Pay Program!
Core Accountabilities Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.
Core Capabilities Supporting Colleagues: Develops Self and Others, Builds and Maintains Relationships, Communicates Effectively. Delivering Excellent Services: Serves Others with Compassion, Solves Complex Problems, Offers Meaningful Advice and Support. Ensuring High Quality: Performs Excellent Work, Ensures Continuous Improvement, Fulfills Safety and Regulatory Requirements. Managing Resources Effectively: Demonstrates Accountability, Stewards Organizational Resources, Makes Data Driven Decisions. Fostering Innovation: Generates New Ideas, Applies Technology, Adapts to Change.
Position Qualifications Certifications:
LIC‑Licensed Nurse Practitioner – Tennessee
Work Experience:
Relevant Work Experience
Experience Level:
Less than 1 year
Education:
Master’s
Seniority level Mid‑Senior level
Employment type Part‑time
Job function Health Care Provider
Industries Medical Practices and Hospitals
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
#J-18808-Ljbffr