APC

Vanderbilt University Medical Center • Hendersonville, TN

3d

About The Position

The Advanced Practice Clinician (NP/PA) is aligned with a service and physician team and manages a distinct patient population. The role may include outpatient and inpatient care, discharge facilitation, and outpatient follow-up. The APC applies evidence-based practice and education, follows clinical pathways and protocols, and supports safe, high-quality care. The position requires advanced medical and nursing knowledge, clinical and technical competence, sound judgment, professional communication, timely and compliant documentation, and ongoing professional development and competency validation.

The APC assesses and manages acute and complex chronically ill patients, coordinates care with the attending physician team, develops and implements individualized plans of care, and orders, interprets, performs, or supervises diagnostic testing and therapeutic interventions as appropriate. Advanced procedures may be performed in accordance with privileges and validated competency.

The role includes collaboration with the interdisciplinary team, communication with patients, families, and staff, comprehensive clinical documentation, professional mentoring and education, participation in research and evidence-based practice activities, and continuing professional development.

Requirements

• Tennessee Licensed Nurse Practitioner certification or Tennessee Physician's Assistant Certified license.
• Master's degree.
• One year of experience level specified; relevant work experience is listed as a qualification.
• Advanced medical and nursing knowledge, clinical and technical competence, sound clinical judgment, and professional communication skills.
• Ability to provide timely, compliant clinical documentation and maintain professional development and competency validation.

Responsibilities

• Perform and document complete histories and physical examinations for acute and complex chronically ill patients.
• Order and collect clinical data using appropriate assessment techniques, diagnostic information, and procedures.
• Respond to patient status changes and situations requiring procedural or resuscitative interventions, as applicable.
• Assess risks associated with care, including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions, and diagnostic procedures.
• Coordinate the daily clinic schedule with the attending physician team, present patient reports, collaborate on plans of care, and follow the assigned patient population.
• Identify expected outcomes from diagnoses and formulate and document plans of care for complex acute and chronic needs.
• Apply evidence-based guidelines or protocols in individualized plans of care across the continuum.
• Prescribe diagnostic strategies and pharmacologic, non-pharmacologic, and surgical therapeutic interventions to achieve expected outcomes.
• Order, interpret, perform, and supervise further diagnostic tests.
• Perform advanced procedures within privileges and validated competency, which may include minor suturing, complex wound management, and line and tube placement or removal.
• Maintain ongoing communication and collaboration with the interdisciplinary health care team and communicate with patients, families, and staff.
• Document key components of patient progress in applicable medical records, including progress notes, transfer and discharge summaries, clinic notes, plans of care, problem lists, procedure notes, and acute event notes.
• Ensure documentation is timely, meets critical care compliance standards, and captures patient acuity.
• Precept, mentor, educate, and instruct students, nursing staff, nurses, and graduate and novice APCs.
• Seek opportunities to participate in research and analysis of evidence-based practice.
• Participate in Grand Rounds, APN council meetings, faculty and unit meetings, and M&M presentations.
• Maintain continuing education units and membership in a professional organization.

Benefits

• Affordable high-quality health plan options.
• Dental and/or vision plan.
• 403(b) retirement plan.
• Paid time off (flex PTO).
• Tuition reimbursement.
• Adoption assistance, subject to maximums.
• Short- and long-term disability.
• Subsidized backup childcare.
• An inpatient nursing supplemental pay program is mentioned; current availability/details should be confirmed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level