Advanced Practice Clinician

Vanderbilt University Medical Center•Lebanon, TN

11h

About The Position

The Advanced Practice Clinician (NP/PA) is aligned with a service or physician and manages a distinct patient population. The role may involve outpatient and inpatient care, discharge facilitation, and outpatient follow-up. The clinician applies evidence-based practice, supports adherence to clinical pathways and protocols, and helps ensure 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 clinician assesses and manages acute and complex chronically ill patients, develops and implements individualized plans of care, coordinates with attending physicians and interdisciplinary teams, and may perform advanced procedures consistent with privileges and validated competencies. The role also involves patient and family communication, documentation across the care continuum, mentoring and education, and participation in professional and quality-improvement activities.

Requirements

Tennessee Licensed Nurse Practitioner certification or Tennessee Physician Assistant certification.
Master's degree.
One year of experience.

Responsibilities

Perform and document complete histories and physical examinations for acute and complex chronically ill patients.
Order and collect data using appropriate assessment techniques and diagnostic information and procedures.
Respond to changes in patient status and may provide procedural and resuscitative interventions.
Assess risks related to patient care, including medication side effects, immobility, nutrition, fluid and electrolyte balance, immunocompetence, invasive interventions, and diagnostic procedures.
Coordinate the daily clinic schedule with attending physicians, present patient reports, collaborate on care plans, and follow an assigned patient population.
Identify expected outcomes from diagnoses and formulate and document plans of care for complex acute and chronic needs.
Use evidence-based practice guidelines and protocols to develop individualized plans of care across the continuum.
Prescribe diagnostic strategies and therapeutic interventions, including pharmacologic, non-pharmacologic, and surgical interventions, to achieve expected outcomes.
Order, interpret, perform, and supervise diagnostic tests.
Perform advanced procedures consistent with privileges and competency validation, potentially including minor suturing, complex wound management, and line and tube placement and removal.
Maintain ongoing communication and collaboration with the interdisciplinary health care team.
Facilitate and communicate with patients, families, and staff.
Document or dictate patient progress, plans of care, procedures, acute events, transfers, and discharges in the medical record in a timely and compliant manner.
Demonstrate professional practice through precepting, mentoring, and educating students and clinical staff, including nursing staff 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.