APC

Vanderbilt University Medical Center•Hendersonville, TN

About The Position

The Advanced Practice Clinician (NP/PA) is aligned with a service or 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, supports adherence to clinical pathways and protocols, and helps maintain a safe, high-quality care environment. The role calls for 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 acute and complex chronically ill patients, develops and adapts individualized plans of care, orders and manages diagnostic testing, and provides appropriate therapeutic interventions. Depending on privileges and competency validation, the APC may perform advanced procedures. The position also involves communication and collaboration with patients, families, and the interdisciplinary care team; comprehensive clinical documentation; and professional activities such as mentoring, education, research engagement, and participation in clinical and organizational meetings.

Requirements

Tennessee Licensed Nurse Practitioner certification or Tennessee Certified Physician Assistant license.
Relevant work experience; the listed experience level is 1 year.
Master's degree.
Maintain continuing education units and membership in a professional organization.

Responsibilities

Perform and document complete histories and physical examinations for acute and complex chronically ill patients.
Order and collect patient information using appropriate assessment techniques, diagnostic information, and procedures.
Respond to patient status changes and situations requiring orders, procedural interventions, or resuscitation, as applicable.
Assess risks associated with caring for acute and complex chronically ill patients, including medication side effects, immobility, nutrition, fluid and electrolyte balance, immunocompetence, and invasive interventions or 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 and formulate and document plans of care for complex acute and chronic health needs.
Use evidence-based guidelines and protocols to provide individualized care across the continuum.
Prescribe diagnostic strategies and therapeutic interventions, including pharmacologic, non-pharmacologic, and surgical interventions, as appropriate.
Order, interpret, perform, and supervise diagnostic tests as applicable.
Perform advanced procedures consistent with privileges and competency validation, potentially including 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 patient progress in applicable progress notes, transfer and discharge summaries, clinic notes, and other required medical record entries; ensure documentation is timely, compliant, and captures patient acuity.
Precept and mentor; provide education and instruction to students, nursing staff, nurses, 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 morbidity and mortality presentations.
Maintain continuing education units and membership in a professional organization.
Follow safety and regulatory requirements, support continuous improvement, and use data and organizational resources effectively.