Advanced Practice Provider - Pediatric Otolaryngology

Vanderbilt University Medical Center•Nashville, TN

8d•Onsite

About The Position

The Advanced Practice Provider (APP) delivers specialized care and manages patients’ health needs in an outpatient pediatric otolaryngology setting. The role includes subspecialized care, chronic illness and disease management, continuity of care over potentially multiple years, and expert consultation within the APP’s area of expertise. The APP supports patients across the outpatient specialty-care continuum and collaborates with multidisciplinary teams to achieve optimal outcomes. The Vanderbilt Pediatric Otolaryngology–Head and Neck Surgery team provides care for complex pediatric ENT conditions, working with specialists at Monroe Carell Jr. Children’s Hospital at Vanderbilt. The team participates in multidisciplinary programs including the Complex Aerodigestive Evaluation Team (CADET) and Velopharyngeal Insufficiency Program (VPI), and treats conditions including cleft lip and palate, vascular anomalies, and refractory obstructive sleep apnea. Clinics operate at the main Monroe Carell hospital and locations in Murfreesboro and Spring Hill. The department sees more than 25,000 outpatient visitors and performs more than 6,000 surgeries annually. The schedule is 8 a.m.–4 p.m., four clinic days per week and one administrative day. Locations include Hendersonville, DOT (main campus), Spring Hill, Murfreesboro, and One Hundred Oaks. The role requires a master’s degree and Tennessee licensure as a nurse practitioner or physician assistant, along with Tennessee registered nurse licensure as listed in the position qualifications. Relevant work experience is listed, with an experience level of less than one year. Experience with complex airway diseases, a critical care background, and prior APP experience are preferred. The APP obtains and documents health histories and examinations, assesses patients, develops plans of care, manages primary, acute, and complex patient needs, orders and interprets diagnostic tests, diagnoses and treats acute and chronic conditions, prescribes interventions, makes referrals, provides specialty consultation within scope, and facilitates transitions between care settings. The position also emphasizes evidence-based practice, patient- and family-centered care, clear electronic health record documentation, professional development, clinical education, quality improvement, effective communication, and ethical practice.

Requirements

Master’s degree.
Relevant work experience; the listed experience level is less than one year.
Tennessee Licensed Nurse Practitioner certification/licensure, Tennessee Physician’s Assistant Certified licensure, and Tennessee Registered Nurse licensure are listed in the position qualifications.
Ability to provide patient-centered specialty care, assess and diagnose patients, manage acute and chronic conditions, and prescribe within scope of practice.
Ability to use evidence-based practice, communicate effectively, document care, and collaborate with multidisciplinary healthcare teams.

Nice To Haves

Experience in complex airway diseases.
Critical care background.
Prior APP experience.

Responsibilities

Obtain and document health histories and perform and document complete, system-focused, or symptom-specific physical examinations, assessments, and plans of care.
Collaborate in providing primary, acute, and complex care; manage patients’ overall care and identify expected outcomes for diagnoses.
Order, perform, interpret, and collect data using appropriate assessment techniques, supporting diagnostic information, and diagnostic procedures when indicated.
Form differential diagnoses and treat acute and chronic conditions.
Prescribe pharmacologic, non-pharmacologic, and surgical therapeutic interventions needed to achieve expected outcomes.
Use evidence-based, approved practice protocols to plan and implement care.
Initiate appropriate referrals and consultations.
Provide specialty-specific consultation services upon request and within the specialty scope of practice.
Facilitate patients’ transitions between and within healthcare settings.
Manage previously diagnosed and undiagnosed patients within scope of licensure and certification; use assessment, screening, and diagnostic strategies to develop diagnoses.
Prescribe medications within scope of practice and manage patients’ and families’ health and illness status over time and across the continuum of care.
Provide patient-centered care that recognizes patients or their designees as partners in decision-making and incorporates confidentiality, comfort, emotional support, mutual trust, respect, and cultural and spiritual preferences.
Document findings, assessments, and plans of care in the electronic health record.
Educate patients, families, students, and healthcare-team members on clinical topics and the application of clinical knowledge.
Use scientific evidence and methods to evaluate and improve patient-care practices, anticipate practice variations, and implement quality-improvement interventions.
Communicate practice knowledge effectively orally and in writing, and maintain professional relationships with patients, families, and healthcare-team members.
Maintain current evidence-based knowledge through continuous learning and participate in professional organizations, activities, and medical-center committees that influence advanced practice.
Carry out additional duties as assigned.