Emergency Advanced Practice Provider - PRN

Vanderbilt University Medical Center•Clarksville, TN

About The Position

The Advanced Practice Provider (APP) is an integral member of the multidisciplinary healthcare team, delivering expert care in the critical care setting. The role involves managing high-acuity patients with unstable conditions who require intensive oversight, frequent rounding, and specialized care, including patients in medical and surgical ICUs with complex needs requiring advanced interventions. The APP manages complex conditions while ensuring safe, high-quality care and is accountable for timely, compliant documentation, ongoing professional development, and competency validation. The role requires advanced medical knowledge, clinical judgment, technical proficiency, professionalism, and strong interpersonal communication skills. The APP uses evidence-based practice and clinical expertise to meet the needs of patients. The APP obtains and documents health histories; performs physical examinations and assessments; develops plans of care; and provides primary, acute, and complex care in collaboration with others. The APP orders, performs, interprets, and collects data from assessments and diagnostic procedures; forms differential diagnoses; treats acute and chronic conditions; and prescribes appropriate interventions. The APP uses approved evidence-based protocols, initiates referrals and consultations, provides specialty-specific consultations within scope of practice, and supports patient transitions between healthcare settings, including admission, transfer, and discharge. The position is with Vanderbilt Health’s Emergency Medicine Community organization. The department description highlights Vanderbilt Clarksville Hospital’s emergency services and community role. The posting identifies the position as PRN. Tennessee licensure as a nurse practitioner or physician assistant, as applicable, and Tennessee registered nurse licensure are listed among the certifications.

Requirements

  • Master’s-level education.
  • Relevant work experience is listed; the experience level is stated as less than 1 year.
  • Tennessee licensure as a Nurse Practitioner or Physician Assistant, as applicable, and Tennessee Registered Nurse licensure are listed under certifications.
  • Advanced medical knowledge, clinical judgment, technical proficiency, professionalism, and excellent interpersonal communication skills.
  • Ability to provide care within scope of licensure and certification, assess patients, develop diagnoses, and prescribe medications within scope of practice.
  • Ability to communicate practice knowledge effectively orally and in writing and maintain professional relationships with patients, families, and healthcare team members.

Nice To Haves

  • For Nurse Practitioners: FNP qualification; ENP preferred, with emergency medicine provider experience.
  • For Physician Assistants: at least 1 year of emergency medicine provider experience.
  • Provider experience outside emergency medicine may be considered, including ICU or CV Department experience.

Responsibilities

  • Obtain and document health histories; 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, diagnostic information, and diagnostic procedures where 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 patient transitions between and within healthcare settings, including admission, transfer, and discharge.
  • Document findings, assessments, and plans of care clearly, timely, and compliantly.
  • Use the electronic health record to capture data for evaluation and management of patient care.
  • Maintain current evidence-based knowledge through continuous learning and ongoing professional development.
  • 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 and outcomes.
  • Provide compassionate, patient-centered care that respects privacy, cultural and spiritual preferences, values, beliefs, and patient participation in decision-making.
  • Fulfill safety and regulatory requirements and perform routine safety checks.

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.
  • Inpatient nursing supplemental pay program (ask about current offering).
  • The role may include health, disability, retirement, and/or wellness offerings.
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