PRN Neonatal Advanced Practice Provider- Vanderbilt Off Site Nurseries

Vanderbilt University Medical Center • Nashville, TN

1d

About The Position

Works collaboratively with a multidisciplinary healthcare team to provide advanced neonatal care in Level II NICUs across the Vanderbilt Regional Affiliate Nursery (VRAN) network. Serves independently as the in-house advanced practice provider, assessing, diagnosing, and managing neonatal patients while collaborating with attending neonatologists, who may provide remote support. The role includes managing admitted patients, responding to consultations from in-house departments, attending deliveries, and accepting acute transports from area hospitals. Provides clinical coverage at current and future contracted VRAN NICU locations as operationally required.

This is a PRN, as-needed position. The role requires an NNP, CPNP-AC, or PA; NICU experience or completion of a NICU PA fellowship is required. The position includes patient assessment and management, diagnostic evaluation, treatment planning, emergency response and resuscitation, procedures within privileges and validated competency, care coordination, documentation, collaboration, education, and professional development.

Vanderbilt Health describes a collaborative and supportive community and offers employee benefits that may include health, disability, retirement, and wellness offerings. Listed benefits include health plan options, dental and/or vision plans, a 403(b) retirement plan, flexible PTO, tuition reimbursement, adoption assistance, short- and long-term disability, and subsidized backup childcare. Vanderbilt is committed to equal opportunity.

Requirements

• Neonatal Nurse Practitioner (NNP), Acute Care Pediatric Nurse Practitioner (CPNP-AC), or Physician Assistant (PA) qualification.
• NICU experience or completion of a NICU PA fellowship is required.
• Required applicable Tennessee certification or licensure: Licensed Nurse Practitioner, Physician's Assistant Certified, or Registered Nurse.
• Master's degree.
• Relevant work experience; listed experience level is less than one year.

Responsibilities

• Obtain and document comprehensive neonatal histories, physical examinations, assessments, and plans of care.
• Independently assess, diagnose, and manage neonatal patients in Level II NICU settings.
• Order, perform, interpret, and evaluate diagnostic studies and laboratory data.
• Develop differential diagnoses and implement evidence-based treatment plans; diagnose complications and order appropriate interventions.
• Prescribe therapeutic interventions and medications consistent with scope of practice and clinical privileges.
• Respond to patient status changes and situations requiring procedures or resuscitation, serving as a first responder for nursing and house staff.
• Attend high-risk deliveries and lead resuscitation when needed.
• Apply evidence-based guidelines and protocols in individualized plans of care across the continuum.
• Prescribe and modify diagnostic strategies and pharmacologic, non-pharmacologic, and surgical interventions to achieve expected outcomes.
• Perform advanced procedures when consistent with privileges and competency validation, including intubation, UAC/UVC placement or removal, lumbar puncture, ePIV or PIV placement, chest tube placement or removal, needle decompression, circumcision when applicable, and PAL placement.
• Stabilize and manage neonates requiring escalation of care and coordinate transfers, discharges, and transitions of care when indicated.
• Collaborate with attending neonatologists, nursing staff, respiratory therapists, and other multidisciplinary team members.
• Provide clinical support, education, and consultation to nursing staff and other healthcare professionals.
• Rotate among current and future contracted VRAN NICU locations as operationally required.
• Document patient progress and care in the medical record, including histories and physicals, progress notes, plans of care, problem lists, procedure and acute event notes, transfer and discharge summaries, and death summaries as applicable.
• Ensure documentation is timely, meets critical care compliance standards, and captures patient acuity.
• Demonstrate professional practice, including precepting or mentoring and educating students.
• Participate in required meetings, educational offerings, competency assessments, professional development activities, Grand Rounds, APN council meetings, faculty and unit meetings, and M&M presentations.
• Maintain current knowledge of Vanderbilt and affiliate site policies, clinical protocols, and practice guidelines.
• Seek opportunities to engage in research and evidence-based practice analysis; maintain CEUs and membership in a professional organization.

Benefits

• Affordable high-quality health plan options
• Dental and/or vision plan
• 403(b) retirement plan
• Flexible PTO
• Tuition reimbursement
• Adoption assistance
• Short- and long-term disability
• Subsidized backup childcare
• Inpatient nursing supplemental pay program (inquire about current offering)
• Health, disability, retirement, and/or wellness offerings may be included in the benefits package

What This Job Offers

• Career Level: Entry Level