Neonatal Network Advanced Practice Provider

Vanderbilt University Medical Center•Nashville, TN

About The Position

The Neonatal Network Advanced Practice Provider (NP/PA) collaborates with neonatologists and a multidisciplinary healthcare team to provide specialized neonatal care in inpatient and telemedicine settings. The role supports the development, implementation, and optimization of regional neonatal network programs, including telemedicine resuscitation, post-hemorrhagic ventricular dilation (PHVD) management, complex bronchopulmonary dysplasia (BPD) intake and evaluation, and retinopathy of prematurity (ROP) care coordination. The provider serves as a clinical expert in neonatal acute care, using advanced assessment, diagnostic, care coordination, communication, and program development skills to improve access to specialized neonatal services throughout the network. In collaboration with multidisciplinary stakeholders, the APP develops standardized clinical pathways, enhances care delivery processes, supports quality improvement, and advances neonatal network goals. The position combines clinical, telemedicine, and programmatic responsibilities. Hours include a mix of 8-, 10-, and/or 12-hour day shifts; weekend coverage may be required. Candidates need at least two years of neonatal advanced practice experience and must maintain the applicable NP or PA certification. Nurse Practitioner certification (NNP-BC) is preferred; PAs must have completed a neonatal fellowship. The APP manages critically ill and convalescing infants from admission through discharge, working independently in acute and critical care settings in collaboration with a multidisciplinary team.

Requirements

  • Master's or doctoral degree in Nursing or Physician Assistant Studies.
  • Neonatal Nurse Practitioner certification, Pediatric Acute Care Certification, or Physician Assistant certification with neonatal fellowship training.
  • At least two years of neonatal or pediatric advanced practice experience.
  • Maintain the relevant professional certification and Tennessee licensure applicable to the role: Licensed Nurse Practitioner, Physician's Assistant Certified, or Registered Nurse.
  • NRP certification.
  • PALS certification.
  • BLS certification.
  • Advanced procedure privileges consistent with institutional requirements.

Nice To Haves

  • NNP-BC certification is preferred.
  • Telemedicine consultation experience.
  • Experience caring for critically ill neonates in a Level III or IV NICU.
  • Experience with neonatal resuscitation, PHVD management, severe BPD, or ROP programs.
  • Quality improvement and program development experience.

Responsibilities

  • Perform comprehensive histories, physical examinations, and assessments for acutely ill and medically complex neonatal patients.
  • Order, interpret, and manage diagnostic testing and therapeutic interventions.
  • Develop and implement evidence-based plans of care in collaboration with neonatologists and subspecialists.
  • Participate in neonatal stabilization, resuscitation, and advanced procedures consistent with approved privileges.
  • Partner with physician and operational leaders to develop, implement, evaluate, and sustain neonatal network programs and services.
  • Assist in designing and standardizing clinical pathways, workflows, and care coordination processes across the network.
  • Monitor program outcomes and identify opportunities for quality improvement, growth, and expansion of specialized neonatal services.
  • Participate in strategic planning, performance improvement, data review, and program evaluation activities.
  • Support education, stakeholder engagement, and adoption of evidence-based practices across referring facilities and network sites.
  • Provide programmatic support for the telemedicine consultation service, including clinical decision-making, escalation of care, and transfer planning.
  • Participate in education, simulation training, and quality improvement activities across the neonatal network.
  • Coordinate care for infants with PHVD and related neurologic conditions; monitor clinical status, imaging results, and treatment plans in collaboration with neonatology, neurology, and neurosurgery teams.
  • Support standardized screening, surveillance, and treatment pathways for ventricular dilation.
  • Conduct intake evaluations for patients with severe and complex BPD; gather, review, and synthesize medical histories, diagnostic studies, and outside records.
  • Coordinate multidisciplinary care involving pulmonology, cardiology, nutrition, developmental, and surgical services.
  • Facilitate ROP screening, follow-up, and treatment coordination; track appointments and ensure compliance with recommended ophthalmology evaluations.
  • Serve as a liaison among NICU teams, ophthalmologists, referring facilities, and families.
  • Communicate effectively with patients, families, referring providers, and multidisciplinary teams.
  • Complete timely and compliant documentation of clinical encounters, telemedicine consultations, procedures, and care coordination activities.
  • Participate in quality improvement, research, education, professional development, and departmental meetings.

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 may be available; ask about current offerings.
  • Comprehensive benefits may include health, disability, retirement, and/or wellness offerings.
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