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Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

Internal Medicine

Job Summary:

The Primary Care Nurse Practitioner (NP) works in collaboration with a multidisciplinary health care team at the Concierge Medicine and Executive Health team. The NP provides healthcare in primary, urgent, community-based and long-term health care settings providing care to individuals and families across the lifespan. The NP has didactic education, clinical competency and national certification in the identified area of clinical practice enabling delivery of preventative healthcare for individuals and families as well as the assessment, diagnosis and treatment of acute and chronic illness. Primary care NPs demonstrate an ongoing commitment to patient centered care and partner with individuals as well as family's to promote engagement and shared decision making to assure optimal health, well-being and self-management of disease processes. Supported by advanced knowledge of nursing theory and application, the NP demonstrates evidence-based medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and life-long professional development and competency validation.

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The nurse practitioner (NP) or physician assistant (PA) within the primary care setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The NP or PA functions primarily as a primary care provider or acute care provider in an outpatient setting, managing the care of acute/complex chronically ill patients among several outpatient practices as needed. The NP or PA has a strong foundation in evidenced based practice and provides an environment of safe quality care. The NP or PA demonstrates an advanced level of medical knowledge, clinical and technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.

• Performs and documents independently in the medical record a complete history and physical examination for acute and complex chronically ill patients.

• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.

• Assesses for risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

• Manages diagnostic tests through ordering, interpretation, performance, and supervision.

• Formulates differential diagnoses by priority.

• Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs.

• Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.

• Prescribes diagnostic strategies and therapeutic interventions (pharmacologic, non-pharmacologic and surgical) needed to achieve expected outcomes.

• Maintains ongoing communication and collaboration with interdisciplinary health care team.

• Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

• Documentation is timely, meets acute care compliance standards and captures patient acuity, plan of care, and health maintenance.

• Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice nurse practitioners.

• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.

• Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.

• Maintains CEUs, and membership in a professional organization.

Our Nursing Philosophy:

We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.

As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:

• Affordable High Quality Health Plan Options

• Dental and /or vision plan

• 403 (b) retirement plan

• Paid Time off (flex PTO)

• Tuition Reimbursement and adoption assistance (maximums applied)

• Short-Long term disability

• Subsidized backup childcare

• And many more... Ask us about our current inpatient nursing supplemental Pay Program!

Achieve the Remarkable:

Learn more about VUMC Nursing:

• Nursing Careers : http://www.vumcnursingcareers.com/index.html

• Benefits : http://www.vumcnursingcareers.com/benefits.html

• Our Nursing Philosophy : http://www.vumcnursingcareers.com/philosophy.html

• Our Nursing Leadership : http://www.vumcnursingcareers.com/leadership.html

• Shared Governance : http://www.vumcnursingcareers.com/shared-governance.html

• Education& Professional Development : http://www.vumcnursingcareers.com/professional-development.html

• Life In Nashville : http://www.vumcnursingcareers.com/nashville.html

• VUMC Nursing : http://www.mc.vanderbilt.edu/root/vumc.php?site=vanderbilt-nursing

Core Accountabilities:

Organizational Impact: Delivers projects/assignments that have a direct impact on goals/objectives of the unit/department that the job is in. Problem Solving/ Complexity of work: Conducts extensive analysis of situations or data to resolve numerous, complex issues; may involve the input/work of others. Breadth of Knowledge: Has in-depth level of knowledge within a professional area and working knowledge of other areas. Team Interaction: May lead mid-sized projects; coaches and guides team members.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Service: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications:

Responsibilities:

Certifications:

LIC-Licensed Nurse Practitioner - Tennessee

Work Experience:

Relevant Work Experience

Experience Level:

Less than 1 year

Education:

Master's

Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled