Nurse Practitioner/Physician Assistant - Pediatric Hospital Medicine (Days)

**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 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 is committed to an environment where everyone has the chance to thrive and where your uniqueness 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:**Pediatric Acute Care**Job Summary:**Works in collaboration with a multidisciplinary health care team. Provides direct medical care to patients requiring hospitalization. Has didactic education, clinical competency and national certification in identified area of clinical practice. Demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. Has an advanced knowledge of nursing theory and application. Evaluates the patient to be admitted, summarizes the clinical findings in a history and physical, places appropriate orders for inpatient or observation care and collaborates with the admitting physician for the plan of care. Using a patient centered approach to facilitate patient throughput, the NP positively impacts length of stay and contributes to efforts to increase efficiency in care delivery and discharge planning..**Position Hours:*** Day Shift (7am - 7pm)* Full-Time* Occasional Weekends and Holiday**Department Summary:**The Pediatric Hospital Medicine advanced practice provider (APP) works in collaboration with a multidisciplinary health care team. The APP provides healthcare in the inpatient health care setting with the pediatric hospitalist program, providing acute and chronic care medical management, this includes care for the pediatric behavioral health patient population. Additionally, responsibilities include coordination of inpatient care, discharge planning and outpatient follow-up as needed.The APP has didactic education, clinical competency and national certification in identified area of clinical practice. The APP demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.* Certified Pediatric Nurse Practitioner - Acute Care CPNP-AC or Physician Assistant PA* Prior APP Experience Strongly Preferred***$15,000 Sign On Bonus for Candidates with 1 or More Years of Nurse Practitioner or Physician Assistant Experience***\*The sign-on bonus is not applicable to current VUMC staff or former staff who have worked for VUMC in the past twelve months. The sign-on bonus is only available for full-time positions.**Relocation available for candidates over 100+ miles from Nashville, TN**KEY RESPONSIBILITIES* Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.* In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patient's overall care, identifying expected outcomes for diagnoses.* Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.* Forms differential diagnoses and treats acute and chronic conditions.* Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.* Utilizes evidence-based, approved practice protocols in planning and implementing care;* Initiates appropriate referrals and consultations;* Provides specialty specific consultation services upon request and within specialty scope of practice;* Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.TECHNICAL CAPABILITIES* Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice.* Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.* Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing.* Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employs screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient-centered care and the patient or designee as a full partner in decision making. Creates a climate of patient-centered care to include confidentiality privacy, comfort, emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient's control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care.* Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge.* Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in professional #J-18808-Ljbffr