**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:** Pediatric Acute Care **Job Summary:** The Division of Pediatric Outreach Medicine, Department of Pediatrics at Monroe Carell Jr. Children’s Hospital at Vanderbilt (MCJCHV) seeks an acute care APRN for position as a VUMC Nurse Practitioner with the Division of Outreach Medicine. The Division is currently comprised of faculty and staff who cover a variety of services including Community Based Hospital Medicine, After Hours Clinics and Newborn Medicine. Applicants with a clinical focus on Urgent Care Medicine will be considered. The preferred candidate will demonstrate a track record of excellence in clinical care, graduate medical education or research and possess outstanding leadership skills. The APRN will demonstrate an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgement, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. This is a full-time or part-time position, located at one of the five After Hours locations, with possible hours 7 days a week. This will include evening and weekend coverage. . **Position Hours** + Weekdays - 5:30pm - 10:00pm + Weekends - 12:00pm - 8:00pm **Department Summary** In the Division of Pediatric Outreach Medicine, we strive to bring world class pediatric care closer to home. Our areas of expertise and involvement include: + General Pediatrics for Well-Child Care + After Hours Pediatrics + Urgent Care Pediatrics + Newborn Pediatrics + Pediatric Hospital Medicine This Advanced Practice Provider would support our patients in our Pediatrics, Ambulatory, and After Care Sick Visits in our after hours clinics within Smyrna, Murfreesboro, and Hendersonville. + Family Nurse Practitioner FNP + Pediatric Nurse Practitioner CPNP-PC or CPNP-AC + Physician Assistant PA + Prior APP Experience Preferred **Key Responsibilities:** **Principal duties and Responsibilities:** Function as a member of a multidisciplinary team that includes Attending Physicians, RNs. LPNs, MAs, Care partners and PSS. Facilitate and guide care in the After-Hours Clinics by performing comprehensive problem-focused patient evaluations; formulate and implement therapeutic plans of care; and perform minor procedures in clinic. Complete appropriate documentation of all evaluations, care and services rendered in the patient electronic medical record per policy. Attend After Hours educational and care conferences. **Key Functions and Expected Performances:** **Diagnosis** Manages procedures and diagnostic test through ordering, interpretation, and collaboration. Formulates differential diagnoses by priority. Diagnoses complications and orders appropriate interventions. **Formulates Plan of Care** Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address the health care needs. Utilizes evidenced based practice guidelines or protocols in an individualized dynamic plan of care. **Implements and modifies plan of care** Prescribes diagnostic strategies and therapeutic interventions pharmacologic, non-pharmacologic and procedural, needed to achieve expected outcomes Manages further diagnostic tests through ordering, interpretation, performance, and supervision. May perform advanced procedures consistent with privileges and competency validation. **Documentation** Documents key components of patient’s visit in clinic notes and procedure notes in the electronic medical record. Documentation is timely, meets acute care compliance standards and captures patient acuity. **Professional Practice** Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff and nurses. Seeks opportunities for active engagement in research and the analysis of evidence-based practice Actively participates in Grand Rounds, APN council meetings, faculty meetings, and M&M presentations. Maintains CEUs, and membership in a professional organization TECHNICAL CAPABILITIES **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: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to 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 Services:- 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