**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:** In-Patient Nrs Practnrs 40 **Job Summary:** Our Pediatric Teams at VUMC are growing! We are looking for Acute Care Pediatric Nurse Practitioners or Physician Assistants to join our Pediatric Endocrinology, Gastroenterology and Hepatology, Nephrology - Chronic Kidney Disease/Dialysis, Neurology, and Hospitalist Teams. We also have Lead Advanced Practice Provider positions available as well. Acute Care Pediatric Nurse Practitioner (CPNP-AC) or Physician Assistant (PA) works in collaboration with a multidisciplinary health care team. Provides healthcare in primary and acute care, critical care and long-term health care settings. 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. Has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. . **Position Hours:** **Pediatric Endocrinology:** Day Shift (7am – 4pm) – Rotating Weekend Requirement **Gastroenterology and Hepatology:** Day or Night Shift **Nephrology - Chronic Kidney Disease/Dialysis:** Monday through Friday – Day Shift (8 Hour Shifts) **Neurology:** Day Shift (6am – 6pm) – Rotating Weekend Requirement **Hospitalist:** Day or Night Shift – 24/7 Service. Rotating Weekend Requirement **Department Summary:** **Pediatric Endocrinology:** The Advanced Practice Provider will participate in the medical care of pediatric endocrinology patients in the acute care setting. The APP will also serve on the Pediatric Inpatient Glucose Management Service, helping to monitor and supervise glucose control in patients who are using their home insulin pump and continuous glucose monitor (CGM) to independently regulate glucose levels while inpatient. The APP works collaboratively with the interdisciplinary and physician team in the Department of Pediatrics using established and approved protocols as required by state law and institutional policy. They will be expected to work toward the attaining Certified Diabetes Care and Education Specialist designation from the American Diabetes Association. 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. Inpatient Service. **Gastroenterology and Hepatology:** The Advanced Practice Provider in Pediatric Gastroenterology (GI) and Hepatology will assist in the medical care of pediatric patients in the inpatient acute care setting. The APP works under the supervision of the pediatric GI/hepatology physician team using established and approved protocols as required by state law and institutional policy and will work collaboratively with members of the entire GI/hepatology multidisciplinary team. The APP should demonstrate an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. Inpatient Service. **Nephrology - Chronic Kidney Disease/Dialysis:** The Advanced Practice Provider will participate in the medical care of pediatric chronic kidney disease and dialysis patients in the acute care and outpatient setting. The APP works collaboratively with the interdisciplinary and physician team in the Department of Pediatrics using established and approved protocols as required by state law and institutional policy. Inpatient/Outpatient Service. **Neurology:** The Advanced Practice Provider will participate in the medical care of pediatric neurology patients with general and cerebrovascular neurological disorders in the acute care setting. The APP will be a part of the baclofen pump management, reprogramming and refill call service. Additionally, they will provide clinical coverage for the pediatric epilepsy monitoring unit and will assist with admissions, transfers and discharges. The APP works collaboratively with the interdisciplinary and physician team in the Department of Pediatrics using established and approved protocols as required by state law and institutional policy. **Hospitalist:** 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 + Physician Assistant PA + Prior APP Experience Preferred + New Graduate CPNP-AC with Pediatric RN Experience or New Graduate PA with EMT Experience or Pediatric Clinical Rotation Experience Preferred 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, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice and/or health outcomes of a population focus. • 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 (Intermediate): 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. • 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. • 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 recognizing cultural diversity 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. • Health Systems and Policy Management (Intermediate): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice and/or health outcomes of a population focus. **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