Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 2114649
JOB CODE INFORMATION
Job Title: Advanced Practice Clinician, Retail Health
Job Code: 8914
Job Stream Description:
FLSA Status: Exempt
Direct Reports: No
REPORTS TO: Advanced Practice Clinician, Division Manager JOB SUMMARY
The Advanced Practice Clinician (NP/PA) is responsible for providing excellent patient care to the clinics' scope of practice listed above. This role will independently, while being supported by the medical management team. Most of the work will be done at one location to facilitate community engagement. This role will also be partnered with a medical assistant as to allow APC ability to focus on patient care.
Assessment of Health Status
Performs and documents in the medical record a complete history and physical examination for patients visiting the clinic
Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated
Collaborates with health care team in making diagnoses of acute and complex chronic conditions
Manages diagnostic tests through ordering, interpretation, performance, and supervision
Formulates differential diagnoses by priority
Diagnosis's complications and orders appropriate interventions
Formulates Plan of Care
Identified 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.
Implements and modifies plan of care
Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes
Manages further diagnostic tests through ordering, interpretation, performance, and supervision
Communication and Collaboration
Maintains ongoing communication and collaboration with interdisciplinary health care team, including outpatient primary care physicians
Documents/dictates key components of patients' visit
Documentation is timely and captures medical decision-making
Demonstrates professional practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate, and novice practitioners
Seeks opportunities for active engagement in protocol development and quality assurance
Actively participates in educational opportunities
Maintains CEUs, and membership in a professional organization
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge of advanced practice of nursing including medical terminology, anatomy and physiology, pathophysiology, pharmacology and therapeutics, basic nutrition, behavioral factors, psychosocial/family systems, diagnostic testing, interpretation of results and clinical decision making, alternative treatment modalities.
Knowledge of professional nursing theory, practices and regulations related to evaluating and providing patient care, and professional ethics related to the delivery of nursing care.
Knowledge of medical equipment and instruments used to administer patient care.
Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
Knowledge of health promotion, health risk identification, and patient education principles and techniques.
Knowledge of community, professional, and educational resources.
Knowledge of practice management systems including electronic health record systems (EHRs).
Skill in oral and written communication; interviewing to gather medical histories; providing presentations, consultations, facilitation, and documentation, e.g., writing medical orders, patient education materials, and medical record updates.
Skill in case management, time management, problem solving, crisis intervention, multitasking, and other organizational matters.
Skill in modifying methods and techniques of professional nursing to provide appropriate nursing care and in initiating appropriate emergency response and investigatory procedures.
Ability to analyze complex data and draw conclusions.
Ability to interpret, adapt, and apply guidelines and procedures.
Ability to establish/maintain effective working relationships with patients, clinical staff, and the public.
Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate practice management software.
Accepts personal responsibility for the promotion of teamwork, professional conduct, communication, organizational commitment, work habits, job knowledge, attendance, and appearance. Possesses the ability to handle conflict and adapt to change. Knowledge of general health and related diagnostic and treatment modalities.
Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance.
Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems.
Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job.
Team Interaction: Provides guidance to entry level co-workers.
Develops Self and Others: Continuously improves own skills by identifying development opportunities.
Builds and Maintains Relationships: Seeks to understand colleagues' priorities, working styles and develops relationships across areas.
Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner.
DELIVERING EXCELLENT SERVICES:
Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.
Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner.
Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support.
ENSURING HIGH QUALITY:
Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.
Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.
Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.
MANAGING RESOURCES EFFECTIVELY:
Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.
Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources.
Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error.
Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.
Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.
Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work.
Current State licensure as either Nurse Practitioner or Physician Assistant
Current Basic Life Support (BLS) certification
12 months experience in an acute care setting
Must possess strong communication, organization, and leadership skills
Must have the ability to analyze, plan and coordinate medical care while making appropriate medical decisions
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
While performing the duties of this job, the associate is occasionally required to stand; walk; sit for extended periods of time; use hands to touch, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The associate must occasionally lift and/or move up to 50 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work environment characteristics described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
Primarily works in well-lit, ventilated and climate-controlled office environment with routine office equipment; some equipment has moving mechanical parts. May work from clinic locations and may be exposed to contagious viruses. Involves frequent contact with staff, patients and the public. Work may be stressful at times. Contact may involve dealing with angry or upset people.
Noise level in the work environment is usually moderate.
Minimal overnight travel (less than 10%) land and/or air required.
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As t...he largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.