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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:

Physical Medicine & Rehab Dept

Job Summary:

The nurse practitioner (NP) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The NP is typically on a service aligned team managing the patient care from step down to discharge. The NP may have responsibilities for same patient population during follow up outpatient visits. The NP has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The NP demonstrates 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.

The Physician Assistant (PA) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The PA functions primarily as a hospitalist in an iPAatient setting, managing the care of acute/complex chronically ill patients. The PA is typically on a service aligned team managing the patient care from step down to discharge. The PA may have responsibilities for same patient population during follow up outpatient visits. The PA has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The PA demonstrates 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.

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Job Summary

We are seeking a Nurse Practitioner (NP) or Physician Assistant (PA) who will provide consults at the Vanderbilt Adult Hospital and assist in growing the Physical Medicine & Rehabilitation consult service. The NP/PA will function within the acute care hospital setting and work in collaboration with, and is an integral member of, a multidisciplinary health care team. The PM&R consult team assists as a consultant in offering medical recommendations for patients with rehabilitation diagnoses such as spinal cord injuries. They also assist with assessing for the appropriate post-acute discharge settings for patients with continued rehabilitation needs, as well as facilitating transitions to these facilities at discharge. The NP/PA may have responsibilities for the same patient population during follow-up outpatient visits, although the clear initial focus will be growing the consult service.

Ideal candidates would have exceptional communication skills and the ability to form collaborative relationships across the hospital services to help expand the number of appropriate consults. This should be combined with a strong foundation in evidence-based practice/education to provide an environment of safe quality care. The NP/PA should also demonstrate an advanced level of medical knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and be responsible for professional development and competency validation.

• Nurse Practitioner or Physician Assistant Required

• 3 years APP experience strongly preferred

Position Hours

• Monday through Friday

Department Summary

• Department of Physical Medicine and Rehab - Vanderbilt Adult Hospital

• The Physical Medicine and Rehab department was established on April 1, 2012. Since that time, it has grown significantly and PM&R has become an integral specialty at the Vanderbilt University Medical Center (VUMC). Our goal is simple, to be the top PM&R program. To accomplish this goal, we are building an exceptional team that will provide our patients with world renown care, while simultaneously empowering our students and faculty to conduct outstanding research and to be thought leaders in the field. We are actively recruiting outstanding faculty, developing clinical centers of excellence, creating innovative graduate and post-graduate educational programs, building research capacity, and establishing a clinical and translational research agenda. Vanderbilt University is a recognized and respected leader in education, research, and patient care. I am thrilled to have the opportunity to build a new department in such a rich academic environment. I will be looking forward to collaborating with professional colleagues and advocates interested in the advancement of PM&R.

• Mission - The Department of Physical Medicine and Rehabilitation is dedicated to excellence in rehabilitative care through advances in rehabilitation research, collaboration across health care disciplines, outstanding educational opportunities and strong patient advocacy.

KEY RESPONSIBILITIES

• Performs and documents 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.

• Coordinates daily rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day.

• Assessment of Health Status

• The nurse practitioner may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.

Diagnosis

• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.

• 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.

• Recommends diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.

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

• Diagnoses complications and orders appropriate interventions

• Formulates Plan of Care

• Implements and modifies plan of care

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

• May perform advanced procedures consistent with privileges and competency validation including minor suturing, complex wound management, line and tube placements and removals.

Communication and Collaboration

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

• Maintains ongoing communication and collaboration with referring teams, and attending physicians on the PM&R consult team.

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

Documentation

• Documents/dictates key components of patient's progress via initial history and physical, progress note and or clinic note where applicable.

Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary , and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)

• 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, 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.

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