Nurse Practitioner, Pediatric Complex Care

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 Hospital Medicine

Job Summary:

The Pediatric Complex Care Nurse Practitioner (NP) works in collaboration with a multidisciplinary health care team. The Complex Care NP provides direct medical care, telemedicine, care coordination, phone management, and on-call coverage for patients in the Program for Children with Medical Complexity under the supervision of Pediatric Complex Care Attendings. The NP has didactic education, clinical competency, and national certification in identified area of clinical practice. The NP demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation and billing, and is responsible for professional development and competency validation. The NP has an advanced knowledge of nursing theory and application. The NP reviews and documents history, evaluates the current clinical status, summarizes the clinical findings in comprehensive plan-of-care, places appropriate orders, and collaborates with the attending physician for the plan of care. Using a patient centered approach to preventative and acute management, the NP positively impacts the course of the complex child by forming a comprehensive plan of care, preventing ER visits and hospitalizations, and providing care coordination and case management services. The NP bills for time spent and medical complexity for all clinical time as appropriate.

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• Obtains and documents interim health history; performs and documents complete physical examination, assessment and comprehensive plan of care.

• Collaborates with multiple subspecialities to formulate and document an up-to-date plan-of-care to be used by the children’s hospital for each patient.

• 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 both in-person and via telemedicine.

• 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; works with community agencies, insurers, and ancillary service providers to navigate barriers to care; coordinates service provision within the medical center. Triages to appropriate care venues and performs case management as appropriate between in-person services.

• Provides specialty specific consultation services upon request and within specialty scope of practice; performs on-call services for triage of patients outside normal business hours

• Facilitates the patient’s transition to adult setting as appropriate.

 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<