NP Full-time
Vanderbilt University Medical Center

Advanced Practice Provider - Urology

Vanderbilt University Medical Center Nashville, TN, US

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 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 is committed to an environment where everyone has the chance to thrive and where your uniqueness 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:

Urology Adult

Job Summary:

The Advanced Practice Provider (APP) plays a vital role in delivering specialized care and managing the health needs of patients in either inpatient, ambulatory, or a combination of both settings. With advanced training and expertise, the APP focuses on subspecialized care, including chronic illness and disease management, ensuring continuity of care throughout the patient’s healthcare journey, which may span multiple years. This role involves specialization in a specific organ system, where the APP provides expert consultation within their area of expertise as appropriate. The APP is integral to supporting patients across the continuum of care in both inpatient and outpatient specialty settings, collaborating with multidisciplinary teams to achieve optimal patient outcomes.

.

Position Shift:

  • Monday-Friday, clinic hours (4 days in clinic, 1 administrative day)

  • No call/holidays/weekends

Position Locations:

  • Main Campus

  • Spring Hill

  • Cool Springs

Department Summary:

As one of the busiest hospitals in the country for adult and pediatric urologic surgical procedures, the Department of Urology at Vanderbilt provides a comprehensive approach to patient care. We blend our innovative diagnostic, treatment, and research capabilities to deliver the best care possible while working to advance surgical approaches, including:

  • Robotics 

  • Image-guided surgery  

  • Minimally invasive approaches 

At the Vanderbilt Urology Clinic we treat a wide range of conditions, including:

  • Urologic cancers, such as: 

  • Prostate cancer 

  • Bladder cancer 

  • Kidney cancer 

  • Incontinence and other bladder-control problems 

  • Kidney stones 

  • Sexual health conditions, such as: 

  • Erectile dysfunction 

Our team invests in the most advanced technologies – such as a 3D MRI prostate biopsy system – that enables the most precise biopsies and facilitates personalized treatment plans. 
 
The large volume of procedures we perform each year ensures our patients receive the best care. Our teams are highly experienced. Milestones include:

  • Performing more than 10,000 robotic-assisted urologic surgeries such as radical prostatectomies 

  • Completing more than 2,200 pediatric urologic surgeries a year at the Monroe Carell Jr. Children’s Hospital at Vanderbilt, including: 

  • Innovative robotic surgeries  

  • Complex urologic reconstructions 

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 patients’ 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 for 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 a specialty scope of practice.
  • Facilitates the patient’s transition between and within health care settings.
  • The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES

  • Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice.
  • 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. Employes 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 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.
  • 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.
  • 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 evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.
  • Interpersonal and Communication Skills (Advanced): 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.
  • Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice.

 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 here.

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, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee

Work Experience:

Relevant Work Experience


Experience Level:

Less than 1 year

Education:

Master's

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.  EOE/Vets/Disabled.

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This role focuses on delivering direct clinical care, including health assessments, treatment interventions, and care management to individuals with complex healthcare needs. Essential Duties and Responsibilities Serve as a key member of the IMPACT team in the initial setup and rollout of new markets, traveling to identified regions to launch and establish local care teams. Collaborate with other IMPACT team members and local leadership to ensure that market setup is smooth, operational workflows are established, and new market teams are trained and supported. Support the establishment of clinical best practices, protocols, and workflows in new markets to ensure the delivery of high-quality care that aligns with company standards. Provide on-site training and mentorship to local clinicians, ensuring that they are fully prepared to deliver patient care in the home setting according to company care model principles. Assist in the development and implementation of the care delivery infrastructure in new markets, including establishing relationships with local healthcare providers and community resources. Assess existing market needs and implement strategies to address gaps in care and at risk team members, standardize operations, and enhance overall market performance. Deliver direct patient care, including comprehensive health assessments, physical exams, diagnostic testing, and therapeutic interventions in the home. Develop and implement personalized care plans based on patient needs, preferences, and clinical assessments, collaborating with the IMPACT team. Monitor and evaluate patient progress, adjusting care plans as necessary to address any changes in health status or condition. Administer treatments such as medication management, injections, wound care, and other clinical procedures, following all safety and infection control protocols. Provide patient and family education regarding disease management, care plans, treatment options, and lifestyle adjustments to enhance health outcomes. Other duties as assigned. In this role you may work with. . . Impact Team Local Leadership Local clinicians Patients Caregivers Patient’s Families Community Resources Healthcare Systems Qualifications Required Knowledge, Skills, and Experience Current Nurse Practitioner License. Must be able to obtain and maintain a Nurse Practitioner License within all service states within 6 months of hire. Must have an active DEA license or be eligible to obtain DEA license Active CPR or BLS Certification Must maintain a valid driver’s license and good driving record Outstanding EHR skills Preferred Knowledge, Skills and Experience Geriatric training/experience Skill in teamwork and maintaining effective working relationships with patients, medical staff, and the public Conditions of this role to be aware of. . . Adaptability to differing weather conditions and patients’ home/residential environments Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing Regular lifting/carrying items weighing up to 50 pounds Ability to ride in automobile or van up to 150 miles daily in urban and/or rural settings. Ability to drive, if necessary High flexibility and ability to travel for extended periods of time Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.