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: PATCH/Pain 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. . Location: Vanderbilt Children's Surgery and Clinics (VCSC) in Murfreesboro, TN Position Hours: 4 10 Hour Shifts (Days) No Nights, No Weekends, No Call Department Summary: Learning your child needs surgery or general anesthetic can be distressing for you and them. Our pediatric anesthesia team is here to help. As part of our education for families with children requiring anesthesia, we connect you with our Preoperative Assessment and Teaching for Children’s Hospital (PATCH) clinic. Our pediatric anesthesia team at this clinic includes more than 20 nurse practitioners who have backgrounds in pediatrics, hematology/oncology and anesthesiology. A visit to this clinic will prepare you and your child to best cope with surgery. A specialist will explain the surgical process in a way your child will understand, with suggestions to help the procedure go smoothly. You'll meet with a family nurse practitioner who will learn about your child's and family's health, examine your child and talk with you about the operation and anesthesia. You'll also receive specific instructions to take with you about how to prepare at home. We encourage you to ask questions and share your concerns. Pediatric Nurse Practitioner - Primary Care (CPNP-PC), Pediatric Nurse Practitioner - Acute Care (CPNP-AC) or Physician Assistant (PA) Prior Experience Preferred (Surgical RN or APP) 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.
Overview The Nurse Practitioner will serve in a dual Hospice and Palliative Care role. In this position, they will provide comprehensive, patient-centered care across the continuum of serious illness, supporting patients in both palliative and hospice settings. The role includes a blend of hospice and palliative responsibilities with flexibility based on patient census and program needs. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care. This role blends autonomy with collaboration, allowing you to guide patients and families through complex medical decision-making, symptom management, and end-of-life care. This is a less than full-time position providing face to face visits as needed. Flexible schedule. Essential Functions Essential Functions of Position Clinical Management Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver comprehensive, patient-centered care. Collaborate with Primary Care Provider (PCP)/Attending Provider and specialists (if applicable) to coordinate patient Plan of Care Perform in-depth patient assessments, including physical, emotional, functional, and psychosocial evaluations. Support individualized care plans in partnership with the patients, families, caregivers, and IDG/IDT. Assist with and/or manage all aspects of patient care including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious illness support, quality-of-life optimization, and consultations, while reducing avoidable or unnecessary acute care utilization. Prescribe medications and treatments, including controlled substances, as permitted by state law and federal regulation and within defined parameters of Independent Practice or a Collaborative Practice Agreement. Order and interpret laboratory and other diagnostic tests within the state defined scope of practice and Collaborative Practice Agreement. Facilitate goals-of-care discussions, advance care planning, and level of care transitions when appropriate. Coordinate care across settings, including home, skilled nursing facilities, and assisted living. Initiate referrals to supportive services and community resources as needed. Utilize Local Coverage Determination (LCD) criteria to support hospice eligibility and recertification. Document clinical findings accurately and attest F2F encounters in the medical record in compliance with regulatory standards. Communicate findings, treatment plans, diagnostics, and medication reviews with IDG/IDT. Provide clinical recommendations to the interdisciplinary group (IDG) based on assessment findings. Ensure alignment with Medicare, Medicaid, and accrediting body requirements (e.g., ACHC). Notify appropriate team members promptly of any barriers to completing scheduled visits. Provide patient care and visit coverage across multiple provider numbers, as needed and approved. Maintain comprehensive0 knowledge in the field of hospice and palliative care. Collaboration & Communication Partner effectively with physicians, nurses, social workers, chaplains, and other IDG/IDT members. Communicate clearly and compassionately with patients, caregivers, and families. Support patients and families through serious illness and end-of-life transitions with empathy and clinical expertise. Participate in on-call rotation as needed. Documentation & Compliance Maintain timely, accurate, and compliant clinical documentation. Adhere to all federal, state, and organizational regulations, including OSHA and hospice Conditions of Participation. Demonstrate understanding of hospice eligibility, documentation standards, and Part B billing practices (as applicable). About You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education/Experience: Master of Science in Nursing (MSN) or higher from an accredited program. Completion of an accredited Nurse Practitioner program. Minimum of two years of Nurse Practitioner experience preferred. Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care preferred. Experience with Part B billing preferred. Licenses, Certifications and/or Registration: Current RN license and Nurse Practitioner license/certification in state of practice. National NP certification (ANCC or AANP). Collaborative Practice Agreement with supervising internal physician or Proof of Independent Practice Authority in accordance with state regulations. Controlled Substance Agreement, if applicable. DEA registration and prescriptive authority in accordance with state regulations. Current CPR certification. ACHPN certification preferred. Valid driver’s license and current automobile insurance. Specialized Knowledge and Skills: Strong clinical assessment and critical thinking skills across palliative and hospice populations. In-depth understanding of palliative care principles, hospice philosophy, home health eligibility, and end-of-life care. Working knowledge of LCD criteria, Medicare/Medicaid regulations, coding/billing, and documentation requirements. Excellent interpersonal, written, and verbal communication skills. Knowledgeable of Hospice & Palliative Quality Measures collection, documentation, reporting, and the QAPI process. Ability to work both autonomously and collaboratively in a fast-paced, evolving environment. Compassionate, emotionally intelligent, and sensitive to the needs of patients and families. Proficient in point-of-care technology and electronic medical records. Willingness and ability to maintain productivity and documentation standards in alignment with organizational expectations. Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families. Ability to support others at a time of crisis. Must demonstrate flexibility by performing various tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic and cultural backgrounds. Demonstrate maturity, cooperation, flexibility, and tact when dealing with co-workers and all members of the hospice team. Is compliant with OSHA, State Board of Nursing and Federal Regulations related to Hospice Conditions of Participation. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our hospice team Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-140046 Category: Nurse Practitioners Position Type: Flex/Per Diem Company: Gentiva Hospice
About Esperta Health Esperta Health is pioneering the future of wound care by delivering expert, in-home wound management backed by evidence-based practices. Our mission is to standardize wound care, improve healing outcomes, and reduce costs through comprehensive and patient-centered care. As a Nurse Practitioner – Wound Care Team Leader, you will play a critical role in advancing our wound care program within the assigned market. This leadership position requires clinical expertise in wound care, strong team collaboration abilities, and a passion for improving patient outcomes. You will oversee clinical outcomes, support wound care nurses, and work closely with interdisciplinary teams to ensure excellence in in-home wound care delivery. Responsibilities: Provide expert wound care assessments, treatment planning, and management in the home setting following evidence-based guidelines and company protocols. Lead and mentor wound care nurses within the assigned market to promote best practices and enhance clinical outcomes. Collaborate with interdisciplinary teams including physicians, case managers, and other healthcare professionals to coordinate patient-centered care. Monitor clinical quality, compliance, and performance metrics to ensure adherence to regulatory and company standards. Serve as a clinical resource and subject matter expert for wound care within the market Participate in continuous quality improvement activities, product evaluations, and new treatment protocol development. Engage with patients and caregivers to provide education, support, and ensure satisfaction with care delivery. Demonstrate leadership by fostering a culture of teamwork, accountability, and clinical excellence. Current, unrestricted Nurse Practitioner licensure in the state(s) of practice. Wound care certification such as WOCN or equivalent recognized wound care credential preferred Minimum 3-5 years of clinical experience with a strong background in wound care, preferably including in-home or post-acute care settings. Demonstrated leadership experience in clinical settings or wound care programs. BLS certification or higher. Proficiency with electronic health records and digital wound care management tools. Excellent communication, organizational, and interpersonal skills. Ability to work independently and as part of a multidisciplinary team. Valid driver’s license and reliable transportation for in-home visits. Strong commitment to patient-centered care and quality improvement. Mileage Reimbursement Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k) Life Insurance Paid Time Off Short Term & Long Term Disability Training & Development
Overview Expand Access. Build Partnerships. Transform Hospice Care. We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice eligibility certification and recertification. In this role, you will gather comprehensive clinical information, perform detailed assessments, and collaborate closely with hospice physicians and interdisciplinary teams to ensure quality patient care and regulatory compliance. This is a less than full-time flex position assisting with Face to Face visits and if available (not required) on the weekends could assist with admissions. Key Responsibilities: Perform and complete physical assessments for hospice F2F encounters within CMS-established regulatory timeframes. Document clinical findings accurately and attest F2F encounters in patient medical records. Utilize Local Coverage Determination (LCD) criteria per hospice policy and regulatory requirements. Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying physicians. Collaborate effectively with physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. Provide clinical recommendations to the IDG based on F2F assessment findings. Conduct assessments in the patient’s place of residence, including home, skilled nursing, or other settings. Notify the hospice agency promptly if unable to complete F2F visits as scheduled. May provide F2F coverage for multiple provider numbers with approval. About You Qualifications – What You’ll Bring: Master’s or higher degree in Nursing Completion of an accredited graduate-level nurse practitioner education program Current registered nurse license in state of practice Current advanced practice nurse license or certification National Nurse Practitioner certification (ANCC or AANP) Collaborative agreement in place as required Current CPR certification Valid driver’s license and automobile insurance Strong understanding of hospice care principles and terminally ill patient support systems Excellent patient assessment and clinical evaluation skills Familiarity with LCD criteria and hospice documentation requirements Knowledge of Medicare, Medicaid, ACHC, and other regulatory guidelines Strong oral and written communication skills Compassionate and sensitive to end-of-life issues impacting patients and families Ability to provide emotional support during times of crisis Flexible and adaptable with ability to manage diverse tasks efficiently Effective communicator across diverse socioeconomic and cultural backgrounds Cooperative and tactful team member adhering to OSHA, state, and federal hospice regulations Preferred (Not Required): Experience in acute care, hospital, oncology, home health, skilled nursing, or hospice settings We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our hospice team Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-138794 Category: Nurse Practitioners Position Type: Flex/Per Diem Company: Gentiva Hospice
