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JOB SUMMARY:

The Division of Hematology and Oncology at Vanderbilt University Medical Center is seeking a Nurse Practitioner or Physician's Assistant for an opening in our Palliative and Supportive Care Oncology Clinic.

This position is in an outpatient setting:

• Monday through Friday, 4 days per week in clinic
• No weekends
• No holidays
• No call

Works in collaboration with a multidisciplinary health care team. Provides healthcare in primary and acute care, critical care and long-term health care settings. Has didactic education, clinical competency and national certification in identified area of clinical practice. Demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. Has an advanced knowledge of nursing theory and application. Has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. Manages the care for patients including general oncology, stem cell transplant, benign or malignant hematology and neuro-oncology. Will work collaboratively with the interdisciplinary and physician team in the Division of Hematology/Oncology. May have some responsibility for the after hours clinic and infusion coverage.


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 patient's 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 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 specialty scope of practice;
• Facilitates the patient's transition between and within health care settings, such as admitting, transferring, and discharging patients.

View how Vanderbilt Health employees celebrate the difference they make every day:

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. It is a place 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.

VUMC Recent Accomplishments

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

* US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.

* Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.

* Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.

* The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital.

* American Association for the Advancement of Science: The School of Medicine has 112 elected fellows

* Magnet Recognition Program: Received our third consecutive Magnet designations.

* National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement

* Human Rights Campaign Healthcare Equality Index: 6^th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.

TECHNICAL CAPABILITIES:

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. Employs 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 cultural diversity and 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 evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.

INTERPERSONAL AND COMMUNICATION SKILLS (INTERMEDIATE):- 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, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice and/or health outcomes of a population focus.

HEALTH SYSTEMS AND POLICY MANAGEMENT (INTERMEDIATE):- Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice and/or health outcomes of a population focus.

CORE ACCOUNTABILITIES:

• Organizational Impact: Delivers projects/assignments that have a direct impact on goals/objectives of the unit/department that the job is in.
• Problem Solving/ Complexity of work: Conducts extensive analysis of situations or data to resolve numerous, complex issues; may involve the input/work of others.
• Breadth of Knowledge: Has in-depth level of knowledge within a professional area and working knowledge of other areas.
• Team Interaction: May lead mid-sized projects; coaches and guides team members.

CORE CAPABILITIES:

SUPPORTING COLLEAGUES (P4):

• - Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance 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 (P4):

• - 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 (P4):

• - 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 (P4):

• - 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 (P4):

• - 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.

Master's Degree (or equivalent experience) in Nursing, from an accredited institution, with education and clinical training specific to patient population and < 1 year relevant experience; 12 months of nursing experience preferred. 12 months of nurse practitioner experience with specific patient population preferred.

Licensure, Certification, and/or Registration (LCR):

• Registered Nurse Required
• Advanced Practice Registered Nurse Within 3 months

Additional Qualification Information:

• National Specialty Board Certification in Age-Specific, Specialty Patient Population; (Required within 3 months of hire) Eligible for NPI and DEA (which will be required within 3 months of hire)

Physical Requirements/Strengths needed & Physical Demands:

• Heavy Work category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.

Movement

• Occasional: Sitting: Remaining in seated position
• Occasional: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device
• Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
• Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
• Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
• Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
• Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
• Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
• Frequent: Standing: Remaining on one's feet without moving.
• Frequent: Walking: Moving about on foot.
• Frequent: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
• Frequent: Push/Pull: Exerting force to move objects away from or toward.
• Frequent: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
• Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.
• Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
• Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.

Sensory

• Frequent: Communication: Expressing or exchanging written/verbal/electronic information.
• Frequent: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.
• Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
• Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.
• Continuous: Smell: Ability to detect and identify odors.

Environmental Conditions

• Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
• Frequent: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.