Advanced Practice Provider - Urology

About this role

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

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