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Vanderbilt Cleft-Craniofacial Center NP/PA Program Coordinator

Vanderbilt Health

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Details
Posted:
November 10, 2018
Location:
Nashville, Tennessee
Salary:
Open
Discipline:
General Nursing
Description
 
Vanderbilt Cleft-Craniofacial Center Nurse Practitioner (NP) or Physician Assistant (PA) Program Coordinator
JOB SUMMARY
The Vanderbilt Cleft-Craniofacial Center Nurse Practitioner (NP) or Physician Assistant (PA) program coordinator provides healthcare in a variety of settings and has didactic education, clinical competency and national certification in pediatric clinical practice. The NP/PA demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. The NP/PA works in collaboration with a multidisciplinary health care team and contributes the following:
  • Participates in programmatic development, design, and implementation of Cleft Program and the Craniosynostosis Program at the Vanderbilt Cleft-Craniofacial Center.  The position is responsible for completing assigned tasks and reporting directly to the medical director.
  • Responsible for communicating with individuals of all levels and experience (parents, social workers, nurses, APCs, physicians, etc.) related to cleft and craniofacial care. 
  • Provide feedback to the referring physician regarding treatment, hospital course, and outcomes of their referred patients. 
  • Understand the clinical nuances of the conditions treated at the Center and be able to appropriately discuss these with specialists
  • Interact with care providers of multiple pediatric specialties at the Children's Hospital, as well as with the referring providers, in order to facilitate the coordination of care. 
  • The coordinator will serve as the access/entry for the Center, assessing and triaging patient needs, activating the appropriate care pathway, coordinating the studies required by the care pathway (and helping with insurance approval if required), facilitating counseling by the appropriate pediatric physicians, and remaining the point person at the Children's Hospital for the family and referring providers.
  • Multi-disciplinary care conference coordination: The coordinator will be responsible for the preparation of the weekly cleft and craniosynostosis care conferences.  Tasks include management of the patient list, coordination of local experts and remote providers to participate, as well as follow-up with providers and mothers regarding treatment plans
  • Provide a Care Plan to each family after a team visit
  • Program promotion: The coordinator will be responsible for active programmatic promotion through visits to local/regional/super-regional  providers, maintaining a Center social media page, participation in community health fairs, and attendance at national meetings
  • Maintenance of Certification through the American Cleft Palate-Craniofacial Association
  • Work with Telehealth to coordinate care conferences
Clinical Practice:
  • Initial point of contact for pre-natal consultations and referrals – office, NICU, nursery, etc.
  • Support implementation of treatment protocols
  • Perform patient assessment to obtain a complete and accurate record of the patient's clinical information and medical symptoms. Order tests and exams to obtain additional information needed to ensure proper and complete care of patient.
  • Based on assessment, diagnose patient needs and determine a plan of care. Interpret patient care tests and exams to obtain needed information to guide care.  Perform diagnostic and/or therapeutic procedures as defined by Scope of Practice.
  • Provide for the treatment of the patient (and oversee the treatment provided by others) including appropriate prescriptive practice to achieve optimal clinical outcomes for the patient. Utilize advanced specialty knowledge to ensure that the care provided is appropriate, effective, timely, and cost efficient.
  • Appropriate and timely documentation of clinical care. Code and bill accurately per established protocol and procedure. Ensure that records are detailed and complete, and comply with related standards and regulations.
  • Assess patients pre and post-operatively to ensure optimal and efficient care, and facilitate timely discharge with appropriate follow-up.
Patient and Family Education:
  • Conduct and/or coordinate education to increase the knowledge of patient, patient family, and others. Providing appropriate instruction based on patient needs to support the continuum of care.
  • Train other staff in areas of clinical expertise. Provides teaching of students as appropriate to increase their clinical knowledge and ensure safe patient care.
  • Stay abreast of current trends in healthcare practice and participate in continuing medical education to ensure optimal clinical knowledge and effective patient care skill.
Consultation/Collaboration:
  • Coordinates and collaborates patient care efforts with other care providers.
  • Communicates clinical information timely, accurately, thoroughly, and appropriately to other providers of patient care.
  • Collaborate with other care providers in the effective sharing of practice expertise.
Research:
  • Coordinate with the Quality Improvement Coordinator to facilitate research and utilize evidence-based practice to promote quality patient care, protocol development, care process model development, and best practice standards for assigned patient population.
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 including pharmacologic, non-pharmacologic and surgical, treatments 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.
TECHNICAL CAPABILITIES
Patient and Family Centered Care
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
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
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
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
Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward patients, the 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
Demonstrates both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care. Understands the importance of advocacy for improved access, quality and cost-effective care.  Minimizes risk to patients and providers at the individual and system level.  Collaborates in planning for transitions across the continuum of care. Understands organizational practice and complex systems to contribute to improving health care delivery.  Demonstrates commitment to systems improvement such as serving on medical center committees.

Basic Qualifications
Master's degree in nursing, from an accredited institution, with education and clinical training specific to patient population (Required)
 > 1 year relevant experience (Required).  12 months of nursing experience preferred. 12 months of nurse practitioner or PA experience with specific patient population preferred. 
Tennessee Registered Nurse License or Physician Assistant License and Tennessee Advanced Practice Nursing License with Certificate of Fitness to Prescribe; 
National Specialty Board Certification in Age-Specific, Specialty Patient Population; 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,
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,
Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device,
Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles ,
 Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms,
Kneeling: Bending legs at knees to come to rest on knee or knees,
Crouching/Squatting: Bending body downward and forward by bending legs and spine.  
Reaching above shoulders:  Extending arms in any direction above shoulders,
Frequent:  Standing: Remaining on one's feet without moving.
Walking: Moving about on foot.
Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another,
 Raising and lowering objects under 35 lbs from one level to another,
Push/Pull: Exerting force to move objects away from or toward. ,
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,
Reaching below shoulders:  Extending arms in any direction below shoulders,
Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
 Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.

Sensory
Frequent:  Communication: Expressing or exchanging written/verbal/electronic information.
Continuous:  Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information,
 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. ,
 Smell: Ability to detect and identify odors.
Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.

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

 

Internal Number: 1808847
About Vanderbilt Health
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As th...e largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.
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