Vanderbilt University Medical Center·Tullahoma, Tennessee
The APP manages high-acuity ICU patients with unstable conditions, performing comprehensive assessments and implementing complex care plans. Responsibilities include ordering diagnostic tests, prescribing therapeutic interventions, and facilitating patient transitions between healthcare settings.
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.
The Advanced Practice Provider (APP) is an integral member of the multidisciplinary healthcare team, delivering expert care in the Critical Care setting.
This role involves managing high-acuity intensive care unit (ICU) patients with unstable conditions who require intensive oversight, frequent rounding, and specialized care.
Patients may include those in medical and surgical ICUs with complex needs requiring advanced interventions.
The APP is responsible for managing complex conditions while ensuring delivery of safe, high-quality care.
This role requires advanced medical knowledge, clinical judgment, technical proficiency, professionalism, and excellent interpersonal communication skills.
The APP is also accountable for timely and compliant documentation, ongoing professional development, and competency validation.
With a strong foundation of medical knowledge, the APP combines evidence-based practice with clinical expertise to meet the unique needs of critical care patients.
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We are looking for experienced APPs who are comfortable working independently in a rural health or community health setting and are willing to build bridges as we develop relationships with new teams. Our regional hospital ICUs have between 10-14 ICU beds. They serve a mixed patient population, with the majority of patients being medical. The goal staffing model is 24-hour coverage with one day and one night APP (traditional 13-hour shifts) at each hospital; however, during the initial period the APP will cover both ICUs but home based at VTHH.
Relocation available for candidates over 100+ miles
Vanderbilt Tullahoma-Harton Hospital (VTHH) and Vanderbilt Bedford Hospital (VBCH) are pleased to have made a significant impact on Coffee and Bedford County, through patients served, trainings offered, charity, salaries, investments and uncompensated care. With more than 450 employees at VTHH and 400 employees at VBH, we are one of the community’s largest employers. Through its seven hospitals and more than 180 clinics, Vanderbilt University Medical Center contributes nearly $1 billion in total community benefit and investment [https://www.vumc.org/about].
Vanderbilt Tullahoma-Harton Hospital is accredited by The Joint Commission, our 135-bed facility offers a wide range of inpatient and outpatient medical and surgical services, including an accredited Chest Pain Center, a 14-bed critical care unit, imaging services including nuclear medicine, labor and delivery with a Level 2 nursery, sleep medicine, orthopedic surgery, rehabilitation and more.
Vanderbilt Bedford Hospital is a 60-bed facility offers a range of inpatient and outpatient medical and surgical care. 10-bed dedicated to the critical care unit. Vanderbilt Bedford Hospital has once again received an “A” Hospital Safety Grade from Leapfrog for fall 2024. This national distinction recognizes our hospital's achievements in protecting patients from preventable harm and error
Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA) Required Prior APP or ICU Experience Preferred
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, such as admitting, transferring, and discharging patients.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
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.
Learn more about VUMC Nursing here [http://www.vumc.org/careers/nursing-careers].
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.
Experience Level: Less than 1 year
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.
Candidates must be a Licensed Nurse Practitioner or Physician Assistant in Tennessee with a Master's degree. Prior APP or ICU experience is preferred for this role.
Market context
Advanced-practice roles in Tennessee are often shaped by steady demand in hospice, palliative care, and other settings that need licensed clinicians who can manage complex patients. These positions are competitive because employers typically look for an accredited NP, CNS, or PA background, an active Tennessee license, national certification, and an unrestricted DEA, with hospice, palliative care, ICU experience, or ACHPN/HPCC certification often preferred. If you are considering applying, confirm your licensure and certification status first, and use the platform’s AI-summarized requirements and benefits to quickly compare roles without reading every original posting.