**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:** Pediatric Genetics **Job Summary:** Join a supportive, growing, multidisciplinary program caring for children and adults with heritable connective tissue disorders (HCTDs); including Ehlers–Danlos syndromes (HEDS/EDS subtypes), Marfan syndrome, Loeys–Dietz syndrome, arterial tortuosity, and related hypermobility and aortopathy conditions. You’ll be a billing provider for new and follow-up patients, own longitudinal care plans, and coordinate surveillance and supportive management across specialties. Division Summary: The Division of Medical Genetics & Genomic Medicine in the Department of Pediatrics at Vanderbilt University Medical Center (VUMC) is a well-established, nationally recognized program providing comprehensive genetic care to patients from Tennessee and six surrounding states. Our multidisciplinary team includes eight clinical/metabolic geneticists, one PhD scientist, nine genetic counselors, 3 genetic counseling assistants, five nurse practitioners, and two metabolic dietitians. We are supported by strong state partnerships and work closely with colleagues across pediatric and adult medicine to deliver both outpatient and inpatient consultations. The division is an NIH Undiagnosed Diseases Network clinical site and a NORD-designated Rare Disease Center of Excellence. We are active in precision medicine initiatives, including leadership roles in the All of Us Research Program and the eMERGE network, and we host an ACGME-accredited clinical genetics fellowship, a combined Pediatrics/Genetics training program, and an ACGC-accredited genetic counseling master’s program. Our environment offers rich opportunities for collaboration in clinical care, research, and teaching, including participation in a robust clinical trials program. We are committed to professional development and provide a supportive, collegial setting for all team members to thrive. . **What you’ll do** **Clinical care (primary focus)** • Evaluate new and follow-up patients with suspected or confirmed HCTDs: targeted history, focused exam (e.g., Beighton/5-point hypermobility screen, skin/soft tissue, musculoskeletal), and risk stratification • Order and interpret appropriate testing: genetic panels/WES/WGS (with genetics team), echocardiography/aortic imaging, ophthalmologic and orthopedic studies per protocol • Initiate and manage care plans: joint protection and activity guidance, PT/OT referrals, bracing/orthotics, pain and dysautonomia symptom pathways (in collaboration with Cardiology/PM&R/Pain/Rheum/Neuro) • Provide longitudinal surveillance (e.g., aortic measurements, scoliosis, hernias, pelvic floor, skin wound-healing issues) and close-loop follow-up • Deliver pre/post-test education and shared decision-making for genetic testing and clinical surveillance • Triage referrals and urgent patient issues; coordinate transitions between pediatric and adult care **Care coordination & clinic operations** • Coordinate across specialties (Cardiology, Orthopedics, PT/OT, Pain, Rheumatology, Ophthalmology, Neurosurgery, Vascular Surgery) to align appointments and plans • Manage in-basket messages, medication refills, prior auths for imaging/testing, and structured patient education materials • Maintain accurate documentation in the EHR and ensure timely communication with patients/families and referring providers • Help refine clinical pathways, order sets, and surveillance protocols for HCTDs • May cross-cover general genetics clinic as needed **Teaching, quality, and scholarship** • Teach residents, fellows, and students in clinic; contribute to patient education resources • Lead or participate in QI projects (e.g., time-to-diagnosis, imaging adherence, pain function metrics) • Option to participate in registries/clinical studies and guideline implementation **Professionalism & safety** • Maintain required competencies and certifications; champion patient safety and report/mitigate risks • Uphold infection control, OSHA standards, and clinic quality metrics **Qualifications** • Master of Science in Nursing and graduation from an accredited NP program • Current/eligible TN RN & APRN licensure; National Board Certification (FNP/AGNP or equivalent) • DEA eligibility and BLS required (ACLS preferred) • 2–3+ years NP experience **preferred** . Prior work in genetics, cardiology, rheumatology, pain, neurology, pediatrics, or complex care is a plus • Demonstrated strength in complex care coordination, motivational interviewing, and clear patient/family communication • Comfort with EHR documentation, clinical protocols, and multidisciplinary teamwork **You’ll thrive here if you:** • Enjoy owning a panel and building long-term relationships with medically complex patients • Value structured protocols and also the clinical nuance HCTDs require • Like collaborating across services and making systems better (pathways, education, QI) Benefits & schedule • Competitive compensation with comprehensive university benefits • CME and professional development support; opportunities for teaching and QI/scholarship KEY RESPONSIBILITIES • Assessment of Health Status • Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients. • Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. • The nurse practitioner may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions. • Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. • Coordinates daily rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day. • Diagnosis • Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. • Manages diagnostic tests through ordering, interpretation, performance, and supervision. • Formulates differential diagnoses by priority. • Diagnoses complications and orders appropriate interventions • Formulates Plan of Care • Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs. • Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum. • Implements and modifies plan of care • Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. • Manages further diagnostic tests through ordering, interpretation, performance, and supervision. • May perform advanced procedures consistent with privileges and competency validation including minor suturing, complex wound management, line and tube placements and removals. • Communication and Collaboration • Maintains ongoing communication and collaboration with interdisciplinary health care team . • Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care. • Documentation • Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary , and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary) • Documentation is timely, meets acute care compliance standards and captures patient acuity. • Professional Practice • Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice nurse practitioners. • Seeks opportunities for active engagement in research and the analysis of evidenced based practice. • Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations. • Maintains CEUs, and membership in a professional organization. TECHNICAL CAPABILITIES **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 (http://www.vumc.org/careers/nursing-careers) . **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 **Work Experience:** Relevant Work Experience **Experience Level:** Less than 1 year **Education:** Master's _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._