VMG Clinical Genetics Nurse Practitioner

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.

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Job Summary:

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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.

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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.