Advanced Practice Provider - Primary Care

Organization

Internal Medicine

The Advanced Practice Provider (APP) collaborates with a multidisciplinary healthcare team and is service aligned, managing a defined patient population in the outpatient setting. This role emphasizes general, episodic, and preventive care while delivering patient‑centered services. A strong foundation in evidence‑based practice and education is essential, as the APP ensures adherence to clinical pathways, protocols, and fosters an environment of safe, high‑quality care.

The provider will demonstrate advanced medical knowledge, clinical and technical proficiency, sound clinical judgment, effective professional communication, and timely, compliant documentation. Additionally, the provider actively engages in professional development, competency validation, and contributes to the continuous improvement of patient care standards.

• 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 and non‑pharmacologic modalities 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 scope of practice.
• Facilitates the patient’s transition between and within health care settings.

• Health Systems and Policy Management (Advanced):
  Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward patients, their profession, and society. Participates in professional organizations and activities that influence advanced practice.
• Patient and Family Centered Care (Advanced):
  Demonstrates compassionate, appropriate and effective care 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 assessment skills to differentiate between normal, variations of normal, and abnormal findings, employs screening and diagnostic strategies, prescribes medications within scope, manages health/illness status across the continuum, and creates a climate of patient‑centered care that respects confidentiality, privacy, comfort, emotional support, mutual trust, and cultural preferences.
• Clinical Knowledge and Practice (Advanced):
  Demonstrates established and evolving biomedical, clinical and social science knowledge and applies it to patient care and education of others. Maintains current evidence‑based knowledge through continuous learning and educates patients, families, students, and the healthcare team in clinical topics.
• Practice‑Based Scholarly Inquiry and Integration (Advanced):
  Uses scientific evidence and methods to investigate, evaluate, and improve patient care practices; anticipates variations, implements proactive interventions, and generates knowledge from clinical practice to enhance outcomes.
• Interpersonal and Communication Skills (Advanced):
  Establishes and maintains professional relationships with patients, families, and team members, communicating knowledge effectively both orally and in writing.
• Professionalism (Advanced):
  Demonstrates ethical practice, continuous professional development, and participation in committees and professional organizations that influence advanced practice.

• 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

• Certifications
  :
  Licensed Nurse Practitioner – Tennessee, Physician’s Assistant Certified – Tennessee, Registered Nurse – Tennessee
• Experience Level
  :
  Less than 1 year
• Education
  :
  Master’s degree

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.