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Vanderbilt University Medical Center Hospital at Home NP/PA in Nashville, Tennessee

Hospital at Home NP/PA - 2114553

Job : Other Nursing Services

Primary Location : TN-Nashville-2525 West End Ave

Organization : Internal Medicine 104366

Shift: : Variable


Hospital@Home Advanced Practice Provider (NP/PA)

This role will offer acute-level care to patients who are able to remain at home. The provider will work with hospital providers to determine eligibility, work with multidisciplinary teams to determine care delivery, and work with hospital administration for quality improvement.

Responsibilities include:

  • Screen and enroll patients referred from inpatient and outpatient sources

  • Visit new patients in person and on-going patients virtually

  • Establish plan of care

  • Collaborate with attending physician, who oversees the care of patients

  • Escalate care to inpatient, skilled nursing, palliative as needed

  • Perform in-home diagnostics, medications, testing, and treatments as necessary

  • Ensure safe environment for patient’s care

  • Communicate with patient, family, PCP, specialists, and integral members of patient’s care

  • Cross-cover patients overnight as necessary

  • Collect data as necessary to evaluate the program for improvements

  • Attend H@H meetings to promote and grow the program

Skills / Abilities Required:

  • Independent to meet with patients in their environment (in-person or virtually)

  • Excellent oral and written communicator

  • Collaborative team player, who independently drives daily responsibilities

  • Willingness to offer ideas for improvement to program

  • Prioritize work in a dynamic environment

  • Flexible and comfortable to work in developing clinical environment

  • Creative problem solver

  • Quality Improvement and development of evidence-based protocols a plus

  • Acute inpatient experience preferred

Department Summary:

The Division of General Internal Medicine and Public Health is committed to caring well for those who entrust their care to us and to improving community health. A large and diverse Division within the Department of Medicine, we are aligned along ten Sections that include Ambulatory Medicine, Hospital Medicine, Medicine-Pediatrics, Palliative Care, Occupational Health, Student Health, Veterans' Health, Concierge and Executive Health, Walk-in-Clinics, and Professional Health and Wellness. Collectively the sections support our tripartite pursuit of compassionate, patient-centered health care, rigorous training of the next generation of physicians and impactful discoveries.

View how Vanderbilt Health employees celebrate the difference they make every day:

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. It is a place where your diversity — of culture, thinking, learning and leading — 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.

VUMC Recent Accomplishments

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

· US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children’s Hospital at Vanderbilt named as one of the Best Children’s Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.

· Healthcare’s Most Wired: Among the nation’s 100 “most-wired” hospitals and health systems for its efforts in innovative medical technology.

· Becker’s Hospital Review: named as one of the “100 Great Hospitals in America”, in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.

· The Leapfrog Group: One of only 10 children’s hospitals in the to be named at Leapfrog Top Hospital.

· American Association for the Advancement of Science: The School of Medicine has 112 elected fellows

· Magnet Recognition Program: Received our third consecutive Magnet designations.

· National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement

· Human Rights Campaign Healthcare Equality Index: 6 th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.

Basic Qualifications

Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.

Licensure, Certification, and/or Registration (LCR):

  • Registered Nurse Required


PA licensure requirements will apply for PA candidates

Additional Qualification Information:

  • Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA

Physical Requirements/Strengths needed & Physical Demands:


  • Occasional: Sitting: Remaining in seated position

  • Occasional: Standing: Remaining on one's feet without moving.

  • Occasional: Walking: Moving about on foot.

  • Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another

  • Occasional: Push/Pull: Exerting force to move objects away from or toward.

  • Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles

  • Occasional: Crawling:Moving about on hands and knees or hands and feet.

  • Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.

  • Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.


  • Occasional: 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.

  • Frequent: Noise: May include exposure to occupational noise levels which equal or exceed an 8-hr time-weighted average of 85 decibels, requiring enrollment in VUMC's Hearing Conservation Program which includes training, use of hearing protection, and periodic audiometry.

  • Continuous: Communication: Expressing or exchanging written/verbal/electronic information.

Environmental Conditions

  • Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.

  • Occasional: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.

  • Occasional: Radiation: May be exposed to occupational radiation, requiring enrollment in VUMC's Radiation Safety Program which includes training, use of personal protective equipment with lead shielding, and personal dose monitoring.

  • Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.

Req ID: 2114553

Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.