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:

Otolaryngology APP

Job Summary:

The Facial Plastics Advanced Practice Provider (APP) delivers comprehensive clinical care in the ambulatory setting to patients seeking facial plastic, reconstructive, and aesthetic services under the supervision of a Facial Plastic Surgeon. This role includes evaluating patients, developing and implementing treatment plans, performing in office procedures, and managing pre operative and post operative care. The APP plays a critical role in patient education, aesthetic consultations, cosmetic injectables and laser/energy based treatments (as credentialed), and the ongoing management of surgical and nonsurgical outcomes. The position requires strong clinical judgment, aesthetic awareness, excellent patient communication skills, and a commitment to quality, safety, and patient satisfaction within a fast paced, highly specialized practice. The APP will work alongside a growing team of surgeons and advanced practice providers within the division, primarily located at our new suite in One Hundred Oaks, while maintaining flexibility to collaborate across other satellite locations to support continuity of care and divisional growth.

.

KEY RESPONSIBILITIES

• Obtains and documents comprehensive health histories and performs focused physical examinations for patients in the ambulatory facial plastics setting.

• Collaborates closely with facial plastic surgeons, proactively supporting clinic workflows through pre-operative evaluations, post-operative visits, and specialty consultations to ensure efficient, high-quality patient care.

• Develops assessments and plans of care, formulates differential diagnoses, and manages acute and chronic conditions related to facial plastic, reconstructive, and aesthetic concerns.

• Orders, performs, and interprets diagnostic tests and in-office procedures within scope of practice, including skin and soft tissue biopsies, wound care, and lesion evaluation.

• Performs office-based procedures as credentialed, including cosmetic injectables (e.g., botulinum toxin, dermal fillers), laser and energy-based treatments, and minor procedural interventions.

• Prescribes and manages pharmacologic and non-pharmacologic therapies related to peri-operative care, aesthetic treatments, and postoperative recovery.

• Provides patient education regarding surgical and nonsurgical treatment options, procedural expectations, and post-treatment care.

• Utilizes evidence-based protocols and specialty best practices to guide patient care and outcomes.

• Initiates appropriate referrals and coordinates care with surgical colleagues and other specialties as needed.

• Practices collaboratively within a growing team of surgeons and advanced practice providers in the ambulatory setting, with flexibility to support care across affiliated clinic locations.

• Responsibilities are representative of the role, and additional duties may be assigned based on clinical needs.

TECHNICAL CAPABILITIES

• Health Systems and Professional Practice (Advanced): The Facial Plastics Advanced Practice Provider practices within a specialized ambulatory surgical environment, demonstrating accountability, ethical decision-making, and adherence to institutional, regulatory, and specialty standards. The APP functions as an integral member of a facial plastics care team, supporting efficient clinic workflows, continuity of care, and patient safety. Through ongoing professional development and specialty engagement, the APP contributes to the advancement of facial plastic and reconstructive practice.

• Patient-Centered Specialty Care (Advanced): Provides individualized, compassionate, and patient-centered care for individuals seeking facial plastic, reconstructive, and aesthetic services. Integrates patient values, goals, cultural considerations, and aesthetic preferences into shared decision-making across surgical and nonsurgical care. Ensures informed consent, education, and emotional support throughout consultations, pre-operative evaluations, post-operative visits, and longitudinal care. Maintains patient autonomy while fostering trust, respect, privacy, and high patient satisfaction.

• Clinical Knowledge and Expertise (Advanced): Demonstrates advanced clinical and aesthetic expertise in ambulatory facial plastics, applying evidence-based practice to patient evaluation, diagnosis, and management. Proactively collaborates with facial plastic surgeons to support surgical planning, pre-operative assessments, and post-operative management. Performs office-based procedures as credentialed, including cosmetic injectables, laser and energy-based treatments, biopsies, and minor procedural interventions. Manages peri-operative and nonsurgical care with a focus on optimal outcomes and safety.

• Practice-Based Scholarly Inquiry and Quality Improvement (Advanced): Integrates current scientific evidence, specialty guidelines, and clinical data to evaluate and enhance patient care and procedural outcomes. Identifies opportunities for quality improvement, workflow optimization, and practice advancement within the ambulatory facial plastics setting. Demonstrates a commitment to continuous learning and contributes to specialty growth through reflective practice and data-informed decision-making.

• Interpersonal and Communication Skills (Advanced): Communicates effectively and professionally with patients, families, facial plastic surgeons, APP colleagues, and interdisciplinary team members. Facilitates coordinated care through proactive communication related to consultations, operative planning, and follow-up care. Provides clear, thorough documentation of assessments, plans of care, and procedural outcomes within the electronic health record.

• Professionalism and Academic Engagement (Advanced): Exemplifies professionalism through integrity, collaboration, accountability, and respect. Serves as a collaborative partner within a growing facial plastics team, contributing to a positive clinical culture and excellence in ambulatory surgical care. Participates in institutional activities, specialty education, and professional organizations that advance the role of the advanced practice provider and the field of facial plastic and reconstructive surgery.

PHYSICAL REQUIREMENTS

This position is classified under the "Heavy Work" category and requires exertion of:

* 50-100 lbs. of force occasionally, and/or

* 20-50 lbs. of force frequently, and/or

* 10-20 lbs. of force continually to move objects.

PHYSICAL DEMANDS

The following physical demands and work environment exposures may be required in the performance of this role:

Sensory & Communication Requirements

• Communication: Expressing or exchanging written, verbal, or electronic information - Continuous

• Vision: Near and far visual acuity, depth perception, peripheral and color vision - Occasional

• Auditory: Ability to perceive variations in sound, tones, and pitches - Not Applicable

• Smell: Ability to detect and identify odors - Not Applicable

• Taste: Ability to detect quality, texture, consistency, and taste of prepared foods - Not Applicable

Manual Dexterity & Movement

* Handling: Seizing, holding, grasping, or manipulating objects - Occasional

* Reaching (below shoulders): Extending arms in any direction below shoulders - Occasional

* Reaching (above shoulders): Extending arms above shoulder level - Not Applicable

* Bending/Stooping: Trunk bending requiring use of lower extremities and back muscles - Occasional

* Crouching/Squatting: Bending body downward by bending legs and spine - Occasional

* Kneeling: Bending legs to rest on knees - Not Applicable

* Crawling: Moving on hands and knees or hands and feet - Occasional

* Climbing: Ascending or descending stairs or ramps - Not Applicable

* Push/Pull: Exerting force to move objects toward or away - Occasional

* Balancing: Maintaining body equilibrium during movement or while maneuvering equipment - Not Applicable

Lifting, Carrying, & Mobility

* Lifting (under 35 lbs.): Raising or lowering objects - Occasional

* Lifting (over 35 lbs.): With assistance or assistive devices - Not Applicable

* Carrying (under 35 lbs.): With assistance or assistive devices - Not Applicable

* Carrying (over 35 lbs.): With assistance or assistive devices - Not Applicable

* Walking: Moving about on foot - Occasional

* Standing: Remaining on feet without moving - Occasional

* Sitting: Remaining seated - Occasional

Environmental & Occupational Exposures

* Noise: Exposure to occupational noise >=85 dB may occur, requiring enrollment in VUMC's Hearing Conservation Program (training, hearing protection, audiometry) - Occasional

* Chemicals & Gases: Exposure to medications, cleaning chemicals, oxygen, and other medical gases - Occasional

* Radiation: Possible occupational radiation exposure requiring enrollment in VUMC's Radiation Safety Program (PPE, monitoring) - Occasional

* Pathogens: Risk of exposure to bloodborne pathogens and contagious illnesses - Occasional

* Climate: Exposure to atmospheric extremes (heat, cold, humidity, pressure changes) - Occasional

* Vibration: Exposure to oscillating movement - Not Applicable

Dexterity

* Bimanual Dexterity: Use of both hands simultaneously - Not Applicable

* Fingering: Fine manipulation using fingers - Not Applicable

* Feeling: Ability to perceive size, shape, temperature, and texture - Not Applicable

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.

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, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee

Work Experience:

Relevant Work Experience

Experience Level:

Less than 1 year

Education:

Master's

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.