Advanced Practice Provider (APRN or PA) - Orthopaedic Surgery

UT MD Anderson Cancer Center • Houston, TX

4d • Onsite

About The Position

The University of Texas MD Anderson Cancer Center's Orthopaedic Oncology department provides state-of-the-art care for adults and children with musculoskeletal bone tumors and manages orthopaedic conditions in oncology patients. The Advanced Practice Provider (APP) is crucial in supporting inpatient and outpatient orthopaedic oncology care, collaborating with multidisciplinary teams to manage complex patients, coordinate surgical care, and provide comprehensive treatment planning. The APP contributes to the center's mission by delivering high-quality, patient-centered care. The ideal candidate will have preferred experience in Orthopaedic Surgery or Oncology and experience with inpatient populations as a mid-level advanced practice provider. While one to two years of related experience is preferred, new graduates will be considered. The role offers exposure to advanced surgical and medical management, multidisciplinary collaboration, professional growth, and meaningful contributions to patient outcomes, with a balanced weekday schedule.

Requirements

• Degree requirements as defined by the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant.
• Written authorization from the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) to function as an Advanced Practice Registered Nurse or Physician Assistant. Related authorization must be consistent with clinical practice area and patient population.
• Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification.
• Eligible to be granted limited prescriptive authority by the State of Texas.
• One to two years of related experience is preferred; however, new graduates will be considered.
• Experience caring for inpatient populations as a mid-level advanced practice provider.

Nice To Haves

• Experience in Orthopaedic Surgery or Oncology.
• American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) certification as required by patient care area.

Responsibilities

• Complete history and physical examinations for patients with primary bone tumors, soft tissue tumors, and metastatic tumors.
• Complete preoperative histories and physicals and submit consultation requests for medical preoperative evaluation.
• Perform postoperative examinations and manage postoperative complications.
• Review diagnostic and laboratory studies and formulate differential diagnoses and treatment plans.
• Document patient encounters through prompt dictation of PMEs, histories and physicals, and preoperative and postoperative notes.
• Dictate all telephone patient communications.
• Present patient case histories and imaging studies at multidisciplinary conferences and document recommendations.
• Submit billing within 24 to 48 hours of patient encounters.
• Educate patients and families regarding diagnoses, treatment plans, cancer treatment, and tumor surveillance.
• Communicate with referring physicians and allied care providers to coordinate ongoing care.
• Assist business centers with insurance authorization by providing clinical information and completing peer-to-peer discussions.
• Schedule faculty surgical cases and coordinate complex multi-surgeon procedures.
• Communicate with multiple surgical services to ensure surgical readiness.
• Contact bone and tissue bank representatives for procurement of allografts.
• Coordinate with medical device representatives regarding prostheses, instruments, and surgical equipment.
• First and second assist during surgical procedures as needed.
• Submit preoperative and postoperative orders.
• Collaborate with operating room, internal medicine, and anesthesiology teams to coordinate complex surgical care.
• Manage orthopaedic oncology surgery patients and oncology patients referred for orthopaedic evaluation and treatment.
• Conduct daily inpatient rounds and monitor laboratory, diagnostic imaging, and clinical results.
• Develop and implement appropriate plans of care, diagnostic workups, and therapeutic management strategies.
• Monitor and manage postoperative complications.
• Complete daily clinical examinations, wound care, and drain or tube management.
• Coordinate orthotic and prosthetic needs with physical therapy staff.
• Perform order entry, medication review, chart reconciliation, patient handoff updates, and patient education.
• Participate in discharge planning with case management and nursing teams.
• Complete discharge summaries and coordinate home health services when appropriate.
• Manage orthopedic oncology and general musculoskeletal diagnoses for patients presenting to inpatient services.
• Perform arthrocentesis procedures.
• Administer intra-articular injections and bursal injections.
• Perform closed reduction of fractures.
• Apply casts and splints.
• Perform wound debridement procedures outside of the operating room.
• Cover inpatient services and the Emergency Center after hours while on call.
• Provide medical management for postoperative patients.
• Evaluate and manage urgent and emergent orthopaedic oncology concerns.
• Manage inpatient consultations involving urgent or emergent orthopaedic conditions.
• Coordinate care with the MERIT team, intensive care unit staff, and consulting services for emergent medical issues.
• Perform acute assessments and implement diagnostic testing, consultations, and interventions as appropriate.
• Provide operating room coverage after hours and on weekends.
• Perform other duties as assigned.

Benefits

• Employer-paid medical coverage starting day one for employees working 30+ hours/week
• Optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank
• Paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service
• Access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System
• Voluntary retirement plans
• Employer-paid life and reduced salary protection programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed