Nocturnal Advanced Practice Provider - Acute Care Services/Pediatrics

UT MD Anderson Cancer Center • Houston, TX

3d

About The Position

The Advanced Practice Provider provides nocturnal inpatient coverage across Pediatric PICU, Stem Cell, and ICU services. The role primarily cares for pediatric patients, with opportunities to cover adult services. The provider is part of the MLP Nocturnal Coverage Team and provides initial assessment and management of urgent nighttime internal medicine or critical care needs across the institution. The provider facilitates communication and carries out attending physicians’ orders related to patient care.

The position requires prior inpatient acute care experience, with pediatric inpatient experience preferred. Providers work across multiple care environments and support rapid response functions, including MERIT and RAPID teams, triage, and management of deteriorating patients on the floor. The schedule is 6:00 PM to 6:00 AM, seven shifts every two weeks, including weekends and rotating holidays.

Candidates must meet the degree requirements established by the Texas Board of Nursing or Texas State Board of Physician Assistant Examiners for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant. Required licenses, certifications, and clinical privileges must be obtained and maintained as applicable.

Requirements

• Degree meeting Texas Board of Nursing or Texas State Board of Physician Assistant Examiners requirements for clinical licensure as an APRN or Physician Assistant.
• Two years of professional clinical experience; this may be substituted by successful completion of a one-year advanced practice provider fellowship or residency program.
• Written Texas State Board of Physician Assistant Examiners authorization to function as a Physician Assistant, or written Texas Board of Nursing authorization to function as an Advanced Practice Registered Nurse, as applicable.
• Applicable advanced practice certification, including one of the listed acute care, adult/gerontology, family, pediatric, psychiatric/mental health, or women’s health practitioner certifications, as applicable.
• Basic Life Support and CPR certification.
• Obtain and maintain relevant clinical privileges.
• Commitment to a night schedule of 6:00 PM to 6:00 AM, seven shifts every two weeks, including weekends and rotating holidays.
• Strong communication skills and the ability to work in fast-paced environments and collaborate with multidisciplinary teams.
• Ability to identify clinical decline and initiate timely interventions.

Nice To Haves

• Three to five years of experience as a clinical advanced practice provider.
• Previous clinical practice in oncology, critical care, internal medicine, hospital medicine, or pediatrics.
• Prior experience in a pediatric inpatient setting.
• Pediatric Advanced Life Support certification as required by the patient care area.
• American Heart Association Basic Life Support certification.

Responsibilities

• Provide competent patient care in the inpatient setting across the institution.
• Provide initial assessment and management for urgent internal medicine or critical care needs at night.
• Conduct comprehensive health assessments, identify normal and abnormal health characteristics, initiate appropriate care, and continuously evaluate care outcomes.
• Provide post-admission assessments for nighttime admissions.
• Complete sign-out communications and patient care logs as directed by the medical director and administrative director of the Nocturnal Coverage Team.
• Perform delegated functions under physician supervision, which may include differential diagnosis, use of prescriptive authority, and treatment according to practice guidelines, protocols, or standing orders.
• Collaborate with the healthcare team to manage client care throughout the continuum of care and across a variety of settings.
• Support rapid response functions, including MERIT and RAPID teams, triage, and management of patients deteriorating on the floor.
• Facilitate communication and carry out attending physicians’ orders related to patient care.

Benefits

• Paid employee medical benefits with zero premium starting on the first day for employees working 30 or more hours per week.
• Group dental, vision, life, AD&D, and disability coverage.
• Paid time off and Extended Illness Bank paid leave accruals.
• Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs.
• Tuition Assistance Program after six months of service.
• Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans.
• Employer-paid life and AD&D coverage and an illness-related reduced salary pay program.
• Wellness, recognition, fitness, employee health programs, and employee resource groups.
• Career growth opportunities through Career Development Center and mentoring programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level