Oncology – Inpatient Nocturnist

Medical College of Wisconsin•Milwaukee, WI

1d•Onsite

About The Position

The Medical College of Wisconsin’s Department of Medicine, Division of Hematology and Oncology, is seeking a Nurse Practitioner or Physician Assistant to provide specialty medical care in the inpatient setting during overnight hours. The position is based at Froedtert Hospital – Center for Advanced Care and other inpatient units in Milwaukee, Wisconsin. The Advanced Practice Provider (APP) works as part of a multidisciplinary health care team and contributes to program administration, patient care, patient safety, research, quality improvement, and teaching. The APP applies evidence-based practice and supports safe, high-quality care. The role is part of an academic medical center’s Hematology/Oncology/BMT inpatient service and Oncology 24-Hour clinic. The team offers structured onboarding, guidance, hands-on experience, and ongoing support; prior oncology experience is not required. The APP provides overnight assessment and management in conjunction with fellows and attending physicians, maintains clinical documentation and orders, and supports continuity of care between overnight and daytime providers. The position is full-time at 1.0 FTE, scheduled for seven days on followed by 14 days off, with two to three additional shifts per month. Typical weekday hours are 7:00 p.m. to 7:00 a.m.; Saturday, Sunday, and some holiday shifts are 4:00 p.m. to 7:00 a.m. Scheduling flexibility is required to provide appropriate patient-care coverage. Application review begins immediately and continues until the position is filled.

Requirements

Advanced Practice Registered Nurse applicants must hold a master’s degree or higher in Nursing from a nationally accredited organization.
Physician Assistant applicants must hold a bachelor’s degree or higher in Physician Assistant Studies from an ARC-PA-accredited organization.
For the nurse practitioner pathway: Wisconsin RN license or eligibility, Wisconsin Advanced Practice Nurse Prescriber License, Advanced Practice Nurse certification, AHA BCLS, CITI certification within 90 days of hire, and DEA registration.
For the physician assistant pathway: Wisconsin PA license, NCCPA certification, AHA BCLS, CITI certification within 90 days of hire, and DEA registration.

Nice To Haves

Internal medicine knowledge and skills are preferred.
Five years of experience as a Physician Assistant or Nurse Practitioner is a plus.
One to two years of experience in a clinic or hospital environment working with chemotherapy or hematology/oncology/BMT patients is preferred.
Certification as an Adult Care Nurse Practitioner and/or Acute Care Nurse Practitioner is preferred.

Responsibilities

Collaborate with interdisciplinary health care teams in diagnosing and treating conditions requiring Hematology/Oncology/BMT intervention in the inpatient environment and Oncology 24-Hour clinic.
Write timely and accurate progress notes, procedure notes, and admission and transfer orders.
Order, perform, and interpret screening and diagnostic procedures and tests; communicate and document findings appropriately.
Perform procedures beyond core scope when identified by the Hematology/Oncology/BMT services and appropriately privileged.
Facilitate communication among patients, families, and staff to promote continuity of care.
Complete required training and meet regulatory requirements, including requirements of the privileging institution, CMS, and The Joint Commission.
Participate in evaluating quality outcomes, developing quality indicators, and contributing to an outcomes dashboard.
Keep current with developments and trends in the Physician Assistant and/or Nurse Practitioner fields through education, in-services, professional associations, and current literature.
Participate in clinical research projects related to hematology/oncology/BMT.
Provide initial assessment and immediate on-site nighttime management of patient needs in conjunction with corresponding fellows and attending physicians.
Perform admission histories and physical documentation; enter and communicate orders; perform comprehensive assessments; respond to nursing and other caregiver concerns; initiate appropriate care; and evaluate outcomes.
Receive sign-out at the beginning of each shift and complete sign-out at the end of each shift to facilitate communication with daytime providers.
Update appropriate medical records in Epic according to the clinical needs of the service before the end of each shift.
Perform comprehensive histories and physical exams and identify normal and abnormal physical, cognitive, and psychosocial findings.
Order and interpret laboratory and diagnostic tests.
Develop pharmaceutical and non-pharmaceutical treatment plans and monitor their effectiveness.
Educate patients about their disease and treatment plans.
Perform procedures for which trained and appropriately credentialed.
Document in the Electronic Medical Record and complete other necessary documents.
Collaborate and consult with physicians and other health care providers as appropriate.
Educate, counsel, and assist patients and families regarding current health problems, health maintenance, and preventive behaviors.