Nocturnal Advanced Practice Provider, Emergency Medicine Clinical Decision Unit

UT MD Anderson Cancer Center • Houston, TX

23d • $117,500 - $176,500

About The Position

The University of Texas MD Anderson Cancer Center is seeking an Advanced Practice Provider to join the night team in its Emergency Medicine Clinical Decision Unit (CDU). The CDU provides focused observation, evaluation, treatment, and close monitoring for patients needing short-term acute care. The APP works collaboratively with physicians, nurses, and interdisciplinary teams to provide timely, high-quality, compassionate, patient-centered care in a fast-paced acute care environment. The role includes patient assessment, treatment planning, symptom management, care coordination, and procedural support, with a focus on clinical excellence, safety, and optimal patient outcomes.

The position follows 12-hour night shifts from 8:00 PM to 8:00 AM, including rotating weekends, for 3–4 shifts per week. The candidate should have strong clinical judgment, assessment and diagnostic skills, communication, attention to detail, and the ability to work effectively overnight. The role requires applicable Texas licensure or authorization and relevant clinical privileges, which must be maintained for continued employment.

Requirements

• Degree requirements as defined 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.
• Written authorization from the Texas State Board of Physician Assistant Examiners to function as a Physician Assistant, or written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse.
• Applicable advanced practice or nurse practitioner certification listed in the posting, as required for the role and patient care area.
• Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR) certification upon hire.
• Obtain and maintain relevant clinical privileges; continued employment is contingent on maintaining these privileges.
• Ability to work 12-hour night shifts from 8:00 PM to 8:00 AM, including rotating weekends, for 3–4 shifts per week.
• Strong clinical judgment, assessment and diagnostic skills, verbal and written communication, attention to detail, flexibility, professionalism, and ability to thrive in a fast-paced acute care environment.

Nice To Haves

• At least one year of Advanced Practice Provider experience in Hospital Medicine, ICU, Acute Care, Emergency Medicine, Critical Care, or inpatient medicine.
• Pediatric Advanced Life Support (PALS) certification, as required by the patient care area.
• American Heart Association Basic Life Support.

Responsibilities

• Perform comprehensive medical history, physical examinations, and psychosocial assessments.
• Assess patient health status in the context of diagnosis, treatment plan, age, development, and identified needs.
• Communicate clinical findings and care plans to patients, families, and physicians; report findings and diagnostic results to attending physicians.
• Monitor laboratory, clinical, radiographic, and procedural data for assigned patients.
• Review history, assessment findings, laboratory results, imaging studies, and treatment plans with attending physicians.
• Accurately document assessments, findings, and recommendations in the medical record.
• Prevent, minimize, and manage symptoms, toxicities, and treatment-related complications in collaboration with physicians.
• Evaluate patient response to care and modify treatment plans as appropriate under physician supervision.
• Provide psychological support and education to patients and families across diagnosis, treatment, rehabilitation, palliative care, and terminal care.
• Coordinate services, facilitate access to institutional resources, and support communication among patients, families, and interdisciplinary care teams.
• Schedule consultations, diagnostic tests, procedures, and follow-up appointments.
• Collaborate with medical, nursing, and allied health professionals on patient care plans and provide clinical consultation to colleagues and allied personnel.
• Recommend therapeutic interventions to relieve patient symptoms.
• Complete physician-directed training for approved medical procedures and demonstrate competency under direct physician supervision.
• Obtain blood specimens through arterial, venous, and central line access; manage venous catheters and heparin locks as indicated.
• Administer medications through approved routes, including intravenous, intraventricular, intrapleural, and intraperitoneal access.
• Perform lumbar punctures, thoracentesis, bone marrow biopsies and aspirations, paracentesis, and other approved procedures under physician supervision.
• Coordinate complex care plans and transitions of care; interpret laboratory and diagnostic data to support clinical decision-making.
• Maintain effective verbal and written communication with patients, families, physicians, and interdisciplinary teams.
• Perform other duties as assigned.

Benefits

• Employer-paid medical coverage starting day one for employees working 30 or more hours per week.
• Optional group dental, vision, life, accidental death and dismemberment, and disability insurance.
• Accruals for paid time off and an Extended Illness Bank.
• Paid holidays and wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service.
• Wellness and fitness resources and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System and voluntary retirement plans.
• Employer-paid life and reduced salary protection programs.
• Educational opportunities and individual and team recognition.

What This Job Offers

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