Advanced Practice Registered Nurse (or Physician Assistant) - General Internal Medicine

MD Anderson Cancer Center • Houston, TX

6d • Onsite

About The Position

The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Department of General Internal Medicine, Consultative Medicine Section, is to promote and maintain the health of GIM patients across the care continuum throughout the institution supporting the outpatient clinics, inpatient consult service and as an acute response provider to patients in the Ambulatory Treatment Center (ATC). This role includes weekend and holiday coverage to support consistent 7-day operations. Ideal candidates must be able to work rotating 4—10 hour shifts, including every other weekend. This role will support inpatient and outpatient clinics, as well as ATC coverage. This is a 100% onsite position. The ideal candidate is a skilled and dependable Advanced Practice Provider with a strong foundation in General Internal Medicine and a commitment to delivering high-quality, patient-centered care across ambulatory and inpatient settings. This individual demonstrates clinical excellence in assessing and managing complex chronic conditions and common acute or episodic illnesses, including complications related to chemotherapy and care of acutely ill hospitalized surgical patients, while communicating clearly and effectively with patients, families, physicians, and interdisciplinary teams. The successful candidate is highly organized, practices with integrity and professionalism, and is comfortable working both independently and collaboratively to support faculty physicians, coordinate care, and ensure timely documentation and follow-up. A passion for education, research participation, and service is essential, along with a positive, solution-oriented attitude and a consistent commitment to teamwork, learning, and continuous improvement in patient care.

Requirements

• Master's Degree Nursing. or Doctorate Nursing Practice.
• Degree may be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003.
• Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population.
• None (Work Experience)
• Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse. Upon Hire
• APRN - Adv Practice Registered Nurse Upon Hire or ACNP - Acute Care Nurse Practitioner Upon Hire or ACNPC - Acute Care Nurse Practitioner - AACCNCC Upon Hire or ACAGNP - Acute Care Adult/Geron NP Upon Hire or AGACNP - Adult-Gerontology AcuteCare NP Upon Hire or ACNPC-AG - Cert AD GEY Acute Care NP Upon Hire or AGPCNP -Adult-Gero Primary Care NP Upon Hire or AGNP -Adult/Gerontology NP Upon Hire or ACPNP -Acute Care Pediatric Nurs Prac Upon Hire or ANP - Adult Nurse Practitioner Upon Hire or FNP - Family Nurse Practitioner Upon Hire or GNP - Gerontological Nurse Prac Upon Hire or PNP - Pediatric Nurse Practit Upon Hire or PMHNP - Psych/Mental Health NP Upon Hire or WHNP - Womans Health Nurse Pract. Upon Hire or APNPAdv Pract Nurse/Prescriptive Upon Hire
• Related authorization must be consistent with clinical practice area and patient population. Upon Hire
• BLS - Basic Life Support Upon Hire
• PALS - Pediatric Advanced Life Support If working in the following departments: Pediatric - Patient Care (113100). Upon Hire
• MAY BE REQUIRED: Authorization for limited prescriptive authority by the Texas Board of Nursing. Upon Hire

Nice To Haves

• BLS - Basic Life Support American Heart Association Basic Life Support. Upon Hire
• ACLS - Advanced Cardiac Life Support Certification as required by patient care area. Upon Hire
• PALS - Pediatric Advanced Life Support Certification as required by patient care area. Upon Hire

Responsibilities

• Provide Direct Medical Skills within Scope of Practice: Advanced Practice Providers in the Department of General Internal Medicine are responsible for assessing and conducting comprehensive patient histories, physical examinations, and psychosocial assessments. This involves direct communication with patients and patients’ families and the ability to clearly communicate findings to physicians and family members.
• Has primary responsibility for working with department faculty physicians to assist in covering General Internal Medicine services. Clinical aspects include, but are not limited to, management of chronic medical illnesses such as diabetes, hypertension (HTN), and COPD; assessment and management of common acute and episodic illnesses such as constipation, cough, diarrhea, nausea/vomiting, suspected or new DVT, asymptomatic PE, and URI symptoms. This role also includes assessment and management of adverse events or side effects in patients receiving chemotherapy in the ATC, as well as management of the acutely ill hospitalized surgical patient.
• Performs and records histories, physical assessments, and progress notes within 24 hours. For co-managed patients, completes sign-off and forwards documentation to the supervising physician for co-signature within 24 hours.
• Orders routine tests appropriate to the services provided under such orders.
• Orders patient medications and treatments within authorized limited prescriptive authority, consistent with institutional delegated prescriptive authority policies and procedures.
• Assists with clinic- and hospital-related paperwork, including radiology and nuclear medicine forms, placing patients on clinical pathways, and writing or calling in prescriptions.
• Retrieves and reviews laboratory results, pathology reports, radiology findings, and other diagnostic reports.
• Facilitates communication with the supervising physician and consultants to determine appropriate disposition of patients seen in Consultative Medicine by reviewing laboratory and/or diagnostic results and coordinating care with multiple specialties.
• Independently initiates monthly assignments without supervision. Understands and responds appropriately to telephone communications with physicians and other members of the health care team, both within and outside of the institution. Communicates clearly in writing, verbally, person-to-person, and over the phone.
• Attends Monthly Consultative Medicine Meetings.
• Attends Division of Internal Medicine Grand Rounds.
• Education / Research / Collaboration: Provide patient and trainee education, participate in clinical protocol-related tasks as needed, and commit to collaborative relationships with coworkers, patients, faculty, physicians, and all members of the health care team.
• Delivers education to patients and their families. Conducts in-service training for clinic and inpatient nursing personnel regarding protocol requirements. Acts as a liaison among patients, families, physicians, and other personnel.
• Participates in trainee education, including student Advanced Practice Nurses, house officers, and medical students. Instructs coworkers in allied positions on documentation and/or data entry and may supervise personnel in related activities.
• Participates in and collaborates on clinical research protocols. Interviews patients and reviews eligibility criteria to identify potential candidates for protocol studies.
• Demonstrates a service-oriented attitude by: Identifying new ways to provide enhanced service to supervisors, peers, external employees, and visitors. Maintaining a pleasant and professional demeanor. Following up to ensure identified problems are resolved.
• Exhibits professional behavior at all times.

Benefits

• Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week
• Group Dental, Vision, Life, AD&D and Disability coverage
• Paid time off (PTO) and Extended Illness Bank (EIB) 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, AD&D and an illness-related reduced salary pay program
• Extensive wellness, recognition, fitness, employee health programs and employee resource groups.

What This Job Offers

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