Nocturnal Advanced Practice Provider - Acute Care Services

MD Anderson Cancer CenterHouston, TX
Onsite

About The Position

Acute Care Services is seeking highly skilled Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs) and Physician Assistants with a strong clinical background in medical-surgical, Neuro ICU, critical care, and surgical settings. The ideal candidate demonstrates advanced clinical judgment, adaptability, and the ability to manage complex, high-acuity patients. Successful candidates will be comfortable working across multiple care environments and have experience supporting rapid-response functions, including MERIT and RAPID teams, as well as triage and the management of deteriorating patients on the floor. They must be confident in identifying clinical decline, initiating timely interventions, and collaborating effectively with multidisciplinary teams. Candidates must be able to commit to a night shift schedule of 6:00 PM to 6:00 AM, working seven shifts every two weeks, including weekends and rotating holidays. This role requires individuals who thrive in fast-paced environments, possess strong communication skills, and are committed to delivering high-quality, patient-centered care. The primary purpose of the Midlevel Provider is to provide patient care in the inpatient setting. The Midlevel Provider will work as a member of the MLP Nocturnal Coverage Team to provide initial assessment and management of urgent issues at night related to internal medicine or critical care needs across the institution. The Midlevel Provider will facilitate communication and carry out orders from attending physicians related to patient care.

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.
  • 2 years Professional clinical experience.
  • PA - Physician Assistant Written authorization from the Texas State Board of Physician Assistant Examiners (TSBPAE) to function as Physician Assistant.
  • Upon Hire or Required: APRN - Adv Practice Registered Nurse Written authorization from the Texas Board of Nursing (BON) to function as an Advanced Practice Registered Nurse.
  • Upon Hire or Required: ACNP - Acute Care Nurse Practitioner
  • Upon Hire or Required: ACNPC - Acute Care Nurse Practitioner - AACCNCC
  • Upon Hire or Required: ACAGNP - Acute Care Adult/Geron NP
  • Upon Hire or Required: AGACNP -Adult-Gerontology AcuteCare NP
  • Upon Hire or Required: AGPCNP -Adult-Gero Primary Care NP
  • Upon Hire or Required: ACNPC-AG - Cert AD GEY Acute Care NP
  • Upon Hire or Required: AGNP - Adult/Gerontology NP
  • Upon Hire or Required: ACPNP -Acute Care Pediatric Nurs Prac
  • Upon Hire or Required: ANP - Adult Nurse Practitioner
  • Upon Hire or Required: FNP - Family Nurse Practitioner
  • Upon Hire or Required: GNP - Gerontological Nurse Prac
  • Upon Hire or Required: PNP - Pediatric Nurse Practit
  • Upon Hire or Required: PMHNP - Psych/Mental Health NP
  • Upon Hire or Required: WHNP - Womans Health Nurse Pract.
  • Upon Hire or Required: APNP - Advanced Practice NP
  • Upon Hire or Required: BLS - Basic Life Support
  • Upon Hire or Required: Cardiopulmonary Resuscitation (CPR)
  • Must obtain and maintain relevant clinical privileges.
  • The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.

Nice To Haves

  • Required experience may be substituted with the successful completion of a one year advanced practice provider fellowship/residency program.
  • Three to five years experience as a clinical advanced practice provider.
  • Previous clinical practice in oncology, critical care, internal medicine, hospital medicine or pediatrics.
  • Preferred: BLS - Basic Life Support American Heart Association Basic Life Support Upon Hire
  • Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area.

Responsibilities

  • Provides competent patient care in the inpatient setting across the institution.
  • Provides initial assessment and management for urgent internal medicine or critical care needs at night.
  • Conducts comprehensive health assessments, identifies normal and abnormal health characteristics, initiates appropriate care and continuously evaluates care outcomes.
  • Provides post-admission assessments for night time admissions.
  • Completes sign-out communications and patient care logs as directed by the medical director and administrative director of the Nocturnal Coverage Team.
  • May also perform delegated functions under the supervision of the physician to include differential diagnosis, use of prescriptive authority and treatment of a variety of human responses according to practice guidelines, protocols or standing orders.
  • Uses judgment to collaborate with the healthcare team to manage client care throughout the continuum of care and in a variety of settings.

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.
  • Opportunities for professional growth through Career Development Center and Mentoring programs.
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