Nocturnal Advanced Practice Provider - Acute Care Services

UT MD Anderson Cancer Center•Houston, TX

About The Position

Acute Care Services is seeking Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs) and Physician Assistants with clinical backgrounds in medical-surgical, Neuro ICU, critical care, and post-surgical settings. The role provides inpatient care as part of the MLP Nocturnal Coverage Team, initially assessing and managing urgent internal medicine or critical care needs at night across the institution. The provider facilitates communication and carries out attending physicians’ orders related to patient care. The position requires working a night schedule from 6:00 PM to 6:00 AM, seven shifts every two weeks, including weekends and rotating holidays. Providers work across multiple care environments, support rapid response functions such as MERIT and RAPID teams, and triage and manage deteriorating patients on the floor. They are expected to identify clinical decline, initiate timely interventions, collaborate with multidisciplinary teams, and deliver high-quality, patient-centered care in a fast-paced environment. The Midlevel Provider conducts comprehensive health assessments, identifies normal and abnormal health characteristics, initiates appropriate care, and evaluates outcomes. The role also includes post-admission assessments for nighttime admissions, sign-out communications and patient care logs, and, when delegated under physician supervision, functions such as differential diagnosis, prescriptive authority, and treatment according to practice guidelines, protocols, or standing orders. Providers use judgment to collaborate with the healthcare team and manage care across the continuum and in a variety of settings. Employment is contingent on obtaining and maintaining relevant clinical privileges. The role may also require routine reviews and screening related to the security and integrity of critical infrastructure, and the ability to satisfy and maintain applicable requirements is a condition of hire and continued employment.

Requirements

Degree requirements 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.
Two years of professional clinical experience; successful completion of a one-year advanced practice provider fellowship or residency program may substitute.
Written authorization from the Texas State Board of Physician Assistant Examiners to function as a Physician Assistant, if applicable.
Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse, if applicable.
An applicable advanced practice nursing certification listed in the posting, if applicable, including one of the specified acute care, adult, gerontology, primary care, pediatric, family, psychiatric/mental health, or women’s health practitioner credentials.
Basic Life Support (BLS) certification.
Cardiopulmonary Resuscitation (CPR) certification.
Must obtain and maintain relevant clinical privileges.
Ability to work a night schedule of 6:00 PM to 6:00 AM, seven shifts every two weeks, including weekends and rotating holidays.
Strong clinical background in medical-surgical, Neuro ICU, critical care, and post-surgical settings.
Advanced clinical judgment, adaptability, strong communication skills, and ability to manage complex, high-acuity patients and collaborate with multidisciplinary teams.

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.
Pediatric Advanced Life Support (PALS) 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.
Initially assess and manage urgent nighttime internal medicine or critical care needs.
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, potentially including 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 across the continuum and in a variety of settings.
Support rapid response functions, including MERIT and RAPID teams, and triage and manage deteriorating patients on the floor.
Identify clinical decline and initiate timely interventions.
Facilitate communication and carry out attending physicians’ orders related to patient care.
Obtain and maintain relevant clinical privileges.

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, accidental death and dismemberment, 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 and accidental death and dismemberment coverage, and an illness-related reduced salary pay program.
Wellness, recognition, fitness, and employee health programs, and employee resource groups.
Professional growth opportunities through the Career Development Center and mentoring programs.
Educational opportunities and individual and team recognition.