Nocturnal Endocrine Advanced Practice Provider

UT MD Anderson Cancer Center•Houston, TX

About The Position

The Nocturnal Endocrine Advanced Practice Provider delivers specialized inpatient endocrine and diabetes care for patients with complex medical needs at The University of Texas MD Anderson Cancer Center. The role provides overnight clinical coverage, supporting continuity of care, patient safety, and clinical outcomes. The provider works with faculty physicians, multidisciplinary healthcare teams, patients, and families to assess patients, develop treatment plans, provide inpatient consultations, and manage diabetes across the institution. The position focuses on overnight assessment and management of urgent endocrine and diabetes concerns, including care for high-risk patients such as those with Type 1 diabetes, insulin pumps, or concentrated insulin. The provider practices within their authorized scope, under attending physician oversight, and collaborates with the day-shift APP teams and other clinical staff. The typical schedule is 5:30 PM to 6:00 AM, three shifts per week, with rotating weekends and holidays. Orientation takes place on the day shift before transition to the overnight schedule. The role also includes patient and family education, clinical documentation, support for research protocols, education of clinical personnel and students, and operational work that supports safe, coordinated, and cost-effective care. The position requires the applicable education and licensure to practice as an APRN or PA in Texas, at least two years of professional clinical experience or completion of a qualifying one-year APP fellowship or residency, and maintenance of relevant clinical privileges.

Requirements

Degree requirements defined by the Texas Board of Nursing or Texas State Board of Physician Assistant Examiners for clinical licensure as an APRN or Physician Assistant.
Two years of professional clinical experience; this requirement may be substituted by successful completion of a one-year advanced practice provider fellowship or residency program.
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, as applicable.
Applicable APRN certification or licensure for the clinical role, as listed in the posting.
Basic Life Support (BLS) certification and Cardiopulmonary Resuscitation (CPR), as required.
Obtain and maintain relevant clinical privileges; continued employment is contingent upon maintaining those privileges.
Ability to satisfy and maintain requirements necessary to ensure the security and integrity of critical infrastructure, if applicable to the position.

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.
Endocrine experience is preferred but not required.
Oncology experience is a plus.
Pediatric Advanced Life Support (PALS) certification, as required by the patient care area.
American Heart Association Basic Life Support certification.

Responsibilities

Provide inpatient endocrine and diabetes clinical coverage during overnight shifts with attending physician oversight.
Manage endocrinopathies and endocrine-related complications associated with cancer therapies.
Assess and manage glucose control, lipid management, insulin therapies, and insulin pump patients.
Conduct health assessments; develop and implement treatment plans; and evaluate outcomes.
Practice autonomously within scope of practice and collaborate across the healthcare continuum.
Initiate clinical assignments independently and communicate with physicians and care teams.
Attend Diabetes Services Meetings and Division of Internal Medicine Grand Rounds.
Share responsibility for inpatient service coverage, triage, consultations, and scheduling coordination.
Respond to telephone consultations and provide clear written and verbal clinical communication.
Assess and manage urgent endocrine and diabetes issues throughout the institution overnight.
Complete post-admission assessments for patients with diabetes admitted overnight.
Perform inpatient consultations and follow-up visits as assigned by attending physicians.
Follow patients after surgery, observation admissions, and prior endocrine service encounters.
Manage high-risk diabetes patients, including insulin pump patients, patients with Type 1 diabetes, and patients using concentrated insulin.
Review discharge instructions and assist with medication access and test claims before discharge.
Retrieve and review laboratory results and glucose monitoring data for patients followed by the inpatient diabetes service.
Round on patients not seen by the day team to support glycemic control and continuity of care.
Titrate insulin regimens when blood glucose values fall outside targeted ranges.
Facilitate communication and handoffs through IPASS documentation and coordination with faculty and day-shift APP teams.
Perform and document histories, physical assessments, and progress notes within established timelines.
Coordinate physician co-signature requirements for co-managed patients.
Order routine tests appropriate to patient care services and review laboratory and biopsy results.
Prescribe medications and treatments within authorized delegated prescriptive authority.
Complete routine patient admission procedures and enter clinical information into electronic systems.
Interview patients about symptoms, treatment side effects, toxicities, and protocol participation.
Calculate medication dosages when appropriate and document findings accurately.
Assess toxicity, monitor disease response, and maintain protocol-specific documentation.
Ensure compliance with clinical protocols and provide physician support as needed.
Schedule and perform delegated medical procedures as required.
Educate patients and families about diagnoses, treatment plans, medications, and disease management.
Conduct in-service education for nursing and clinical personnel regarding protocol requirements.
Serve as a liaison among patients, families, physicians, and healthcare team members.
Participate in educating Advanced Practice students, Physician Assistant students, medical students, and house officers.
Train coworkers on documentation processes and data entry procedures.
Participate in clinical research protocol activities under physician supervision.
Screen patients for protocol eligibility and assist with follow-up coordination.
Demonstrate professionalism, teamwork, interpersonal skills, and effective communication.
Maintain a service-oriented approach and follow through on problem resolution.
Serve as a Team Leader for advanced practice professionals after the first year, as assigned.
Advocate for quality patient care and help patients navigate healthcare system complexities.
Promote a safe care environment and participate in correcting system issues affecting patient care.
Respond to overnight patient calls and requests from clinical team members.
Address inquiries from recently discharged patients through askMDAnderson.
Dictate consultation and follow-up documentation as required.
Assist with departmental projects and special assignments.
Support cost-effective care delivery and responsible resource utilization.
Collaborate with all departments to ensure continuity of patient care.
Perform other duties as assigned.

Benefits

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