Nurse Practitioner or Physician Assistant - Medical Oncology Acute Cancer Care Clinic

Mayo Clinic•Rochester, MN

6d•$119,870 - $167,274

About The Position

The Nurse Practitioner or Physician Assistant works across the adult Medical Oncology and Hematology practice, caring for patients with early- and advanced-stage solid tumor and hematologic malignancies who need acute evaluation and management. Care includes symptom management, oncologic emergencies, and treatment-related adverse events, including immunotherapy-related toxicities. The role rotates across three Acute Care Clinic areas—Cancer Treatment Unit coverage, REACH intervention rooms, and outpatient acute care visits—and the Immunotherapy (ICI) Toxicity Clinic. Providers coordinate with patients’ primary oncology and hematology teams and multidisciplinary partners to deliver timely, connected care. Acute Cancer Care Clinic services help reduce emergency department visits through outpatient management and direct admissions, support follow-up after hospitalization, and provide triage support for acutely ill patients and nursing teams. The role also supports remote management nursing teams and may contribute to expansion of remote patient monitoring programs. REACH provides a clinic space for interventions such as fluids and electrolyte management on the oncology floor. In the Cancer Infusion Therapy Center, the provider assesses and manages patients receiving systemic cancer therapy. This includes responding to infusion reactions, evaluating acute cancer-related concerns during treatment visits, coordinating urgent diagnostic workups and interventions, and collaborating with infusion nursing staff, pharmacists, and primary oncology teams. In the ICI Toxicity Clinic, the provider evaluates and manages patients with immunotherapy toxicities, from mild to emergent concerns. Follow-up may consist of a single visit or extend over weeks or months. Clinic coverage also includes the ICI service pager, providing collaborative support to outpatient and inpatient colleagues. Providers rotate coverage of the Acute and ICI toxicity clinics; separate providers hold the respective pager coverage each day. The stated goal is to have four NPs/PAs working daily to cover the clinics. This autonomous role has collaborative support as needed and requires coordination with primary cancer care teams and services including Infectious Diseases, Gastroenterology, Interventional Radiology, Pulmonary Medicine, Palliative Care, Emergency Medicine, and other hospital-based services. The practice is fast-paced and evolving, with opportunities to participate in continuous learning, quality improvement, program development, workflow design, service expansion, and enhanced observation capabilities aimed at real-time interventions, improved access, and prevention of care escalation when possible.

Requirements

For the Nurse Practitioner pathway: master's-prepared graduate of an accredited school of nursing and Nurse Practitioner program.
For the Nurse Practitioner pathway: current Minnesota RN license and certification, or eligibility for certification, as an FNP, ANP, or ACNP; certification must be obtained within six months of employment.
For the Physician Assistant pathway: graduate of an accredited Physician Assistant program, current PA certification by NCCPA, and registration as a PA by the Minnesota Board of Medical Practice, or eligibility for registration.
Must be eligible for DEA registration and billing privileges.
Strong communication, critical-thinking, adaptability, and time-management skills.
Solid foundation in internal medicine, passion for oncology care, and interest in continuous learning, quality improvement, and program development.
External and internal candidates must attach 2–3 letters of reference to the online application; new graduates must upload three preceptor reference letters attesting to clinical abilities.
Mayo Clinic employees applying must attach their three most recent performance evaluations to the online application.

Responsibilities

Evaluate and manage acute needs of adult medical oncology and hematology patients with solid tumor and hematologic malignancies.
Manage symptoms, oncologic emergencies, and cancer-treatment adverse events, including immunotherapy-related toxicities.
Rotate coverage across the Cancer Treatment Unit, REACH intervention rooms, outpatient acute care visits, and the ICI Toxicity Clinic.
Provide triage support for acutely ill patients in the Cancer Treatment Unit and for nursing teams managing patient calls.
Facilitate outpatient management, close follow-up, and direct admissions when appropriate to help reduce emergency department visits.
Provide follow-up care for hospitalized cancer patients to help support shortened hospital stays.
Support remote management nursing teams caring for cancer patients with neutropenic fevers and respiratory illness.
Respond to infusion reactions and evaluate acute cancer-related concerns arising during systemic cancer therapy visits.
Coordinate urgent diagnostic workups and interventions and collaborate with infusion nurses, pharmacists, and primary oncology teams.
Manage patients with ICI toxicities in outpatient visits, with follow-up tailored to patient needs.
Cover the ICI service pager and provide collaborative guidance to outpatient and inpatient colleagues about ICI toxicities.
Coordinate care with primary oncology and hematology teams and multidisciplinary hospital services.
Contribute to quality improvement, program development, remote monitoring initiatives, workflow design, and service expansion.