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

Mayo Clinic•Rochester, MN

About The Position

The Nurse Practitioner (NP) or Physician Assistant (PA) will provide acute evaluation and management for adult Medical Oncology and Hematology patients with early- and advanced-stage solid tumors and hematologic malignancies. Care includes symptom management, oncologic emergencies, and treatment-related adverse events, including immunotherapy-related toxicities. The role rotates across three Acute Care Clinics—Cancer Treatment Unit coverage, REACH intervention rooms, and outpatient acute care visits—and the Immunotherapy (ICI) Toxicity Clinic. The provider works closely with patients’ primary oncology and hematology teams and a broad range of multidisciplinary partners to coordinate timely care. The Acute Cancer Care Clinic aims to reduce emergency department visits through direct admissions and outpatient management with close follow-up, and supports shorter hospital stays through follow-up care for hospitalized cancer patients. The role also supports remote-management nursing teams caring for patients with neutropenic fever and respiratory illness, provides triage support for acutely ill Cancer Treatment Unit patients and nursing staff managing patient calls, and may contribute to remote patient-monitoring program development. In the Cancer Infusion Therapy Center, the provider assesses and manages patients receiving systemic cancer therapy, responds to infusion reactions, evaluates acute cancer-related concerns, coordinates urgent diagnostic workups and interventions, and collaborates with infusion nurses, pharmacists, and the primary oncology team. The REACH intervention space provides a setting for IV interventions on the oncology floor, such as fluids and electrolytes. The ICI Toxicity Clinic manages patients with toxicities ranging from mild to emergent. Visits may be one-time or involve follow-up over weeks or months. Coverage also includes the ICI service pager, providing collaborative support to outpatient and inpatient colleagues. Acute and ICI clinic coverage rotates among providers, with different NPs/PAs holding the respective pagers on a given day; the goal is to have four NPs/PAs working each day to cover the clinics. This autonomous, collaborative role is in a fast-paced, evolving practice. It requires communication, critical thinking, adaptability, and time-management skills, along with a solid internal medicine foundation, interest in oncology, and commitment to continuous learning, quality improvement, and program development. Providers may partner with clinical and operational leadership to develop workflows, expand services, and support enhanced observation capabilities and patient-centered oncology care.

Requirements

For the NP pathway: Master's-prepared graduate of an accredited school of nursing and Nurse Practitioner program.
For the NP 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 PA pathway: Graduate of an accredited Physician Assistant program with current NCCPA certification and Minnesota Board of Medical Practice PA registration, or eligibility for registration.
Must be eligible for DEA registration and billing privileges.
Applicants must attach 2–3 letters of reference to the online application; new graduates must provide three letters from preceptors who can attest to their clinical abilities.
Mayo Clinic employees applying must attach their three most recent performance evaluations.

Nice To Haves

A solid foundation in internal medicine.
A passion for oncology care.
Interest in continuous learning, quality improvement, and program development.
Strong communication, critical-thinking, adaptability, and time-management skills.

Responsibilities

Evaluate and manage acute needs of adult medical oncology and hematology patients, including symptoms, oncologic emergencies, and treatment-related adverse events.
Rotate coverage across the Acute Care Clinics and the Immunotherapy Toxicity Clinic.
Coordinate care with patients’ primary oncology and hematology teams and multidisciplinary partners.
Facilitate direct admissions and manage patients in the outpatient setting when appropriate, with close follow-up.
Provide follow-up care for hospitalized cancer patients to support timely care and potentially shorter hospital stays.
Support remote-management nursing teams caring for cancer patients with neutropenic fever and respiratory illness.
Provide triage support for acutely ill patients in the Cancer Treatment Unit and for nursing staff managing patient calls.
Assess and manage patients receiving systemic cancer therapy in the Cancer Infusion Therapy Center.
Respond to infusion reactions and evaluate acute cancer-related concerns arising during treatment visits.
Coordinate urgent diagnostic workups and interventions, collaborating with infusion nurses, pharmacists, and the primary oncology team.
Provide IV interventions in the REACH intervention space, including fluids and electrolyte treatment.
Manage immunotherapy-related toxicities in outpatient visits, with follow-up tailored to patient needs.
Cover the ICI service pager and provide collaborative support to outpatient and inpatient colleagues regarding ICI toxicities.
Partner with clinical and operational leadership on workflows, service expansion, enhanced observation capabilities, and program development.