Advanced Practice Registered Nurse - Goal Concordant Care

Advanced Practice Registered Nurse Goals of Care & End of Life - Goal Concordant Care

The University of Texas MD Anderson Cancer Center is seeking an Advanced Practice Registered Nurse Goals of Care & End of Life to support [Department information not provided]. The Advanced Practice Registered Nurse Goals of Care & End of Life plays a critical role in delivering comprehensive, patient-centered care for individuals nearing the end of life, ensuring care plans reflect each patient's values and preferences. The Advanced Practice Registered Nurse Goals of Care & End of Life collaborates closely with interdisciplinary teams to facilitate meaningful communication and decision-making across care settings.

UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. The Advanced Practice Registered Nurse Goals of Care & End of Life contributes to institutional excellence by advancing goal-concordant care practices and supporting patients and families through complex clinical and emotional decisions.
The ideal candidate will have advanced clinical education, relevant experience in oncology or palliative care, and appropriate licensure as an Advanced Practice Registered Nurse, along with demonstrated expertise in communication, interdisciplinary collaboration, and patient-centered decision support.

Minimum Salary $117,500 | Midpoint Salary $146,500 | Salary Maximum $176,500

Why Us?
This role directly advances UT MD Anderson's mission by ensuring that patients receive care aligned with their goals, values, and clinical realities while fostering collaboration across care teams. The position offers meaningful patient impact, professional growth in specialized care delivery, and the opportunity to influence system-wide initiatives that improve quality of life and outcomes.
• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.

Responsibilities
Clinical Care & Patient Identification
• Identify patients nearing the end of life across inpatient and outpatient settings
• Deliver comprehensive therapeutic patient care aligned with evidence-based practices
• Integrate patient values and preferences into individualized care plans

Goals of Care Facilitation
• Coordinate and facilitate high-quality goals of care conversations with patients and families
• Collaborate with inpatient and outpatient care teams to ensure aligned communication
• Support decision-making regarding advance directives, CPR, intubation, and artificial nutrition
• Guide discussions on preferred setting for end-of-life care

Prognosis Communication & Care Coordination
• Partner with primary outpatient cancer providers and inpatient teams to reach consensus on prognosis
• Communicate prognosis clearly and compassionately to patients and families
• Coordinate care planning across inter-professional teams to ensure continuity

Education, Support & Advocacy
• Educate patients and families on treatment options and expected outcomes
• Provide emotional support to patients and caregivers during critical decision-making
• Advocate for care plans that prioritize comfort and quality of life

Documentation & Program Support
• Ensure accurate and timely documentation in the medical record
• Participate in data collection to support program evaluation and quality initiatives
• Collaborate with clinical and operational leadership to advance the Goal Concordant Care Initiative

EDUCATION

• Required: Master's Degree Nursing or Doctorate Nursing Practice.
• Degree may be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003.
• Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population.

WORK EXPERIENCE

• Required: None

LICENSES AND CERTIFICATIONS

• Required: Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse. Upon Hire
• Required: APRN - Adv 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: ACNPC-AG - Cert AD GEY Acute Care NP Upon Hire or
• Required: AGPCNP -Adult-Gero Primary 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: APNPAdv Pract Nurse/Prescriptive Upon Hire or
• Required: Related authorization must be consistent with clinical practice area and patient population. Upon Hire
• Required: BLS - Basic Life Support Upon Hire and
• Required: PALS - Pediatric Advanced Life Support If working in the following departments: Pediatric - Patient Care (113100). Upon Hire and
• Preferred: BLS - Basic Life Support American Heart Association Basic Life Support. Upon Hire
• Preferred: ACLS - Advanced Cardiac Life Support Certification as required by patient care area. Upon Hire
• Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area. Upon Hire
• Required: MAY BE REQUIRED: Authorization for limited prescriptive authority by the Texas Board of Nursing. Upon Hire
• Required: Clinical Privileges Must obtain and maintain relevant clinical privileges. Continued employment in this position at MD Anderson is contingent upon maintaining these privileges.

The University of Texas MD Anderson Cancer Center offers excellent benefits , including medical, dental, paid time off , retirement , tuition benefits, educational opportunities, and individual and team recognition.

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. 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.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.

Additional Information

• Requisition ID: 181383
• Employment Status: Full-Time
• Employee Status: Regular
• Work Week: Days
• Minimum Salary: US Dollar (USD) 117,500
• Midpoint Salary: US Dollar (USD) 146,500
• Maximum Salary : US Dollar (USD) 176,500
• FLSA: exempt and not eligible for overtime pay
• Fund Type: Soft
• Work Location: Onsite
• Pivotal Position: Yes
• Referral Bonus Available?: No
• Relocation Assistance Available?: Yes

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