Inpatient Nocturnal Advanced Practice Registered Nurse or Physician Assistant - Hospital Medicine

The primary purpose of the Advanced Practice Provider (APRN/PA), in the Department of Hospital Medicine is to promote and maintain the health of HM patients across the care continuum throughout the institution supporting the inpatient hospitalist programs. As the Department of Hospital Medicine is a service that operates 24/7/365, evening shifts will also be supported by the hospitalist advanced practice providers for after-hours and weekend coverage, rotating holidays and COVID coverage.

This will be an inpatient evening shift role covering 12:00pm-10:00pm working 7on-7off shift (Tuesday-Mondays).

The ideal candidate for the Advanced Practice Provider (APRN/PA) role in the Department of Hospital Medicine is a patient-centered, highly collaborative clinician who excels in a fast-paced, 24/7 inpatient environment and is comfortable supporting evening admissions, weekend, holiday, and surge coverage. This individual brings strong clinical judgment and autonomy, performing comprehensive histories, physical and psychosocial assessments, interpreting diagnostic data, and developing and communicating effective treatment plans in partnership with attending physicians and multidisciplinary teams. The ideal candidate demonstrates a solid foundation in pathophysiology, differential diagnosis, and pharmacologic management, applies analytic thinking to complex clinical situations, and delivers timely, efficient, and compassionate care tailored to varied patient populations. They are committed to service excellence, professionalism, ethical practice, and patient safety, while fostering respectful communication, collegiality, and effective service recovery. A passion for education and academic engagement is essential, including patient and family education, participation in clinical research, and teaching and mentoring advanced practice students, house officers, medical students, and nursing staff.

MD Anderson offers our employees:
- Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week
- Group Dental, Vision, Life, AD&D 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, AD&D and an illness-related reduced salary pay program
- Extensive wellness, recognition, fitness, employee health programs and employee resource groups.

APRN Key Functions
• Conduct comprehensive patient assessments, including medical history, physical examinations, and psychosocial evaluations.
• Evaluate patient outcomes in collaboration with attending physicians and develop, implement, and adjust treatment plans accordingly.
• Monitor and interpret laboratory, radiographic, and procedural data to support patient disposition decisions; visually evaluate data and prepare accurate written documentation.
• Communicate assessment findings, diagnostic results, and treatment updates effectively to physicians, multidisciplinary team members, patients, and family members.
• Promote collaboration and open communication among healthcare team members, colleagues, and partner organizations to protect and advance the best interests of patients.
• Provide patient and family education regarding diagnoses, treatment options, side-effect management, and anticipatory guidance.
• Participate in and support clinical research protocols by interviewing patients, reviewing eligibility criteria, and identifying potential candidates for studies.
• Deliver patient and family education and conduct in-service training for nursing staff related to protocol requirements; serve as a liaison among patients, families, physicians, and other personnel.
• Participate in the education and mentoring of advanced practice nursing students, house officers, and medical students; instruct allied health coworkers in accurate patient documentation and data entry.

Service Orientation
• Provide service to patients, caregivers, colleagues, and team members in a safe, courteous, accountable, efficient, and innovative manner by:
o Fostering togetherness and collegiality while consistently demonstrating respect and professionalism.
o Modeling safe and ethical behavior that mitigates institutional risk through sound practices and adherence to MD Anderson's Standards of Conduct, policies, and procedures.
o Responding to requests in a timely manner and proactively communicating expectations related to procedures, service delivery, or project timelines.
o Applying the HEAL model (Hear, Empathize, Address, Learn) to support effective service recovery.

Medical / Clinical Knowledge
• Demonstrate comprehensive knowledge of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion, and disease prevention.
• Apply core knowledge of established and evolving biomedical and clinical sciences to patient care within the scope of hospital medicine.
• Utilize investigatory and analytic thinking in clinical decision-making, including the management of general medical conditions and the appropriate use of pharmacologic and non-pharmacologic therapies, with attention to indications, contraindications, side effects, interactions, and adverse reactions.

Patient Care
• Provide patient care that is appropriate to the population(s) served across the inpatient care continuum.
• Deliver care that is effective, patient-centered, timely, and efficient in treating illness and promoting wellness.
• Counsel and educate patients and families regarding disease processes, treatment plans, preventive care, and strategies to maintain or improve health.

Professionalism
• Maintain collaborative, respectful professional relationships with physicians and all members of the healthcare team.
• Practice within professional scope, knowledge, and personal limitations.
• Demonstrate high ethical standards, accountability, cultural sensitivity, and compliance with all legal, regulatory, and institutional requirements.
• Exhibit a commitment to excellence through ongoing professional development and continuous learning.
Practice-Based Learning and Improvement
• Engage in critical self-reflection and analysis of clinical practice, experience, medical literature, and evidence-based resources to support continuous improvement.
• Participate in initiatives to assess, evaluate, maintain, and enhance the quality of patient care practices.
• Demonstrate knowledge and application of scientific studies relevant to patients' health conditions.

System-Based Practice
• Demonstrate awareness of and responsiveness to the broader healthcare system to deliver cost-effective, high-quality patient care without compromising outcomes.
• Advocate for patients and assist them in navigating complex healthcare systems.
• Promote a safe care environment by identifying, reporting, and participating in the correction of system-based issues that negatively impact patient care.

Other duties as assigned.

EDUCATION

• Required: Master's Degree Nursing. or
• Required: 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
• Required: MAY BE REQUIRED: Authorization for limited prescriptive authority by the Texas Board of Nursing. Upon Hire
• 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

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: 181326
• Employment Status: Full-Time
• Employee Status: Regular
• Work Week: Evening/Night, Nights, Weekends
• 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: Hard
• Work Location: Onsite
• Pivotal Position: No
• Referral Bonus Available?: No
• Relocation Assistance Available?: No

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