Nocturnal Advanced Practice Provider, Emergency Medicine Critical Decision Unit

Advanced Practice Provider (APP) - Emergency Medicine Clinical Decision Unit

The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The Emergency Medicine Clinical Decision Unit (CDU) provides focused observation, evaluation, and treatment for patients requiring short-term acute care management and close clinical monitoring. The Advanced Practice Provider works collaboratively with physicians, nurses, and interdisciplinary teams to deliver timely, high-quality care and support optimal patient outcomes.

UT MD Anderson seeks an Advanced Practice Provider to join the Emergency Medicine Clinical Decision Unit night team. The Advanced Practice Provider plays an integral role in patient assessment, treatment planning, symptom management, care coordination, and procedural support within a fast-paced acute care environment. The Advanced Practice Provider is expected to provide compassionate, patient-centered care while maintaining the highest standards of clinical excellence and safety.

The ideal candidate is an Advanced Practice Provider seeking a night-shift role with at least one year of APP experience in Hospital Medicine, ICU, Acute Care, Emergency Medicine, Critical Care, or inpatient medicine. Candidates should demonstrate strong clinical judgment, assessment and diagnostic skills, excellent verbal and written communication, strong attention to detail, and the ability to thrive during overnight shifts in a fast-paced acute care environment while delivering exceptional patient care. Flexibility, professionalism, and a commitment to exceptional patient outcomes are essential. Candidates must be able to work 12-hour night shifts from 8:00 PM to 8:00 AM, including rotating weekends, for 3-4 shifts per week.

Salary Range:
Minimum $117,500 ($56.49/hour) - Midpoint $146,500 ($70.43/hour) - Maximum $176,500 ($84.86/hour)

The typical work schedule is 12-hour night shifts from 8:00 PM to 8:00 AM, including rotating weekends, for 3-4 shifts per week.

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Why Us?

• 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

Patient Assessment

• Perform comprehensive medical history, physical examinations, and psychosocial assessments.
• Assess patient health status based on diagnosis, treatment plan, age, development, and identified needs.
• Communicate clinical findings and care plans to patients, families, and physicians.
• Report findings and diagnostic test results to attending physicians.
• Monitor laboratory, clinical, radiographic, and procedural data for assigned patients.
• Review history, assessment findings, laboratory results, imaging studies, and treatment plans with attending physicians.
• Document assessments, findings, and recommendations accurately in the medical record.

Intervention, Evaluation & Consultation

• Prevent, minimize, and manage symptoms, toxicities, and treatment-related complications in collaboration with physicians.
• Evaluate patient response to care and modify treatment plans as appropriate under physician supervision.
• Provide psychological support and education to patients and families.
• Deliver care throughout diagnosis, treatment, rehabilitation, palliative care, and terminal care phases.
• Coordinate services and facilitate access to available institutional resources.
• Facilitate communication between patients, families, and interdisciplinary care teams.
• Schedule consultations, diagnostic tests, procedures, and follow-up appointments.
• Collaborate with medical, nursing, and allied health professionals regarding patient care plans.
• Provide clinical consultation to colleagues and allied personnel.
• Recommend therapeutic interventions to relieve patient symptoms.

Diagnostic & Therapeutic Procedures

• Complete physician-directed training for approved medical procedures.
• Demonstrate competency in procedures under direct physician supervision.
• Obtain blood specimens through arterial, venous, and central line access.
• Manage venous catheters and heparin locks as indicated.
• Administer medications through approved routes including intravenous, intraventricular, intrapleural, and intraperitoneal access.
• Perform lumbar punctures under physician supervision.
• Perform thoracentesis under physician supervision.
• Perform bone marrow biopsies and multiple bone marrow aspirations under physician supervision.
• Perform paracentesis and other approved medical procedures under physician supervision.

Additional Responsibilities

• Maintain effective verbal and written communication with patients, families, physicians, and interdisciplinary teams.
• Coordinate complex care plans and transitions of care.
• Interpret laboratory and diagnostic data to support clinical decision-making.
• Demonstrate strong critical-thinking skills and attention to detail.

Perform other duties as assigned.

EDUCATION

• Required: Degree requirements as defined by the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant.

WORK EXPERIENCE

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  Preferred: At least one year of Advanced Practice Provider experience in Hospital Medicine, ICU, Acute Care, Emergency Medicine, Critical Care, or inpatient medicine

LICENSES AND CERTIFICATIONS

• Required: PA - Physician Assistant Written authorization from the Texas State Board of Physician Assistant Examiners (TSBPAE) to function as Physician Assistant. Upon Hire or
• Required: APRN - Adv Practice Registered Nurse Written authorization from the Texas Board of Nursing (BON) to function as an Advanced 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: AGPCNP -Adult-Gero Primary Care NP Upon Hire or
• Required: ACNPC-AG - Cert AD GEY Acute 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: APNP - Advanced Practice NP Upon Hire or
• Required: BLS - Basic Life Support Upon Hire or
• Required: Cardiopulmonary Resuscitation (CPR) Upon Hire or
• Preferred: BLS - Basic Life Support American Heart Association Basic Life Support Upon Hire
• Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area. 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: 183583
• Employment Status: Full-Time
• Employee Status: Regular
• Work Week: Day/Evening, Days, Evening/Night, Evenings, Nights
• 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: Hybrid Onsite/Remote
• Pivotal Position: Yes
• Referral Bonus Available?: Yes
• Relocation Assistance Available?: Yes

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