Nocturnal Advanced Practice Provider - Acute Care Services

UT MD Anderson; Houston (TX); On-site; USD 118,000 - 177,000; Full time

Benefits offered by this job

Paid time off (PTO)

Tuition assistance

Medical benefits

Job summary

The University of Texas MD Anderson Cancer Center in Houston is seeking highly skilled Adult-Gerontology Acute Care Nurse Practitioners and Physician Assistants for nocturnal coverage. The Midlevel Provider will perform night assessments and manage urgent internal medicine or critical care needs, coordinating with attending physicians to ensure high-quality patient care.

Strong clinical judgment and collaboration with multidisciplinary teams are essential, with a focus on safety, timely

Qualifications

• 2 years of professional clinical experience required.
• Preferred 3–5 years in oncology, critical care, internal medicine, hospital medicine or pediatrics.
• Must hold active licenses for APN or PA and be eligible for privileges.

Responsibilities

• Provide inpatient patient care across the institution.
• Perform initial and ongoing assessments for urgent internal medicine or critical care needs at night.
• Conduct comprehensive health assessments and evaluate care outcomes.
• Complete sign-out communications and patient care logs as directed.
• Collaborate with physicians to manage care and, as allowed, perform delegated functions.

Skills

AGACNP/PA

Critical care

Night shift

Rapid response

Education

Texas BON/APRN licensure

Texas PA licensure

Job description

Acute Care Services is seeking highly skilled Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs) and Physician Assistants with a strong clinical background in medical-surgical, Neuro ICU, critical care, and post-surgical settings. The ideal candidate demonstrates advanced clinical judgment, adaptability, and the ability to manage complex, high-acuity patients.

Successful candidates will be comfortable working across multiple care environments and have experience supporting rapid response functions, including MERIT and RAPID teams, as well as triage and the management of deteriorating patients on the floor. They must be confident in identifying clinical decline, initiating timely interventions, and collaborating effectively with multidisciplinary teams.

Candidates must be able to commit to a night shift schedule of 6:00 PM to 6:00 AM, working seven shifts every two weeks, including weekends and rotating holidays.

This role requires individuals who thrive in fast-paced environments, possess strong communication skills, and are committed to delivering high-quality, patient-centered care.

The primary purpose of the Midlevel Provider is to provide patient care in the inpatient setting. The Midlevel Provider will work as a member of the MLP Nocturnal Coverage Team to provide initial assessment and management of urgent issues at night related to internal medicine or critical care needs across the institution. The Midlevel Provider will facilitate communication and carry out orders from attending physicians related to patient care.

Key Functions

• Provides competent patient care in the inpatient setting across the institution.
• Provides initial assessment and management for urgent internal medicine or critical care needs at night.
• Conducts comprehensive health assessments, identifies normal and abnormal health characteristics, initiates appropriate care and continuously evaluates care outcomes.
• Provides post-admission assessments for night time admissions.
• Completes sign-out communications and patient care logs as directed by the medical director and administrative director of the Nocturnal Coverage Team.
• May also perform delegated functions under the supervision of the physician to include differential diagnosis, use of prescriptive authority and treatment of a variety of human responses according to practice guidelines, protocols or standing orders.
• Uses judgment to collaborate with the healthcare team to manage client care throughout the continuum of care and in a variety of settings.

MD Anderson offers 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.
• Opportunities for professional growth through Career Development Center and Mentoring programs.

EDUCATION

• : 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

• Required: 2 years Professional clinical experience. Required experience may be substituted with the successful completion of a one year advanced practice provider fellowship/residency program.
• Preferred: 3 years Three to five years experience as a clinical advanced practice provider. Previous clinical practice in oncology, critical care, internal medicine, hospital medicine or pediatrics.

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.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

• Requisition ID: 182821
• Employment Status: Full-Time
• Employee Status: Regular
• Work Week: Nights, Rotating, Varied, 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 eligible for overtime, paid at a time and a half rate
• Fund Type: Hard
• Work Location: Onsite
• Pivotal Position: Yes
• Referral Bonus Available?: Yes
• Relocation Assistance Available?: Yes