MD Anderson Cancer Center Nocturnal Advanced Practice Provider - Acute Care Services in Houston, Texas

The Nocturnal Program was established in order to enhance medical nighttime coverage of patients throughout the institution in a coordinated effort utilizing teams comprised of in-house mid-level providers, moonlighting physicians and trainees. The Nocturnal Program provides essential internal medicine and critical care support under the direction of the Nocturnal Program Medical Director and the Office of the VP of Acute Care Services. Nocturnal advanced practice providers provide medical care during the hours of 6:00 p.m. – 6:00 a.m. Advanced Practice Provider teams may consist of physician assistants and advanced practice nurses.


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

Ideal candidate will have a minimum of two years of Advanced Practice Provider acute care clinical experience.


Core Hours: 6pm-6am. (The orientation period will include days)


$90,000 - $112,500 - $135,000

Generous Nocturnal Compensation Package in addition to base salary


Provides competent patient care in the inpatient setting.

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.


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 Nurse or Physician Assistant.


Required: Two years professional clinical experience. Required experience may be substituted with the successful completion of a one year Advanced Practice Provider fellowship/residency program.

Preferred: Minimum of two years of experience as a clinical Advanced Practice Provider in an acute,critical care setting.


Required: Written authorization from the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) to function as an Advanced Practice Nurse or Physician Assistant. Related authorization must be consistent with clinical practice area and patient population.


Eligible to be granted limited prescriptive authority by the State of Texas.

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.