Advanced Practice Provider (APP) - Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) Goals of Care & End of Life - Goal Concordant Care

The APP 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 APP Goals of Care & End of Life collaborates closely with interdisciplinary teams to facilitate meaningful communication and decision-making across care settings.

The ideal candidate will have at least five years of advanced clinical education, relevant experience in oncology or palliative care, and appropriate licensure as an Advanced Practice Registered Nurse or Physician Assistant, along with demonstrated expertise in communication, interdisciplinary collaboration, and patient-centered decision support. The APP will maintain a clinical practice outside of goal concordant care work necessary to sustain licensure, certification, and appropriate clinical knowledge.

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

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
• Master's Degree Accredited Physician Assistant (PA) program by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), except for Physician Assistants who graduated from a PA program prior to 2013.
or
• Master's Degree in Nursing or Doctor of Nursing Practice. 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.
EXPERIENCE
• Preferred: At least 5 years of experience in Advanced Practice Provider role. Prior experience in Oncology setting.
LICENSES AND CERTIFICATIONS
• Required: PAC - Physician Assistant Certification by the National Commission of Certification of Physician Assistants. Upon Hire and
• Required: PA - Physician Assistant Licensed by the Texas State Board of Physician Assistant Examiners Upon Hire and
• Required: MAY BE REQUIRED: Eligible to be granted limited prescriptive authority by the State of Texas. Upon Hire and
• Required: BLS - Basic Life Support American Heart Association (AHA). Upon Hire and
• Required: ACLS - Advanced Cardiac Life Support American Heart Association (AHA). Upon Hire or
• Required: PALS - Pediatric Advanced Life Support American Heart Association (AHA). If working in one of following department: Pediatrics - Patient Care (113100). Upon Hire
Or
• 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.