Advanced Practice Provider Endocrine - Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA)

The Advanced Practice Provider Endocrine supports the Endocrine and Endocrine-Diabetes services, providing specialized care for patients with endocrine disorders, endocrine tumors, diabetes, and endocrine complications related to cancer treatment. The Advanced Practice Provider Endocrine works collaboratively with faculty physicians and multidisciplinary teams across both inpatient and outpatient settings to deliver comprehensive, patient-centered care.

As part of UT MD Anderson's Division of Internal Medicine, the Advanced Practice Provider Endocrine plays an integral role in clinical care, patient education, care coordination, and research activities. The Advanced Practice Provider Endocrine contributes to the institution's mission by supporting patients with complex endocrine and metabolic conditions while collaborating with nationally recognized specialists in a highly specialized academic environment.

The ideal candidate is a licensed Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) with experience in endocrine care, internal medicine, or primary care. Oncology experience is a plus but not required. UT MD Anderson welcomes candidates with exceptional experience in hospital medicine, family medicine, or endocrine practice. The successful candidate will demonstrate strong clinical assessment skills, experience managing complex patient populations, excellent communication abilities, and the ability to work independently while collaborating effectively within a multidisciplinary healthcare team. Open to new graduates who have an oncology background or who completed clinical rotations in an endocrinology clinic.

The typical work schedule is Monday - Friday, 7:30am-6:00pm.

Responsibilities
Clinical Care & Practice Management
• Provide direct medical care within scope of practice for Endocrine and Endocrine-Diabetes services
• Manage endocrinopathies, endocrine effects of chemotherapy agents, glucose management needs, lipid control, multiple-dose insulin regimens, and insulin pump therapy
• Independently initiate assigned responsibilities and respond effectively to physicians and healthcare team members
• Communicate clearly through verbal, written, and telephone interactions
• Attend weekly Endocrine Multidisciplinary Conferences
• Attend Division of Internal Medicine Grand Rounds
• Share coverage responsibilities for faculty clinics, attending-on-service assignments, inpatient services, patient triage, consultations, and scheduling coordination

Outpatient Endocrine Services
• Conduct assessments for new, consult, and follow-up patients alongside supervising physicians
• Dictate and document notes for new, consult, and follow-up patient encounters
• Complete clinic and hospital paperwork including CSR forms, radiology and nuclear medicine requests, clinical pathway placement, and prescription management
• Retrieve and review laboratory results, glucose monitoring data, pathology reports, and radiology reports
• Facilitate communication with patients between visits and adjust medications as appropriate
• Maintain independent outpatient clinics under faculty physician supervision
• Conduct evaluations and follow-up assessments for assigned patient populations
• Coordinate clinic-related patient management and documentation activities

Inpatient Endocrine Services
• Attend inpatient rounds under the direction of the Endocrine and/or Diabetes Attending on Service and Fellow(s)
• Perform inpatient consultations and follow-up visits as assigned by the Endocrine and/or Diabetes Attending on Service
• Provide follow-up care for hospitalized patients previously evaluated by department faculty physicians following surgery and admission
• Perform and document histories, physical assessments, and progress notes within required timeframes
• Order routine tests appropriate to the services provided
• Access biopsy, laboratory, pathology, and diagnostic reports to support care decisions
• Order medications and treatments within delegated prescriptive authority
• Perform admission procedures and maintain patient information in electronic systems
• Assess symptoms, toxicities, treatment effects, protocol compliance, and disease response
• Schedule and perform delegated medical procedures as required

Patient Triage, Consultation & Care Coordination
• Review, triage, and facilitate new patient medical acceptance through the Endocrine New Patient Access Center
• Support multidisciplinary evaluation of patients with endocrine tumors and endocrine effects from cancer care
• Assist faculty with peer-to-peer authorization requests for procedures and diagnostic testing
• Triage internal Endocrine, Diabetes, and Glycemic consultations and direct patient scheduling activities
• Attend urgent Endocrine Attending on Service clinics for new patients and consultations
• Attend IOTOX clinics for consultation and established patient management
• Participate in Thyroid Nodule Clinic activities as needed
• Attend Glycemic Urgent Clinics that provide same-day and urgent consultations for glycemic management
• Coordinate care with scheduling staff and interdisciplinary healthcare teams

Education, Research & Professional Collaboration
• Deliver education to patients and families regarding diagnoses, treatments, medications, and care plans
• Conduct in-service education for clinic and nursing personnel regarding protocol requirements
• Serve as liaison among patients, families, physicians, and healthcare team members
• Participate in the education of APP students, house officers, medical students, and allied health personnel
• Collaborate with faculty physicians on clinical research protocol activities
• Screen patients for protocol eligibility and support follow-up study activities
• Demonstrate exceptional service, professionalism, teamwork, and communication skills
• Advocate for quality, safe, and cost-effective patient care
• Assist with departmental initiatives and special projects
• Serve as Team Leader for APPs after the first year in the position, as assigned

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.
or

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.
WORK EXPERIENCE

Preferred: Advanced Practice Provider experience in endocrine care, internal medicine, or primary care. Oncology experience is a plus. New graduates must have an oncology background or completed clinical rotations in an endocrinology clinic.

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
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.
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
Preferred: Certified Weight Management or Obesity Medication certification

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.