Nocturnal Endocrine Advanced Practice Provider

Nocturnal Endocrine Advanced Practice Provider

The University of Texas MD Anderson Cancer Center is one of the world's leading cancer centers, dedicated to excellence in patient care, research, education, and prevention. Within the Endocrine Neoplasia and Hormonal Disorders (HD) department, the Nocturnal Endocrine Advanced Practice Provider delivers specialized inpatient endocrine and diabetes care for patients with complex medical needs. The Nocturnal Endocrine Advanced Practice Provider serves as a key clinical resource during overnight operations, supporting continuity of care, patient safety, and optimal clinical outcomes.

The Nocturnal Endocrine Advanced Practice Provider works closely with faculty physicians, multidisciplinary healthcare teams, patients, and families to provide expert assessment, treatment planning, inpatient consultation services, and diabetes management across the institution. UT MD Anderson fosters an environment of clinical excellence and collaborative practice in support of its mission to end cancer.

The ideal candidate will possess advanced knowledge of endocrinology, diabetes management, and inpatient clinical care. Endocrine experience is preferred but not required. Candidates with backgrounds in hospital medicine, internal medicine, or primary care are highly desirable. Oncology experience is a plus. 

Salary Range: 
Minimum $117,500 - Midpoint $146,500 - Maximum $176,500

The typical work schedule is Evening/Nights, 5:30 PM - 6:00 AM, three shifts per week, with rotating weekends and holidays. Orientation will be completed on the day shift prior to transitioning to the overnight schedule.

Why Us?
At UT MD Anderson, this role provides the opportunity to practice at the forefront of specialized endocrine and diabetes care within a nationally recognized cancer center. The position offers meaningful clinical autonomy, collaboration with expert faculty and multidisciplinary teams, professional development opportunities, and the ability to directly impact patient outcomes while supporting a work schedule designed around extended shifts.
• 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
Direct Medical Practice
• Provide inpatient endocrine and diabetes clinical coverage during overnight shifts with attending physician oversight
• Manage endocrinopathies and endocrine-related complications associated with cancer therapies
• Assess and manage glucose control, lipid management, insulin therapies, and insulin pump patients
• Conduct comprehensive health assessments, develop treatment plans, implement care, and evaluate outcomes
• Practice autonomously within scope of practice and collaborate across the healthcare continuum
• Initiate clinical assignments independently and communicate effectively with physicians and care teams
• Attend Diabetes Services Meetings and Division of Internal Medicine Grand Rounds
• Share responsibility for inpatient service coverage, triage, consultations, and scheduling coordination
• Respond to telephone consultations and provide clear written and verbal clinical communication

Inpatient Night Shift Endocrinology-Diabetes
• Provide initial assessment and management of urgent endocrine and diabetes issues throughout the institution during overnight hours
• Complete post-admission assessments for patients with diabetes admitted overnight
• Perform inpatient consultations and follow-up visits as assigned by attending physicians
• Follow patients after surgery, observation admissions, and prior endocrine service encounters
• Manage high-risk diabetes patients including insulin pump patients, Type 1 diabetes patients, and patients using concentrated insulin
• Review discharge instructions and assist with medication access and test claims before discharge
• Retrieve and review laboratory results and glucose monitoring data for patients followed by the inpatient diabetes service
• Round on patients not seen by the day team to ensure glycemic control and continuity of care
• Titrate insulin regimens for patients whose blood glucose values fall outside targeted ranges
• Facilitate communication and handoffs through IPASS documentation and coordination with faculty and day-shift APP teams

Quality Patient Care
• Perform and document histories, physical assessments, and progress notes within established timelines
• Coordinate physician co-signature requirements for co-managed patients
• Order routine tests appropriate to patient care services and review laboratory and biopsy results
• Prescribe medications and treatments within authorized delegated prescriptive authority
• Complete routine patient admission procedures and enter clinical information into electronic systems
• Interview patients regarding symptoms, treatment side effects, toxicities, and protocol participation
• Calculate medication dosages when appropriate and document findings accurately
• Assess toxicity, monitor disease response, and maintain protocol-specific documentation
• Ensure compliance with clinical protocols and provide physician support as needed
• Schedule and perform delegated medical procedures as required

Education, Research & Collaboration
• Educate patients and families regarding diagnoses, treatment plans, medications, and disease management
• Conduct in-service education for nursing and clinical personnel regarding protocol requirements
• Serve as a liaison among patients, families, physicians, and members of the healthcare team
• Participate in the education of Advanced Practice students, Physician Assistant students, medical students, and house officers
• Train coworkers on documentation processes and data entry procedures
• Participate in clinical research protocol activities under physician supervision
• Screen patients for protocol eligibility and assist with follow-up coordination
• Demonstrate professionalism, teamwork, excellent interpersonal skills, and effective communication
• Maintain a positive service-oriented approach and follow through on problem resolution
• Serve as a Team Leader for advanced practice professionals after the first year, as assigned

Operational & System Support
• Advocate for quality patient care and assist patients in navigating healthcare system complexities
• Promote a safe care environment and participate in correcting system issues affecting patient care
• Respond to overnight patient calls and requests from clinical team members
• Address inquiries from recently discharged patients through askMDAnderson
• Dictate consultation and follow-up documentation as required
• Assist with departmental projects and special assignments
• Support cost-effective care delivery and responsible resource utilization
• Collaborate with all departments to ensure continuity of patient care

Other duties as assigned