Advanced Practice Registered Nurse - Goal Concordant Care

Advanced Practice Registered Nurse Goals of Care & End of Life - Goal Concordant Care

The University of Texas MD Anderson Cancer Center is seeking an Advanced Practice Registered Nurse Goals of Care & End of Life to support their mission in delivering comprehensive, patient-centered care. This role is critical for individuals nearing the end of life, ensuring care plans reflect each patient's values and preferences. The Advanced Practice Registered Nurse collaborates closely with interdisciplinary teams to facilitate meaningful communication and decision-making across care settings. UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. The Advanced Practice Registered Nurse contributes to institutional excellence by advancing goal-concordant care practices and supporting patients and families through complex clinical and emotional decisions. The ideal candidate will have advanced clinical education, relevant experience in oncology or palliative care, and appropriate licensure as an Advanced Practice Registered Nurse, along with demonstrated expertise in communication, interdisciplinary collaboration, and patient-centered decision support. Minimum Salary $117,500 | Midpoint Salary $146,500 | Salary Maximum $176,500 Why Us? This role directly advances UT MD Anderson's mission by ensuring that patients receive care aligned with their goals, values, and clinical realities while fostering collaboration across care teams. The position offers meaningful patient impact, professional growth in specialized care delivery, and the opportunity to influence system-wide initiatives that improve quality of life and outcomes. 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

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

Required: Master's Degree Nursing or 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.

Work Experience

Required: None

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. 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: 181383 Employment Status: Full-Time Employee Status: Regular Work Week: Days Minimum Salary: US Dollar (USD) 117,500 Midpoint Salary: US Dollar (USD) 146,500 Maximum Salary : US Dollar (USD) 176,500 FLSA: exempt and not eligible for overtime pay Fund Type: Soft Work Location: Onsite Pivotal Position: Yes Referral Bonus Available?: No Relocation Assistance Available?: Yes

Key skills/competency

• Advanced Practice Registered Nurse
• Goals of Care
• End of Life Care
• Oncology
• Palliative Care
• Patient-Centered Care
• Interdisciplinary Collaboration
• Communication
• Decision Support
• Clinical Care