Advanced Practice Provider - Goal Concordant Care

MD Anderson Cancer Center · Houston, TX Full Time
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Job Description

Advanced Practice Provider (APP) - Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) Goals of Care & End of Life - Goal Concordant Care The University of Texas MD Anderson Cancer Center is seeking an Advanced Practice Provider (APP) Goals of Care & End of Life to support 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. UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. The APP Goals of Care & End of Life 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 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 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 arti

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living โ€” housekeeping, maintenance, activities, and social work โ€” are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being โ€” isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

For housekeeping roles, the day follows a room-by-room schedule โ€” cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue โ€” everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming โ€” exercise classes, crafts, music sessions, outings โ€” and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $10.97/hr ($22,818/yr). The typical range is $10.60 – $13.28/hr (25th–75th percentile).

Entry Level (10th) $20,613/yr
Houston Median $22,818/yr
Experienced (90th) $30,597/yr
vs. National Median -34.6%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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