Summary The Structural Cardiology Nurse Practitioner provides comprehensive care to patients with structural heart disease throughout the continuum of care, including outpatient evaluation, inpatient management, peri-procedural care, and longitudinal follow-up. Job Duties Outpatient Responsibilities: Perform comprehensive cardiovascular histories and physical examinations. Evaluate patients referred for structural heart interventions, including valvular heart disease and congenital structural abnormalities. Assess candidacy for procedures such as: Transcatheter Aortic Valve Replacement (TAVR) Transcatheter Edge-to-Edge Repair (TEER/MitraClip) Left Atrial Appendage Occlusion (Watchman) Patent Foramen Ovale (PFO) closure Atrial Septal Defect (ASD) closure Balloon valvuloplasty and other transcatheter therapies Develop individualized treatment plans in collaboration with the structural heart team. Optimize medical therapy before and after procedures. Manage cardiovascular medications, including anticoagulation, antiplatelet therapy, heart failure medications, antihypertensives, and lipid-lowering therapies. Interpret laboratory and diagnostic results to guide clinical decision-making. Inpatient Responsibilities: Conduct daily rounds on hospitalized structural heart patients. Monitor patients before and after structural heart interventions. Assess and manage acute cardiovascular issues, including heart failure, arrhythmias, vascular complications, and hemodynamic instability. Coordinate consultations with cardiac surgery, electrophysiology, heart failure, anesthesia, and other specialties. Facilitate discharge planning and ensure smooth transitions of care. Peri-Procedural Responsibilities: Complete pre-procedure assessments and informed consent discussions as appropriate. Review diagnostic imaging and testing to confirm procedural readiness. Participate in multidisciplinary Heart Team conferences. Provide peri-procedural management in collaboration with physicians and procedural staff. Evaluate access sites and monitor for procedural complications. Manage post-procedure recovery, including pain control, rhythm monitoring, anticoagulation, and discharge readiness. Recognize and manage procedural complications such as bleeding, vascular injury, conduction abnormalities, stroke, infection, and heart failure exacerbation. Initiate timely interventions or escalation of care when clinically indicated. Minimum Qualifications Master's degree or higher from an accredited Nurse Practitioner or Physician Assistant program Current licensure as an NP or PA in the State of Texas (or eligibility to obtain prior to start) National board certification (AANP, ANCC, or NCCPA) DEA registration or eligibility Ability to work independently and collaboratively within a multidisciplinary team 2+ years of clinical experience in cardiology or a related acute care setting preferred; candidates with strong acute care/critical care backgrounds and interest in subspecialty training will be considered Experience with EMR documentation (Epic preferred) Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Summary Baylor College of Medicine is seeking a competent and reliable Registered Nurse II to support our clinicians providing services to patients. This position will assist in the care of patients under the direction of our team of physicians. The RN II position is expected to demonstrate clinical competence when providing care, using technology, administering medications, performing procedures, managing emergencies, and acting as a patient and family advocate in order to monitor and maintain patient rights. The Registered Nurse is responsible for assisting in the delivery of health care and patient care management. Candidate must possess a proactive, team-oriented attitude. Position should be able to perform nursing and administrative duties using the principles of team-based and patient-centered care, chronic care management models, and quality improvement. It is the responsibility of this position to contribute to a patient centric and customer focused environment where the needs of the patients come first. This position is based at the Baylor College of Medicine in the Medical Office at Vintage - St. Luke's Hospital. Job Duties Performs responsibilities in a manner that promotes quality and safe patient care and a positive patient experience. Adheres to the scope of practice as defined by the Texas Nurse Practice Act. Provides professional nursing assessment of patients. Ensures efficient operation of the clinic or unit by scheduling and planning for use of staff, supplies, and equipment. Assists with treatment room examination and procedures on patients. Schedules appointments, tests, and examinations with hospital and other doctor's offices. Documents patient care services by charting in patient's electronic medical record. Instructs patients concerning the preparations needed for tests and surgical procedures. Communicates with other health care professionals regarding orders and care of patients. Executes physician orders and administers medications and treatments for patients. Promotes patient's independence by involving patient in defining and establishing patient care goals; teaching and counseling patient, friends, and family and reinforcing their understanding of disease, medications, and self-care skills. Provides telephone triage to patients and ensure patients receive the right level of care. Monitors Licensed Vocational Nurses, Registered Nurses I's, and unlicensed staff members by directing, guiding, and influencing the outcome of an individual's performance and activity. Participates in the orientation of new clinical staff. Respects and supports patient rights and promotes positive family and patient relations. Prioritizes and organizes work so that assignments are completed in an efficient and timely manner. Identifies and supports basic cost containment and efficiency for patients and the clinic. Maintains clean and safe work environment; stocks, and orders treatment room supplies. Maintains a professional and cooperative relationship among health care teams by communicating information, responding to requests, and building rapport by participating in team problem-solving methods. Performs other job-related duties as assigned. Minimum Qualifications Associate's Degree or Bachelor's Degree in Nursing. Two years of relevant experience as a licensed Registered Nurse (RN). Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Basic Life Support (BLS) Certification from the American Heart Association. Preferred Qualifications Gastroenterology experience. Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Summary The Advanced Heart Failure Nurse Practitioner / Physician Assistant provides comprehensive clinical care across outpatient, transitional, and inpatient settings within the Advanced Heart Failure and Cardiac Transplantation Program at Texas Heart Institute / Baylor College of Medicine. The APP independently evaluates and manages patients with advanced heart failure, pulmonary hypertension, and complex cardiology conditions at the Baylor McNair Clinic and Baylor St. Luke's Medical Center Heart Failure Clinic, with periodic inpatient support for acutely decompensated patients. Responsibilities include medication management, hemodynamic optimization, diuresis protocols, transitional care management, and remote patient monitoring. The APP partners closely with AHF attending physicians to support clinical management, patient communication, and care coordination, and contributes to program development, quality improvement, and clinical trial enrollment within the Advanced Heart Failure Program. The APP will work with the AHF attending staff to establish an independent practice. Job Duties Independent Outpatient Cardiology Evaluations - Baylor McNair Clinic Independently evaluate cardiology patients presenting for scheduled follow-up visits at the Baylor McNair Clinic. Assess clinical status, review diagnostic data, adjust medication regimens, and generate clinical documentation consistent with independent NP practice. Coordinate with attending cardiologists for escalation or referral as clinically indicated. Baylor St. Luke's Medical Center Heart Failure Clinic Provide clinical support in the Baylor St. Luke's Medical Center (BSLMC) Heart Failure Clinic, with primary focus on follow-up patients. Collaborate with AHF attendings and the BSLMC APP team to ensure care continuity, transition-of-care management, and adherence to guideline-directed medical therapy. Participate in clinic operations, including scheduling support, patient education, and documentation within the EMR. In coordination with the BSLMC APP team, independently evaluate advanced heart failure, cardiology and pulmonary hypertension patients. Perform remote patient monitoring and assist with the development of a Transitional Care Management program for patients who have been recently discharged from the hospital. Inpatient Heart Failure Support Provide periodic inpatient HF support to assist with acute decompensated heart failure, pulmonary hypertension, and complex cardiology patients. Conduct comprehensive inpatient evaluation and management of advanced heart failure patients in collaboration with attending physicians. Perform history and physical examinations, order and interpret diagnostic studies, and formulate individualized treatment plans. Manage hemodynamic optimization, diuresis protocols, and device-related care for patients with temporary mechanical circulatory support (MCS) Serve as a clinical resource for nursing staff and house staff on HF-related clinical questions and protocol adherence. Support for Advanced Heart Failure Attendings Assist AHF attending physicians with patient follow-up, including response to MyChart messages, nursing triage inquiries, and longitudinal disease management. Perform pre-operative cardiac clearance evaluations for HF patients undergoing non-cardiac surgery, including risk stratification and optimization recommendations. Manage clinical inbox tasks and ensure timely result review and patient communication on behalf of the AHF attending team. Heart Failure Program Development Collaborate with AHF attending physicians and the BSLMC NP team to support the ongoing development, expansion, and quality improvement of heart failure programs. Contribute to the design and implementation of clinical pathways, HF protocols, and care coordination workflows. Participate in quality metrics review and process improvement initiatives aligned with HF program goals. Assist with the identification of patients into heart failure clinic trials that complement the clinical programs. Minimum Qualifications Master's degree or higher from an accredited Nurse Practitioner or Physician Assistant program. Current licensure as an NP or PA in the State of Texas (or eligibility to obtain prior to start). National board certification (AANP, ANCC, or NCCPA). DEA registration or eligibility. 2+ years of clinical experience in cardiology, heart failure, or a related acute care setting preferred; candidates with strong acute care/critical care backgrounds and interest in subspecialty training will be considered. Experience with EMR documentation (Epic preferred). Ability to work independently and collaboratively within a multidisciplinary team. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Summary This Part-time (.5 FTE) Research Nurse II in the Baylor College of Medicine (BCM) / Texas Children’s Hospital (TCH), is responsible for assisting faculty in the Pediatric Diabetes and Endocrinology Division with the conduction of Diabetes research studies. The incumbent will conduct participant diabetes education and training as required for research studies and administer medication. Will assist with other research study activities, including coordination of visits, participant enrollment, data collection, documentation, and safety of research participants. Lastly will assist with regulatory tasks and preparation of study data reports and related presentations and manuscripts. The position may include travel to other TCH sites (e.g., West Campus, etc.) to conduct research related activities. This role will identify study candidates, conduct informed consent, conduct study activities, including training study participants on the use of diabetes devices (e.g., insulin pumps, continuous glucose monitors), assisting with device start and troubleshoot, as well as data download and interpretation and administer medication. The successful candidate will train and lead junior research staff and volunteers. The ideal candidate will have previous experience interacting with patients and families and/or experience in health care setting. Has experience with culturally diverse children and families. Will be highly organized, keep detailed records, and display excellent verbal, communication, and problem-solving skills. Is respectful, patient-centered interactions with patients, medical providers, and staff. Has proficiency with computers, internet, Microsoft Office applications, computer spreadsheets, and database management. Has the ability to understand and implement patient studies and protocols. This position is located in the Texas Medical Center. Job Duties Diabetes Education and clinical duties (80%): Provides formal diabetes education to study participants. Trains participants on the use of diabetes devices. Places diabetes devices (e.g., insulin pumps, continuous glucose monitors) on the participant's body). Monitors, tracks, and adjusts insulin levels based on protocol. Collects and manages survey data, downloading data from diabetes management devices, and completes electronic medical record reviews. Administers study medication. Assists with pre-activation activities (e.g., develop study materials, such as study protocol, manual of operation, forms, questionnaires, etc.). Screens Epic for eligible candidates and recruit, enroll and evaluate research visits with participant/family. Obtains informed consent/assent. Collects biometric information (e.g., weight, height, waist circumference). Maintains patient charts and medical records. Performs data collection from the electronic medical record system (i.e., Epic). Conducts basic biospecimen processing (e.g., spinning, aliquoting, etc.). Collects, processes and stores, or ships blood or biological specimens as outlined per study protocols and associated lab or procedural manuals. Enters data into study dataset, maintain study documents and recruitment logs. Follows subjects' progress and advises the Principal Investigator. Travels to TCH health centers outside of the Texas Medical Center for study recruitment and other research-related activities. Regulatory / Programmatic Research Operations (20%): Performs interpretation of missing reports, in collaboration with study statistician and PI, produce curated reports with missing data, and follow-up with research coordinators to address the missing data. Assists with manuscript writing, e.g., integrate comments from co-authors to revise a manuscript - Formatting of manuscripts to comply with guidelines for authors from scientific journals. Performs submissions of manuscripts to scientific journals. Assists with editing, formatting and submitting abstracts to scientific meetings. Produces reports of relevant research program data, for instance, human subjects tables for progress reports and grant applications to funding agencies. Provides regular updates to PI and other members of the research team. Assists with regulatory tasks (e.g., complete data required for IRB renewals, notes to file, reports). Orders and maintains study supplies and equipment. Maintains records and regulatory documents and records for research studies. Serves as a lead to junior research staff and/or research volunteer teams. This includes, mentorship and training. Performs other job-related duties as assigned. Minimum Qualifications Associate's Degree or Bachelor's Degree in Nursing. Two years of relevant experience as a licensed Registered Nurse (RN). Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Basic Life Support (BLS) Certification. Preferred Qualifications Certified Diabetes Educator (CDE). Bilingual in English/Spanish. Experience with venipuncture. Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Summary The Department of Anesthesiology is currently seeking qualified Part Time PRN Certified Registered Nurse Anesthetist for Harris Health/Quentin Mease Locations. Candidates will serve as a key member of our team to provide high-quality, evidence-based anesthesia services to patients at high acuity levels. Job Duties Work with our Anesthesiology services team to provide high-quality, evidence-based anesthesia, and pain care services at all acuity levels, for all patients, and for several different reasons, in a variety of settings. Provider will have primary direct patient care responsibilities for patients and administer all forms of anesthesia including inhaled, intravenous, neuraxial, and regional, for surgical or medical procedures. Provider will assess and evaluate patients prior to the administration of anesthesia to formulate anesthetic plans. Provider will Insert and use invasive and noninvasive monitors, as indicated. Provider will respond to emergency/code situations to provide airway management. Provider will document anesthetic information and patient condition. Provider will have call responsibilities. Provider will participate in quality care improvement initiatives. Provider will perform other job-related duties as assigned. Minimum Qualifications Education Required: Master’s degree in in Nursing. Experience Required: None required. Certification/Licenses/Registration: Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Current Certification as a Certified Registered Nurse Anesthetist (CRNA) from the National Board of Certification and Recertification for Nurse Anesthetists and Advanced Practice Registered Nurse (APRN). Basic Life Support (BLS) Certification. Diversity Statement: Diversity among Baylor's students, trainees, faculty and staff is a prerequisite to accomplishing Baylor's institutional mission, and to maintaining the highest standards in training for healthcare providers and biomedical scientists, scientific innovation, and patient-centered care. Baylor is committed to ensuring equal opportunity for all qualified persons without taking into account race, color, national origin, creed, sex, sexual orientation, ancestry, age, veteran status or disability unrelated to job requirements. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
