390,828 Advanced Nurse jobs in the United States

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Psychiatric Advanced Nurse Practitioner

Job Title: Advanced Practice RN II

Agency: Health & Human Services Comm

Department: MaxSecPsych Social Svs

Posting Number: 8943

Closing Date: 11/08/2025

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Group: TEXAS-B-29

Salary Range: $11,800.00 - $14,356.00

Pay Frequency: Monthly

Shift: Day

Additional Shift:

Telework: Not Eligible for Telework

Travel: Up to 10%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location: Wichita Falls State Hospital

Job Location City: WICHITA FALLS

Job Location Address: 6515 KEMP BLVD

Other Locations:

MOS Codes: 290X,46YX,66P,66R

Brief Job Description:

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Psychiatric Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly advanced (senior-level) psychiatric care under the supervision as delegated by a psychiatrist. Work involves assessing, planning, and providing comprehensive psychiatric patient care independently or in collaboration with other health care professionals. Plans, assigns, and/or supervises the work of others, including other APRNs as well as performs assigned administrative duties. Meets face to face with individuals served as needed. Directs psychiatric activities/treatment, monitors trends and activities, and makes recommendations for improvement. Prescribes medications to include antipsychotics, orders and interprets laboratory and diagnostic testing, consults, and referrals. Performs all other duties as assigned by the Medical Director, including planning, assigning, and/or supervising the work of others; and representing the Medical Director in their absence. Participates in the quality assessment and performance improvement program. Serves as a leader of the patient's recovery team. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Works under the clinical and administrative supervision of the Medical Director and/or delegating physician. May also work collaboratively with physicians via telemedicine.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Operates within the scope of their licensure to promote and maintain a therapeutic and safe psychiatric milieu. Oversees and provides acute and long-term psychiatric care to individuals, including daily assessment in the patient's mental health status. Evaluates and makes appropriate referrals for patient's injury or change in physical status. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment.

Prescribes medications, including antipsychotics, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results.

Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted.

Provides comprehensive psychiatric care, which includes conducting rounds, leading Recovery Team Meetings, participating in court hearings and serving as a liaison to the courts.

Conducts periodic reviews of hospitalized patients when on-call for evaluation the reported change in status or condition of individuals under treatment.

Oversees and provides psychiatric diagnosis and the review of the recovery plan, including review of all the identified risks of the individual, (choking, falls, seizures, aggression, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.

Oversees and develops accurate and timely documentation, which includes annual summaries, use of physical restraints and evaluating the correctness of assessments, compliance with policies and procedures, and revenue enhancement.

Participates in the hospital wide quality assessment and performance improvement program by performing audits of medical records, monitoring compliance with standards, developing plans of correction, monitoring implementation of performance improvement activities, and evaluating the outcome of those activities. They also participate in the Ongoing Professional Practice Evaluation (OPPE) by monitoring the practice of other APRNs and providing feedback to improve performance.

Performs other duties as assigned by the Medical Director, including overseeing, planning, assigning, and/or supervising the work of others as well as participating in meetings both internal and external to the hospital; and representing the Medical Director in their absence. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills and Abilities (KSAs):

Knowledge of methods and procedures in the field of psychiatric/nursing including laws and ordinances governing mental health and hospital operations

Knowledge of principles, methods, and procedures for the delivery of medical/psychiatric evaluations, diagnosis, and treatment

Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and recovery plans

Skills in interpretation of laboratory results

Skills in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment

Ability to examine, diagnose, and treat psychiatric disorders.

Ability to supervise the work of others who provide psychiatric care and medical as needed.

Ability to appropriately interact with individuals with developmental disabilities.

Ability to present ideas clearly and concisely in both written and oral communications.

Ability to prepare and maintain medical records.

Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.

Ability to work independently and be flexible in carrying out assigned responsibilities.

Registrations, Licensure Requirements or Certifications:

Must be registered and certified as an Advanced Practice Registered Nurse by the Texas Board of Nursing or in another state that recognizes reciprocity through the Nurse Licensure Compact.

The APRN specialization must be certified by the American Nurses Credentialing Center or other recognized certifying agencies.

Must have, or ability to obtain, a current registration certificate from the Drug Enforcement Agency (DEA)

Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B

Initial Screening Criteria:

Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master's degree or higher level.

At least 2 years (twenty-four months) of clinical nursing experience.

One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred.

One year (twelve months) of experience in supervising or leading the work of others.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at . If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Psychiatric Advanced Nurse Practitioner

Job Title: Psychiatric Advanced Nurse Pra

Agency: Health & Human Services Comm

Department: Physician Services

Posting Number: 8206

Closing Date: 11/12/2025

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Group: TEXAS-B-29

Salary Range: $12,390.00 - $14,356.00

Pay Frequency: Monthly

Shift: Day

Additional Shift: Days (First)

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location: El Paso State Supported Living Center

Job Location City: EL PASO

Job Location Address: 6700 DELTA DR

Other Locations: El Paso

MOS Codes: 290X,46YX,66P,66R

Brief Job Description:

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

The Psychiatric Advanced Practice RN oversees and performs highly advanced (senior level) psychiatric care under the clinical supervision of an assigned psychiatrist. Assesses, plans, and provides comprehensive psychiatric patient care independently or in collaboration with other health care professionals. Meets face to face with individuals served as needed. Directs psychiatric activities/treatment, monitors trends and activities, and makes recommendations for improvement. Prescribes medications, to include antipsychotics, orders and interprets laboratory and diagnostic testing, consults, and referrals, in accordance with their scope of practice. Performs all other duties as assigned by the supervisor, including planning, assigning, and/or supervising the work of others; and representing the supervisor and/or other psychiatrists in their absence. Participates in the quality assessment and quality improvement initiatives. Serves as a leader of the individual's interdisciplinary team. Works under the clinical and administrative supervision of the Medical Director and/or other delegating physician or psychiatrist with extensive latitude for the use of initiative and independent judgment. May also work collaboratively with physicians and psychiatrists via telemedicine.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.

Operates within the scope of their licensure to promote and maintain a therapeutic and safe psychiatric milieu. Oversees and provides acute and long-term psychiatric care to individuals, including daily assessment of the individual's mental health status when warranted. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment.

Prescribes medications, including antipsychotics, obtain timely medications consents, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results. Refers all care decisions that fall outside the scope of licensure and expertise to the treatment team or a Medical Doctor (MD).

Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted. Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials and training expertise. Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise.

Provides comprehensive psychiatric care, which includes conducting at least quarterly psychiatric clinics and rounds, and leading IDT (interdisciplinary team) meetings. Conducts periodic reviews of hospitalized patients when on-call for evaluation the reported change in status or condition of individuals under treatment.

Oversees and provides psychiatric diagnosis and the review of the positive behavior support plan (PBSP) and/or psychiatric support plan (PSP), including review of all the identified risks of the individual, (choking, falls, seizures, aggression, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.

Oversees and develops accurate and timely documentation, which includes annual summaries, use of chemical restraints and evaluating the correctness of assessments, and compliance with policies and procedures.

Participates in the SSLC wide quality assessment and performance improvement program by performing audits of medical records, monitoring compliance with standards, developing plans of correction, monitoring implementation of performance improvement activities, and evaluating the outcome of those activities. Upon supervisory request, participates in professional practice peer reviews by monitoring the practice of other APRNs and providing feedback to improve performance.

Performs other duties as assigned by the supervisor, including overseeing, planning, assigning, and/or supervising the work of others as well as participating in meetings both internal and external to the SSLC; and representing the supervisor and/or psychiatrist in their absence

Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills and Abilities (KSAs):

Knowledge of methods and procedures in the field of psychiatric/nursing including laws and ordinances governing mental health and hospital operations.

Knowledge of principles, methods and procedures for the delivery of medical/psychiatric evaluations, diagnosis, and treatment.

Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and recovery plans.

Skill in interpretation of laboratory results.

Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.

Ability to examine, diagnose, and treat psychiatric disorders.

Ability to supervise the work of others who provide psychiatric care and medical as needed.

Ability to appropriately interact with individuals with developmental disabilities.

Ability to present ideas clearly and concisely in both written and oral communications.

Ability to prepare and maintain medical records.

Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.

Ability to work independently and be flexible in carrying out assigned responsibilities.

Registrations, Licensure Requirements or Certifications:

Registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.

Certified as an advanced practice registered nurse by the Texas Board of Nursing.

Must have, or can obtain, a current registration certificate from the Drug Enforcement Agency (DEA).

Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B and enroll as a Medicaid and Medicare Part B provider.

Initial Screening Criteria:

Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master's degree or higher level.

At least 2 years of clinical nursing experience providing medical or psychiatric care.

One (1) year of work as a Psychiatric Advanced Practice Registered Nurse (APRN) is preferred.

Experience in supervising or leading the work of others.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE).

Males between the ages of 18 - 25 must be registered with the Selective Service.

All State Supported Living Center Employees are subject to Random Drug Testing.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at . If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Nearest Major Market: El Paso

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Psychiatric Advanced Nurse Practitioner

Job Title: Psychiatric Advanced Nurse Pra

Agency: Health & Human Services Comm

Department: MaxSecPsych Psychiatry

Posting Number: 9411

Closing Date: 10/18/2025

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Group: TEXAS-B-29

Salary Range: $12,390.00 - $14,356.00

Pay Frequency: Monthly

Shift: Day

Additional Shift:

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location: Vernon State Hospital

Job Location City: VERNON

Job Location Address: 4730 COLLEGE DR

Other Locations:

MOS Codes: 290X,46YX,66P,66R,HS

Brief Job Description:

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Psychiatric Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly advanced (senior-level) psychiatric care under the supervision as delegated by a psychiatrist. Work involves assessing, planning, and providing comprehensive psychiatric patient care independently or in collaboration with other health care professionals. Plans, assigns, and/or supervises the work of others, including other APRNs as well as performs assigned administrative duties. Meets face to face with individuals served as needed. Directs psychiatric activities/treatment, monitors trends and activities, and makes recommendations for improvement. Prescribes medications to include antipsychotics, orders and interprets laboratory and diagnostic testing, consults, and referrals. Performs all other duties as assigned by the Medical Director, including planning, assigning, and/or supervising the work of others; and representing the Medical Director in their absence. Participates in the quality assessment and performance improvement program. Serves as a leader of the patient's recovery team. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Works under the clinical and administrative supervision of the Medical Director and/or delegating physician. May also work collaboratively with physicians via telemedicine.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Operates within the scope of their licensure to promote and maintain a therapeutic and safe psychiatric milieu. Oversees and provides acute and long-term psychiatric care to individuals, including daily assessment in the patient's mental health status. Evaluates and makes appropriate referrals for patient's injury or change in physical status. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment.

Prescribes medications, including antipsychotics, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results.

Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted.

Provides comprehensive psychiatric care, which includes conducting rounds, leading Recovery Team Meetings, participating in court hearings and serving as a liaison to the courts.

Conducts periodic reviews of hospitalized patients when on-call for evaluation the reported change in status or condition of individuals under treatment.

Oversees and provides psychiatric diagnosis and the review of the recovery plan, including review of all the identified risks of the individual, (choking, falls, seizures, aggression, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.

Oversees and develops accurate and timely documentation, which includes annual summaries, use of physical restraints and evaluating the correctness of assessments, compliance with policies and procedures, and revenue enhancement.

Participates in the hospital wide quality assessment and performance improvement program by performing audits of medical records, monitoring compliance with standards, developing plans of correction, monitoring implementation of performance improvement activities, and evaluating the outcome of those activities. They also participate in the Ongoing Professional Practice Evaluation (OPPE) by monitoring the practice of other APRNs and providing feedback to improve performance.

Knowledge, Skills and Abilities (KSAs):

Knowledge of methods and procedures in the field of psychiatric/nursing including laws and ordinances governing mental health and hospital operations

Knowledge of principles, methods, and procedures for the delivery of medical/psychiatric evaluations, diagnosis, and treatment

Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and recovery plans

Skills in interpretation of laboratory results

Skills in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment

Ability to examine, diagnose, and treat psychiatric disorders.

Ability to supervise the work of others who provide psychiatric care and medical as needed.

Ability to appropriately interact with individuals with developmental disabilities.

Ability to present ideas clearly and concisely in both written and oral communications.

Ability to prepare and maintain medical records.

Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.

Ability to work independently and be flexible in carrying out assigned responsibilities.

Registrations, Licensure Requirements or Certifications:

Must be registered and certified as an Advanced Practice Registered Nurse by the Texas Board of Nursing or in another state that recognizes reciprocity through the Nurse Licensure Compact.

The APRN specialization must be certified by the American Nurses Credentialing Center or other recognized certifying agencies.

Must have, or ability to obtain, a current registration certificate from the Drug Enforcement Agency (DEA)

Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B

Initial Screening Criteria:

Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master's degree or higher level.

At least 2 years (twenty-four months) of clinical nursing experience.

One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred.

One year (twelve months) of experience in supervising or leading the work of others.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at . If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Our people are the difference .

Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of the patient's home - providing the physical, emotional, and spiritual support that allows a patient to focus on living.

At Transitions, you don't have to imagine! Apply now to join our team and experience the Transitions difference!

As an Advanced Nurse Practitioner at Transitions Care you will be responsible for the direction and oversight of the care and treatment to hospice patients rendered by the hospice care team and provide oversight for Plan of Care and all changes to the Plan of Care. Implement the Plan of Care provisions to meet the patient's medical needs. Travel, as necessary.

Major Responsibilities

• Consult and work with the patient's attending physician.
• Assure compliance with local, state, and federal laws, Medicare regulations, and HIPAA.
• Accountable for direction and oversight of the care and treatment of palliative and hospice patients.
• Implement the plan of care to meet the patient's medical needs, assess and reevaluate the patient's medical needs on a regular basis, and manage related expenditures in a fiscally responsible manner.
• Assumes responsibility for meeting regulatory and other mandatory requirements.
• Reviews and interprets diagnostic results in a timely manner.
• Prepares and maintains clinical documentation utilizing company EHR.
• Routine visits focusing on primary care and prevention.
• Complete and document all Hospice Face to Face encounters
• Maintain clinical records, statistics, reports, and records for purposes of evaluation and reporting of agency activities as prescribed and in compliance with local, state, and federal laws.
• Function as the primary on-call clinician , functioning as the lead responder for all clinical escalation needs.
• Address urgent symptom concerns via phone or in person (if required)
• Complete face to face evaluations with documentation within 24 hours of completed visit
• Prescribe and adjust medications as appropriate and within scope of practice and licensure
• Communicate with on-call RNs and support staff to ensure coordinated care
• Confer with medical directors or physicians as needed
• Complete medical record reviews for quality assurance functions as appropriate

Benefits We Offer

• Competitive salary
• 401(k) matching
• Company Equipment
• Free Scrub Tops

Requirements

Education and Experience

• Master's Degree in Nursing
• Current license to practice in the state of employment and Controlled Substance if required by the state of employment.
• Active DEA License with no restrictions
• One (1) + year of home care or hospice experience
• Knowledge of the principles and practice of hospice and palliative care, working knowledge of geriatric medicine.
• Knowledge of hospice and palliative care with emphasis on control of symptoms associated with a terminal illness.
• Hospice and Palliative Care certification preferred.
• Knowledge of the local medical community and the ability to enhance the hospice's visibility and reputation with practicing physicians and hospitals.
• Ability to collaborate with the patient's primary physician to interpret the hospice program and affect optimum medical care.
• Ability to work within an interdisciplinary setting.
• Understanding of Hospice philosophy, principles of death/dying.
• Compliance with accepted professional standards and practices.

Our people are the difference .

Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of the patient's home - providing the physical, emotional, and spiritual support that allows a patient to focus on living.

At Transitions, you don't have to imagine! Apply now to join our team and experience the Transitions difference!

As an Advanced Nurse Practitioner at Transitions Care you will be responsible for the direction and oversight of the care and treatment to hospice patients rendered by the hospice care team and provide oversight for Plan of Care and all changes to the Plan of Care. Implement the Plan of Care provisions to meet the patient's medical needs. Travel, as necessary.

Major Responsibilities

• Consult and work with the patient's attending physician.
• Assure compliance with local, state, and federal laws, Medicare regulations, and HIPAA.
• Accountable for direction and oversight of the care and treatment of palliative and hospice patients.
• Implement the plan of care to meet the patient's medical needs, assess and reevaluate the patient's medical needs on a regular basis, and manage related expenditures in a fiscally responsible manner.
• Assumes responsibility for meeting regulatory and other mandatory requirements.
• Reviews and interprets diagnostic results in a timely manner.
• Prepares and maintains clinical documentation utilizing company EHR.
• Routine visits focusing on primary care and prevention.
• Complete and document all Hospice Face to Face encounters
• Maintain clinical records, statistics, reports, and records for purposes of evaluation and reporting of agency activities as prescribed and in compliance with local, state, and federal laws.
• Function as the primary on-call clinician , functioning as the lead responder for all clinical escalation needs.
• Address urgent symptom concerns via phone or in person (if required)
• Complete face to face evaluations with documentation within 24 hours of completed visit
• Prescribe and adjust medications as appropriate and within scope of practice and licensure
• Communicate with on-call RNs and support staff to ensure coordinated care
• Confer with medical directors or physicians as needed
• Complete medical record reviews for quality assurance functions as appropriate

Benefits We Offer

• Competitive salary
• 401(k) matching
• Company Equipment
• Paid Time Off
• Free Scrub Tops

Compensation

• $100 / Pay Per Visit
• $0- 50 / hr. meeting rate

Requirements

Education and Experience

• Master's Degree in Nursing
• Current license to practice in the state of employment and Controlled Substance if required by the state of employment.
• Active DEA License with no restrictions
• One (1) + year of home care or hospice experience
• Knowledge of the principles and practice of hospice and palliative care, working knowledge of geriatric medicine.
• Knowledge of hospice and palliative care with emphasis on control of symptoms associated with a terminal illness.
• Hospice and Palliative Care certification preferred.
• Knowledge of the local medical community and the ability to enhance the hospice's visibility and reputation with practicing physicians and hospitals.
• Ability to collaborate with the patient's primary physician to interpret the hospice program and affect optimum medical care.
• Ability to work within an interdisciplinary setting.
• Understanding of Hospice philosophy, principles of death/dying.
• Compliance with accepted professional standards and practices.

Salary Description

50.00 - 55.00 an hour