Advanced Practice RN

Date: September 15 2026 | Location: Kerrville, TX (Kerrville State Hospital, 721 Thompson Dr.)

About the Role

The Advanced Practice RN provides highly complex clinical medical care under the supervision of the Medical Director. The role involves assessing, planning, and delivering comprehensive patient care independently or in collaboration with other health‑care professionals, directing medical activities, monitoring trends, and recommending improvements. The position also includes limited prescriptive authority, treatment of HHSC employees injured on the job, and participation in disaster response or Continuity of Operations (COOP) activities.

Responsibilities

• Attend work regularly; may be assigned specific, rotating, extended, or overtime shifts per agency policy.
• Provide acute care, including daily assessments, diagnosis, treatment, documentation, and referrals for injuries or health problems.
• Provide chronic care with quarterly assessments, treatment reviews, and monitoring of identified chronic conditions.
• Conduct comprehensive medical care: rounds, review of hospitalized and on‑call patients, diagnosis, and recovery‑plan development.
• Identify and address individual risks (e.g., choking, pneumonia) and coordinate necessary supports (OT, PT, nursing, etc.).
• Develop accurate, timely documentation such as annual summaries, pre‑procedural histories, specialty consultations, physical restraints, and acute/chronic care records.
• Treat HHSC employees injured in the course and scope of employment.
• Participate in agency disaster response, recovery, or COOP activation, which may require alternate shift patterns or locations.
• May be eligible for additional pay for evenings, nights, weekends, or work at maximum‑security locations.

Knowledge, Skills, and Abilities

• Knowledge of general medicine/nursing methods, public‑health laws, and hospital operations.
• Knowledge of medical evaluation, diagnosis, and treatment delivery principles.
• Knowledge of case‑history development, implementation, and documentation.
• Skill in interpreting laboratory analyses and x‑rays.
• Skill in using medical diagnostic and treatment tools and equipment.
• Ability to examine, diagnose, and treat physical disorders.
• Ability to supervise others providing medical care.
• Ability to interact appropriately with individuals with developmental disabilities.
• Ability to present ideas clearly in written and oral communication.
• Ability to prepare and maintain medical records.
• Ability to work productively within an interdisciplinary team.
• Ability to work independently and adapt to changing responsibilities.

Qualifications

• Registered Nurse in Texas (or a compact state) with APRN certification by the Texas Board of Nursing.
• Certification as a family, adult/geriatric APRN by a recognized certifying board (e.g., ANCC).
• Current DEA registration (or ability to obtain).
• National Provider Identifier (NPI) as defined by Medicare Part B.
• Graduate of an APRN program accredited by a national nursing education accrediting body, holding a master’s degree or higher.
• Minimum one year of clinical nursing experience; supervisory or leadership experience preferred.
• Successful completion of fingerprint background check, pre‑employment drug screen, and required registry checks (CANRS, Nurse Aid, Medication Aide, LEIE, etc.).
• Compliance with HHSC immunization policy and state hospital procedures.

Benefits

• 100 % paid employee health insurance for full‑time eligible employees.
• Defined benefit pension plan.
• Generous time‑off benefits.
• Numerous opportunities for career advancement.
• Additional benefits detailed on the “Benefits of Working at HHS” webpage.

Pay

• Salary range: $10,400.00 – $13,051.00 per month.
• Pay frequency: Monthly.
• Salary group: TEXAS‑B‑28.
• Exempt (FLSA) position.

Schedule

• Primary shift: Day.
• Telework: Not eligible.
• Travel: Up to 10 %.
• May require overtime, extended hours, rotating or alternate shift patterns, and flexibility for disaster response or COOP activation.