Medical APRN
Texas Health and Human Services · Harlingen, TX · 4 wk ago
Healthcare$12k–$14k/moFull-time
We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content.
We must preserve all substantive info, remove boilerplate (cookie/navigation/legal/EEO etc). Also remove duplicated lines, application instructions. No Job ID/requisition numbers as headings; can fold into short p.
We need to extract content: The posting includes:
- Date: Sep 28, 2026 Location: HARLINGEN, TX (maybe not needed)
- Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact... (intro)
- 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: Medical APRN
- Job Title: Advanced Practice RN II
- Agency: Health & Human Services Comm
- Department: Physician Svs
- Posting Number: 21884
- Closing Date: 12/27/2026
- Posting Audience: Internal and External
- Occupational Category: Healthcare Practitioners and Technical
- Salary Range: $11,800.00 - $14,356.00
- Pay Frequency: Monthly
- Salary Group: TEXAS-B-29
- 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: Rio Grande State Supported Living Center
- Job Location City: HARLINGEN
- Job Location Address: 1401 S RANGERVILLE RD
- Other Locations: MOS Codes: 290X,46YX,66P,66R,HS
- Brief Job Description (paragraph)
- Essential Job Functions (EJFs) (list of duties)
- Knowledge, Skills And Abilities (KSAs) (list)
- Registrations, Licensure Requirements Or Certifications (list)
- Initial Screening Criteria (list)
- Additional Information (list)
- Active Duty, Military, Reservists, Guardsmen, And Veterans (maybe not needed)
- ADA Accommodations (boilerplate? maybe keep? It's about accommodations; but it's generic EEO/ADA; might be considered boilerplate? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. ADA Accommodations is legal/EEO; likely remove.
- Pre-Employment Checks And Work Eligibility (maybe boilerplate? It's about background checks; could be considered legal; but maybe keep as part of Requirements? Might be considered boilerplate. Safer to remove.
- Telework Disclaimer (maybe remove)
- Nearest Major Market: Brownsville (maybe minor metadata)
We need to keep substantive info: job description, essential functions, KSAs, licensure, initial screening, additional info (experience supervising, background check etc). Benefits: we have benefits described: 100% paid employee health insurance, defined benefit pension plan, generous time off, career advancement. Also maybe mention "Explore more details on the Benefits of Working at HHS webpage." That's enough for Benefits section.
Pay: Salary Range and Pay Frequency given. So we can include Pay section with that.
Schedule: Shift: Day, Additional Shift: Days (First), Telework: Not Eligible, Travel up to 5%, maybe also mention Full time. So Schedule section can include shift details, telework eligibility, travel, full-time.
We must not create sections with placeholder text like "commensurate with experience". Not present.
We need to use for section headings. Use
for section headings. Use - for any list of duties/requirements/benefits, and
for prose.
We need to decide which sections to include: About the role (intro paragraph), Responsibilities (Essential Job Functions), Requirements (maybe Registrations, Licensure Requirements Or Certifications + Initial Screening Criteria?), Qualifications (maybe Initial Screening Criteria?), Skills (KSAs), Benefits, Pay, Schedule.
We must not repeat job title as heading. Already not.
We need to preserve all substantive info; do not invent or summarize away detail. So we need to include each bullet point from the lists.
Let's extract lists:
Essential Job Functions (EJFs) - multiple paragraphs each starting with a bolded phrase? Actually they are sentences separated by periods. We can treat each sentence as a list item? The instruction: Use
- for any list of duties/requirements/benefits. The EJFs are a list of duties; we can make each bullet a sentence.
Let's list them:
1. 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.]
2. Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment.
3. Oversees and provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary. The assessment includes diagnosis, treatment and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
4. Prescribes medication, within the scope of their licensure and training.
5. Refers all care decisions that fall outside the scope of licensure and expertise to the treatment team or a Medical Doctor (MD).
6. Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted and monitoring of the chronic condition.
7. Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials and training expertise.
8. Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise.
9. Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition(s) for which individuals are under treatment.
10. Orders and interprets laboratory tests according to procedures and practices with the consultation of a supervising physician, if necessary.
11. Provides medical diagnosis and the review of the treatment plan at the Individual Service Plan (ISP). Includes review of all the identified risks of the individual, (choking, pneumonia, 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.
12. Evaluates the efficacy and progress of a patient's treatment plan.
13. Develops accurate and timely documentation, which includes dictation of annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care.
14. Provides training and/or coaching, within the limits of their scope of practice and expertise, to nurses and APRN Is.
15. Assigns and prioritizes work for assigned staff such as nurses, APRN Is and direct care staff working in the medical department.
16. Provide treatment to HHS employees injured in course and scope of employment as needed.
17. 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.
That's a lot; we need to keep all.
Knowledge, Skills And Abilities (KSAs) list:
- Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations.
- Knowledge of principles, methods and procedures for the delivery of medical evaluations, diagnosis, and treatment.
- Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans.
- Skill in interpretation of interpret laboratory analyses and x-rays. (maybe typo)
- Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.
- Ability to examine, diagnoses, and treat physical and mental disorders.
- Ability to supervise the work of others who provide medical care to patients.
- 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.
- One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred.
Additional Information:
- Experience in supervising or leading the work of others.
- 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. (maybe boilerplate? but it's about applying; could be considered application instructions; we should remove application instructions. So remove that line.)
- Active Duty, Military, Reservists, Guardsmen, And Veterans ... (maybe not needed; could be considered extra but not boilerplate; but it's encouraging veterans; could keep? Might be considered not essential; but we can keep as part of Additional Information? It's not boilerplate; but it's a generic encouragement; maybe we keep as a paragraph? However it's not a list; we could include as a
. But the instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. This is not exactly EEO; it's about veterans encouragement; could keep. But to be safe, maybe we keep as a paragraph under Additional Information? However the Additional Information already a list; we could add a paragraph after list. But we need to preserve all substantive info; this is substantive? It's encouraging veterans; maybe keep.
But we also have "Nearest Major Market: Brownsville" - minor metadata; could be folded into a short p.
We also have "Date: Sep 28, 2026 Location: HARLINGEN, TX
for prose. We need to decide which sections to include: About the role (intro paragraph), Responsibilities (Essential Job Functions), Requirements (maybe Registrations, Licensure Requirements Or Certifications + Initial Screening Criteria?), Qualifications (maybe Initial Screening Criteria?), Skills (KSAs), Benefits, Pay, Schedule. We must not repeat job title as heading. Already not. We need to preserve all substantive info; do not invent or summarize away detail. So we need to include each bullet point from the lists. Let's extract lists: Essential Job Functions (EJFs) - multiple paragraphs each starting with a bolded phrase? Actually they are sentences separated by periods. We can treat each sentence as a list item? The instruction: Use
- for any list of duties/requirements/benefits. The EJFs are a list of duties; we can make each bullet a sentence.
Let's list them:
1. 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.]
2. Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment.
3. Oversees and provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary. The assessment includes diagnosis, treatment and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
4. Prescribes medication, within the scope of their licensure and training.
5. Refers all care decisions that fall outside the scope of licensure and expertise to the treatment team or a Medical Doctor (MD).
6. Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted and monitoring of the chronic condition.
7. Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials and training expertise.
8. Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise.
9. Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition(s) for which individuals are under treatment.
10. Orders and interprets laboratory tests according to procedures and practices with the consultation of a supervising physician, if necessary.
11. Provides medical diagnosis and the review of the treatment plan at the Individual Service Plan (ISP). Includes review of all the identified risks of the individual, (choking, pneumonia, 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.
12. Evaluates the efficacy and progress of a patient's treatment plan.
13. Develops accurate and timely documentation, which includes dictation of annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care.
14. Provides training and/or coaching, within the limits of their scope of practice and expertise, to nurses and APRN Is.
15. Assigns and prioritizes work for assigned staff such as nurses, APRN Is and direct care staff working in the medical department.
16. Provide treatment to HHS employees injured in course and scope of employment as needed.
17. 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.
That's a lot; we need to keep all.
Knowledge, Skills And Abilities (KSAs) list:
- Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations.
- Knowledge of principles, methods and procedures for the delivery of medical evaluations, diagnosis, and treatment.
- Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans.
- Skill in interpretation of interpret laboratory analyses and x-rays. (maybe typo)
- Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.
- Ability to examine, diagnoses, and treat physical and mental disorders.
- Ability to supervise the work of others who provide medical care to patients.
- 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.
- One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred.
Additional Information:
- Experience in supervising or leading the work of others.
- 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. (maybe boilerplate? but it's about applying; could be considered application instructions; we should remove application instructions. So remove that line.)
- Active Duty, Military, Reservists, Guardsmen, And Veterans ... (maybe not needed; could be considered extra but not boilerplate; but it's encouraging veterans; could keep? Might be considered not essential; but we can keep as part of Additional Information? It's not boilerplate; but it's a generic encouragement; maybe we keep as a paragraph? However it's not a list; we could include as a
. But the instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. This is not exactly EEO; it's about veterans encouragement; could keep. But to be safe, maybe we keep as a paragraph under Additional Information? However the Additional Information already a list; we could add a paragraph after list. But we need to preserve all substantive info; this is substantive? It's encouraging veterans; maybe keep. But we also have "Nearest Major Market: Brownsville" - minor metadata; could be folded into a short p. We also have "Date: Sep 28, 2026 Location: HARLINGEN, TX