Medical APRN

About the role

Join the Texas Health and Human Services Commission (HHSC) at the Austin State Supported Living Center as an Advanced Practice Registered Nurse (APRN). The APRN provides advanced clinical medical care under the supervision of a physician, assesses, plans, and delivers comprehensive patient care independently or collaboratively, and directs medical activities, monitors trends, and recommends improvements.

Responsibilities

• Oversee and provide acute care, including daily assessments, diagnosis, treatment, and documentation of acute health problems or injuries.
• Prescribe medication and perform limited suturing or referrals to hospitals/ER as needed.
• Provide chronic care with quarterly assessments, treatment reviews, prescription management, and condition monitoring.
• Conduct medical rounds, review infirmary and hospitalized patients, and manage on‑call cases.
• Order and interpret laboratory tests, consulting supervising physicians when necessary.
• Develop and update Individual Service Plans (ISP) with risk reviews and coordinated supports (OT, PT, nursing, etc.).
• Evaluate efficacy and progress of patient treatment plans.
• Document care accurately, including annual summaries, pre‑procedural histories, specialty consultations, and restraints.
• Provide training and coaching to nurses and APRN‑I staff within scope of practice.
• Assign and prioritize work for nurses, APRN‑I, and direct‑care staff in the medical department.
• Provide treatment to HHSC employees injured in the course and scope of employment.
• Participate in disaster response, recovery, or Continuity of Operations (COOP) activation as required, which may involve alternate shift patterns or locations.
• Attend work regularly; may be required to work specific, rotating, extended, or overtime schedules and may serve on‑call on a rotating basis.

Knowledge, Skills, and Abilities

• Understanding of general medicine/nursing methods, public health laws, and hospital operations.
• Knowledge of medical evaluation, diagnosis, and treatment delivery principles.
• Familiarity with case history development, individualized care planning, and documentation.
• Ability to interpret laboratory analyses and x‑ray results.
• Proficiency in using medical diagnostic and treatment tools and equipment.
• Capability to examine, diagnose, and treat physical and mental disorders.
• Supervisory ability for staff providing medical care.
• Effective interaction with individuals with developmental disabilities.
• Clear written and oral communication skills.
• Competence in preparing and maintaining medical records.
• Teamwork skills for interdisciplinary collaboration.
• Independent work ethic with flexibility in assigned responsibilities.

Licensure and Certifications

• Registered Nurse (RN) in Texas or another state recognizing Nurse Licensure Compact reciprocity.
• Advanced Practice Registered Nurse (APRN) certification by the Texas Board of Nursing.
• Current DEA registration certificate (or ability to obtain).
• National Provider Identifier (NPI) and enrollment as a Medicaid and Medicare Part B provider.

Qualifications

• Graduation from an APRN program accredited by a national nursing education accrediting body, recognized by the U.S. Department of Education and the Texas Board of Nursing, with a master’s degree or higher.
• Minimum two (2) years of clinical nursing experience.
• One (1) year of experience as an APRN preferred.
• Experience supervising or leading the work of others is desirable.
• Successful completion of fingerprint background check, pre‑employment drug screen, and required registry checks (CANRS, Nurse Aide, Medication Aide, LEIE).
• Male applicants ages 18‑25 must be registered with the Selective Service.
• All employees subject to random drug testing.
• Flexibility to work overtime, extended hours, weekends, and holidays.
• Must be at least 18 years of age.

Additional Information

• Applicants must pass background, drug, and eligibility checks; HHSC uses E‑Verify.
• Bring I‑9 documentation on the first day of work.
• Active‑duty military, reservists, guardsmen, and veterans are encouraged to apply.
• Reasonable accommodations are available for applicants with disabilities in accordance with the ADA.

Benefits

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. Details are available on the “Benefits of Working at HHS” webpage.

Pay

Salary range: $11,800.00 – $14,356.00 per month (pay frequency: monthly). Salary Group: TEXAS‑B‑29. Position is classified as Exempt.

Schedule

• Shift: Day (additional shift telework not eligible).
• Travel: Up to 5 %.
• Regular/Temporary: Regular.
• Full‑time position.
• Potential for additional pay for evenings, nights, weekends, holidays, or work at maximum‑security locations.
• Flexibility required for overtime, extended hours, and rotating or on‑call schedules.