Nocturnal Advanced Practice Provider - Acute Care Services

About the role

Acute Care Services is seeking highly skilled Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs) and Physician Assistants with a strong clinical background in medical-surgical, Neuro ICU, critical care, and post-surgical settings. The ideal candidate demonstrates advanced clinical judgment, adaptability, and the ability to manage complex, high-acuity patients. Successful candidates will be comfortable working across multiple care environments and have experience supporting rapid response functions, including MERIT and RAPID teams, as well as triage and the management of deteriorating patients on the floor. They must be confident in identifying clinical decline, initiating timely interventions, and collaborating effectively with multidisciplinary teams.

The primary purpose of the Midlevel Provider is to provide patient care in the inpatient setting as a member of the MLP Nocturnal Coverage Team, providing initial assessment and management of urgent issues at night related to internal medicine or critical care needs across the institution, facilitating communication, and carrying out orders from attending physicians.

Responsibilities

• Provides competent patient care in the inpatient setting across the institution
• Provides initial assessment and management for urgent internal medicine or critical care needs at night
• Conducts comprehensive health assessments, identifies normal and abnormal health characteristics, initiates appropriate care and continuously evaluates care outcomes
• Provides post-admission assessments for night time admissions
• Completes sign-out communications and patient care logs as directed by the medical director and administrative director of the Nocturnal Coverage Team
• May perform delegated functions under the supervision of the physician to include differential diagnosis, use of prescriptive authority and treatment of a variety of human responses according to practice guidelines, protocols or standing orders
• Uses judgment to collaborate with the healthcare team to manage client care throughout the continuum of care and in a variety of settings

Requirements

Education

Degree requirements as defined by the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant.

Experience

• Required: 2 years professional clinical experience (may be substituted with successful completion of a one-year advanced practice provider fellowship/residency program)
• Preferred: 3–5 years experience as a clinical advanced practice provider
• Preferred: Previous clinical practice in oncology, critical care, internal medicine, hospital medicine, or pediatrics

Licenses & Certifications

Required (upon hire):

• Physician Assistant: Written authorization from the Texas State Board of Physician Assistant Examiners (TSBPAE) to function as Physician Assistant
• APRN: Written authorization from the Texas Board of Nursing (BON) to function as an Advanced Practice Registered Nurse
• One of the following NP certifications: ACNP, ACNPC, ACAGNP, AGACNP, AGPCNP, ACNPC-AG, AGNP, ACPNP, ANP, FNP, GNP, PNP, PMHNP, WHNP, APNP
• BLS / CPR (Basic Life Support)
• Clinical Privileges: Must obtain and maintain relevant clinical privileges; continued employment is contingent upon maintaining these privileges

Preferred (upon hire):

• BLS – American Heart Association Basic Life Support
• PALS – Pediatric Advanced Life Support (as required by patient care area)

Benefits

• Paid employee medical benefits (zero premium) starting on first day for employees who work 30+ hours per week
• Group Dental, Vision, Life, AD&D and Disability coverage
• Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals
• Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs
• Tuition Assistance Program after six months of service
• Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans
• Employer paid life, AD&D and an illness-related reduced salary pay program
• Extensive wellness, recognition, fitness, employee health programs and employee resource groups
• Opportunities for professional growth through Career Development Center and Mentoring programs

Pay

• Minimum Salary: USD 117,500
• Midpoint Salary: USD 146,500
• Maximum Salary: USD 176,500
• FLSA: Exempt and eligible for overtime, paid at a time and a half rate

Schedule

Night shift: 6:00 PM to 6:00 AM, working seven shifts every two weeks, including weekends and rotating holidays. Work week: Nights, Rotating, Varied, Weekends.

Requisition ID: 182821 | Full-Time, Regular | Onsite | Relocation assistance available | Referral bonus available