Nurse Practitioner - Acute Care Pediatrics

About the role

Provide specialized overnight care for children with complex medical, neurological, and behavioral needs at Nexus Children’s Hospital – Dallas. Work collaboratively with the Medical Director, attending physicians, nursing staff, and interdisciplinary team to assess, manage, and respond to patient needs throughout the night.

Responsibilities

• Provide comprehensive overnight medical care, including patient assessments, physical and neurological examinations, diagnosis, and treatment of acute and chronic conditions.
• Monitor patient status, identify changes in condition, and initiate timely interventions, including emergency and life‑saving measures when needed.
• Order and interpret laboratory studies and diagnostic tests to guide clinical decisions.
• Prescribe medications and other treatments within authorized scope of practice, prescriptive authority, and facility guidelines.
• Consult with attending and on‑call physicians regarding significant changes, unexpected events, or patient needs requiring physician involvement.
• Collaborate with nursing, behavioral health, rehabilitation, and other clinical teams to implement individualized treatment plans.
• Maintain accurate, timely documentation of assessments, interventions, treatment plans, and patient progress.
• Provide clear handoffs to support continuity between overnight and daytime care teams.
• Educate patients, families, and staff regarding medical conditions, treatment plans, and ongoing care needs.
• Follow infection prevention, patient safety, and behavioral management practices appropriate to the patient population.

Qualifications

• Education: Master’s degree in nursing as a Nurse Practitioner, or a master’s degree in nursing with completion of a post‑master’s Nurse Practitioner Certification Program.
• Experience: Preferably three to five years of experience in Pediatric acute care or inpatient experience; long‑term rehabilitation with neurobehavioral clients experience preferred but not required.
• Strong clinical assessment skills and ability to recognize and respond to changes in pediatric patient condition.
• Licensure and Certification: Current Texas licensure as a Registered Nurse; Current Texas Advanced Practice Registered Nurse licensure as a Nurse Practitioner (APRN‑NP); National certification as an Acute Care Pediatric Nurse Practitioner (CPNP‑AC); Current BLS certification, maintained in good standing throughout employment; Participation in behavioral management and de‑escalation techniques training as required by the facility; Certification in behavior management or a related program, such as SAMA, ABA, PIP, or equivalent.

Schedule

Overnight shifts, approximately 15 shifts per month.