Medical APRN I @ Abilene State Supported Living Center

The Advanced Practice RN is appointed by the Medical Director subject to the approval of the SSLC Director.  Performs advanced clinical medical care under the supervision of a physician.  Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement.  Provides treatment to HHS employees injured in course and scope of employment. Performs all other duties as assigned by the Medical Director/Facility Director, including planning, assigning, and/or supervising the work of others.  Works under minimal supervision with extensive latitude for the use of initiative and independent judgment.  Works under the clinical and administrative supervision of the Medical Director and/or other supervising physician. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

 

Essential Job Functions (EJFs):

• 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.
• Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis including review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted.
• Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition individuals are under treatment for.
• 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. 
• 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.
• Provide treatment to HHS employees injured in course and scope of employment as needed.

 

Knowledge, Skills and Abilities (KSAs):

• 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.
• 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.
• Clinical nursing experience.
• Experience in supervising or leading the work of others.

 

Additional Information:

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.

 

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

 

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

 

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

 

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Nearest Major Market: Abilene

You’ve decided to make caring your career. Come to the place where you can do that and make a real difference in the lives of Texans with mental health needs.

HHSC’s Health and Specialty Care System has nine state psychiatric hospitals (with more expansion planned) and a residential unit dedicated to adolescents. The State Supported Living Centers have 13 long-term care campuses across the state.  These centers are home to many adults with intellectual and developmental disabilities.

Join us and you’ll have the opportunity to work in partnership with academic institutions, community providers, and partners within our agency as we increase work efficiency and provide patient-centered care to more than 12,000 people a year. You can also help us incorporate cutting edge technology into treatment plans.

If you want to be on the forefront of revolutionizing forensic and community psychiatric care or ensure and oversee the delivery of high quality, integrated medical services to individuals with intellectual disabilities, the HHSC Health and Specialty Care System is looking for bright people with new ideas to help us. With a growing demand for our services and a State Legislature that’s investing in the entire mental health continuum of care, Texas is positioned to be a leader and put itself in on the cutting edge of mental health for the 21st Century. Come be a part of it.