Family Medicine APRN @ Waco Center for Youth

The Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly complex to advanced (senior-level) clinical medical care under the clinical and administrative supervision of the Medical Director and/or another supervising 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. Utilizes advanced nursing skills in the treatment and care of patients to include medical assessments. Limited prescriptive authority and the evaluation of the efficacy and progress of a patient’s individualized care plan. Provides treatment to HHSC employees injured in course and scope of employment. Works under limited supervision with extensive latitude for the use of initiative and independent judgment.

Apply Directly via Texas Health and Specialty Care System: CLICK HERE

Essential Job Functions (EJFs):

• Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. 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.
• Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. 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, 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 hospitalized patients, and on-call cases for status of condition on individuals under treatment.
• Provides medical diagnosis and the review of the recovery plan. 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 annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical restraints, and all acute and chronic patient care.
• Provides treatment to HHSC 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 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, diagnose, and treat physical 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:

• Must be a Registered Nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.
• Must be certified as an Advanced Practice Registered Nurse (APRN) by the Texas Board of Nursing, and certified as a family, adult/geriatric APRN by a certifying board (i.e., American Nurses Credentialing Center) (ANCC).
• Must have, or ability to obtain, a current registration certificate from the Drug Enforcement Agency (DEA).
• Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B.
• Must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.

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.

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.