Advanced Practice RN I Opportunity in San Antonio, TX

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuityas well as 401(k) and 457 Programs under the Employees Retirement System of Texas.

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

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.

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.

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.

Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.  

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.

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.