Family Nurse Practitioner

Nexus Health Systems•San Antonio, TX

8d•Onsite

About The Position

Nexus Neurorecovery Center – San Antonio provides residential treatment for adolescent females who need structured, individualized behavioral health care. Our interdisciplinary team supports residents’ physical and emotional well-being while helping them develop the skills needed to return to their families and communities. We are seeking a Family Nurse Practitioner (FNP) who is comfortable caring for adolescents with behavioral health needs and collaborating with psychiatric and therapeutic providers in a residential treatment setting.

Requirements

Master’s degree or higher in nursing with completion of a Family Nurse Practitioner program, or a graduate nursing degree with completion of a post-master’s FNP certificate program.
Current Texas Registered Nurse license or applicable multistate RN privilege.
Current Texas Advanced Practice Registered Nurse licensure as a Nurse Practitioner.
Current national certification as a Family Nurse Practitioner.
Prescriptive authority appropriate to assigned responsibilities.
Current Basic Life Support (BLS) certification, maintained throughout employment.
Completion and maintenance of facility-required behavioral management and de-escalation training and certifications.
Three to five years of relevant clinical experience preferred.
Experience providing medical care to adolescents preferred.
Experience working with patients who have psychiatric diagnoses, challenging behaviors, or complex medical and behavioral needs preferred.
Experience in residential treatment, behavioral health, rehabilitation, or a related setting is a plus.
Strong medical assessment, clinical judgment, and treatment planning skills.
Comfort working directly with adolescent behavioral health patients.
Ability to remain calm, communicate respectfully, and maintain professional boundaries during challenging interactions.
Understanding of trauma-informed care and adolescent development.
Ability to collaborate effectively with psychiatric providers and an interdisciplinary treatment team.
Strong documentation, organization, and follow-through.
Commitment to resident safety, dignity, and compassionate care.

Nice To Haves

Experience in residential treatment, behavioral health, rehabilitation, or a related setting is a plus.

Responsibilities

Obtain detailed health histories and perform comprehensive physical examinations, including neurological assessments when appropriate.
Assess, diagnose, and treat acute and chronic medical conditions within the scope of FNP practice and facility privileges.
Address routine health concerns, preventive care needs, and ongoing medical issues throughout residential treatment.
Order appropriate laboratory studies and diagnostic procedures, interpret results, and initiate treatment or referrals as indicated.
Develop individualized medical care plans and monitor residents’ response to treatment.
Recognize changes in medical condition and consult the Medical Director or attending physician when further evaluation is needed.
Provide medical care to adolescent females with psychiatric diagnoses, emotional dysregulation, and challenging behaviors.
Use developmentally appropriate, trauma-informed communication to help residents feel safe and participate in their care.
Collaborate with psychiatric providers regarding medical concerns, medication-related symptoms, and changes in resident functioning.
Recognize behavioral or psychiatric concerns that require assessment by the appropriate treatment team member.
Support staff in distinguishing medical symptoms from behavioral presentations and coordinating appropriate follow-up.
Participate in required behavioral management and de-escalation training.
Prescribe and manage medications within authorized scope of practice, prescriptive authority, and facility guidelines.
Monitor treatment effectiveness, side effects, interactions, and required laboratory results.
Coordinate with psychiatric providers regarding psychiatric medication management and related medical monitoring.
Educate residents and their parents or guardians, as appropriate, about medical conditions, medications, and treatment recommendations.
Provide ongoing monitoring and continuity of medical care between physician visits.
Recommend specialty consultations and community resources based on resident needs.
Participate in admissions meetings and weekly treatment team meetings.
Collaborate with physicians, psychiatric providers, nursing staff, therapists, and other team members to coordinate care.
Submit individualized medical care plans and goals for periodic physician review and evaluation.
Support discharge planning, including communication of medical follow-up needs to families and receiving providers.
Provide continuing education and serve as a clinical resource to staff.
Respond to medical emergencies and perform emergency interventions within clinical scope and facility protocols.
Notify the supervising or attending physician of unusual findings, unexpected events, or concerns requiring physician consultation.
Document assessments, diagnoses, treatment plans, procedures, and resident progress accurately and promptly.
Follow applicable nursing practice requirements, facility policies, infection prevention practices, and safety standards.
Maintain professional knowledge through continuing education, clinical literature, and facility training.
Perform other duties as assigned.