Medical APRN

Texas Health & Human Services Commission•CARLSBAD, TX

5d•$10,400 - $13,051•Onsite

About The Position

The Advanced Practice RN provides advanced clinical medical care to people with intellectual and developmental disabilities at a state supported living center. The role involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals, under the clinical and administrative supervision of the Medical Director and/or another supervising physician. The position works with minimal supervision and extensive latitude for initiative and independent judgment. The APRN directs medical activities and treatment, monitors trends and activities, and recommends improvements. The role also provides treatment to HHS employees injured in the course and scope of employment and may plan, assign, or supervise the work of others. The position may be eligible for additional pay for work performed on maximum security locations. The role provides acute care, including daily assessment and treatment of health problems or injuries in the clinic or infirmary, and chronic care, including quarterly assessments and review or adjustment of treatment as warranted. It also includes rounds and review of infirmary, hospitalized, and on-call cases; medical diagnosis and review of treatment plans at Individual Service Plan meetings; and timely documentation, including annual summaries, pre-procedural histories and physicals, specialty consultation documentation, restraint documentation, and acute and chronic care records. The position may require a specific or rotating shift, extended shifts, overtime, on-call duty, weekend and holiday work, and flexibility in work hours. Disaster response, recovery, or Continuity of Operations participation may require an alternate shift pattern or location. The position is not eligible for telework.

Requirements

Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body recognized by the U.S. Department of Education and the Texas Board of Nursing, with a master’s degree or higher.
Clinical nursing experience.
Experience supervising or leading the work of others.
Registered nurse in Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.
Certification as an advanced practice registered nurse by the Texas Board of Nursing.
Have or be able to obtain a current Drug Enforcement Agency registration certificate.
Possess a National Provider Identifier and enroll as a Medicaid and Medicare Part B provider.
Knowledge of general medicine and nursing methods and procedures, including laws and ordinances governing public health and hospital operations.
Knowledge of medical evaluation, diagnosis, and treatment methods and procedures.
Knowledge of developing, implementing, and documenting case histories and individualized care and treatment plans.
Skill in interpreting laboratory analyses and X-rays, and in patient care and the use of medical diagnostic and treatment tools and equipment.
Ability to examine, diagnose, and treat physical and mental disorders; supervise others providing medical care; and interact appropriately with individuals with developmental disabilities.
Ability to communicate clearly in writing and orally, prepare and maintain medical records, work effectively on an interdisciplinary team, and work independently with flexibility.
Must pass required fingerprint criminal background, pre-employment drug, and registry checks.
Must be willing to work weekends and holidays and, as needed, overtime or extended hours; flexibility in work hours may be required.
Applicants must be at least 18 years old. Males ages 18–25 must be registered with the Selective Service.

Responsibilities

Provide acute care, including daily assessment, diagnosis, treatment, and care planning for acute health problems or injuries in the clinic or infirmary; assess injuries and arrange sutures or hospital/emergency-room referrals as appropriate.
Provide chronic care through quarterly assessments of individuals with identified chronic conditions, reviewing disease-specific treatment and updating or changing treatment as warranted.
Conduct rounds and review infirmary, hospitalized, and on-call cases to assess the status of individuals receiving treatment.
Provide medical diagnoses and review treatment plans at Individual Service Plan meetings, including identified risks, health status, and whether necessary supports and areas of need are addressed.
Prepare accurate and timely documentation, including annual summaries, pre-procedural histories and physicals, specialty medical consultations, physical and chemical restraints, and acute and chronic patient care.
Treat HHS employees injured in the course and scope of employment as needed.
Direct medical activities and treatment, monitor trends and activities, and make recommendations for improvement.
Plan, assign, and/or supervise the work of others as assigned.
Participate in disaster response or recovery and Continuity of Operations activities as assigned.
Attend work regularly and perform other duties as assigned.