Medical APRN

TX-HHSC-DSHS-DFPS•Austin, TX

1d•Onsite

About The Position

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. 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. 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 hired by the Medical Director subject to the approval of the SSLC Director. Oversees and performs advanced clinical medical care under the supervision of a physician. Assesses, plans, and provides 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 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 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.

Requirements

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.
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.
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.
At least 2 years of clinical nursing experience.
Experience in supervising or leading the work of others.
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.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Nice To Haves

One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred.

Responsibilities

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.
Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment.
Oversees and 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.
Prescribes medication, within the scope of their licensure and training.
Refers all care decisions that fall outside the scope of licensure and expertise to the treatment team or a Medical Doctor (MD).
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.
Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials and training expertise.
Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise.
Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition(s) for which individuals are under treatment.
Orders and interprets laboratory tests according to procedures and practices with the consultation of a supervising physician, if necessary.
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.
Evaluates the efficacy and progress of a patient's treatment plan.
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.
Provides training and/or coaching, within the limits of their scope of practice and expertise, to nurses and APRN Is.
Assigns and prioritizes work for assigned staff such as nurses, APRN Is and direct care staff working in the medical department.
Provide treatment to HHS employees injured in course and scope of employment as needed.
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.
Oversees and performs advanced clinical medical care under the supervision of a physician.
Assesses, plans, and provides 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 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.