Family Practice Aprn

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. The HSCS is comprised of nine psychiatric hospitals located throughout the state and one youth residential psychiatric center in Waco. The HSCS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. The hospitals provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

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.

Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit. 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. Essential Job Functions:

• 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.

• 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.

• Performs other duties as assigned. 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 Skills Abilities:

• 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. Registration or Licensure Requirements:

• 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 Selection 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. Additional Information:

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 OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be at least 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Occasional other shift and weekend work is required along with rotating holidays.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Waco Center for Youth is a psychiatric residential treatment facility that serves teenagers ages 13 through 17 with emotional difficulties and/or behavioral problems. Waco Center for Youth bases its treatment philosophy on the belief that both behavior change and an understanding of self and others are equally important in achieving significant long term success in treatment. The mission of Waco Center for Youth is "to give each youth a chance for change" by providing comprehensive psychiatric residential treatment services to emotionally disturbed adolescents of the state of Texas. The facility is operated by the Health and Human Services Commission and is accredited by the Joint Commission on Accreditation of Health Care Facilities. MOS Code:

66P/R/C, 290X, 46YX

Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 66P/R/C, 290X, 46YX. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

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