Acute Care Pediatric Nurse Practitioner

Shriners Children's; Galveston (TX); On-site; USD 110,000 - 140,000; Full time

Job summary

Shriners Children’s Texas is seeking a full-time Acute Care Pediatric Nurse Practitioner to join our growing inpatient and PICU team in Galveston. This provider will deliver critical overnight coverage across all inpatient and PICU service lines, including Burn, Orthopedics, Spine, and Cleft Lip & Palate.

The NP will serve as the primary in-house overnight advanced practice provider, working exclusively from 6:00 p.m. to 7:00 a.m.

Qualifications

• MSN or DNP from accredited NP program.
• CPNP-AC or equivalent certification required.
• Active RN and APRN licenses in TX.
• Pediatric inpatient or PICU experience preferred.
• Burn or surgical populations experience preferred.

Responsibilities

• Provide continuous overnight inpatient and PICU clinical management.
• Perform urgent assessments, overnight admissions, and care escalation as needed.
• Collaborate with multidisciplinary teams to ensure continuity of care.
• Assist with sedation when required and wound care per privileges.
• Ensure high-quality hand-offs to day teams and document overnight events.

Skills

Overnight shift coordination

Critical care assessment

Team communication

Family-centered care

Education

MSN or DNP in NP program

CPNP-AC certification

Job description

Company OverviewShriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.CURRENT EMPLOYEES: Please log into Workday Click Here to apply internally through the \"Jobs Hub\"Job DescriptionShriners Children’s Texas is seeking a full-time Acute Care Pediatric Nurse Practitioner to join our growing inpatient and PICU team in Galveston. This provider will deliver critical overnight coverage across all inpatient and PICU service lines, including Burn, Orthopedics, Spine, and Cleft Lip & Palate.The provider will serve as the primary in-house overnight advanced practice provider, working exclusively from 6:00 p.m. to 7:00 a.m. Responsibilities include managing patient care needs across the hospital during overnight hours, performing urgent assessments, coordinating and completing admissions, responding to changes in patient condition, and supporting nursing staff across all service lines. The NP works collaboratively with multidisciplinary teams to ensure continuity of care and seamless handoffs to daytime providers while practicing with a high degree of autonomy under established clinical protocols. Intensivist physicians are available for consultation and escalation as needed.The NP will provide care for critically ill pediatric patients in a 15-bed Pediatric Intensive Care Unit (PICU), with a primary focus on high-acuity burn cases. The unit also manages a broad spectrum of complex conditions, including septic shock, cardiogenic shock, respiratory failure, and acute respiratory distress syndrome (ARDS), as well as select orthopedic populations such as spine patients and those with osteogenesis imperfecta (OI). The PICU receives referrals from throughout the region and internationally, including Mexico and Central America, creating a medically complex and diverse patient population. With an average daily census of 4 to 8 patients, providers benefit from meaningful exposure to high-acuity care while maintaining manageable patient volumes that support quality care and professional development.This full-time position follows a nights-only schedule, with providers typically working 11 to 12 shifts per month or 33 to 36 shifts per quarter, excluding approved time away. Weekend and holiday coverage is shared as equitably as possible among the team. Scheduling is evaluated on a quarterly basis, providing flexibility for self-scheduling while maintaining a fair and balanced workload across providers.This is an exceptional opportunity to play a key role in delivering high-quality, specialized pediatric care in a collaborative, mission-driven environment dedicated to improving the lives of children and their families.Key ResponsibilitiesProvide continuous overnight clinical management for inpatient and PICU patients across all service linesPerform urgent assessments, overnight admissions, and care escalation as neededExecute core PICU bedside procedures and wound/dressing care based on privilegesAssist with sedation when requiredServe as the primary in-house clinician overnight, utilizing autonomy under protocolsSupport transitions of care through high-quality hand-offs to day teamsDocument overnight events that inform daily multidisciplinary roundsRequired QualificationsMaster of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner programCertified Pediatric Nurse Practitioner - Acute Care (CPNP-AC) or equivalent certification required.Current, unrestricted Registered Nurse (RN) and Advanced Practice Registered Nurse (APRN) license in the state of practicePrior pediatric inpatient or PICU APRN experience highly preferred. New graduates with a strong PICU/NICU nursing background will be consideredExperience with burn or surgical patient populations highly preferredMust possess eligibility for active DEAMust possess Basic Life Support for Healthcare Providers (BLS for HCP) and Pediatric Advanced Life Support (PALS) certificationCredentialing and privileging by the medical staff in accordance with hospital bylawsAbility to work independently overnight with strong communication and critical-thinking skillsDemonstrated clinical expertise in pediatric assessment and care management.Familiarity with pediatric specialty conditions and post-surgical care.Strong interpersonal and communication skills for collaboration with families and interdisciplinary teams.Commitment to trauma-informed, culturally competent, and family-centered care.Competency in EHR systems and clinical documentation standards.Compensation is determined based on years of relevant experience and departmental equity.