Advanced Practice RN

Texas Health and Human Services; Kerrville (TX); On-site; USD 116,000 - 146,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement

Job summary

Texas Health and Human Services Commission (HHSC) in Kerrville, TX seeks an Advanced Practice RN I to provide highly specialized care under Medical Director supervision. The role includes clinical assessment, treatment planning, and independent decision-making within the scope of licensure.

The position emphasizes documentation, collaboration with interdisciplinary teams, and potential disaster response duties, with telework not eligible and a monthly salary range reflecting state pay schedules.

Qualifications

• Master’s degree or higher in advanced practice nursing is required.
• Texas RN licensure or active reciprocity is required for APRN/NP licensure.
• APRN certification from a recognized board (ANCC) is required.

Responsibilities

• Provide advanced medical care under supervision of Medical Director and/or physician.
• Perform assessments, planning, and independent treatment as appropriate.
• Direct medical activities and monitor patient care outcomes and documentation.
• Maintain comprehensive medical records and participate in disaster response and COOP duties.

Skills

Clinical nursing

Medical knowledge

Team collaboration

Documentation

Communication

Education

Master’s degree in Advanced Practice Nursing

Registered Nurse license (TX)

APRN certification (ANCC)

DEA registration

NPI number

Job description

Date: Sep 15, 2026

Location: KERRVILLE, TX

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.

Functional Title: Advanced Practice RNJob Title: Advanced Practice RN IAgency: Health & Human Services CommDepartment: MedClinic/Prof Medical Svs MPosting Number: 21535Closing Date: 09/29/2026Posting Audience: Internal and ExternalOccupational Category: Healthcare Practitioners and TechnicalSalary Range: $10,400.00 - $13,051.00Pay Frequency: Monthly

Salary Group: TEXAS-B-28Shift: Day

Additional Shift

Telework: Not Eligible for TeleworkTravel: Up to 10%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Exempt

Facility Location

Facility Location: Kerrville State Hospital

Job Location City

Job Location City: KERRVILLE

Job Location Address

Job Location Address: 721 THOMPSON DR

Other Locations

Other Locations: Kerrville

MOS Codes

MOS Codes: 290X,46YX,66P,66R,HS

Brief Job Description

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 teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They 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. 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. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions

• Attends work on a regular basis and may be asked 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 of 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 patient and on-call cases for status of condition individuals are 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.

Knowledge, Skills And 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
• Skills in interpretation of interpret laboratory analyses and x-rays.
• Skills 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.

Registrations, Licensure Requirements Or Certifications

• 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

Initial Screening 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.
• One year of Clinical nursing experience.
• Experience in supervising or leading the work of others preferred.

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 Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). 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 and Terrell Center for Youth applicants must be 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.
• 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.
• Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, And Veterans

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS 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.

Pre-Employment Checks And Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Nearest Major Market

San Antonio