Medical APRN

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

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension

Generous time off

Job summary

Texas Health and Human Services Commission (HHSC) seeks an Advanced Practice RN I (APRN) in Carlsbad, Texas. The role provides advanced clinical medical care under physician supervision, delivering both acute and chronic care to medically complex individuals and coordinating with an interdisciplinary team.

Must hold a Texas APRN certification and DEA/NPI credentials, with RN licensure. The position includes comprehensive state benefits, and may require on‑site work at the San Angelo facilities

Qualifications

• Master’s degree in APRN with Texas RN licensure and APRN certification.
• Current DEA registration and NPI for Medicaid/Medicare enrollment.
• Provide advanced clinical medical care under physician supervision.
• Experience with adults and medically fragile populations.

Responsibilities

• Provide acute and chronic care management in clinic/infirmary.
• Assess, plan, and document ISP reviews and treatment plans.
• Supervise and coordinate care with interdisciplinary team.
• Respond to emergencies and support disaster readiness as assigned.

Skills

Advanced Practice Nursing

Clinical assessment

Interdisciplinary teamwork

Documentation and charting

Education

Master's degree in APRN

Texas RN license

APRN Certification (Texas Board of Nursing)

DEA registration & NPI

Tools

EMR systems

Job description

Date: Nov 4, 2026

Location: CARLSBAD, 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: Medical APRNJob Title: Advanced Practice RN IAgency: Health & Human Services CommDepartment: Physician ServicesPosting Number: 23028Closing Date: 12/04/2026Posting Audience: Internal and ExternalOccupational Category: Healthcare Practitioners and TechnicalSalary Range: $10,400.00 - $13,051.00Pay Frequency: Monthly

Salary Group: TEXAS-B-28Shift: DayTravel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Exempt Telework: Not Eligible for Telework

Facility Location: San Angelo State Supported Living Center

Job Location City: CARLSBAD

Job Location Address: 11640 US HWY 87 N

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

Brief Job Description

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. Learn About Our State Supported Living CentersIf 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 appointed by the Medical Director subject to the approval of the SSLC Director. Performs advanced clinical medical care under the supervision of a 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. 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 minimal supervision with extensive latitude for the use of initiative and independent judgment. 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.

MSP statement: This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions (EJFs)

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.] 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. Provides chronic care to individuals, which includes a 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 infirmary and hospitalized patient and on-call cases for status of condition individuals are under treatment for. 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. 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. Provide treatment to HHS employees injured in course and scope of employment as needed. 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 And Abilities (KSAs)

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.

Registrations, Licensure Requirements Or Certifications

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.

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. Clinical nursing experience.

Additional Information

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. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state‑operated facility. 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. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

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 Angelo

Nearest Secondary Market

Abilene