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advanced practice nurse

US Military Treatment Facilities under DHA

<div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
<p><b>About the Position:</b> This position is located Brooke Army Medical Center in Fort Sam Houston, Texas.<br>
<br>
This is a Direct Hire Solicitation.<br>
<br>
Salary negotiation may be available for those candidates who are new to Federal Service.<br>
<br>
Non-Federal work experience may be creditable for leave purposes.</p></div></div>
<br><div><div><h2 class="jobSectionHeader"><b>This job is open to</b></h2>
</div><div><div><div><h3 class="jobSectionHeader"><b>The public</b></h3>
</div><div>U.S. Citizens, Nationals or those who owe allegiance to the U.S.</div></div></div></div>
<br><div><div><h2 class="jobSectionHeader"><b>Duties</b></h2>
</div><ul><li>Apply a mastery of nursing to the latest developments in the rapid and continuing advancement of the anesthesiology field.</li>
<li>Comply with current standards of anesthesia practice and care.</li>
<li>Conduct and participate in educational programs that improve anesthesia nursing practice.</li>
<li>Provide anesthesia care that is within the scope of practice as determined by demonstrated competency, licensure and clinical privileges delineated by the MTF.</li>
<li>Administer anesthetic by inhalation, endotracheal intubation, regional, intravenous, or topical.</li>
<li>Observe the patient during the surgery, to accomplish and maintain the proper level of anesthesia depth and to prevent over-dosage.</li>
<li>Provide a full range of emergency services, including life-saving procedures, to resuscitate and stabilize patients, within the scope of practice and approved guidelines.</li></ul></div>
<br><div><div><h2 class="jobSectionHeader"><b>Requirements</b></h2>
</div><h3 class="jobSectionHeader"><b>Conditions of employment</b></h3>
<ul><li>Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.</li>
<li>A Personnel Security Investigation is required.</li>
<li>Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.</li>
<li>This position is a Testing Designated Position subject to pre-employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing.</li>
<li>A pre-placement medical examination is required.</li>
<li>Moderate to heavy lifting up to 50 pounds may be required.</li>
<li>Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.</li>
<li>Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross or American Heart Association. Advanced certification (e.g., ALS) does not supersede BLS.</li>
<li>This position may require the incumbent to work weekends and/or holidays.</li>
<li>This position may require the incumbent to work on call during irregular work hours which may include evenings, weekends, holidays, and/or varying work schedules.</li>
<li>Must be able to obtain and maintain certification in Pediatric Advanced Life Support (PALS)</li>
<li>Must be able to obtain and maintain certification in Advanced Cardiac Life Support (ACLS).</li>
</ul><h3 class="jobSectionHeader"><b>Qualifications</b></h3>
<p><b>Who May Apply: US Citizens</b><br>
<br>
In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.<br>
<br>
<b>Basic Requirement for Advanced Practice Nurse (Nurse Anesthetist):</b><br>
<b>
</b><br>
<b>Degree:</b> A graduate or higher level degree from an accredited professional nursing educational program in the specialty of the position to be filled is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.).<br>
<br>
<b>Degree from Foreign Nursing School:</b> Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required.<br>
<br>
<b>Licensure: </b>A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination.<br>
<br>
<b>Additional License Requirements for Advanced Practice Nurse Positions: </b>A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of the position to be filled from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
</p><p><b>
Exemption</b>: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.</p>
<p>Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.</p>
<p>Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.</p>
<b>
In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below:</b><br>
<b>
</b><br>
<b>Professional Nursing Experience: </b>At least one full year of professional nursing experience equivalent to the next lower grade GS-11. Professional Nursing Experience is defined as: administering anesthetics to patients by inhalation, regional, intravenous, local, or topical means; monitoring patients receiving anesthesia care; and obtaining patients medical history.<br>
<br>
Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone-no substitution of education for experience is permitted.<br>
<p></p><div><h3 class="jobSectionHeader"><b>Education</b></h3>
<p>See Qualifications section for Education Requirements.
</p></div><div><h3 class="jobSectionHeader"><b>Additional information</b></h3>
<p></p><div><div><ul><li>Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.</li>
<li>You will be required to provide proof of U.S. Citizenship.</li>
<li>One year trial/probationary period may be required.</li>
<li>Direct Deposit of Pay is required.</li>
<li>Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.</li>
<li>Multiple positions may be filled from this announcement.</li>
<li>Salary includes applicable locality pay or Local Market Supplement.</li>
<li>If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.</li>
<li>Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.</li>
<li>Position requires employee to wear a uniform and/or protective clothing.</li>
<li>Position is designated as Inclement Weather Essential. The incumbent must make every attempt to report for work on time and/or remain on duty during severe weather conditions.</li>
<li>Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.</li></ul></div></div><br>
<p></p>
<p>Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.</p>
</div><div><div><div><div><div><h1 class="jobSectionHeader"><p>Benefits</p></h1></div></div><div>
<p></p><p>Review our benefits</p></div></div></div></div></div>
<br><div><h2 class="jobSectionHeader"><b>How you will be evaluated</b></h2>
<p>You will be evaluated for this job based on how well you meet the qualifications above.</p>
<p>Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.<br>
<br>
If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position.<br>
<br>
Veterans and Military Spouses will be considered along with all other candidates.</p></div>
<br><div><div><h2 class="jobSectionHeader"><b>Required Documents</b></h2>
</div><p>The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.<br>
<br>
As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. <b>If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.</b><br>
<br>
<b>1. Your resume:</b>
</p><ul>
<li>Your resume must be <b>two pages or less</b> and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration.</li>
<li>For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position.</li>
<li>Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume.</li>
<li>If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy.</li>
<li>For additional information, to include formatting tips, see: What to include in your resume.</li>
</ul><b>2. Other supporting documents:</b>
<ul><li>Cover Letter, optional</li>
<li>Most recent Performance Appraisal, if applicable</li>
<li><b>Transcripts:</b> This position has an individual occupational requirement for education. You <b>MUST </b>submit a copy of your transcript with your application package or you may be rated ineligible. See: Transcripts and Licenses.</li>
<li><b>License/Certification:</b> This position requires a job-related license or certification. You <b>MUST</b> submit a copy of your license or certification with your application package or you will be rated ineligible. See: Transcripts and Licenses.</li>
</ul>
<br>
NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.
<p></p>
<div><h3 class="jobSectionHeader"><b>If you are relying on your education to meet qualification requirements:
</b></h3><p>Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
</p><p>Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.</p></div></div>
<br><div><div><h2 class="jobSectionHeader"><b>How to Apply</b></h2>
</div><div><div><p>To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section below.
</p><ul>
<li>The complete application package must be submitted by 11:59 PM (EST) on 03/17/2026<i>to receive consideration.</i></li>
<li>To begin, click <b>Apply </b>to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (https://apply.usastaffing.gov/ViewQuestionnaire/12906534<i>).</i></li>
<li>Follow the prompts to <b>select your resume and/or other supporting documents</b> to be included with your application package. As a reminder, your resume must be <b>two pages or less</b> and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. For additional information, refer to the 'Required Documents' section.</li>
<li>You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.</li>
<li>After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and <b>click to continue with the application process.</b></li>
<li>You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. <b>Your resume selected in USAJOBS will be included, but you must re-select other documents from your USAJOBS account or your application may be incomplete.</b></li>
<li>It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan.</li>
<li>Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center.</li>
</ul>
<br>
To verify the status of your application, log into your USAJOBS account (https://www.usajobs.gov/applicant/profile/dashboard/), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://help.usajobs.gov/how-to/application/status.</div><p></p><p><br>
</p></div>
<div><h3 class="jobSectionHeader"><b>Agency contact information</b></h3>
 <div>Army Applicant Help Desk
</div><div><div><div>Website</div>
<div>https://portal.chra.army.mil/hr_public?id=app_inq
</div></div><div><div>Address</div>
<div><div><i>JT-DD83DB CENTRAL DHN - BROOKE</i><br>
<i>DO NOT MAIL</i><br>
<i>Fort Sam Houston, TX 78234</i><br>
<i>US
</i></div></div></div></div></div><h3 class="jobSectionHeader"><b>Next steps</b></h3>
<div><div><p>If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration.</p></div></div></div><p></p>
<br><div><div><h2 class="jobSectionHeader"><b>Overview</b></h2>
</div><div><div>Accepting applications</div>
<div><div>Open &amp; closing dates</div>
 <div>03/12/2026 to 03/17/2026
</div></div><div><div>Salary</div>
<div>$217,155 to - $282,307 per year
</div></div><div><div>Pay scale &amp; grade</div>
<div>GS 12</div>
</div><div><div>Location</div>
<div>1 vacancy in the following location:</div>
 <div><div><div><div>Fort Sam Houston, TX
</div></div></div></div></div><div></div><div><div>Remote job</div>
<div>No</div>
</div><div><div>Telework eligible</div>
<div>No</div>
</div><div><div>Travel Required</div>
<div>Occasional travel - Business Travel may be required.</div>
</div><div><div>Relocation expenses reimbursed</div>
<div>No
</div></div><div><div>Appointment type</div>
<div>Permanent</div>
</div><div><div>Work schedule</div>
<div>Full-time</div>
</div><div><div>Service</div>
<div>Competitive</div>
</div><div><div>Promotion potential</div>
<div>None
</div></div><div><div>Job family (Series)</div>
<ul><li>0610 Nurse
</li></ul></div><div><div>Supervisory status</div>
<div>No</div>
</div><div><div>Security clearance</div>
<div>Not Required</div>
</div><div><div>Drug test</div>
<div>Yes</div>
</div><div><div>Position sensitivity and risk</div>
<div>Non-sensitive (NS)/Low Risk</div>
</div><div><div>Trust determination process</div>
<ul><li>Credentialing
</li><li>Suitability/Fitness
</li></ul></div><div><div>Financial disclosure</div>
<div>No</div>
</div><div><div>Bargaining unit status</div>
<div>Yes</div>
</div><div></div><div><div>Announcement number</div>
<div>HSJW-26-12906534-DHA</div>
</div><div><div>Control number</div>
<div>860512000</div></div></div></div>

Advanced Practice Nurse (Nurse Anesthetist)

Baylor College of Medicine

<div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2></div><div><p>
The section of Gastroenterology &amp; Hepatology section is seeking a Nurse Practitioner to join the clinical operations team of the Gastroenterology Team in The Woodlands location . Clinical duties include, but are not limited to, supporting care and management of primarily established patients that have seen a general GI physician in the hospital or outpatient clinic setting. The NP will become familiar over time with nuances of care for this particular patient population, including the various treatment options and procedures that are performed in the evaluation and management of these patients.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Job Duties</b></h2></div><div><p>
Job duties include, but are not limited to:</p><ul><li>
Obtain detailed history and perform physical examinations; work closely with GI physicians on treatment plan, follow-up, medication management.</li><li>
Prescribe appropriate pharmacological and non-pharmacological treatments to follow outlined treatment plan.</li><li>
Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures. Perform medical record review, follow developed protocols, determine appropriate patient scheduling, assist with monitoring diagnostic results and patient care progress/processes as requested by the provider, and participate in quality reviews.</li><li>
Assess learning needs and educate patients and family as appropriate concerning disease management.</li><li>
Ensure that referrals to other specialists, radiological, endoscopic and laboratory testing are coordinated with patients and referring physicians.</li><li>
Reviewing test results and patient messages/calls, consulting closely with GI physicians as needed.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2></div><div><ul><li>
Education Required: Master&rsquo;s degree in in Nursing.</li><li>
Experience Required: None required.</li><li>
Certification/Licenses/Registration: Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Current Texas Licensure as an Advanced Practice Nurse (APRN-NP), and specialty certification as required by department. Basic Life Support (BLS) Certification</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Preferred Qualifications</b></h2></div><div><ul><li>
Experience: 1-2 years of clinical nursing or PA experience in an Ambulatory Clinic/Practice setting, preferrably in Gastroenterology</li><li>
Experience providing in-person triage and direct patient care for acute and chronic conditions as appropriate for an ambulatory outpatient</li><li>
Ability to work well independently and collaboratively in the healthcare setting</li></ul></div></div></div>

Instructor - Nurse Practitioner

<div><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2></div><div><p>
To practice in an advanced role to provide developmentally and age-appropriate Palliative Care services to patients and families both inpatient and in the ambulatory setting at Texas Children's. The nurse practitioner (NP) will work under a delineation of clinical privileges and work collaboratively with other members of the interdisciplinary health care team. Practicing under established guidelines and clinical protocols, the NP assumes independent and interdependent responsibilities in the assessment, diagnosis and initiation of treatment and procedures to meet patient and family needs. As an advanced practice nurse, the NP is responsible for education, research, consultation and evaluation of clinical practice at various levels.</p><br>
<p></p><ul><li>
Provides age-appropriate care for one or more of the following age groups routinely: Neonate, Infant, Child, Adolescent, Adult.</li><li>
Collects and evaluates health assessment data to provide appropriate palliative interventions.</li><li>
Consistently demonstrates effective communication skills and works to eliminate communication barriers.</li><li>
Participate in departmental quality, education and safety initiatives on an ongoing basis.</li><li>
Consistently seeks and applies new knowledge relevant to nursing to clinical practice.</li><li>
Demonstrates current professional, managerial, and/or technical knowledge and skills.</li><li>
Demonstrates NP role behaviors consistent with the development of advanced nursing practice.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Job Purpose</b></h2></div><div><p>
Provides advanced nursing care to patients in a clinical setting in an area of specialization under the direction of a physician.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Job Duties</b></h2></div><div><ul><li>
Obtain detailed history and perform physical examinations.</li><li>
Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient.</li><li>
Prescribes appropriate pharmacological and non-pharmacological treatments.</li><li>
Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures.</li><li>
Monitors and ensures accuracy of recording on patient medical records.</li><li>
Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician.</li><li>
Communicate with physicians, patients, and the family members of patients concerning patient care.</li><li>
Collaborates with providers, and practice staff in identifying appropriate patients for care management.</li><li>
Perform other job related duties as assigned.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2></div><div><ul><li>
Master of Science in Nursing</li><li>
Advanced Practitioner Registered Nurse license from the Texas Board of Nursing. License may be Pediatric Nurse Practitioner (PNP), Acute Care Pediatric Nurse Practitioner (ACPNP), or Family Nurse Practitioner (FNP).</li><li>
Specialty certification recognized by the Texas Board of Nursing. Specialty certification must match licensing specialty area. (For example, a Nurse Practitioner with an ACUTE CARE PEDIATRIC NURSE PRACTITIONER (ACPNP) license from the Texas Board of Nursing must also have an ACPNP certification.)</li><li>
A minimum of three (1) years of RN experience providing care in a hospital, outpatient or hospice setting to chronic, complex patients or patients nearing end-of-life.</li><li>
Basic Life Support (BLS) Certification</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Preferred Qualifications</b></h2></div><div><p>
Pediatric or Family Nurse Practitioner with 3-5 years of experience as a nurse practitioner. Strongly prefer palliative care experience with the ability and comfort of inpatient/outpatient patient care.</p></div></div></div><p></p><p><b><br>
Work Authorization Requirement:</b></p><p><b>
This position is not eligible for visa sponsorship.</b> Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.</p><p></p><p><br>
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.</p></div>

Instructor - Nurse Practitioner or Physician Assistant

<div><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2></div><div><p>
This position provides advanced care to patients in a clinical (outpatient) and hospital (inpatient) settings in an area of specialization under the direction of the physicians of the Heart Failure, LVAD, and Heart Transplant Team. This position is only working at Baylor St. Luke's Medical Center in collaboration with all members of cardiology, including physicians, advanced level providers, nursing team, coordinators, and patients, in a manner that is effective, professional, and friendly.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Job Duties</b></h2></div><div><ul><li>
Obtain detailed history and perform physical examinations.</li><li>
Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient.</li><li>
Prescribes appropriate pharmacological and non-pharmacological treatments.</li><li>
Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures.</li><li>
Monitors and ensures accuracy of recording on patient medical records.</li><li>
Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician.</li><li>
Communicate with physicians, patients, and the family members of patients concerning patient care.</li><li>
Collaborates with providers, and practice staff in identifying appropriate patients for care management.</li><li>
Perform other job related duties as assigned.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2></div><div><ul><li>
Education Required: Master&rsquo;s degree in in Nursing.</li><li>
Experience Required: Clinical experienced in specialized care of an adult population.</li><li>
Certification/Licenses/Registration: Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Current Texas Licensure as an Advanced Practice Nurse (APRN-NP), and specialty certification as required by department. Basic Life Support (BLS) Certification</li></ul></div></div></div><p></p><p><br>
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.</p></div><p></p>

Nurse Practitioner, Cardiology

Gentiva

<div>Overview:
<div><b>
Deliver Compassion. Elevate Care. Empower Lives.</b></div><div></div><div><br>
We are seeking a compassionate and skilled Palliative Care Nurse Practitioner to join our interdisciplinary team. In this role, you will provide advanced palliative care to patients in their homes, helping them achieve the highest quality of life possible while managing complex medical needs. You will work autonomously in collaboration with the Palliative Medical Director, delivering exceptional care and guiding patients and families through every stage of treatment.</div><div></div><div><b><br>
Responsibilities:</b></div><ul><li><div>
Collaborate with the Palliative Medical Director and care team to deliver comprehensive, patient-centered palliative care.</div></li><li><div>
Perform in-depth patient assessments, including physical, emotional, and psychosocial evaluations.</div></li><li><div>
Develop and implement individualized care plans in partnership with patients and families.</div></li><li><div>
Manage and adjust treatment plans based on patient needs and progress.</div></li><li><div>
Prescribe medications (including controlled substances) and order diagnostic tests as permitted by state law.</div></li><li><div>
Maintain timely, accurate clinical documentation in compliance with professional standards.</div></li><li><div>
Communicate effectively with physicians, caregivers, and other healthcare professionals.</div></li><li><div>
Participate in evening/weekend call rotation as needed.</div></li><li><div>
Facilitate referrals for additional care services when appropriate.</div></li></ul>
About You:
<div><b>
Specialized Knowledge/Skills:</b></div><ul><li><div>
Excellent leadership, interpersonal, written, and verbal communication skills.</div></li><li><div>
Strong independent decision-making abilities and self-motivation.</div></li><li><div>
Understanding of palliative medicine principles, home health, hospice care eligibility, and Medicare/Medicaid regulations.</div></li><li><div>
Familiarity with the interdisciplinary care process.</div></li><li><div>
Meets mandatory continuing education requirements for Gentiva and licensing boards.</div></li><li><div>
Proficient in point-of-care software and technology.</div></li></ul><div><b>
Education/Experience:</b></div><ul><li><div>
Master of Science in Nursing from an accredited school of nursing (or equivalent per state law).</div></li><li><div>
Minimum two years&rsquo; Nurse Practitioner experience.</div></li><li><div>
Specialty in Family or Adult Medicine preferred.</div></li><li><div>
Experience with Part B billing.</div></li><li><div>
Ability to work autonomously in an advanced practice role.</div></li></ul><div><b>
Licenses/Certifications/Agreements:</b></div><ul><li><div>
Current RN license and Nurse Practitioner certification/license as required by state law.</div></li><li><div>
Collaborative agreement with supervising physician (or willingness to establish).</div></li><li><div>
Part B Provider certification.</div></li><li><div>
Federal DEA license and state DEA license (if required).</div></li><li><div>
ACHPN certification in Hospice and Palliative Care preferred.</div></li><li><div>
Valid driver&rsquo;s license and current automobile insurance.</div></li></ul>
We Offer:<div></div><div><b><br>
Benefits for All Associates (Full-Time, Part-Time &amp; Per Diem):</b></div><ul><li>
Competitive Pay</li><li>
401(k) with Company Match</li><li>
Career Advancement Opportunities</li><li>
National &amp; Local Recognition Programs</li><li>
Teammate Assistance Fund</li></ul><div></div><div><b><br>
Additional Full-Time Benefits:</b></div><ul><li>
Medical, Dental, Vision Insurance</li><li>
Mileage Reimbursement or Fleet Vehicle Program</li><li>
Generous Paid Time Off + 7 Paid Holidays</li><li>
Wellness Programs (Telemedicine, Diabetes Management, Joint &amp; Spine Concierge Care)</li><li>
Education Support &amp; Tuition Assistance (ASN to BSN, BSN to MSN)</li><li>
Free Continuing Education Units (CEUs)</li><li>
Company-paid Life &amp; Long-Term Disability Insurance</li><li>
Voluntary Benefits (Pet, Critical Illness, Accident, LTC)</li></ul><div></div><div><b><br>
Apply now to be part of a team that values expertise, compassion, and excellence in care.
</b></div>Legalese:
<ul><li>This is a safety-sensitive position</li><li>
Employee must meet minimum requirements to be eligible for benefits</li><li>
Where applicable, employee must meet state specific requirements</li><li>
We are proud to be an EEO employer</li><li>
We maintain a drug-free workplace</li></ul>
Location: Empatia Our Company:<p></p><div><br>
At Empatia, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.</div><div></div><div><br>
Our place is by the side of those who need us &ndash; from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.</div><div></div><div><br>
Our nationwide reach is powered by a family of trusted brands that include:</div><ul><li><b>
Hospice care:</b> Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon</li><li><b>
Palliative care:</b> Empatia Palliative Care, Emerald Coast Palliative Care</li><li><b>
Home health care:</b> Heartland Home Health</li><li><b>
Advanced illness management:</b> Illumia Health</li></ul><div></div><div><br>
With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized &ndash; and kindness is celebrated.</div></div>

Nurse Practitioner Palliative Care

Houston Methodist

<div>
 Come lead with us at Houston Methodist Hospital
 <br/>
 <br/>
 At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN II position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.
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 <strong>
  FLSA STATUS
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 </strong>
 Non-exempt
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 <strong>
  <strong>
   QUALIFICATIONS
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   <br/>
  </strong>
 </strong>
 <strong>
  EDUCATION
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   EXPERIENCE
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Twelve months registered nurse experience in a healthcare environment
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  LICENSES AND CERTIFICATIONS
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  <br/>
 </strong>
 <strong>
  <strong>
   Required
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure &ndash; Must obtain permanent Texas license within 60 days (if establishing Texas residency) and
  </li>
  <li>
   BLS - Basic Life Support or Instructor (AHA) - American Heart Association and
  </li>
  <li>
   ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Magnet - ANCC Recognized Certification
  </li>
  <li>
   PALS - Pediatric Advanced Life Support or Instructor (AHA) if Pediatric care
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   SKILLS AND ABILITIES
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   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations as defined in orientation checklist and annual departmental competency checklist
  </li>
  <li>
   Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  </li>
  <li>
   Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  </li>
  <li>
   Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components
  </li>
  <li>
   Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
  </li>
  <li>
   Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
  </li>
  <li>
   Demonstrates proficient time management skills
  </li>
  <li>
   Maintains level of professional contributions as defined in Clinical Career Path program guide
  </li>
  <li>
   Working knowledge of Microsoft products including Outlook
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   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   ESSENTIAL FUNCTIONS
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   <br/>
  </strong>
 </strong>
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  PEOPLE ESSENTIAL FUNCTIONS
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 </strong>
 <ul>
  <li>
   Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.
  </li>
  <li>
   Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes.
  </li>
  <li>
   Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement on unit-based scorecard.
   <br/>
   <br/>
  </li>
 </ul>
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  <strong>
   SERVICE ESSENTIAL FUNCTIONS
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  </strong>
 </strong>
 <ul>
  <li>
   Follows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records. Practices in a manner that is congruent with cultural diversity and inclusion principles.
  </li>
  <li>
   Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient&rsquo;s needs, abilities and preferences. Advocates on patient/family&rsquo;s behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.
  </li>
  <li>
   Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient&rsquo;s comprehension and adapts teaching methods accordingly.
  </li>
  <li>
   Helps drive improvement of department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability to service standards.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   QUALITY/SAFETY ESSENTIAL FUNCTIONS
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Follows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document.
  </li>
  <li>
   Follows the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation.
  </li>
  <li>
   Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient&rsquo;s condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach.
  </li>
  <li>
   Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   FINANCE ESSENTIAL FUNCTIONS
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Displays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs.
  </li>
  <li>
   Contributes towards meeting department financial targets on unit-based scorecard through decreasing length of stay, optimizing efficiency and other areas according to department specifications.
   <br/>
   <br/>
  </li>
 </ul>
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  <strong>
   GROWTH/INNOVATION ESSENTIAL FUNCTIONS
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   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.
  </li>
  <li>
   Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   SUPPLEMENTAL REQUIREMENTS
   <br/>
   <br/>
  </strong>
 </strong>
 <strong>
  WORK ATTIRE
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Uniform: No
  </li>
  <li>
   Scrubs: Yes
  </li>
  <li>
   Business professional: No
  </li>
  <li>
   Other (department approved): No
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  ON-CALL*
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
  </li>
  <li>
   On Call* Yes
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  TRAVEL**
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Travel specifications may vary by department**
  </li>
  <li>
   May require travel within the Houston Metropolitan area Yes
  </li>
  <li>
   May require travel outside Houston Metropolitan area No
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  <strong>
   Required
   <br/>
   <br/>
  </strong>
 </strong>
 <ul>
  <li>
   RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure &ndash; Must obtain permanent Texas license within 60 days (if establishing Texas residency) and
  </li>
  <li>
   BLS - Basic Life Support or Instructor (AHA) - American Heart Association and
  </li>
  <li>
   ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Magnet - ANCC Recognized Certification
  </li>
  <li>
   PALS - Pediatric Advanced Life Support or Instructor (AHA) if Pediatric care
   <br/>
   <br/>
  </li>
 </ul>
 Houston Methodist is an Equal Opportunity Employer.
</div>


Registered Nurse (RN) RN II Periop. Servs PACU Jones 7 FT Days

UTHealth Houston

<div><p>What <b>we do here changes the world.</b> UTHealth Houston is Texas&rsquo; resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That&rsquo;s where you come in.</p><p><b>
The Division of Neonatology at McGovern Medical School at UTHealth Houston is seeking Advanced Practice Providers to join the Level IV NICU at Children&rsquo;s Memorial Hermann Hospital in the Texas Medical Center. This role is primarily intended for Neonatal Nurse Practitioners; however, exceptionally qualified Pediatric Nurse Practitioners or Physician Assistants with substantial NICU experience will also be considered. The NICU serves as a high‑acuity regional referral center with approximately 5,500 deliveries and 1,600 admissions annually and offers a collaborative academic care model within a nationally recognized neonatal program. Positions are available for both 12‑hour and 24‑hour shifts, 24‑hour eligibility is best supported by candidates with three years of recent Level III or IV NICU experience.</b></p><p><b>
Once you join us you won't want to leave.</b> It&rsquo;s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you&rsquo;d expect from a top healthcare organization (benefits, insurance, etc.), plus:</p><ul><li>
100% paid medical premiums for our full-time employees</li><li>
Generous time off (holidays, preventative leave day, both vacation and sick time &ndash; all of which equates to around 37-38 days per year)</li><li>
The longer you stay, the more vacation you&rsquo;ll accrue!</li><li>
Longevity Pay (Monthly payments after two years of service)</li><li>
Build your future with our awesome retirement/pension plan!</li></ul><p><b>
We take care of our employees!</b> As a world-renowned institution, our employees&rsquo; wellbeing is important to us. We offer work/life services such as...</p><ul><li>
Free financial and legal counseling</li><li>
Free mental health counseling services</li><li>
Gym membership discounts and access to wellness programs</li><li>
Other employee discounts including entertainment, car rentals, cell phones, etc.</li><li>
Resources for child and elder care</li><li>
Plus many more!</li></ul><p><b>
POSITION SUMMARY:</b></p><p>
APPs practice at the top of their scope within a collaborative academic care model, providing evidence‑based care to neonates in a high‑acuity Level IV NICU. Providers work closely with attending neonatologists, fellows, residents, nurses, and multidisciplinary team members to deliver high‑quality, family‑centered care.</p><p><b>
Positions are available for both 12‑hour and 24‑hour shifts, based on experience, qualifications, and demonstrated clinical readiness.</b></p><p></p><p><br>
12‑hour shifts: Open to qualified APPs with NICU experience</p><p></p><p><br>
24‑hour shifts: A minimum of three (3) years of recent Level III or Level IV NICU experience is preferred. Eligibility is based on demonstrated readiness for overnight clinical decision‑making in a high‑acuity Level IV NICU</p><p><b>
POSITION KEY ACCOUNTABILITIES:</b></p><p>
1. Conducts complex, standardized patient care procedures that require experience and specialized training that would otherwise be performed by a physician but which do not constitute the practice of medicine.<br>
2. Coordinates, directs and implements patient's plan of care.<br>
3. Orders, conducts and interprets pertinent laboratory and diagnostic studies and procedures.<br>
4. Performs physical examinations and provides episodic care or problem-oriented care under the supervision of a physician.<br>
5. Orders appropriate laboratory tests and interprets the laboratory data such as blood and urine samples.<br>
6. Monitors the treatment program of the patient to inform the attending physician of pertinent medical information.<br>
7. Makes medical recommendations and/or referrals.<br>
8. Formulates, implements, and evaluates an outcome-based treatment plan.<br>
9. Maintains appropriate records detailing the patient's treatment plans and outcomes.<br>
10. Facilitates patient education relating to medical processes, medication, nutrition, and health promotion.<br>
11. Collaborates with patients, families, other clinicians, and referral services to assist in the patient's recovery.<br>
12. Other duties as assigned.</p><p><b><br>
CERTIFICATIONS/SKILLS:</b></p><ul><li>
Current Texas licensure (or eligibility) as an Advanced Practice Provider and/or Physician Assistant</li><li>
Current national certification as a Neonatal Nurse Practitioner (NNP) OR certification as a Physician Assistant (PA) or Pediatric Nurse Practitioner (PNP) with significant NICU experience</li><li>
Family Nurse Practitioner (FNP) certification alone is not eligible unless paired with a post‑master&rsquo;s certification in an appropriate neonatal or pediatric specialty</li><li>
Neonatal Resuscitation Program (NRP) certification required</li><li>
Basic Life Support (BLS) certification required</li><li>
Procedural privileges granted based on training, experience, and institutional credentialing requirements</li></ul><p>
 <b>MINIMUM EDUCATION:</b></p><p>
Nurse Practitioner: Masters in Nursing as NP or master degree in Nursing with completion of a post-master Nurse Practitioner Certification Program.<br>
Physician Assistant: Master's degree as Physician Assistant. A Bachelor's degree as a Physician Assistant with at least two years of professional experience in the role is acceptable based on terminal degree requirements at the time of graduation.</p><p><b>
Graduation from an accredited PA, NNP, or PNP program, as applicable</b></p><p><b>
MINIMUM EXPERIENCE:</b></p><ul><li>
Prior NICU experience preferred</li><li>
Minimum of three (3) years of recent Level III or Level IV NICU experience preferred for eligibility for 24‑hour shifts</li><li>
Experience in a high‑acuity academic NICU environment preferred</li></ul></div><p></p>

Advanced Practice Provider - Pediatrics Neonatology

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