Psychiatric Advanced Nurse Practitioner

Date: Aug 10, 2026 Location:

SAN ANTONIO, 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: Psychiatric Advanced Nurse Practitioner Job Title: Psychiatric Advanced Nurse Pra Agency: Health & Human Services Comm Department: MedClinic/Prof Medical Svs M Posting Number: 19714 Closing Date: 08/24/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $12,390.00 - $14,356.00 Pay Frequency: Monthly Salary Group: TEXAS-B-29 Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: San Antonio State Hospital Job Location City: SAN ANTONIO Job Location Address: 6711 S NEW BRAUNFELS Other Locations: San Antonio 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. 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. Operates within the scope of their licensure to promote and maintain a therapeutic and safe psychiatric milieu. Oversees and provides acute and long-term psychiatric care to individuals, including daily assessment in the patient’s mental health status. Evaluates and makes appropriate referrals for patient’s injury or change in physical status. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment. Prescribes medications, including antipsychotics, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results. Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted. Provides comprehensive psychiatric care, which includes conducting rounds, leading Recovery Team Meetings, participating in court hearings and serving as a liaison to the courts. Conducts periodic reviews of hospitalized patients when on-call for evaluation of the reported change in status or condition of individuals under treatment. Oversees and provides psychiatric diagnosis and the review of the recovery plan, including review of all the identified risks of the individual, (choking, falls, seizures, aggression, 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. Oversees and develops accurate and timely documentation, which includes annual summaries, use of physical restraints and evaluating the correctness of assessments, compliance with policies and procedures, and revenue enhancement. Participates in the hospital wide quality assessment and performance improvement program by performing audits of medical records, monitoring compliance with standards, developing plans of correction, monitoring implementation of performance improvement activities, and evaluating the outcome of those activities. They also participate in the Ongoing Professional Practice Evaluation (OPPE) by monitoring the practice of other APRNs and providing feedback to improve performance. Performs other duties as assigned by the Medical Director, including overseeing, planning, assigning, and/or supervising the work of others as well as participating in meetings both internal and external to the hospital; and representing the Medical Director in their absence. 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 psychiatric/nursing including laws and ordinances governing mental health and hospital operations. Knowledge of principles, methods, and procedures for the delivery of medical/psychiatric evaluations, diagnosis, and treatment. Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and recovery plans. Skills in interpretation of laboratory results. 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 psychiatric disorders. Ability to supervise the work of others who provide psychiatric care and medical as needed. 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 registered and certified as an Advanced Practice Registered Nurse by the Texas Board of Nursing or in another state that recognizes reciprocity through the Nurse Licensure Compact. The APRN specialization must be certified by the American Nurses Credentialing Center or other recognized certifying agencies. 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. At least 2 years (twenty-four months) of clinical nursing experience. One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred. One year (twelve months) of 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 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. Active Duty, Military, Reservists, Guardsmen, And Veterans Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this #J-18808-Ljbffr Texas Health and Human Services