HD Advanced Practice Registered Nurse I

Williamson County and Cities Health District Round Rock, TX, US

$124,606 - $127,106 / year

Division: Clinical Services

Working Title: Nurse Practitioner

Direct Supervisor: Clinical Services Director

This position performs highly advanced (senior level) clinical nursing work for the Williamson County and Cities Health District (WCCHD). Work involves direct health services; assessing, planning, and providing comprehensive client care independently or in collaboration with other health care professionals; promoting client advocacy through inter/intra agency collaboration; informing and educating the community on public health-related topics; and utilizing nursing expertise in implementing policies and procedures to ensure a safe and productive work environment. The Nurse Practitioner is expected to maintain an updated knowledge base on services provided at WCCHD, as well as other local community health resources. Works under general supervision with moderate latitude for the use of initiative and independent judgment. This position is grant funded through November 30, 2027, employment beyond that date is not guaranteed.

Pursuant to the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. This job description outlines the primary duties of the role; however, additional related duties may be assigned

Data Analytics/Assessment

Obtains and records appropriate medical history and physical data on clients
Interprets and integrates data to determine appropriate diagnostic and therapeutic plan utilizing principles of prevention
Maintains and reviews client records, charts, assigned reports, and other pertinent information, utilizing the electronic medical record to document services rendered
Participates in identification and interpretation of health/social needs in the community
Implements and monitors a comprehensive medical case management service plan for clients and families, and serves as a resource for other case workers
Participates in Peer-review and may audit medical records and client assessments to determine compliance with policies and procedures; correctness of assessment; and/or to evaluate plan of care and quality of service
Maintains medical records in accordance with state laws

Policy Development/Program Planning

Follows Texas DSHS / DFPS reporting laws and when necessary, reporting abuse and neglect to appropriate authorities
Follows Standing Delegation Orders and Standard Operating Guidelines for Tuberculosis Elimination, Immunizations, STD/HIV, and the Class D Pharmacy Rules and Regulations
Acknowledgement of each SDO and policies with signature annually
Assist in the creation and nurturing of a culture of Quality Improvement within the program and division.
Assist in the facilitation of QI activities, monitor staff QI activities and support and guide staff in their work with QI.
Complies with all agency policies and procedures concerning compliance including privacy of protected health information

Public Health Sciences

Orders appropriate laboratory and diagnostic procedures within the scope of services
Interviews and advises clients regarding sexual health, vaccination status, communicable disease, chronic disease and health promotion
Provides TB related services including screening, routine assessment, contact investigation and Direct Observed Therapy
Instructs clients and family regarding medications and treatments
Follows infection control guidelines
Demonstrates EMR/EHR proficiency; specifically, in areas related to labs, diagnostic imaging, billing and coding, and creating and revising clinical templates
Manages medical emergencies in a calm and efficient manner

Communication and Cultural Competency

Consult with Medical Director, DSHS region 7 STI/HIV team and DIS team, PHN nurses as needed, the consulting physician, local health authority, and regional staff as needed.
Refers clients with health conditions outside of the scope of WCCHD services to their primary care provider or to other appropriate entity
Provides outreach and health education to individuals, families and community as needed

Community Partnership

Works cooperatively with WCCHD staff and other agencies for prevention, promotion, and education in the community regarding health issues
Identifies community resources and makes referrals to health care and related services
Represents the agency on inter- and intra-agency work groups and task forces on local, regional, or state-wide level, as assigned

Management and Finance

Manages the clinical aspect of the WCCHD STI Program, working closely with the Medical Director and Division Director of Clinical Services to achieve preventive health services program goals
Develops and provides in-service training and educational programs for agency staff and the community as directed from Medical Director and/or Clinical Services Director
Participates in training and orientation of new nursing staff, volunteers, and students
Serves in a project management capacity when assigned to promote clinical services
Offers input related to clinical staff performance and provides technical assistance/training when applicable for clinical/support staff

Leadership and Systems Thinking

Demonstrates ongoing professional growth through participation in relevant educational endeavors and appropriate associations
Serves as a resource and subject matter expert on related public health topics
Attends required meetings and in-services, and participates in committees as requested

Other

May participate on a WCCHD committee or task force
In the event of a public health emergency, employees may be called upon to support WCCHD's response in ways that are outside the usual scope of their job responsibilities. This may involve working hours that are outside the employee's usual work hours. Employees will not be required to perform duties that are outside of their competence or professional licensure.
Master of Science in Nursing required
Graduation from an accredited Advanced Practice Registered Nursing graduate or post-graduate program, with a focus in Family Medicine Nurse Practitioner required
Family Medicine Nurse Practitioner certification required
Minimum of 3 years' experience with testing and treating STI's, performing Pap Smears, pelvic exams, or other forms of contraception, preferably in a clinic or community/public health setting required
RN registered to practice in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact required
Minimum 3 years of EMR/EHR experience required
CPR certified or willingness to obtain certification if not required
Valid Texas driver's license and access to reliable transportation to all assigned work locations required
Public Health experience preferred
Selected candidates in the Clinical Services Division, Environmental Health Division, and WIC Division, will receive a conditional offer of employment contingent upon the candidate passing a pre-employment-controlled substances screening test. The candidate must be tested and receive a negative result before starting to work.
All selected candidates are required to pass a background check as a condition of employment.

Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed without posing a direct threat to the health or safety of themselves or others.

Knowledge of public health services
Knowledge of accepted current medical practice and standards
Knowledge of organizational policies, regulations and procedures to administer patient care
Knowledge of and ability to use medical equipment and instruments to administer client care
Knowledge of and skill in applying and modifying the principles, methods and techniques of advanced practice nursing in the fields of STI's and Women's Health Care to provide patient care
Knowledge of current trends/changes in advanced practice nursing, and where relevant, translates these finding into clinical practice
Skill in assimilating medical history and physical findings into a clinical assessment or diagnosis
Skill in formulating a comprehensive treatment plan
Skill in preparing and maintaining records (electronic form, writing reports, and responding to correspondence)
Skill in recognizing, and accomplishing consultations or referrals for complicated cases beyond individual or facility scope of care
Skill in developing and maintaining department quality assurance and quality control standards
Skill in establishing and maintaining effective working relationships with clients, coworkers, and the public
Skill in exercising initiative, listening, judgment, discretion, and decision-making to achieve preventive health services goals
Skill in using a computer, including medical software as well as Microsoft Office Professional
Ability to communicate clearly verbally and in writing
Ability to react calmly and effectively in emergency situations
Ability to provide guidance/direction to support staff
Ability to interpret, adapt and apply guidelines and procedures
Ability to prioritize work assignments, work independently, and perform duties efficiently
Ability to function as a member of a multidisciplinary team
Ability to work in a collaborative manner
Ability to establish goals and objectives, policies, and procedures that support a strategic plan
Ability to prioritize activities and manage multiple responsibilities; time management
Ability to obtain a relevant health history, including a comprehensive obstetric and gynecologic history, with emphasis on gender-based differences.
Ability to assess for evidence of intimate partner violence, sexual abuse, and substance abuse.
Ability to asssess, diagnose, and treat issues related to sexuality including evaluating need for expedited partner therapy.
Ability to Collaborate with other health care providers for management or referral of high-risk pregnancies.
Ability to perform Pap Smears.
Ability to provide management and education for women and men in need of family planning and fertility control.
Ability to evaluate possible candidates for and treat with PrEP therapy.
Ability to evaluate possible candidates for and treat with DoxyPEP

Additional Information

Environmental Factors: Works mostly in a well-lighted, air-conditioned office. Will work in various WCCHD offices around the county and in a variety of community locations. Occasional work activities may be outdoors and, therefore, employee will be exposed to heat and cold. May have extensive contact with the public. May have contact with persons who may be infected with contagious diseases. Certain immunizations and/or TB testing will be required. Tobacco/vapor-free workplace.

FLSA: Exempt

Direct Supervisor of: 0

Location and Hours: 355 Texas Ave, Round Rock, TX 78664; General work hours: Mon- Thurs 7a-5p, Friday 8a-12p. This position will be subject to travel between WCCHD offices within Williamson County on a rotating basis. Work may require occasional early morning, evening, weekend, and/or holiday hours. Extended hours may be required in the event of a public health emergency.

Job Performance Evaluation: The employee will be evaluated at 30, 60, 90 days and annually, but more often if warranted.

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Our providers are empowered to practice holistically with strong clinical support, collaborative resources, and a unified “one store, one team” approach. This is a clinic-based role focused on delivering the highest-level quality in-person patient care. Virtual care visits may be conducted from the clinic during periods of lower onsite patient volume and when doing so does not delay or interfere with in‑person care. MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. What Our Providers Enjoy Autonomy to manage your practice with dedicated collaborative and organizational support Flexible scheduling and strong work–life balance Exceptional tools, training, and clinical resources Evidence‑based guidelines and access to leading assessment and treatment planning tools Opportunity to deliver both in‑person and virtual care, driven by in‑clinic patient volume Ability to practice at the top of your license with comprehensive clinical team support Significant career growth and professional development opportunities Charting and follow‑up completed during your scheduled shift—no work taken home What you will do Deliver evidence‑based primary and family care, including assessment, diagnosis, treatment, and management of acute and chronic conditions Provide both in-person and virtual visits (from the clinic) to support positive patient health outcomes Perform diagnostic testing, preventive counseling, treatment of injuries and illnesses, and coordination of care with other healthcare professionals Engage patients in wellness services, chronic disease management, and preventive health screenings Complete essential clinic operations including inventory management, clinic opening/closing, patient follow‑up, insurance verification, and payment collection Support a safe and efficient care environment through routine examinations and timely patient appointment management Education Nurse Practitioners: Master’s degree from an accredited Family Nurse Practitioner program Current national board certification (AANP or ANCC) Active, unrestricted state APRN license Physician Associates: Master of Science in Physician Assistant/Associate Studies or health‑related master’s degree plus Bachelor of Science in PA Studies Current NCCPA certification Active, unrestricted state PA license Essential Qualifications Nurse Practitioners (NPs): One year of NP experience preferred; qualified new graduates may be considered Active, unrestricted Family Nurse Practitioner (FNP) license in good standing Obtain and maintain multi-state licensure, based on business needs Ability to provide holistic, evidence‑based care including counseling related to pregnancy prevention, STI prevention, and safer sex practices Ability to order/administer vaccines and injections (COVID‑19, influenza, TB testing, Depo‑Provera, etc.) DOT certification exam completed within 30 days of employment Bilingual proficiency may be required depending on market needs Active Basic Life Support (BLS) certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physician Associates (PAs): Prior PA experience preferred; qualified new graduates considered Active, unrestricted state PA/Physician Associate license (or eligibility to obtain upon hire) Obtain and maintain multi-state licensure, based on business needs DOT certification exam completed within 30 days of employment Active BLS certification Ability to pass a respirator FIT test Physical presence at assigned clinic required Physical Requirements Ability to perform duties involving prolonged standing, walking, bending, and reaching Ability to perform Basic Life Support Preferred Qualifications Experience with the EPIC electronic health record Prior MinuteClinic precepting rotation (if less than one year of provider experience; preferred but not required) Experience conducting patient assessments and exercising sound clinical decision‑making in a virtual care environment Familiarity with digital health tools and virtual communication technologies Pay Range The typical pay range for this role is: $46.03 - $99.14 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 10/25/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Outpatient

Full-time

1 month ago

Women's Health Nurse Practitioner

Unified Women's Healthcare Austin, TX

Overview Unified Women's Healthcare of Texas is seeking a Women's Health Nurse Practitioner (WHNP) to join a thriving, midwife-led women's health practice in the Austin area. This is an excellent opportunity for a provider who is passionate about delivering personalized, relationship-based care in a collaborative and supportive environment. The practice focuses on preventive care, patient education, and comprehensive women's healthcare across the lifespan. Practice & Position Highlights Midwife-led practice with a collaborative team of 6 Certified Nurse Midwives, 1 nurse practitioner, and 1 OB/GYN physician collaborator Opportunity to build and grow your own patient panel Supportive culture with strong mentorship and collaboration No call responsibilities Monday through Friday outpatient schedule with excellent work-life balance Average of 14 to 16 patients per day with 30-minute appointment slots Comprehensive women's healthcare including annual exams, gynecologic care, contraception counseling, menopause management, prenatal and post-operative visits, and patient education Compensation & Benefits Competitive compensation package Potential sign-on bonus Paid time off $1,500 annual CME allowance plus paid CME days Comprehensive health, dental, and vision insurance 401(k) with company match Company-paid malpractice insurance Qualifications Women's Health Nurse Practitioner (WHNP-BC) preferred Graduate of an accredited Nurse Practitioner program Active and unrestricted APRN license or ability to obtain Current DEA license or ability to obtain Women's Health, OB/GYN, or reproductive health experience strongly preferred Strong communication and patient education skills City/Location Highlights: Austin is routinely lauded as one of the best places to live in the United States, thanks to its warm weather, thriving economy and bustling cultural scene. But if you're considering moving to Austin, you'll have lots of different options for places to live, from family-friendly suburbs to densely packed urban areas. Listed by Bloomberg as the top city for economic growth in Texas, and the 5th fastest growing city in the entire nation. Austin, TX, is known as the “Live Music Capital of the World,” and it lives up to that name with a never-ending stream of live music acts that create a vibrant, fun atmosphere you can access almost any time of the day or night. About Unified Women’s Healthcare is affiliated with the largest, physician-owned Ob-Gyn practice network in the nation, with more than 900 affiliated practices and 2,500 providers in 17 states and Washington DC. Choose an opportunity from dozens of cities; urban to rural. The national footprint of our medical affiliates provides candidates with a variety of practice settings and career opportunities that will fit their professional practice goals. As a provider practicing with a medical affiliate in the Unified network, you will see the benefit of being affiliated with a large, national women’s healthcare company while knowing that governance and clinical decision-making remains the exclusive domain of providers. We are advocates for the Ob-Gyn medical affiliates in our network, advancing the business of medicine so they can focus solely on the practice of medicine. We help our medical affiliates both innovate and expand while providing tools, training, support, and additional practice resources. Our medical affiliate is a drug-free workplace and an Equal Opportunity Employer. Keywords: nurse practitioner, women's health, OB/GYN #LI-Onsite