Nursing Jobs in Bulverde, TX
$169,461 - $178,000 / year
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. Additional Job Description ***Enjoy life in the Pacific Northwest with breathtaking water, mountain, and forest views at every turn*** FTE: .9 Shift: Varies Schedule: 3x12hr shifts per week ***Minimum of two years' experience as a Ped's Urgent Care /Ped's ED provider preferred*** Competitive compensation package with potential sign-on and relocation Substantial benefits including medical, dental, annual leave, CME, retirement, and malpractice insurance Generous time off to support work/life balance Career growth options with leadership opportunities Research opportunities with the MultiCare Institute for Research & Innovation Wellness program including dedicated mental health services and leadership and wellness coaching 24/7 nurse triage service with limited on-call requirements Support of 300+ provider multi-specialty group Dedicated medical assistant per provider Epic EMR and AI assistance to support efficiency Contact Gabe Carrillo at Gabr0605@multicare.org for more information. #LI-GC1 Position Summary The Pediatric Urgent Care Advanced Practice Provider (APP) delivers timely, compassionate care to children with acute medical needs in a walk-in or extended-hours clinical setting. Working collaboratively with physicians and healthcare teams, the APP performs assessments, procedures, and treatment planning for a wide range of pediatric conditions—ensuring access to quality care beyond traditional primary care hours.Responsibilities • Independently evaluate and treat pediatric patients presenting with non-emergent illnesses, minor injuries, infections, and other urgent concerns • Perform clinical procedures appropriate to training and scope, such as wound care, splinting, abscess drainage, foreign body removal, and rapid testing • Order and interpret diagnostics, including point-of-care labs and radiology, to guide clinical decisions • Prescribe medications, treatments, and referrals per Washington State guidelines for independent APPs • Educate patients and families about diagnoses, medications, follow-up care, and warning signs • Document clinical encounters thoroughly and accurately in the electronic health record (EHR) • Lead care coordination, including appropriate disposition planning and referrals to primary care or specialists • Collaborate effectively with physicians, nurses, imaging staff, and front-desk personnel to support patient flow and care quality—without requiring supervisory oversight • Engage in peer collaboration, clinical meetings, and case discussions that enhance practice quality, safety, and teamwork. • Support institutional performance goals, including efforts related to population health, equity, quality measures, and safety protocols. • Participate in clinical meetings and improvement initiatives, contributing to efforts that enhance patient outcomes and experience. • Maintains license and appropriate continuing education. • Adheres to MHS Attendance and Punctuality Policy and Procedure standards, and maintains reliable attendance Requirements • Graduate of an accredited Nurse Practitioner or Physician Assistant program • Current Washington State licensure as an ARNP (NP) or PA-C with full prescriptive authority • National certification as a Pediatric Nurse Practitioner (PNP), Family Nurse Practitioner (FNP), or PA-C • Clinical experience in pediatric urgent care, primary care, or emergency medicine preferred • BLS certification • Excellent autonomy, decision-making, and patient-centered communication skills Why MultiCare? Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other Belonging for all – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $169,461.00 - $178,000.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here . $169,461 - $178,000 / year
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. ***Enjoy life in the Pacific Northwest with breathtaking water, mountain, and forest views at every turn*** FTE: .9 Shift: Varies Schedule: 3x12hr shifts per week ***Minimum of two years' experience as a Ped's Urgent Care /Ped's ED provider preferred*** Competitive compensation package with potential sign-on and relocation Substantial benefits including medical, dental, annual leave, CME, retirement, and malpractice insurance Generous time off to support work/life balance Career growth options with leadership opportunities Research opportunities with the MultiCare Institute for Research & Innovation Wellness program including dedicated mental health services and leadership and wellness coaching Support of 300+ provider multi-specialty group Dedicated medical assistant per provider Epic EMR and AI assistance to support efficiency Contact Gabe Carrillo at Gabr0605@multicare.org for more information. #LI-GC1 Position Summary The Pediatric Urgent Care Advanced Practice Provider (APP) delivers timely, compassionate care to children with acute medical needs in a walk-in or extended-hours clinical setting. Working collaboratively with physicians and healthcare teams, the APP performs assessments, procedures, and treatment planning for a wide range of pediatric conditions—ensuring access to quality care beyond traditional primary care hours.Responsibilities • Independently evaluate and treat pediatric patients presenting with non-emergent illnesses, minor injuries, infections, and other urgent concerns • Perform clinical procedures appropriate to training and scope, such as wound care, splinting, abscess drainage, foreign body removal, and rapid testing • Order and interpret diagnostics, including point-of-care labs and radiology, to guide clinical decisions • Prescribe medications, treatments, and referrals per Washington State guidelines for independent APPs • Educate patients and families about diagnoses, medications, follow-up care, and warning signs • Document clinical encounters thoroughly and accurately in the electronic health record (EHR) • Lead care coordination, including appropriate disposition planning and referrals to primary care or specialists • Collaborate effectively with physicians, nurses, imaging staff, and front-desk personnel to support patient flow and care quality—without requiring supervisory oversight • Engage in peer collaboration, clinical meetings, and case discussions that enhance practice quality, safety, and teamwork. • Support institutional performance goals, including efforts related to population health, equity, quality measures, and safety protocols. • Participate in clinical meetings and improvement initiatives, contributing to efforts that enhance patient outcomes and experience. • Maintains license and appropriate continuing education. • Adheres to MHS Attendance and Punctuality Policy and Procedure standards, and maintains reliable attendance Requirements • Graduate of an accredited Nurse Practitioner or Physician Assistant program • Current Washington State licensure as an ARNP (NP) or PA-C with full prescriptive authority • National certification as a Pediatric Nurse Practitioner (PNP), Family Nurse Practitioner (FNP), or PA-C • Clinical experience in pediatric urgent care, primary care, or emergency medicine preferred • BLS certification • Excellent autonomy, decision-making, and patient-centered communication skills Why MultiCare? Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other Belonging for all – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $169,461.00 - $178,000.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here . $95,500 - $158,600 / year
Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you’ll be part of our life-changing mission and vision. You’ll contribute to an innovative, multifaceted culture that is second to none — one that embraces collaboration, excellence, discovery and compassion. You’ll play a role in something that’s never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together. Job Description Summary Advanced Practice Providers (APPs) consist of Physician Assistant (PAs) and Advanced Practice Registered Nurses (APRNs). APRNs may practice in the role of Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP). Please refer to the Clinical Nurse Specialist job description. The Advanced Practice Provider is responsible for providing care to both inpatients and outpatients. In collaboration with the physician, assists with the diagnosis of medical conditions, planning and implementation of interventions, as well as evaluating patient responses. Serves as a resource for staff and students on issues and strategies in the management of patients and is expected to participate in scientific clinical research and publication. The Advanced Practice Provider consistently demonstrates support of the SRAlab statement of Mission and Philosophy by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute. The Advanced Practice Provider demonstrates SRAlab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and SRAlab Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties. SCOPE All Advanced Practice Providers: Clinical privileges for the individual advanced practice provider shall be made by the Board of Directors upon recommendation of the Executive Committee of Active Medical Staff. Advanced Practice Registered Nurses: Advanced Practice Registered Nurses (APRNs) may engage in activities that normally constitute the practice of nursing without credentialing, provided they have the preparation, knowledge and experience necessary to properly execute the practice. Medical diagnostic, therapeutic and management functions will be instituted under medical supervision using practice guidelines or protocols developed by the Institute. Scope of practice for the nurse practitioner is subject to the definition scope as identified in Section 3 of the Illinois Nursing Act of 1987 (225 ILCS 65/3), and will be adjusted as the current practice act is amended. Job Description The Advanced Practice Provider will: Elicit a history and physical examination, assisting the attending physician in establishing a diagnosis, implementing interventions, prescribing medications, therapies and diagnostic tests, and evaluating patient responses to therapies under the direction of a physician. Assess patients using physically and technologically derived data, including the evaluation of diagnostic test results, and document results in the patient record. Assemble a medical database that includes health history, history of chief complaint, and physical examination of selected patients, documenting the findings in the patient record. Assist physician with ordering medical consultations, therapies, and interventions including, medications, diagnostic tests, respiratory care, nutrition, and fluid and electrolyte support. Perform and document diagnostic and therapeutic procedures based on the needs of the specific patient population as determined collaboratively with the physician and as approved by the Credentialing Committee. Evaluate patient responses to disease processes and therapeutic interventions, and determine the effectiveness of care and the need to alter the plan of care. Present selected patients’ assessment, diagnosis, and plan of care during medical rounds. Lead or participate in patient team conferences and family/team meetings, documenting the discussion in the patient record, and communicating the outcome to the interdisciplinary team. Provide information and support to patient and families, facilitating communication between patient and members of the health care team. Collaborate with the nurses, nursing supervisors, therapists and manager to implement and evaluate holistic patient care delivery. Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab. Works on-call shifts for the practice, as assigned and/or approved by the Medical Director. In addition to the essential functions outlined above, the APP must: Maintain all appropriate licensure and certification. Successfully obtain and maintain level promoted APP level as appropriate of the Shirley Ryan AbilityLab APP Professional Advancement Program (APP-PAP). Please refer to APP-PAP handbook for further details. Reporting Relationships: Reports directly to the Chief Medical Officer or Medical Director. Reports to designated Physician for clinical supervision. Knowledge, Skills & Abilities Required: Master’s Degree from an approved APRN or Physician Assistant program. Certification by the American Nurses Credentialing Center as a Nurse Practitioner or Clinical Nurse Specialist or Certification by the National Commission on Certification of Physician Assistants. Licensure as a registered nurse (RN) and Advanced Practice Registered Nurse (APRN) in the State of Illinois or Licensure as a Physician Assistant (PA) in the State of Illinois. Professional experience that meets the minimum requirement for APP-PAP. Further experience as outlined in APP-PAP handbook. Interpersonal skills necessary to communicate effectively with patients, patient families, referring parties, Institute executives and treatment team members. Ability to demonstrate sound medical knowledge and leadership. Basic Life Support (BLS) required. Advanced cardiac life support (ACLS) certificate preferred. Successfully obtain and maintain level promoted APP level as appropriate of the Shirley Ryan Abilitylab APP Professional Advancement Program (APP-PAP). Please refer to APP-PAP handbook for further details. Maintain all appropriate licensure and certification. Working Conditions: Normal patient care environment with little or no exposure to dust or extreme temperature. Exposure to moderately adverse working conditions in performing certain patient care activities. Occasional exposure to infectious diseases when working with patients. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Pay and Benefits*: Pay Range: $95,500.00 - $158,600.00 Benefits: Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: https://www.sralab.org/benefits *Benefits and benefits’ eligibility can vary by position. Actual compensation will be determined by equity and qualifications of the role. Equal Employment Opportunity Employer Shirley Ryan AbilityLab is an Equal Employment Opportunity Employer. All applicants will be afforded equal employment opportunity without discrimination because of race, color, religion, sex, marital status, national origin or ancestry, citizenship status, age, disability, sexual orientation, gender identity, genetic information, military status, order of protection status, unfavorable discharge from military service, or any other characteristics protected by law. EEO is the Law | EEO is the Law - Know Your Rights | View our Full Policy Shirley Ryan AbilityLab is an Affirmative Action Employer as required by law. $4,801.16 - $7,761.50 / month
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: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Comm Department: UR Wav & Comm Srvs Ran Mmt St Posting Number: 15113 Closing Date: 09/23/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $4,801.16 - $7,761.50 Pay Frequency: Monthly Salary Group: TEXAS-B-22 Shift: Day Additional Shift: Days (First) Telework: Travel: Up to 75% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: SAN ANTONIO Job Location Address: 1067 BANDERA RD Other Locations: Weslaco MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Nurse II The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Nurse II. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by ensuring individuals served in our 1915(c) waiver programs and Community Attendant Services (CAS) receive the appropriate type and amount of service. The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy. Under the direct supervision of the Utilization Review Nurse Manager, the utilization review (UR) nurse: reviews and evaluates individual's records, individual service plans (ISPs), patient assessments, documentation related to Title XIX and Title XX, and state plan Medicaid community services for aged and disabled persons and individuals with intellectual and developmental disabilities (IDD); and conducts face to face interviews with individuals enrolled in the Community Attendant Services (CAS), Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD), Home and Community-based Services (HCS), and Texas Home Living (TxHmL) programs to determine service justification. Based on the in-person, teleconference or telephone interview assessment, desk review and evaluation of services, the UR nurse uses program knowledge and nursing expertise to determine appropriateness and quality of services, cost effectiveness of the service plan, validates determinations of health service needs, and makes service authorization decisions. The UR nurse conducts a variety of quality assurance reviews, and quality improvement studies. The UR nurse evaluates assigned Level of Need (LON) determinations in the IDD waiver programs when assigned to do so. This position works collaboratively with other UR nurses and regional staff to implement an effective statewide UR program and to ensure UR policies and procedures are applied consistently. This position works under the general supervision of the UR Nurse Manager, with moderate latitude for use of initiative and independent judgment. Essential Job Functions: Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Conducts desk reviews of required documentation for Health and Human Services Commission (HHSC), Medicaid Long Term Care Waiver Programs and Community Attendant Services (CAS). Participates in onsite, televideo, or telephonic interviews of the individuals identified in the random sample. Reviews, evaluates, and documents services provided to aged and disabled persons and persons with intellectual disability to validate service needs, service provision, determines appropriateness, quality, and cost effectiveness of services. (35%) Makes service authorization decisions on difficult, complicated, and/or targeted cases. (20%) Conducts a variety of quality assurance reviews and quality improvement studies and evaluates compliance with Medicaid program service requirements, state rules, regulations, policies, and procedures. (10%) Works collaboratively with other UR nurses through routine and ad hoc meetings to implement an effective statewide UR program and to ensure UR policies and procedures are applied consistently. (10%) Develops, provides resources and technical assistance to regional staff and providers. (10%) Testifies as the Subject Matter Expert (SME) in Medicaid fair hearings related to appealed service reductions or denials. (5%) Produces routine and specialized data and information for program reports. (5%) Works collaboratively across MCS to identify innovative and effective solutions for clients and staff (5%) Registrations, Licensure Requirements or Certifications: Must be licensed as a professional Registered Nurse (RN) in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Qualification as a Qualified Intellectual Disability Professional (QIDP) as defined in 42 Code of Federal Regulations 483.430(a) required. Must have a valid Texas Driver License. Knowledge Skills Abilities: Meets the criteria for designation as a Qualified Intellectual Disability Professional (QIDP) as defined in 42 Code of Federal Regulations 483.430(a) required. Knowledge of nursing health care laws, rules, standards, and regulations, medical diagnoses and procedures, community health and nursing care principles, quality management, utilization management, health care needs and services for elderly and disabled. Thorough knowledge of ID and other developmental disability related conditions, HCS, TxHmL, CLASS, DBMD, CAS, and ICF/ID program rules, service array and billing guidelines, local authority functions and waiver service system. Written and verbal communication skills necessary to consult, teach, and provide clear and concise directions and reports. Awareness of federal and state laws relating to long term care and other Medicaid and non-Medicaid services and programs. Knowledge of program planning, implementation and evaluation, and continuous quality improvement. Ability to communicate effectively, both orally and in writing. Ability to interpret statistical information. Ability to multi-task, handle stress and meet deadlines. Ability to work collaboratively across MCS to accomplish objectives. A keen attention to detail and the ability to implement creative solutions to problems. Able to balance team and individual responsibilities. Written and verbal communication skills necessary to consult, teach, and provide clear and concise directions and reports. Ability to: explain and interpret applicable health laws, rules, standards, and regulations; recognize patterns of medical necessity treatment, fraud, abuse, and neglect; use a personal computer, copier, Microsoft Office suite and Outlook e-mail; travel throughout the state as necessary. Initial Screening Criteria: Two-year experience working as a Registered Nurse (RN). Graduation from an accredited four-year college or university with major course work in nursing preferred, or from an accredited nursing program. BSN preferred, experience and education may be substituted for one another. Must meet the federal definition of a Qualified Intellectual and Developmental Disability Professional as defined in 42 Code of Federal Regulations 483.430(a). Must have at least one year of experience working directly with persons with intellectual disability or other developmental disabilities. Must be able to travel 75% of the time. Experience in utilization review, or quality assurance activities in long term services and supports for the aged and disabled preferred. 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. 
