NP Jobs in South Belt / Ellington, TX

Memorial Hermann Health System

Supp Advanced Practice Provider, EM

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Responsible for providing comprehensive patient care congruent with role and approved population foci (Family/Individual across lifespan, Adult/Gerontology, Neonatal, Pediatrics, Women’s Health/Gender Related, Psychiatric Mental Health) through systemic assessment, diagnosis, treatment, management, and follow up affecting direct patient care. Job Description MINIMUM QUALIFICATIONS Nurse Practitioner / Advanced Practice Nurse Education: Graduate of a Nurse Practitioner program approved by the State of Texas and Masters required. May encompass the following specialties: CRNA, CNM, CNS, CNP. Licensed to practice professional nursing by the State of Texas. Licensure by the State of Texas APRN and eligibility for full prescriptive authority by the State of Texas. Certified by a recognized national certification by the State Board of Texas in area of population foci and/or additional specialty recognition beyond the APRN. Eligibility for DEA licensure. Basic Cardiac Life Certification OR Advanced Cardiac Life Certification Physician Assistant Education: Graduate of a nationally accredited Physician Assistant program, masters strongly preferred. Certified by the National Commission on Certification of Physician Assistants, Inc. Licensed by the Texas State Board of Physician Assistant Examiners. Eligibility for DEA licensure. Basic Cardiac Life Certification OR Advanced Cardiac Life Certification EXPERIENCE / KNOWLEDGE / SKILLS One (1) year of clinical experience preferred in area of intended practice. PRINCIPAL ACCOUNTABILITIES Provides health promotion and the assessment, diagnosis, and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic intervention, assessment, triage, and therapeutic management of patient/family needs throughout the disease process and across the health wellness-illness continuum as an integral part of an interdisciplinary team, according to the age/needs of the patient population served. For prescriptive authority, APRN or PA acts under the delegation of a supervising physician, maintaining an active Prescriptive Authority agreement in accordance with regulations and policy. Practices within approved protocols, guidelines, and clinical pathways and evidence based medicine. Transitions between inpatient/outpatient Directs and evaluates throughput; delegates or provides backup assistance including triage Ability to float, round to multiple facilities and/or take call (first call) Provides accurate billing, coding and documentation Completes medical records and submit charges in a timely manner Responsible for overall unit performance in collaboration with physicians or other providers Obtains medical histories; performs physical examinations/ reviews/orders/interprets diagnostic tests and radiographic results; formulates and manages patient treatment plan and outcomes; provides interventions and performs procedures within legal cope and authority that the APRN or PA is approved, delegated to and credentialed to perform including but not limited to incision and drainage, pelvic exams, lesion removal/destruction, suturing, and casting/splinting. Collaborates in the development and evaluation of patient care. Updates clinical guidelines/protocols/pathways; works autonomously and accepts accountability for outcomes; signs orders in accordance with institution and state board requirements; collaborates in research and teaching projects and applies research to practice. Uses interpersonal and verbal communication skills to educate patient/family on care resources; participates in process improvement and multidisciplinary clinical outcome improvement activities utilizing advanced nursing expertise. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned.
Texas MedClinic Urgent Care

Providers - Urgent Care - Physician Assistant or Nurse Practitioner - Part time (weekends only)

We are a growing network of urgent care clinics. Our rapid growth is a result of our unmatched customer service and genuine compassion towards every single customer. Our clinics offer non-critical, but urgent medical care to patients as an alternative to the emergency room or their primary physician. We are open seven days a week and serve all ages. We are a high performing organization who places a premium on our culture. Our Nurse Practitioners and Physician Assistants provide care for patients within standards of practice and regulations of government agencies. They are responsible for providing outstanding service while maintaining a compassionate and welcoming atmosphere. The ideal candidate is energetic, flexible, has a positive attitude and above all else, has a passion for patient care. Requirements and Qualifications: Current, unrestricted PA or NP license in the state or the ability to obtain Ability to obtain DEA licensure Knowledge of treatment and drug interactions Excellent communication and interpersonal skills Great Benefits: Competitive Compensation – Productivity Bonus! Healthcare Benefits including health, dental, vision life and disability Paid Time Off CME Credits 401-K Malpractice covered by employer Community Care Partners is an Equal Opportunity Employer (EEO). #APP
Baylor College of Medicine

Instructor - Nurse Practitioner

Summary The section of Gastroenterology & 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. Job Duties Job duties include, but are not limited to: Obtain detailed history and perform physical examinations; work closely with GI physicians on treatment plan, follow-up, medication management. Prescribe appropriate pharmacological and non-pharmacological treatments to follow outlined treatment plan. 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. Assess learning needs and educate patients and family as appropriate concerning disease management. Ensure that referrals to other specialists, radiological, endoscopic and laboratory testing are coordinated with patients and referring physicians. Reviewing test results and patient messages/calls, consulting closely with GI physicians as needed. Minimum Qualifications Education Required: Master’s degree in in Nursing. Experience Required: None required. 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 Preferred Qualifications Experience: 1-2 years of clinical nursing or PA experience in an Ambulatory Clinic/Practice setting, preferrably in Gastroenterology Experience providing in-person triage and direct patient care for acute and chronic conditions as appropriate for an ambulatory outpatient Ability to work well independently and collaboratively in the healthcare setting
Baylor College of Medicine

Physician Assistant or Nurse Practitioner - Thoracic Surgery (Inpatient)

Summary The David J. Sugarbaker Division of Thoracic Surgery in the Michael E. DeBakey Department of Surgery is seeking a qualified Advanced Practice Provider to provide high quality surgical care under the direction of a group of physicians at Baylor St. Luke’s Medical Center. Candidate will be expected to provide clinical excellence and scholarly enthusiasm. The provider will have direct patient care responsibilities. The selected candidate will be appointed as a faculty Instructor and be eligible for full faculty benefits. Job Duties Primary responsibilities include inpatient care of thoracic surgery patients in coordination with attending physician and resident physician teams. This will include thorough pre-round chart review, engagement in collaborative rounds with attending physicians as well as independent rounding, documentation of clinical decision-making and treatment plans, coordination and execution of the day’s care plan, including wound management and other procedural interventions as needed, and frequent follow up on pt progress and testing to ensure patients are progressing through their plan of care. Obtain detailed history and perform physical examinations. See consults independently and/or with residents/fellows in various settings – floor, ICU, ED, etc. Formulate assessments and plans and evaluate the patient response to care Order and interpret appropriate diagnostic procedures, including, but not limited to x-rays, electrocardiograms, laboratory tests, and MR and CT imaging Ensure timely and accurate documentation in the EPIC electronic medical record system Prescribe appropriate pharmacological and non-pharmacological treatments (while inpatient and upon discharge) Educate patients on prescribed therapeutic regimens, home care and health maintenance Remove chest tubes and JP drains as indicated, provide wound care to chest tube sites and surgical wounds Perform bedside simple wound debridement, suture closure, and bedside intrapleural therapeutic procedures Provide wound care and education on cervical esophagostomies, negative pressure wound therapies (wound vac), feeding tubes, indwelling pleural catheters, and tracheostomies to patients and staff Provide guidance and work direction to support staff, including, but not limited to nurses, social workers, and clinic coordinators Optimize discharge planning for all patients including participation in daily multidisciplinary rounds for floor and ICU patients, as well as timely and clear discharge communication to outpatient team Communicate with physicians, patients, and the family members of patients concerning patient care Provide orientation, direction and support to PA/NP students, medical students, and/or residents assigned to the service Promote a positive work environment with a team-based approach through supportive and respectful interactions with peers, staff, learners, and faculty Other duties as assigned Minimum Qualifications Education Required: Master’s degree in in Nursing. Experience Required: None required. 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 Required Qualifications Master's degree from an accredited Physician Assistant/Nurse Practitioner Program Board certification by appropriate certifying organization Licensed as a Physician Assistant/Nurse Practitioner in the State of Texas DEA certification Preferred Qualifications Surgical experience preferred Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Instructor - Nurse Practitioner

Summary 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. Provides age-appropriate care for one or more of the following age groups routinely: Neonate, Infant, Child, Adolescent, Adult. Collects and evaluates health assessment data to provide appropriate palliative interventions. Consistently demonstrates effective communication skills and works to eliminate communication barriers. Participate in departmental quality, education and safety initiatives on an ongoing basis. Consistently seeks and applies new knowledge relevant to nursing to clinical practice. Demonstrates current professional, managerial, and/or technical knowledge and skills. Demonstrates NP role behaviors consistent with the development of advanced nursing practice. Job Purpose Provides advanced nursing care to patients in a clinical setting in an area of specialization under the direction of a physician. Job Duties Obtain detailed history and perform physical examinations. Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient. Prescribes appropriate pharmacological and non-pharmacological treatments. Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures. Monitors and ensures accuracy of recording on patient medical records. Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician. Communicate with physicians, patients, and the family members of patients concerning patient care. Collaborates with providers, and practice staff in identifying appropriate patients for care management. Perform other job related duties as assigned. Minimum Qualifications Master of Science in Nursing 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). 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.) 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. Basic Life Support (BLS) Certification Preferred Qualifications 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. Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Instructor - Nurse Practitioner

Summary Job Purpose The Division of Gastroenterology & Hepatology section is seeking a Nurse Practitioner or Physician Assistant to join the clinical operations team at the Ben Taub Location. Clinical duties include supporting care for established patients that have seen a physician in the hospital or outpatient clinic setting. The position will be under Dr. Robert Jay Sealock Job Duties Job duties include, but are not limited to: Obtain detailed history and perform physical examinations; work closely with Ben Taub physicians on treatment plan, follow-up, medication management. Prescribe appropriate pharmacological and non-pharmacological treatments to follow outlined treatment plan. 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. Assess learning needs and educate patients and family as appropriate concerning disease management Ensures that referrals to other specialists, radiological, endoscopic and laboratory testing are coordinated with patients and referring physicians. Supports clinical research and trials, in close collaboration with Ben Taub physicians. Minimum Qualifications Education Required: Master’s degree in in Nursing. Experience Required: None required. 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 Preferred Qualifications Ability to work well independently and collaboratively in the healthcare setting
Baylor College of Medicine

Instructor - Nurse Practitioner

Summary Job Purpose Provides advanced nursing care to patients in a clinical setting in an area of specialization under the direction of a physician. Job Duties Obtain detailed history and perform physical examinations. Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient. Prescribes appropriate pharmacological and non-pharmacological treatments. Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures. Monitors and ensures accuracy of recording on patient medical records. Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician. Communicate with physicians, patients, and the family members of patients concerning patient care. Collaborates with providers, and practice staff in identifying appropriate patients for care management. Perform other job related duties as assigned. Minimum Qualifications Education Required: Master’s degree in in Nursing. Experience Required: None required. 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 Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Physician Assistant or Nurse Practitioner - Surgical Critical Care Night Shift

Summary The Trauma and Acute Care Surgery Division in the Michael E. DeBakey Department of Surgery is seeking a qualified Advanced Practice Provider to provide high quality critical care services under the direction of a physician at Baylor St. Luke's Medical Center. Candidate will be expected to provide clinical excellence and scholarly enthusiasm. The provider will have direct patient care responsibilities. The selected candidate will be appointed as a faculty Instructor and be eligible for full faculty benefits. Job Duties Primary responsibilities include: Management of patients in the surgical ICU or thoracic surgical ICU at Baylor St. Luke's Medical Center from 6:30 PM to 6:30 AM. This will include a variety of general surgery, transplant, vascular, cardiothoracic and general thoracic patients. Obtain detailed history and perform physical examinations Formulate assessments and plans and evaluate the patient response to care Order and interpret appropriate diagnostic procedures, including, but not limited to x-rays, electrocardiograms, laboratory tests, and MR and CT imaging Place central lines and midlines Prescribe appropriate pharmacological and non-pharmacological treatments Ensure timely and accurate documentation in the EPIC electronic medical record system Provide guidance and work direction to support staff, including, but not limited to nurses, medical assistants, and unit managers Communicate with physicians, patients, and the family members of patients concerning patient care Give direction and support to PA/NP students, medical students, and/or residents assigned to the service Promote a positive work environment with a team-based approach through supportive and respectful interactions with peers, staff, learners, and faculty Other duties as assigned Minimum Qualifications Master's degree from an accredited Physician Assistant/Nurse Practitioner Program. Board certification by appropriate certifying organization Certification/Licenses/Registration: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Specialty certification as required by department. Basic Life Support (BLS) Certification. No experience required
Baylor College of Medicine

Instructor- Nurse Practitioner or Physician Assistant (Inpatient Pediatric Heme-Onc)

Summary The Pediatric Hematology/Oncology Division in the Department of Pediatrics at Baylor College of Medicine and Texas Children's Hospital is recruiting Inpatient Pediatric Hematology-Oncology Advanced Practice Providers to work in the inpatient setting. Scope of practice: Covers inpatient hematology & oncology patients for either 8-, 10-, or 12-hour shifts during the daytime. Inpatient teams included are Leukemia/Lymphoma/Histiocytosis, Solid Tumor/Neuro Oncology/Vascular, and Hematology consults. Works as part of a multidisciplinary team including an Attending Hematologist or Oncologist to provide care for current and new inpatients on the acute care floor. Participates in multidisciplinary rounds including medical, nursing, and pharmacy personnel to provide optimal patient care. Provides all patient care for assigned patients including but not limited to daily rounding/notes, calling consults, all order writing including chemotherapy, completing admission and discharge planning and paperwork. This includes coordination of care, consenting, and arranging follow up appointments/procedures. Ensures appropriate sign-out of patients under their care. Job Duties Obtain detailed history and perform physical examinations. Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient. Prescribes appropriate pharmacological and non-pharmacological treatments. Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures. Monitors and ensures accuracy of recording on patient medical records. Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician. Communicate with physicians, patients, and the family members of patients concerning patient care. Collaborates with providers, and practice staff in identifying appropriate patients for care management. Perform other job related duties as assigned. Minimum Qualifications Education Required: For Nurse Practitioners: Master's degree in Nursing. Acute Care Certification (CPNP-AC) required. For Physician Assistants: Master's degree in Physician Assistant Studies. NOTE: Bachelor's degree in Physician Assistant Studies accepted based on terminal degree requirements at time of graduation. Certification/Licenses/Registration: For Nurse Practitioner: Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Current Texas Licensure as an Advanced Practice Nurse (APRN), and acute care certification (CPNP-AC) required. For Physician Assistant: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Specialty certification as required by department.Pediatric Advanced Life Support (PALS) certifications Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Instructor - Nurse Practitioner or Physician Assistant

Summary The Department of Pediatrics, Section of Critical Care Medicine at Baylor College of Medicine and Texas Children's Hospital is seeking full-time faculty for the position of nurse practitioner with specific focus on critical cardiac disease. This position offers unique experience in our high-volume pediatric cardiac intensive care units, for an individual who wishes to pursue a career in pediatric cardiac critical care. The primary clinical site is at Texas Children's Hospital, the largest pediatric hospital in the United States, an affiliated hospital of Baylor College of Medicine. The section of Critical Care Medicine in the Department of Pediatrics is a multidisciplinary team of attending critical care physicians, advanced practice providers (nurse practitioners and physician assistants), post-doctoral fellows, and research support personnel committed to the care of patients suffering from a life-threatening illness or injury. The Cardiac Intensive Care Unit at Texas Children's Hospital is one of the highest volume programs in the world. The 48-bed unit is comprised of a Neonatal CICU, Pediatric CICU, and a first of its kind, Pediatric Heart Failure ICU. In addition to over 1000 congenital heart operations annually, TCH is home to an active heart failure program, a busy thoracic organ transplantation service, and one of the largest mechanical circulatory support and VAD programs in the world. In the CICU, the candidate will work alongside pediatric critical care and cardiology physician fellows, and will join the existing CICU Faculty encompassing over 30 attending physicians (comprised of individuals who are specialty trained in pediatric cardiology, pediatric critical care, anesthesia, neonatology, and internal medicine), physician Instructors training in pediatric cardiac critical care, and over 15 advanced practice providers. Job Purpose Provides advanced nursing care to patients in a clinical setting in an area of specialization under the direction of a physician. Job Duties Day-to-day care of children with cardiac illness requires critical care. Participation in all CCM Section and CICU educational activities including case presentations, quality reviews, didactic teaching, and core lecture series Active role in education of trainees. Supervision of Fellows. Participation in on-call schedule for the CICU. Liaison and collaboration with stakeholders in CICU, PICU, neonatology, cardiology, and congenital heart surgery. Minimum Qualifications Education Required: For Nurse Practitioner: Master's degree in in Nursing. For Physician Assistant: Master's degree in Physician Assistant Studies. NOTE: Bachelor's degree in Physician Assistant Studies accepted based on terminal degree requirements at time of graduation. Certification/Licenses/Registration: For Nurse Practitioner: 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. For Physician Assistant: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Specialty certification as required by department. Current Pediatric Advance Life Support (PALS). Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Instructor - Nurse Practitioner or Physician Assistant

Summary The Department of Pediatrics, Section of Critical Care Medicine at Baylor College of Medicine and Texas Children's Hospital is seeking full-time faculty for the position of nurse practitioner with specific focus on critical cardiac disease. This position offers unique experience in our high-volume pediatric cardiac intensive care units, for an individual who wishes to pursue a career in pediatric cardiac critical care. The primary clinical site is at Texas Children's Hospital, the largest pediatric hospital in the United States, an affiliated hospital of Baylor College of Medicine. The section of Critical Care Medicine in the Department of Pediatrics is a multidisciplinary team of attending critical care physicians, advanced practice providers (nurse practitioners and physician assistants), post-doctoral fellows, and research support personnel committed to the care of patients suffering from a life-threatening illness or injury. The Cardiac Intensive Care Unit at Texas Children's Hospital is one of the highest volume programs in the world. The 48-bed unit is comprised of a Neonatal CICU, Pediatric CICU, and a first of its kind, Pediatric Heart Failure ICU. In addition to over 1000 congenital heart operations annually, TCH is home to an active heart failure program, a busy thoracic organ transplantation service, and one of the largest mechanical circulatory support and VAD programs in the world. In the CICU, the candidate will work alongside pediatric critical care and cardiology physician fellows, and will join the existing CICU Faculty encompassing over 30 attending physicians (comprised of individuals who are specialty trained in pediatric cardiology, pediatric critical care, anesthesia, neonatology, and internal medicine), physician Instructors training in pediatric cardiac critical care, and over 15 advanced practice providers. Job Purpose Provides advanced nursing care to patients in a clinical setting in an area of specialization under the direction of a physician. Job Duties Day-to-day care of children with cardiac illness requires critical care. Participation in all CCM Section and CICU educational activities including case presentations, quality reviews, didactic teaching, and core lecture series Active role in education of trainees. Supervision of Fellows. Participation in on-call schedule for the CICU. Liaison and collaboration with stakeholders in CICU, PICU, neonatology, cardiology, and congenital heart surgery. Minimum Qualifications Education Required: For Nurse Practitioner: Master's degree in in Nursing. For Physician Assistant: Master's degree in Physician Assistant Studies. NOTE: Bachelor's degree in Physician Assistant Studies accepted based on terminal degree requirements at time of graduation. Certification/Licenses/Registration: For Nurse Practitioner: 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. For Physician Assistant: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Specialty certification as required by department. Basic Life Support (PALS) Certification. Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Physician Assistant or Nurse Practitioner - Surgical Critical Care Night Shift

Summary The Trauma and Acute Care Surgery Division in the Michael E. DeBakey Department of Surgery is seeking a qualified Advanced Practice Provider to provide high quality critical care services under the direction of a physician at Baylor St. Luke's Medical Center. The candidate will be expected to provide clinical excellence and scholarly enthusiasm. The provider will have direct patient care responsibilities. The selected candidate will be appointed as a faculty Instructor and be eligible for full faculty benefits. Primary responsibilities include management of patients in the surgical ICU or thoracic surgical ICU at Baylor St. Luke's Medical Center overnight from 6:30 PM to 6:30 AM. This will include a variety of general surgery, transplant, vascular, cardiothoracic and general thoracic patients. Job Duties Obtain detailed history and perform physical examinations. Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient. Prescribes appropriate pharmacological and non-pharmacological treatments. Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures. Monitors and ensures accuracy of recording on patient medical records. Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician. Communicate with physicians, patients, and the family members of patients concerning patient care. Collaborates with providers, and practice staff in identifying appropriate patients for care management. Perform other job related duties as assigned. Minimum Qualifications Education Required: Master’s degree in Physician Assistant Studies or Nursing. NOTE: Bachelor's degree in Physician Assistant Studies accepted based on terminal degree requirements at time of graduation. Experience Required: None required. Certification/Licenses/Registration: Current license as a Physician Assistant by the State of Texas Physician Assistant Board or APRN license by the Texas Board of Nursing. Specialty certification as required by department. Basic Life Support (BLS) Certification. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Instructor- Nurse Practitioner - CHI The Woodlands Hospital

Baylor College of Medicine and Department Summary: The Section of General Internal Medicine at Baylor College of Medicine is dedicated to excellence in patient care, education, scholarly activities, and community engagement. As general internists, we apply scientific knowledge, clinical expertise and compassion to prevention, screening, diagnosis, and treatment of adult patients with a broad spectrum of medical conditions. We care for diverse patients in primary care outpatient settings as well as hospitalized patients. Our collaborative interdisciplinary teams practice at Baylor Medicine Clinic, Baylor St. Luke's CHI Hospitals (Medical Center, Sugarland, Vintage, Woodlands), Harris Health System (Ben Taub Hospital and Smith Clinic) and Michael E. DeBakey Veterans Affairs Medical Center. Summary The Section of General Internal Medicine at Baylor College of Medicine is seeking a Nurse Practitioner to provide services at CHI St. Luke's The Woodlands Hospital. The ideal candidates are patient-centered and committed to excellence in providing quality care. Job Duties Effectively identifies, evaluates, and addresses acute and chronic problems as well as disease prevention and health promotion issues of the patients while administering quality patient care. Works in an independent and interdependent relationship with the physician, which allows for consultation, collaboration, or referral. Responsible for initial consultation and/or follow up diagnosis and treatment of acute and chronic healthcare issues of clinic patients. Responsible for communicating test results and recommendations to patients and/or their caregivers. Responsive to the questions and concerns of patients and their family members. Educates patients and/or families about preventative care, medical issues, and use of prescribed medical treatments and or medications. Maintains accurate and confidential medical records. Documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals, and consultations consistent with state regulatory standards. Facilitates evaluation of records by physicians and peers and receives and implements constructive directives. Prepares cardiac clearance letters to referring physicians, for transplant and pre-operative clearance. Prescribes medications in accordance with prescriptive authority granted by the Texas Medical Board/Board of Nurse Examiners. Maintains professional certification as dictated by the Texas Medical Board/Board of Nurse Examiners. Follows latest ACC and AHA guidelines as protocol and standard of care which shall be defined to promote the exercise of professional judgment by the NP/PA commensurate with his/her education and experience. Review billing cases log Demonstrates a positive attitude in the workplace and is a leader in this regard. Provides follow up patient care within a private practice setting. Performs other duties as assigned. Minimum Qualifications Education Required: Master's degree in in Nursing. Experience Required: None required. 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
Planned Parenthood of Greater Texas

Nurse Practitioner / Physician Assistant

Overview The official job title for this position at PPGT is “Clinician”. The Clinician provides comprehensive reproductive healthcare services to patients at Planned Parenthood of Greater Texas (PPGT). Works as part of the Health Services team in collaboration with Health Services and other team members to meet the clinical needs of patients as outlined in affiliate protocols. Orders, interprets, and records results of clinical tests and consults with supervising physicians as needed. Prescribes medications and makes recommendations for other forms of treatment, including contraception. The Clinician is part of the medical services team providing sexual and reproductive healthcare as outlined in affiliate protocols. Provides services by telehealth and/or in-person visits including: history review, health education, physical exam, counseling, diagnosis, and treatment according to protocols. The Clinician works in partnership with management, Health Services and Chief Operating and Medical Services Officer (COMSO) to provide the highest quality of patient care and excellent patient experience. Participates as a member of a team providing confidential, quality healthcare services, allowing patients to maintain a sense of dignity, trust and safety. There is a dual reporting structure for clinicians. Clinicians report directly to the Health Services Regional Director and clinical supervision is provided by the Director of Clinical Services. Performs duties to ensure productivity expectations, patient satisfaction, customer service, and compliance standards are maintained. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities • Performs physical examinations with special emphasis on the reproductive system including breast examinations, pelvic/genital, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized services or procedures as may be indicated by medical policy or protocols (e.g. gender affirming hormone therapy-GAHT). • Orders, and interprets diagnostic studies as indicated and permitted by medical protocols. Performs lab testing per Clinical Laboratory Improvement Amendments (CLIA) regulations and according to PPGT’s lab manual or manufacturer’s directions. • Provides patient care according to all Medical Standards and Guidelines and/or the specific direction of a supervising physician. Consults with organization COMSO or designee when deviates from PPGT Medical Standards and Guidelines (MS&Gs). • Provides relevant health instruction and education to include family planning, sexual counseling, and principles of health promotion • and maintenance. • Documents exam findings and other clinical aspects of direct patient care into the medical record accurately. • Codes billable services accurately based on medical record documentation using accepted practices, i.e. Evaluation and Management (E&M), Current Procedural Terminology (CPT) and diagnosis codes (ICD-10). • Ensures conformity with the policies and procedures of the affiliate, Texas Medical Practice Act, Physician Assistant Licensing Act, Texas Nurse Practice Act, and rules promulgated under those acts. • Recognizes ethical, legal, and professional issues inherent in providing care to health center patients throughout the life cycle. • Initiates and monitors appropriate follow-up according to PPGT Medical Standards and Guidelines on all abnormal test results and referrals. • Remains well informed about current contraceptive technology and reproductive and sexual healthcare issues. • Develops and maintains a collaborative working relationship with the Health Center Manager and support staff resulting in a team effort in meeting center goals. • Develops a level of time management that is conducive to seeing 3-4 clinician visits per hour meeting productivity goals and expectations. • Takes an active role in managing patient satisfaction by practicing patient centered care and providing exemplary customer service to patients. • Responds to medical emergencies as provided in the medical protocols and is responsible for maintenance of emergency box • May assist in supervising and participating in the orientation and proctoring of new clinicians. • Administers, supplies, or prescribes medications/devices, including injections, per delegated orders of the Pharmacist-in-charge and the Chief Medical Officer as outlined in The Manual of Medical Standards and Guidelines and Pharmacy Manual and as per Title 22, Part 11, Chapter 22 of the Texas Administrative Code. • Maintains an active Prescriptive Authority Agreement which is reviewed with authorizing physician annually. Holds Quality Assurance and Improvement meetings and chart reviews as required by the PAA between the authorizing physician and the clinician. • Has unrestricted access to patient protected health information (PHI) on paper and electronic forms health records for purposes of treatment, payment, and/or healthcare operations. The use of a patient’s protected health information should be limited to information needed for the specific task that is being performed or requested by the individual patient. Disclosure of any patient information must be for purposes of treatment, payment or healthcare operation OR must be accompanied by a valid patient authorization. Must adhere to minimum necessary rule. • Embraces the organization’s In This Together customer service standards and uses them with internal and external customers, every person, every time. • Duties and responsibilities may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing. Qualifications Minimum Education Master’s degree (or equivalent) and certification in specialty as a Family Nurse Practitioner (FNP), Women’s Health Nurse Practitioner (WHNP), Certified Nurse Midwife (CNM), Primary Care Nurse Practitioner, or Physician Assistant (PA). Minimum Experience Experience as a Nurse Practitioner, Nurse Midwife, or Physician Assistant in reproductive healthcare or women’s health strongly preferred. In the absence of advance practice experience, candidates must have direct patient care experience (in addition to clinical rotation/externship/internship hours) such as a RN, LVN, Medical Assistant, laboratory technician in a supervised clinical setting such as: hospital, ambulatory surgery center, clinic, nursing home or other related medical setting (excluding home care). Required Licenses or Certifications License to practice as an Advanced Practice Nurse with prescriptive authority in the State of Texas or License to practice as a Physician Assistant by the Texas Medical Board. Must be able to obtain and maintain appropriate licenses listed above and appropriate national certification (NCC, AMCB, AANP, ANCC, or NCCPA) and basic cardiopulmonary resuscitation (CPR) BLS certification course taught by the either American Heart Association (AHA) or American Red Cross (ARC). Agency Standards Must have excellent computer skills with knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Internet. Must have the willingness and ability to adapt to change including advances or new technology. Must have excellent customer service skills and be committed to providing the highest level of customer satisfaction. Other PPGT is an equal opportunity employer. We strictly prohibit unlawful discrimination of any kind, including discrimination on the basis of age; race, color, ancestry, national origin, or ethnicity; citizenship status; sex or gender; gender identity or gender expression or transgender status (including the individual's actual or perceived sex and the individual's gender identity, self-image, appearance, behavior, or expression); sexual orientation (including actual or perceived heterosexuality, homosexuality, bisexuality and asexuality); mental or physical disability; AIDS, AIDS Related Complex, or HIV status; perception of risk of HIV infection; or association with individuals who are believed to be at risk; religion or creed; genetic information; pregnancy status, including related medical conditions; marital status; past, current, or prospective service in the uniformed services; or any other basis protected by law. We are a drug-free and tobacco-free workplace. Applicants have rights under the Federal Employment Laws. To view these notices, please click on the following links: Family and Medical Leave Act (FMLA) poster: Equal Employment Opportunity (EEO) poster; and Employee Polygraph Protection Act (EPPA) poster. Required Knowledge, Skills, and Abilities • Must be able to work all health center hours of operation including evenings and weekends. • Performance of job duties in a health center and/or virtual telehealth environment as defined by position requirements. • Must be able and willing to travel to other locations as needed to provide clinician coverage to centers. • Bilingual in Spanish/English desired. • Demonstrates continued competency in meeting educational and professional standards. • Ability to adhere to the medical protocols of the organization and Planned Parenthood Federation of America (PPFA). • Ability to think strategically and achieve organization’s goals relating to position. • Ability to adhere to the compliance and regulatory requirements pertaining to position. • Possess effective analytical skills. • Strong organizational skills and ability to multi-task. • Ability to manage details and complexity, to handle a variety of tasks simultaneously and to work under pressure. • Ability to exercise initiative, sound judgment, and problem-solving techniques in the decision-making process. • Ability to effectively use organization’s computer systems. • Skilled in verbal and written communications. • Be discreet and safeguard confidential information. • Possess integrity and compliance – can be relied upon to act ethically. • Ability to provide effective, equitable, understandable, and respectful quality care and services that are responsive to the diverse cultural health beliefs and practices, preferred language, health literacy and other communication needs. • Ability to work effectively as a team member. • Ability to lead, manage, direct, and motivate diverse groups of people and possess the skills to delegate and supervise subordinates. • Organizational Awareness: Demonstrates a comprehensive awareness of the impact and implications of decisions and actions on other areas (departments or clinics) within the organization. • Industry Awareness: Remains aware PPFA accreditation standards and of the reproductive health environment’s regulatory compliance requirements. Understands how accreditation standards, regulatory agencies, funding, the external marketplace and competitive environment drives change within the organization. • Work Management: Effectively manages time as a resource; establishes realistic priorities; schedules own time and activities effectively; gives balanced focus and attention to appropriate long- and short-term priorities. Develops action plans and budgets; leverages technology; anticipates obstacles; establishes check points and monitors progress. • Recovery Skills: Responds effectively and acknowledges responsibilities when clients (internal or external) experience problems or mistakes; rectifies the situation to restore client satisfaction; seeks information and collaborates with others to take action to implement permanent fixes. Maintains stable performance and emotions when faced with opposition, pressure, and or stressful conditions. • Interpersonal Sensitivity: Acts in a way that indicates understanding and accurate interpretation of others’ concerns, feelings, strengths and limitations. Uses interpersonal understanding to shape one’s own response. • Building Relationships: Shows genuine interest in others’ needs and opinions; establishes rapport; earns the confidence and trust of others; demonstrates consistency between words and actions; delivers on commitments. • Adaptability or Flexibility: Responds with flexibility to shifting priorities and changing work situations; recovers quickly from problems and setbacks; develops new skills to remain competitive. Adapts easily to change, sees the merits of differing positions, and adapts own positions and strategies in response to new information or changes to a situation. • Coping with Demands of the Position: Uses effective problem solving while working under stress, high volume of work demands and/or time demands; regularly meets deadlines. • Exemplify the organization’s In This Together values: We Tend to the Team; We Respect and Honor All People; We Jump In; We Try and We Learn; We Care for our Business; and We Return to our Mission. Essential Physical Requirements/Working Conditions Must be able to bend, stoop, kneel, crouch, reach, and grasp. Must be able to stand, particularly for sustained periods of time. Must be able to move about on foot to accomplish tasks, such as moving from one work site to another. Must be able to push/pull. Must be able to work primarily with fingers such as picking, pinching, or typing. Must be able to perceive attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Must be able to communicate effectively. Will have substantial movements of the wrists, hands, and/or fingers. Must be able to lift and/or exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or negligible amount of force constantly to move objects. Subject to hazards including a variety of physical conditions such as proximity to moving mechanical parts, moving vehicles, electrical current, or exposure to infectious diseases. Must be able to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices. Health Center environment.
Baylor College of Medicine

Instructor - Physician Assistant or Nurse Practitioner

Summary Job Purpose Provides advanced patient care to patients in a clinical setting in an area of specialization under the direction of a physician. Job Duties Obtain detailed history and perform physical examinations. Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient. Prescribes appropriate pharmacological and non-pharmacological treatments. Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures. Monitors and ensures accuracy of recording on patient medical records. Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician. Communicate with physicians, patients, and the family members of patients concerning patient care. Collaborates with providers, and practice staff in identifying appropriate patients for care management. Perform other job related duties as assigned. Minimum Qualifications For Nurse Practitioners: Masters degree in in Nursing. Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Current Texas Licensure as an Advanced Practice Nurse (APRN) For Physician Assistant: Masters degree in Physician Assistant Studies. NOTE: Bachelor's degree in Physician Assistant Studies accepted based on terminal degree requirements at time of graduation. Experience Required: Relevant experience preferred but not required. Certification/Licenses/Registration: For Physician Assistant: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Specialty certification as required by department. For Nurse Practitioners: Pediatric Acute Care Certification (CPNP-AC) Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Physician Assistant or Nurse Practitioner - Cardiothoracic Surgery, The Woodlands

Summary The Division of Cardiothoracic Surgery in the Michael E. DeBakey Department of Surgery is seeking a qualified Advanced Practice Provider to provide high quality surgical first assist skills for two specialties, cardiothoracic and surgical oncology, at the St. Luke's Health in the Woodlands. Candidate will be expected to provide clinical excellence and work well with an established team. The provider will have direct patient care responsibilities. The selected candidate will be appointed as a faculty Instructor and be eligible for full faculty benefits. Job Duties Primary responsibilities include First Assisting for Cardiothoracic surgery patients. Secondary responsibilities include daily rounding and management of ICU and floor patients. First assist experience required. Serve as a First Assist for Cardiac, Vascular, Thoracic and Surgical Oncology surgeries Perform endoscopic saphenous vein harvest Help transport patients to and from the operating room Give appropriate sign out to the ICU or hospitalist teams depending on patient acuity Place postoperative orders Evaluate and develop treatment plan inpatient consults for Cardiac, Vascular and Thoracic pathologies Obtain detailed history and perform physical examinations Formulate assessments and plans and evaluate the patient response to care Order and interpret appropriate diagnostic procedures, including, but not limited to x-rays, electrocardiograms, laboratory tests, and CT imaging Removal of chest tubes as indicated Placement of central lines, arterial lines and chest tubes as indicated Prescribe appropriate pharmacological and non-pharmacological treatments Instruct patients on prescribed therapeutic regimens, home care and health maintenance Ensure timely and accurate documentation in the EPIC electronic medical record system Collaborate closely with ICU physicians and nurses to manage critically ill patients following surgery Evaluate and develop treatment plan for post-operative surgical patients in outpatient setting Provide guidance and work directly with clinical support staff including nurses, medical assistants, and clinic coordinators Communicate with physicians, patients, and family members of patients concerning patient care Promote a positive work environment with a team-based approach through supportive and respectful interactions with peers, staff, learners, and faculty Other duties as assigned Minimum Qualifications Education Required: Physician Assistant Candidates: Master’s degree in physician assistant studies. Bachelor’s degree in physician assistant studies accepted based on terminal degree requirements at time of graduation. Nurse Practitioner Candidates: Master’s degree in nursing. Certification/Licenses/Registration: Physician Assistant Candidates: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Nurse Practitioner Candidates: 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). Experience Required: Minimum 2 years experience as first assist. Specialty certification as required by department. Basic Life Support (BLS) Certification. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Neurology- Instructor - Nurse Practitioner

Summary The Department of Neurology at Baylor College of Medicine provides personalized care for patients with neurological disease, trains medical students and residents in clinical care and research, conducts research to advance the art and science of neurology, and provides meaningful new therapies for patients. Job Purpose The Department of Neurology is looking to recruit an Advance Practice Provider for the Epilepsy service. A successful candidate will be able to treat patients in a clinical setting under the direction of a physician. Minimum Qualifications Education: Master’s degree in Nursing. Experience: Prior Nurse Practitioner experience. Must be comfortable practicing with a high degree of autonomy. Licensure/Certification: Current Texas RN license. Current Texas APRN‑NP license with required specialty certification. Basic Life Support (BLS) certification. Preferred Qualifications Strong communication skills with the ability to address health concerns with patients in a clear and respectful manner. Ability to display a professional and positive attitude. Ability to work independently and collaboratively across the Practice. Detail-oriented, self-motivated, efficient, and strong organizational skills. Proficiency in Epic (electronic medical record). Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine

Instructor- Nurse Practitioner or Physician Assistant (Inpatient Pediatric Heme-Onc)

Summary The Pediatric Hematology/Oncology Division in the Department of Pediatrics at Baylor College of Medicine and Texas Children's Hospital is recruiting Inpatient Pediatric Hematology-Oncology Advanced Practice Providers to work in the inpatient setting. Scope of practice: Covers inpatient hematology & oncology patients for either 8,10, or 12 hour shifts during the daytime. Inpatient teams included are Leukemia/Lymphoma/Histiocytosis, Solid Tumor/Neuro Oncology/Vascular, and Hematology consults. Works as part of a multidisciplinary team including an Attending Hematologist or Oncologist to provide care for current and new inpatients on the acute care floor. Participates in multidisciplinary rounds including medical, nursing, and pharmacy personnel to provide optimal patient care. Provides all patient care for assigned patients including but not limited to daily rounding/notes, calling consults, all order writing including chemotherapy, completing admission and discharge planning and paperwork. This includes coordination of care, consenting, and arranging follow up appointments/procedures. Ensures appropriate sign-out of patients under their care. Job Purpose Provides advanced nursing care to patients in a clinical setting in an area of specialization under the direction of a physician. Job Duties Obtain detailed history and perform physical examinations. Perform, order, and interpret diagnostic procedures in accordance with relevant health concerns of the patient. Prescribes appropriate pharmacological and non-pharmacological treatments. Maintain records and write orders and progress notes in patient charts as to status, treatments, and procedures. Monitors and ensures accuracy of recording on patient medical records. Provide follow-up health maintenance care to patients in accordance with protocols established with the supervising physician. Communicate with physicians, patients, and the family members of patients concerning patient care. Collaborates with providers, and practice staff in identifying appropriate patients for care management. Perform other job related duties as assigned. Minimum Qualifications Education Required: For Nurse Practitioners: Master’s degree in nursing. Acute Care Certification (CPNP-AC) required. For Physician Assistants: Master's degree in Physician Assistant Studies. NOTE: Bachelor's degree in Physician Assistant Studies accepted based on terminal degree requirements at time of graduation. Experience Required: None required, though preferred. Certification/Licenses/Registration: For Nurse Practitioner: Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Current Texas Licensure as an Advanced Practice Nurse (APRN), and acute care certification (CPNP-AC) required. For Physician Assistant: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Specialty certification is required by department. Pediatric Advanced Life Support (PALS) certifications Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.