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Pediatric Nurse Practitioner Acute Care or Physician Assistant - PICU & CICU

Texas Children's Hospital·Austin, Texas

Full Time·On Site·2-5 yrs·Posted 2 months ago
Practice for this role

About the role

Provide comprehensive, age-appropriate health maintenance and acute care for pediatric patients in the PICU and CICU. Responsibilities include performing assessments, formulating differential diagnoses, and collaborating with a multidisciplinary healthcare team to implement treatment plans.

We are searching for a Physician Assistant or a Pediatric Nurse Practitioner Acute Care Certified who is motivated to work in an exciting pediatric setting!

In this position, you will practice in an advanced role to provide developmentally appropriate and age-appropriate health maintenance for well children, episodic care for ill children, and comprehensive care for children with chronic conditions.

The NP or PA works under a delineation of clinical privileges and will work collaboratively with other members of the health care team.

Practice under established guidelines and clinical protocols, the APP assumes independent and interdependent responsibilities in the assessment, diagnosis and initiation of treatment and procedures.

Job duties are performed in a manner that is developmentally appropriate for the ages of patients served.

As an advanced practice provider, the NP or PA is responsible for education, research, consultation, and evaluation of clinical practice at various levels.

This position includes PICU and CICU. There is a rotating schedule that includes 12 hour shifts including days, nights and weekends.

Qualifications

Physician Assistant

  • Required Bachelor's Degree
  • PA
  • Cert-Physician Assistant by the Texas Medical Board
  • PICU and CICU experience strongly preferred.

Nurse Practitioner

  • Master’s degree in nursing required
  • RN license from the Texas Board of Nursing or Nursing Licensure Compact required
  • PNP-AC strongly preferred
  • FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP from the Texas Board of Nursing required

Responsibilities

Physician Assistant

Provide medical services that are within the education and training of the Physician Assistant within the scope of practice and delegation of the supervising physician

Obtain a comprehensive health, developmental, and family history on patients and documents appropriately in the patient’s medical record

Differentiate between normal and abnormal findings and documents appropriately in the patient’s medical record

Prescribe or administer medications as delegated by the supervising physician and documents in medical records

Administer appropriate vaccines as observed by physicians and documented in medical records

Order diagnostic tests consistent with differential diagnoses derived from gathered data as evidenced by types of tests ordered

Foster collaboration with the interdisciplinary team to improve health care

Establish a relationship with the patient/family characterized by mutual respect, empathy, and collaboration As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

Nurse Practitioner

Daily uses advanced practice knowledge and skills to systematically collect and evaluate health assessment data and manage patients' caseload. Obtains a comprehensive health, developmental, and family history on patients as documented in the patient’s medical record.

Assess the patient’s physical status through the physical examination as documented in the patient’s medical record.

Differentiates between normal and abnormal findings as documented in the patient’s medical record.

Performs or recommends age-appropriate health screening procedures as documented in the patient’s medical record.

Provides health maintenance and health promotion for children of all ages as documented in the patient’s medical record.

Performs and evaluates diagnostic procedures and laboratory tests as documented in the patient’s medical record.

Analyzes multiple sources of data and formulates a differential diagnosis in collaboration with physicians as demonstrated in the written documentation.

Follows established delegation protocols to manage specific patient problems. Formulates a plan of care in collaboration with other health care professionals and documents the plan in the patient’s medical record.

Accurately evaluates patient’s responses to interventions and modifies the plan of care demonstrated by written documentation.

Accurately presents and documents the data, impression, and plan of care on all patients as demonstrated in the written documentation.

Consistently demonstrates effective communication skills and works to eliminate communication barriers.

Collaborates effectively with other members of the health care disciplines to provide comprehensive care to patients.

Utilizes effective and appropriate interviewing skills to elicit information from patients and/or family and collaborates with them in developing the care plan.

Requests consultation and/or initiates referral for specialized care as appropriate. Communicates with health care team members the comprehensive assessment, impression, and plan of care.

Consistently serves as an educational resource for the patient and family, community, and other health care professionals.

Consistently applies new knowledge relevant to pediatric nursing to clinical practice.

Demonstrates current professional, managerial, and/or technical knowledge and skills. Maintains knowledge base by reading professional literature, attending staff development, and continuing education programs annually. Participates in department and hospital committees, which promote quality nursing, care as assigned.

Texas Children’s presence in Austin helps support a pediatric population of more than half a million and keeps kids healthy and happy from birth to adulthood.

Texas Children’s first health care location in Austin, Texas Children’s Urgent Care West Gate, opened in March 2018, providing high quality pediatric-focused care after hours and on weekends.

There are now more than 15 Texas Children’s Pediatric primary care practices in the greater Austin area providing full-service family care including routine childhood immunizations, well visits, and sick care.

Our Specialty Care Center in Austin includes a multidisciplinary group of pediatric specialists committed to providing comprehensive care across a wide spectrum of services.

Texas Children’s Hospital North Austin, is our new state-of-the-art facility providing world-class pediatric and maternal care to Austin families.

To join our community of more than 15,000 dedicated team members, visit texaschildrenspeople.org [https://clicktime.symantec.com/15xWC4fUiyXC26ijjYEvv?h=cDmevvDiYWPjwR64iysCuyykn62t7w3YHzzea4d09Pw=&u=https://www.texaschildrenspeople.org/].

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Requirements

Requires a Bachelor's degree for PAs or a Master's degree for NPs, along with valid Texas state licensure. Certification in Pediatric Nurse Practitioner Acute Care (PNP-AC) or equivalent is strongly preferred or required depending on the role.

  • bachelor degree
  • professional certificate
  • postgraduate degree
  • Case Management
  • Patient Assessment
  • Patient Education
  • Treatment Planning
  • Diagnosis
  • Diagnostic Testing
  • Interdisciplinary Collaboration
  • Acute Care
  • Medical Documentation
  • Physical Examination
  • Pediatric Care
  • Vaccine Administration

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Austin, Texas
Posted
May 14, 2026
Application
Employer website
TC

Hiring organization

Texas Children's Hospital

Texas Children’s Hospital is a world-class pediatric facility, nationally recognized as a top children’s hospital, and voted one of the best places to work in Houston for nine years running. We’re committed to creating a healthy community for children by providing the best...

IndustryHospitals and Health Care
TypeNonprofit
Size10,001+ employees
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Demonstrates NP role behaviors consistent with the development of advanced nursing practice.

Participates in departmental Quality Improvement program annually. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

Market context

Texas NP roles need dual licensure

Advanced-practice roles in Texas often draw steady demand in hospitals, clinics, and specialty practices, especially where employers need clinicians who can manage complex patient care and work independently. These positions are competitive because they typically require a Master’s in Nursing, active Texas RN and APRN-NP licensure, BLS, and a specialty certification; review the AI-summarized requirements and benefits here to quickly compare fit and save time on the original posting. Before applying, confirm your Texas BON credentials and specialty certification match the role’s exact scope.

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