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Psychiatric Nurse Practitioner 

EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
About the Organization Hill Country Mental Health and Intellectual and Developmental Disabilities Centers is a unit of local government and a not-for-profit, 501C provider of Mental Health and Intellectual Developmental Disabilities, Substance Abuse, and Veteran Peer Services throughout the greater Texas Hill Country Region. Hill Country MHDD Centers is designated to be the Mental Health Authority by the Texas Department of State Health Services (DSHS) and the Intellectual and Developmental Disability Authority by the Department of Aging and Disability Services (DADS) for a 19 County Service Area including: Bandera, Blanco, Comal, Edwards, Gillespie, Hays, Kendall, Kerr, Kimble, Kinney, Llano, Mason, Medina, Menard, Real, Schleicher, Sutton, Uvalde and Val Verde Counties. With a Mission of Promoting Independence, Community Integration and Recovery, HCMHDD Centers operates (10) ten Mental Health Clinics, (8) Developmental Disability Centers and serving a population of over 630,349 consumers within 22,593 square miles.

Scope of Services

• Adult Mental Health

• Crisis Stabilization Unit

• Children's Mental Health

• Substance Abuse Disorder

• Intellectual Developmental Disabilities

• Veterans Services

Category Nursing  

Hill Country Mental Health and Developmental Disabilities Centers

Job Title: Psychiatric Nurse Practitioner

About our Agency

Hill Country MHDD Centers, the Local Mental Health Authority is located within the Beautiful Texas Hill Country Region. We are located less than an hour from San Antonio big city attractions and 30 miles from the lovely Wine Country Region in Fredericksburg. HCMHDD Centers provides a host of Behavioral Health Care Services to over 630,000 consumers within a 19 County region covering 22,593 square miles. In addition to our Crisis Stabilization Unit we provide Case Management Counseling, Pharmacological Management, Medication Training and Support, Psychiatric Rehabilitation, Skills Training, Engagement Activities and Supported Employment and Housing. We also provide Children's Mental Health services to youth, ages 3 throughout 17, Substance Abuse Services, Veteran Services and Supports to Individuals with Pervasive Developmental Disorders.

Job Overview:

Under the supervision of the Medical Director and Supervising Physician, the Nurse Practitioner (NP) will perform advanced clinical medical care to adults in a 16-bed Crisis Stabilization Unit and various HCMHDDC out-patient clinics. The work involves assisting, planning and providing comprehensive patient care independently or in collaboration with other members of an interdisciplinary team. The NP will direct medical activities/treatment: monitor trends and activities, making recommendations for improvement.

The NP will work collaboratively with intra-agency teams of psychiatric providers, clinicians, case managers, skills trainers, peers and others. Qualified candidates must be knowledgeable in working with adults with mental health needs.

Essential Duties/Responsibilities:

  • The Psychiatric Nurse Practitioner will provide medication management and consultation with our psychiatric and interdisciplinary team.
  • Possess skills in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment
  • Possess knowledge of the principles of development, implementation and documentation of case histories and individualized care of treatment
  • Diagnose, treat and help prevent mental, emotional and behavioral disorders
  • Prescribe, direct and administer psycho therapeutic treatments and medications.
  • Reviews, evaluates and collaborates with other professionals regarding treatment plans, client progress and outcomes
  • Confers on the diagnosis and direction of treatment with client, significant others, agency clinicians and with the client's other treatment providers.
  • Participates in mental health and service utilization audits, peer review and quality assurance activities.
  • Facilitates referrals to appropriate internal and/or external resources where indicated.
  • Reviews, approves and signs Treatment Plans and Assessments for assigned clients.
  • Thoroughly documents diagnosis, treatment and all aspects of such illness(es) in accordance with applicable OARs and industry standards.
  • Submits timely documentation of services provided using Electronic health Records and collaborative documentation.
  • Participates in phone response on-call schedule
  • Manages time and caseload effectively.
  • Candidate must be able to work independently and flexibility, under general supervision

HCMHDD Centers offers an excellent compensation package and benefits; paid medical, short- and long-term disability, 403 (b) with 6% match - and more. In addition to our robust benefits package, this position is eligible for relocation expense reimbursement, on-call pay, student loan forgiveness, licensing fees and continuing education.

Note: Independent contractors are encouraged to apply through the online portal as well!

Position Requirements

Education and/or Work Experience Requirements:

  • Advanced Degree in Nursing - Psychiatric APN
  • Licensed as a Psychiatric APN by the Texas State Board of Nursing
  • Experience working in a Community Mental Health setting and ANCC Certification as a Psychiatric - Mental Health CP - Preferred


  • Valid Texas Driver's License
  • Current Automobile Insurance
Full-Time/Part-Time Full-Time  
Shift -not applicable-  
Compensation Compensation commensurate with experience  
On-Call Pay Schedule (If applicable) Paid On-Call Optional  
Position Nurse Practitioner  
Req Number NUR-19-00012  
Location Various Locations within the 19 County Service Area  

This position is currently not accepting applications.

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