Acute Care Nurse Practitioner Jobs in Texas
Acute Care Nurse Practitioner jobs in Texas are among the most active in the country, with strong demand across large urban hospital systems, Level I trauma centers, and specialty care networks serving one of the nation's fastest-growing populations. Most hiring is concentrated in Houston, Dallas, and San Antonio, where major systems like HCA Healthcare, Baylor Scott and White Health, and UT Health operate flagship facilities and regional networks. The highest-demand sub-specialties include critical care, cardiology, and emergency acute care. Find a role that fits below and apply directly.
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At Houston Methodist, the Nurse Practitioner Acute Care (NP) AC (ACLS) position is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and promoting the health of the patient. This position may work in both inpatient and outpatient situations and performs according to the Nurse Practice Act of the State of Texas and as part of a treatment team. The NP AC (ACLS) position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments. This position may also conduct physicals, order tests and serve as a patient's healthcare provider, prescribing medications as appropriate. The NP AC (ACLS) position affects direct patient care according to the Houston Methodist Professional Practice Model, Nursing Practice and Professional Performance policies and procedures.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
Master’s degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program
Experience
Two years of registered nurse, advanced practice or nurse practitioner clinical experience
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- APRN Acute Care state license
- Magnet ANCC-recognized Acute-Care practitioner certification
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
- AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV
- DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills
- Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
- Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
- Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
- Demonstrates proficient time management skills
- Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals.
- Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork.
- Collaborates with the interprofessional healthcare team members to manage/coordinate patient care. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns.
- Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. Serves as preceptor for Nurse Practitioner students and medical resident(s), as applicable. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
SERVICE ESSENTIAL FUNCTIONS
Coordinates appropriate, timely patient care under physician supervision, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient.
- Prioritizes care based on the patient’s needs, abilities, and preferences.
- Coordinates patient care between healthcare providers. Attends and participates in interprofessional rounds, as appropriate.
- Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Assists the interprofessional healthcare team in the development and implementation of protocols to ensure patient safety. Affects direct patient care according to the Nurse Practice Act of the State of Texas and the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance.
- Conducts health assessments (initial, ongoing, discharge, as appropriate). Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s).
- Performs invasive, diagnostic, or therapeutic procedures necessary for defined patient population(s) based on licensure and credentialed privileges.
- Provides safe and effective care by leading and initiating outcome, quality, and safety improvement activities in alignment with organizational goals. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.
FINANCE ESSENTIAL FUNCTIONS
Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications.
- Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement.
- Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): Yes
ON-CALL
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call Yes
TRAVEL
Travel specifications may vary by department
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.
Houston Methodist is an Equal Opportunity Employer.
At Houston Methodist, the Nurse Practitioner Acute Care (NP) AC (ACLS) position is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and promoting the health of the patient. This position may work in both inpatient and outpatient situations and performs according to the Nurse Practice Act of the State of Texas and as part of a treatment team. The NP AC (ACLS) position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments. This position may also conduct physicals, order tests and serve as a patient's healthcare provider, prescribing medications as appropriate. The NP AC (ACLS) position affects direct patient care according to the Houston Methodist Professional Practice Model, Nursing Practice and Professional Performance policies and procedures.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
Master’s degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program
Experience
Two years of registered nurse, advanced practice or nurse practitioner clinical experience
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- APRN Acute Care state license
- Magnet ANCC-recognized Acute-Care practitioner certification
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
- AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV
- DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills
- Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
- Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
- Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
- Demonstrates proficient time management skills
- Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals.
- Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork.
- Collaborates with the interprofessional healthcare team members to manage/coordinate patient care. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns.
- Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. Serves as preceptor for Nurse Practitioner students and medical resident(s), as applicable. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
SERVICE ESSENTIAL FUNCTIONS
Coordinates appropriate, timely patient care under physician supervision, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient.
- Prioritizes care based on the patient’s needs, abilities, and preferences.
- Coordinates patient care between healthcare providers. Attends and participates in interprofessional rounds, as appropriate.
- Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Assists the interprofessional healthcare team in the development and implementation of protocols to ensure patient safety. Affects direct patient care according to the Nurse Practice Act of the State of Texas and the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance.
- Conducts health assessments (initial, ongoing, discharge, as appropriate). Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s).
- Performs invasive, diagnostic, or therapeutic procedures necessary for defined patient population(s) based on licensure and credentialed privileges.
- Provides safe and effective care by leading and initiating outcome, quality, and safety improvement activities in alignment with organizational goals. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.
FINANCE ESSENTIAL FUNCTIONS
Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications.
- Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement.
- Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): Yes
ON-CALL
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call Yes
TRAVEL
Travel specifications may vary by department
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.
Houston Methodist is an Equal Opportunity Employer.
See All 71 Acute Care Nurse Practitioner Jobs in Texas
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Find JobsAcute Care Nurse Practitioner Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Acute Care Nurse Practitioner Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Baylor Scott & White Health25
- Houston Methodist23
- UT Southwestern Medical Center5
- UTHealth Houston4
- Methodist Healthcare System2
Top Industries Hiring
- Healthcare & Medical Services21
- Education3
- Agriculture & Farming3
What Texas Employers Look For
The qualifications that appear most often in acute care nurse practitioner jobs across Texas.
- Active Texas APRN license with acute care certification from ANCC or AANP required
- Master's or doctoral degree in nursing with an acute care nurse practitioner focus
- Current BLS and ACLS certification required for all clinical settings
- Minimum one to two years of acute care or ICU clinical experience preferred
- Collaborative practice agreement with a physician as required under Texas law
- Proficiency with electronic health record systems, commonly Epic or Cerner
Acute Care Nurse Practitioner Jobs in Texas: Frequently Asked Questions
How do you become a acute care nurse practitioner in Texas?
You must earn a Master of Science in Nursing or Doctor of Nursing Practice with an acute care nurse practitioner concentration, then pass the ANCC Acute Care NP or AANP AG-ACNP certification exam. After passing, you apply for an Advanced Practice Registered Nurse license through the Texas Board of Nursing. Texas also requires a signed collaborative practice agreement with a supervising physician before you can prescribe, so securing that agreement early is a critical step most new graduates must plan for.
How much do acute care nurse practitioners make in Texas?
Acute care nurse practitioners in Texas earn a median of about $131,670 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $96,880 for the lowest 10% to over $161,980 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire acute care nurse practitioners in Texas?
Employers hiring acute care nurse practitioners in Texas right now include Baylor Scott & White Health, Houston Methodist, and UT Southwestern Medical Center, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems consistently post the most openings, particularly for critical care and hospital-based acute care roles.
Which Texas cities have the most acute care nurse practitioner jobs?
Houston, Dallas, and Temple have the most acute care nurse practitioner openings in Texas. Houston drives volume through its Texas Medical Center, one of the largest medical complexes in the world, while Dallas and San Antonio benefit from dense concentrations of Level I trauma centers, academic medical facilities, and major regional health systems that sustain high ongoing demand.
Are there remote acute care nurse practitioner jobs in Texas?
Yes, but they're rare. Acute care nurse practitioners provide hands-on clinical care in hospital and acute settings, which means the vast majority of roles require physical presence. About 0% of acute care nurse practitioner openings tied to Texas are remote or hybrid as of August 2026. The portions of the role most likely to have remote flexibility are telehealth follow-up consults and remote patient monitoring positions affiliated with large Texas health systems.
How can I get hired as a acute care nurse practitioner in Texas with little or no experience?
The most realistic entry path is a new-graduate NP residency or fellowship program, and several large Texas systems offer them, including UT Southwestern Medical Center, Houston Methodist, and Baylor Scott and White Health. These programs provide supervised acute care rotations that substitute for prior independent NP experience. Candidates who transition from RN roles in the ICU or emergency departments at the same institution also have a strong advantage, as internal mobility is common at major Texas health systems and existing clinical familiarity carries real weight.
Where can I find and apply to acute care nurse practitioner jobs in Texas?
You can find and apply to acute care nurse practitioner jobs in Texas on Migrate Mate, which lists current Texas openings across hospital systems, specialty practices, and acute care facilities. Find roles that fit your experience and credentials and apply directly to each one.
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