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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WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Department of Internal Medicine, Division of Hospital Medicine is looking for a provider to join their growing team! This provider will promote, provide, and maintain patient care under physician supervision and in collaboration with a multi-disciplinary healthcare team. This Acute Care Nurse Practitioner or Physician Assistant (APP) will obtain and record complete medical history, perform physical exams according to departmental protocols; obtain and interpret laboratory tests according to departmental protocols; assess patient database and identify biopsychosocial needs; develop and implement patient management plan; initiate and manage preventative healthcare; and provide relevant counseling and education to patients and significant others within role limitation. 7 on / 7 off. 7p-7a. Veterans are encouraged to apply.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare - no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
Education
Master's Degree Graduate of a Master's degree or higher Accreditation Review Commission on Education for the Physician (ARC-PA) accredited Physician Assistant program OR Master’s degree or higher in nursing, documentation of completion of accredited Advanced Practice Education Program. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population.
Licenses and Certifications
- (NCCPA) NAT COMM ON CRFT PHY ASST Certification by the National Commission of Certification of Physician Assistants (NCCPA) Certification Upon Hire and
- (PA-C) Phy Assistant - Certified Licensed by the Texas Physician Assistant Board Upon Hire and
- Current applicable (ACLS) American Heart Association Life Support certification(s) based on UT Southwestern policy for Advanced Practice Providers Upon Hire OR
- Licensure as Advanced Practice Registered Nurse by Texas State Board of Nursing. Authorization for prescriptive authority by the Texas Board of Nursing. Acute Care certification.
Preferred
Experience
1 year relevant clinical experience
JOB DUTIES
- Conducts and documents comprehensive initial and ongoing physical examinations based on age and diagnosis, including psychological status.
- Synthesizes data and utilizes evidence to develop, implement, and evaluate the patient plan of care, including ordering and interpreting laboratory, radiology, and other diagnostic studies/results.
- Demonstrates proficiency in technical/procedural skills, as appropriate and based on specialty and training.
- Provides relevant management, referrals, counseling, and education to patients, families, and caregivers related to current care and preventive health measures.
- Facilitates/participates in quality related initiatives and/or clinical research protocols through planned group processes, workshops, seminars, and staff meetings, to improve clinical and system practice performance.
- Collaborates in research projects and protocols; and routinely applies evidence based best practices to patient care.
- Performs other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
See All 65 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
- Houston Methodist30

- Baylor Scott & White Health19

- UT Southwestern Medical Center5

- Texas Children's Hospital3

- UTHealth Houston3

Top Industries Hiring
- Healthcare & Medical Services57
- Education7
- Non-Profit & Social Services3
- Agriculture & Farming2
- Insurance1
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 Houston Methodist, Baylor Scott & White Health, and UT Southwestern Medical Center, based on current listings on Migrate Mate as of June 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 June 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.
See All 65 Acute Care Nurse Practitioner Jobs in Texas
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