Mental Health Nurse Practitioner Jobs in Texas
Mental Health Nurse Practitioner jobs in Texas are among the most active in the country, with strong demand running from new graduates through experienced clinicians in community mental health centers, large hospital systems, and expanding telehealth networks. Houston, Dallas, and San Antonio are the primary hiring hubs, home to major employers such as UTHealth Houston, Texas Health Resources, and Baylor Scott and White Health. The most in-demand specialties include child and adolescent psychiatry, substance use disorder treatment, and integrated primary care behavioral health. Find a role that fits below and apply directly.
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Overview
Join our dynamic healthcare team as a Psychiatric Mental Health Nurse Practitioner (PMHNP), where you will play a vital role in delivering comprehensive mental health services to diverse patient populations. This position offers an exciting opportunity to utilize advanced clinical skills, collaborate with multidisciplinary teams, and make a meaningful impact on patients’ mental well-being. You will assess, diagnose, and treat individuals experiencing a wide range of psychiatric conditions, ensuring personalized care that promotes recovery and resilience. We are committed to fostering an energetic and supportive environment that empowers you to excel in your practice while advancing your professional growth.
Duties
- Conduct thorough psychiatric assessments, including mental status examinations, intake evaluations, and diagnostic evaluations using EMR/EHR systems such as Epic or eClinicalWorks.
- Prescribe and manage medications in accordance with DEA regulations, including psychopharmacology treatments tailored to individual needs.
- Collaborate closely with healthcare professionals across disciplines—psychiatrists, primary care providers, social workers—to develop and implement integrated treatment plans.
- Provide patient education on mental health conditions, medication management, lifestyle modifications, and coping strategies to enhance treatment adherence.
- Utilize telehealth platforms to deliver remote psychiatric consultations, ensuring access for patients in various settings such as clinics or home care environments.
- Document all patient interactions accurately within electronic health records while maintaining HIPAA compliance and medical documentation standards.
- Participate in case management activities, discharge planning, and follow-up care to support ongoing recovery efforts.
Skills
- Proven experience working with diverse populations including children, geriatrics, individuals with developmental disabilities, or those in hospice & palliative medicine.
- Strong knowledge of psychiatric medications, psychopharmacology, and behavioral health interventions.
- Familiarity with EMR/EHR systems such as Epic, Cerner, Athenahealth or eClinicalWorks; experience with telehealth tools is highly desirable.
- Ability to perform comprehensive patient assessments including vital signs, mental status exams, and physical examinations when necessary.
- Skilled in patient communication, providing clear explanations of diagnoses and treatment options while fostering a compassionate environment.
- Knowledge of healthcare laws and regulations including HIPAA and DEA regulations related to medication prescribing.
- Experience working within collaborative practice agreements as an advanced practice provider in diverse settings such as hospitals (Level I/II trauma centers), nursing homes, outpatient clinics or urgent care facilities.
We seek energetic professionals eager to advance mental health care through innovative approaches and dedicated patient service. If you are passionate about making a difference in people’s lives while working in a fast-paced environment that values your expertise—this is the opportunity for you!
Pay: $97,487.93 - $117,404.81 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Vision insurance
Work Location: Hybrid remote in Killeen, TX 76541
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Find JobsMental Health Nurse Practitioner Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Mental Health Nurse Practitioner Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Legion Health12

- Geode Health4

- Rippling2

- TeamHealth2

- Integrity Urgent Care2

Top Industries Hiring
- Education
- Science & Research
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in mental health nurse practitioner jobs across Texas.
- Active Texas APRN license with psychiatric-mental health nurse practitioner board certification required
- Master of Science in Nursing or Doctor of Nursing Practice from an accredited program
- Current national certification as a PMHNP through ANCC or AANPCP
- Valid DEA registration with prescriptive authority under a Texas collaborative practice agreement
- Clinical experience conducting psychiatric evaluations, diagnosis, and medication management
- Proficiency with electronic health record systems such as Epic or Cerner
Mental Health Nurse Practitioner Jobs in Texas: Frequently Asked Questions
How do you become a mental health nurse practitioner in Texas?
You must earn a graduate-level nursing degree, either a Master of Science in Nursing or a Doctor of Nursing Practice, with a psychiatric-mental health nurse practitioner concentration, then pass a national certification exam through the American Nurses Credentialing Center or the American Association of Nurse Practitioners Certification Board. After passing the exam, you apply for APRN licensure through the Texas Board of Nursing and establish a prescriptive authority agreement with a collaborating physician or podiatrist as required under Texas law.
How much do mental health nurse practitioners make in Texas?
Mental health 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 mental health nurse practitioners in Texas?
Employers hiring mental health nurse practitioners in Texas right now include Legion Health, Geode Health, and Rippling, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems, federally qualified health centers, and growing network of outpatient behavioral health clinics collectively account for the majority of open roles across the state.
Which Texas cities have the most mental health nurse practitioner jobs?
Austin, San Antonio, and Dallas have the most mental health nurse practitioner openings in Texas. Houston and Dallas lead because of the concentration of large academic medical centers, multi-site hospital systems, and community mental health authorities headquartered there, while San Antonio's significant military population and VA infrastructure drive steady demand for psychiatric advanced practice clinicians.
Are there remote mental health nurse practitioner jobs in Texas?
Yes, but they're less common than in purely desk-based fields because most psychiatric nurse practitioner work involves direct clinical assessment and prescribing. About 71% of mental health nurse practitioner openings tied to Texas are remote or hybrid as of August 2026, and those positions are concentrated in telehealth platforms and collaborative care programs where synchronous video visits satisfy clinical requirements without requiring an in-person site.
How can I get hired as a mental health nurse practitioner in Texas with little or no experience?
The most realistic entry path is a new-graduate PMHNP residency or fellowship, and several large Texas employers including UTHealth Houston and Baylor Scott and White Health offer structured post-graduate training programs designed for clinicians without independent practice experience. Candidates who hold a current Texas APRN license and PMHNP certification before applying move through screening faster. Lateral moves from registered nursing roles in inpatient psychiatry or crisis stabilization units are another common bridge, as that clinical background satisfies many employers' competency requirements even without prior NP-level experience.
Where can I find and apply to mental health nurse practitioner jobs in Texas?
You can find and apply to mental health nurse practitioner jobs in Texas on Migrate Mate, which lists current openings tied to Texas employers. Find the roles that fit your credentials and location, then apply directly through the listings.
See All 51 Mental Health Nurse Practitioner Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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