NP Jobs in Texas
NP jobs in Texas are in strong demand, with the state consistently ranking among the most active U.S. markets for nurse practitioner hiring across hospital systems, primary care clinics, urgent care, and specialty practices at every level from new graduate to experienced independent practitioner. Houston, Dallas-Fort Worth, and San Antonio drive the highest volume of openings, anchored by large employers such as HCA Healthcare, UT Health, and Baylor Scott & White Health. Family practice, emergency medicine, and behavioral health are the most sought-after specialties across Texas right now. Find a role that fits below and apply directly.
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Healthcare
- Pilot Point, United States, (On-site)
- Full-time
- 3+ years
- Apply by Sep 6, 2026
- Salary is flexible
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Job description
About the Role
We are seeking an experienced, independent, highly skilled, and technology-proficient Nurse Practitioner (NP) to join our new rural primary care practice serving Pilot Point, Texas, and the surrounding communities.
This is an exciting opportunity for an NP to join a practice at an early stage and play an important role in establishing clinical workflows, developing processes, building community relationships, and supporting the growth of the practice. Rather than stepping into an established practice with fixed systems and processes, you will have the opportunity to help establish, refine, and improve how we deliver care.
As a newly established primary care practice, we are looking for someone who is comfortable working in an entrepreneurial and evolving environment where processes and systems are still being developed. The ideal candidate is proactive, adaptable, collaborative, and enjoys building systems, solving problems, taking initiative, and helping create a high-performing healthcare practice.
The NP will provide comprehensive, patient-centered primary care with a strong emphasis on preventive medicine while also contributing to clinical operations, practice development, community outreach, patient growth, quality improvement, and team development.
This position offers the opportunity to have a meaningful impact on how the clinic operates, how patients experience their care, and how the practice develops relationships throughout Pilot Point and the surrounding communities.
The role will leverage advanced healthcare technology, including Clinical Decision Support Systems (CDSS), Remote Patient Monitoring (RPM), telehealth, electronic health records, and AI-powered clinical documentation tools. Training will be provided for all clinical systems and digital tools.
In Texas, the NP will practice under a delegation agreement with a supervising physician, in compliance with applicable state regulations.
Key Responsibilities
Provide comprehensive primary care services, including:
Preventive care
Chronic disease management
Acute illness treatment
Develop and implement personalized preventive care plans focused on:
Lifestyle modification
Early disease detection
Risk factor management
Utilize Clinical Decision Support Systems (CDSS) to enhance.
Diagnostic accuracy
Evidence-based treatment planning
Implement and manage Remote Patient Monitoring (RPM) programs to:
Track chronic conditions
Enable early intervention
Conduct and support telehealth consultations to
Expand access to care
Collaborate with physicians and specialists
Leverage AI-powered scribing tools to:
Streamline clinical documentation
Improve workflow efficiency
Collaborate with physicians and multidisciplinary teams to deliver:
Integrated, patient-centered care
Educate patients on preventive healthcare strategies, including:
Nutrition
Exercise
Vaccinations
Routine screenings
Ensure compliance with:
Health Insurance Portability and Accountability Act (HIPAA)
Texas state regulations
Organizational policies
Stay current with advancements in:
AI in healthcare
Telemedicine
Digital health platforms
Participate in quality improvement initiatives to:
Enhance patient outcomes
Optimize preventive care delivery
Qualifications & Skills
Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited institution
Board-certified Nurse Practitioner (Family Medicine or related specialty)
Active Texas NP license (or eligibility to obtain)
Practice under a delegation agreement with a supervising physician
BLS required; ACLS preferred
Spanish-speaking ability (strong plus)
Proficiency with Electronic Health Records (EHR)
Familiarity with Clinical Decision Support Systems (CDSS) and AI-assisted documentation tools is preferred, but not required.
Strong commitment to: Preventive care, Evidence-based medicine, Patient-centered outcomes
Excellent, Communication skills, Collaboration ability, Clinical decision-making
Strong understanding of: HIPAA compliance, Data privacy and security
Skills & tools
Requirements
Experience
3+ years
Education & certifications
- Master's Degree
Skills & tools
Requirements
Experience
3+ years
Education & certifications
- Master's Degree
See All 334+ NP Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find NP Jobs in TexasNP Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
NP Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- TeamHealth22

- Houston Methodist13

- Baylor Scott & White Health13

- Legion Health12

- CHRISTUS Health12

Top Industries Hiring
- Healthcare & Medical Services25
- Education3
- Insurance1
What Texas Employers Look For
The qualifications that appear most often in NP jobs across Texas.
- Active Texas NP license issued by the Texas Board of Nursing
- Master of Science in Nursing or Doctor of Nursing Practice degree required
- Current national board certification from AANP or ANCC
- Active prescriptive authority registration with the Texas Medical Board
- Current BLS certification and ACLS certification for most clinical settings
- Minimum one to three years of clinical NP experience for non-entry-level roles
NP Jobs in Texas: Frequently Asked Questions
How do you become a np in Texas?
To become an np in Texas, you must first complete a master's or doctoral nursing program and pass a national board certification exam through the AANP or ANCC. You then apply for advanced practice registered nurse licensure through the Texas Board of Nursing and register your prescriptive authority with the Texas Medical Board if you plan to prescribe medications. Texas requires NPs to maintain a practice agreement with a collaborating physician for prescriptive authority.
Which companies hire nps in Texas?
Employers hiring nps in Texas right now include TeamHealth, Houston Methodist, and Baylor Scott & White Health, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems and expanding urgent care and retail clinic networks consistently post the highest volume of np openings across the state.
Which Texas cities have the most np jobs?
Houston, Dallas, and Austin have the most np openings in Texas, driven by the concentration of major hospital systems, academic medical centers, and specialty group practices in those metros. Houston and Dallas-Fort Worth account for the largest share due to their overall population size and the density of employers like HCA Healthcare, Baylor Scott & White, and large multispecialty groups based in those areas.
Are there remote np jobs in Texas?
Yes, but they're rare. The hands-on, patient-facing nature of most np work means the majority of roles are on-site or clinic-based. About 29% of np openings tied to Texas are remote or hybrid as of August 2026, and those positions tend to cluster in telehealth, behavioral health, and care management roles where patient interaction can happen virtually.
How can I get hired as a np in Texas with little or no experience?
The most realistic entry path is applying to new-graduate NP residency or fellowship programs, which large Texas employers including UT Health and Baylor Scott & White run specifically for candidates without post-certification experience. Targeting rural or underserved community health centers through the Texas Association of Community Health Centers is another strong option, as these sites often hire new graduates. Completing your clinical rotations at a Texas health system and maintaining a current collaborative practice agreement already in place strengthens any application.
Where can I find and apply to np jobs in Texas?
You can find and apply to np jobs in Texas on Migrate Mate, which lists current Texas openings from employers across the state. Search the roles available, find the ones that fit your specialty and preferred location, and apply directly.
See All 334+ NP Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find NP Jobs in Texas