Nurse Practitioner Or Physician Assistant Jobs in Texas
Nurse Practitioner Or Physician Assistant jobs in Texas are among the most active in the country, with consistent demand across large health systems, independent practice groups, urgent care networks, and federally qualified health centers at every level from new graduate through lead clinician. The strongest hiring concentrations are in Houston, Dallas-Fort Worth, and San Antonio, where employers like HCA Healthcare, UT Health, and Baylor Scott and White run high-volume operations across dozens of facilities. Family practice, emergency medicine, and oncology are the specialties generating the most consistent openings statewide. Find a role that fits below and apply directly.
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We are searching for a Physician Assistant or a Pediatric Nurse Practitioner Acute Care Certified who is motivated to work in an exciting pediatric setting!
In this position, you will practice in an advanced role to provide developmentally appropriate and age-appropriate health maintenance for well children, episodic care for ill children, and comprehensive care for children with chronic conditions. The NP or PA works under a delineation of clinical privileges and will work collaboratively with other members of the health care team. Practice under established guidelines and clinical protocols, the APP assumes independent and interdependent responsibilities in the assessment, diagnosis and initiation of treatment and procedures. Job duties are performed in a manner that is developmentally appropriate for the ages of patients served. As an advanced practice provider, the NP or PA is responsible for education, research, consultation, and evaluation of clinical practice at various levels.
This position includes PICU and CICU coverage. The APP team works a rotating schedule which consists of 12 hour shifts including days, nights and weekends.
Qualifications:
Physician Assistant:
- Required Bachelor's Degree
- PA -Cert-Physician Assistant by the Texas Medical Board PICU and CICU experience strongly preferred.
Nurse Practitioner:
- Master’s degree in nursing required
- RN license from the Texas Board of Nursing or Nursing Licensure Compact required
- PNP-AC strongly preferred
FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP from the Texas Board of Nursing required
Responsibilities:
Physician Assistant:
- Provide medical services that are within the education and training of the Physician Assistant within the scope of practice and delegation of the supervising physician
- Obtain a comprehensive health, developmental, and family history on patients and documents appropriately in the patient’s medical record
- Differentiate between normal and abnormal findings and documents appropriately in the patient’s medical record
- Prescribe or administer medications as delegated by the supervising physician and documents in medical records
- Administer appropriate vaccines as observed by physicians and documented in medical records
- Order diagnostic tests consistent with differential diagnoses derived from gathered data as evidenced by types of tests ordered
- Foster collaboration with the interdisciplinary team to improve health care
- Establish a relationship with the patient/family characterized by mutual respect, empathy, and collaboration
Nurse Practitioner:
- Daily uses advanced practice knowledge and skills to systematically collect and evaluate health assessment data and manage patients' caseload. Obtains a comprehensive health, developmental, and family history on patients as documented in the patient’s medical record.
- Assess the patient’s physical status through the physical examination as documented in the patient’s medical record.
- Differentiates between normal and abnormal findings as documented in the patient’s medical record.
- Performs or recommends age-appropriate health screening procedures as documented in the patient’s medical record.
- Provides health maintenance and health promotion for children of all ages as documented in the patient’s medical record.
- Performs and evaluates diagnostic procedures and laboratory tests as documented in the patient’s medical record.
- Analyzes multiple sources of data and formulates a differential diagnosis in collaboration with physicians as demonstrated in the written documentation.
- Follows established delegation protocols to manage specific patient problems. Formulates a plan of care in collaboration with other health care professionals and documents the plan in the patient’s medical record.
- Accurately evaluates patient’s responses to interventions and modifies the plan of care demonstrated by written documentation.
- Accurately presents and documents the data, impression, and plan of care on all patients as demonstrated in the written documentation.
- Consistently demonstrates effective communication skills and works to eliminate communication barriers.
- Collaborates effectively with other members of the health care disciplines to provide comprehensive care to patients.
- Utilizes effective and appropriate interviewing skills to elicit information from patients and/or family and collaborates with them in developing the care plan.
- Requests consultation and/or initiates referral for specialized care as appropriate. Communicates with health care team members the comprehensive assessment, impression, and plan of care.
- Consistently serves as an educational resource for the patient and family, community, and other health care professionals.
- Consistently applies new knowledge relevant to pediatric nursing to clinical practice.
- Demonstrates current professional, managerial, and/or technical knowledge and skills. Maintains knowledge base by reading professional literature, attending staff development, and continuing education programs annually. Participates in department and hospital committees, which promote quality nursing, care as assigned.
- Demonstrates NP role behaviors consistent with the development of advanced nursing practice.
- Participates in departmental Quality Improvement program annually.
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Find JobsNurse Practitioner Or Physician Assistant Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Nurse Practitioner Or Physician Assistant Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Optum13

- Baylor College of Medicine9

- Altea Healthcare7

- Concentra6

- Senior Psych Care6

Top Industries Hiring
- Healthcare & Medical Services
- Consulting & Professional Services
- Education
- Insurance
What Texas Employers Look For
The qualifications that appear most often in nurse practitioner or physician assistant jobs across Texas.
- Active Texas NP or PA license issued by the Texas Medical Board or Texas Board of Nursing
- Master's or doctoral degree in nursing or physician assistant studies from an accredited program
- Board certification such as NCCPA, ANCC, or AANP relevant to the practice specialty
- Experience in a clinical specialty such as family medicine, emergency care, or oncology
- Current DEA registration and prescriptive authority under a Texas collaborative or supervisory agreement
- Proficiency with electronic health record systems including Epic, Cerner, or comparable platforms
Nurse Practitioner Or Physician Assistant Jobs in Texas: Frequently Asked Questions
How do you become a nurse practitioner or physician assistant in Texas?
Nurse practitioners in Texas must hold a graduate-level nursing degree, pass either the ANCC or AANP board certification exam, and obtain licensure through the Texas Board of Nursing, which also governs prescriptive authority. Physician assistants are licensed by the Texas Medical Board after completing an accredited PA program and passing the PANCE exam. Both professions require a practice agreement with a supervising or collaborating physician under Texas state law.
Which companies hire nurse practitioner or physician assistants in Texas?
Employers hiring nurse practitioner or physician assistants in Texas right now include Optum, Baylor College of Medicine, and Altea Healthcare, based on current listings on Migrate Mate as of August 2026. Texas's scale and mix of large integrated health systems, independent hospital groups, and expanding urgent care chains means consistent openings across a wide range of practice settings and specialties.
Which Texas cities have the most nurse practitioner or physician assistant jobs?
Houston, San Antonio, and Austin account for the largest share of nurse practitioner or physician assistant openings in Texas. Houston and Dallas-Fort Worth generate the highest volume given their concentration of major academic medical centers, large hospital networks, and specialty clinic groups, while San Antonio's strong military health infrastructure and growing civilian system add significant hiring activity across primary and specialty care.
Are there remote nurse practitioner or physician assistant jobs in Texas?
Yes, but they're rare. About 8% of nurse practitioner or physician assistant openings tied to Texas are remote or hybrid as of August 2026, reflecting how hands-on clinical work limits full remote arrangements. The portion of the role most suited to remote or hybrid formats is telehealth, where some Texas health systems and direct-to-patient telehealth platforms operate remote NP and PA positions in chronic disease management and behavioral health.
How can I get hired as a nurse practitioner or physician assistant in Texas with little or no experience?
The most realistic entry path is a new-graduate or residency program, and several large Texas employers run structured options worth targeting directly. Baylor Scott and White, UT Health, and Texas Children's Hospital have offered NP and PA residency or transition-to-practice fellowships that are designed for candidates without post-certification experience. Applying first to high-volume settings like urgent care, rural health clinics, or federally qualified health centers often works well because those sites hire new graduates more readily than competitive subspecialty practices. A completed supervised clinical rotation at a Texas institution can also give an application a meaningful edge.
Where can I find and apply to nurse practitioner or physician assistant jobs in Texas?
You can find and apply to nurse practitioner or physician assistant jobs in Texas on Migrate Mate, which lists current Texas openings across health systems, clinics, and specialty practices. Find roles that fit your specialty, experience level, and preferred location, then apply directly to the employers posting them.
See All 164+ Nurse Practitioner Or Physician Assistant Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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