Pediatric Nurse Practitioner Jobs in Texas
Pediatric Nurse Practitioner jobs in Texas represent one of the most active markets in the country, concentrated across children's hospitals, large health systems, and outpatient pediatric clinics, with openings from new graduate NPs through senior and lead clinical roles. Houston, Dallas, and San Antonio account for the majority of postings, anchored by employers like Texas Children's Hospital, Children's Health Dallas, and UT Health. The most consistent demand is in primary care pediatrics, developmental and behavioral health, and pediatric urgent care. 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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Where Texas roles are concentrated, by current openings.
Pediatric Nurse Practitioner Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
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What Texas Employers Look For
The qualifications that appear most often in pediatric nurse practitioner jobs across Texas.
- Active Texas Nurse Practitioner license issued by the Texas Board of Nursing
- Board certification as a Pediatric Nurse Practitioner through PNCB or ANCC
- Master of Science in Nursing or Doctor of Nursing Practice degree required
- Pediatric-focused clinical experience in an outpatient, inpatient, or urgent care setting
- Current BLS and PALS certifications maintained throughout employment
- Prescriptive authority registration with the Texas Board of Nursing and DEA number
Pediatric Nurse Practitioner Jobs in Texas: Frequently Asked Questions
How do you become a pediatric nurse practitioner in Texas?
To practice as a pediatric nurse practitioner in Texas, you must earn a Master of Science in Nursing or Doctor of Nursing Practice with a pediatric focus, pass the PNCB or ANCC pediatric NP certification exam, and obtain an Advanced Practice Registered Nurse license from the Texas Board of Nursing. Texas also requires a separate prescriptive authority registration if you will prescribe medications, which is handled through the same board.
How much do pediatric nurse practitioners make in Texas?
Pediatric 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 pediatric nurse practitioners in Texas?
Employers hiring pediatric nurse practitioners in Texas right now include UT Southwestern Medical Center, Ascension, and Texas Children's Hospital, based on current listings on Migrate Mate as of August 2026. Texas Children's Hospital, Children's Health Dallas, and UT Health are among the large, established systems with consistent pediatric NP openings across inpatient, outpatient, and subspecialty settings.
Which Texas cities have the most pediatric nurse practitioner jobs?
The cities with the most pediatric nurse practitioner openings in Texas are Dallas, Austin, and Houston. Houston leads because of the Texas Medical Center, the largest medical complex in the world, which anchors Texas Children's Hospital and several other major pediatric programs, while Dallas and San Antonio draw volume from large children's hospital systems and growing suburban outpatient clinic networks.
Are there remote pediatric nurse practitioner jobs in Texas?
Yes, but they're rare. Pediatric nurse practitioner work is primarily hands-on and requires in-person patient care, which limits remote options significantly. About 0% of pediatric nurse practitioner openings tied to Texas are remote or hybrid as of August 2026, and those positions are concentrated in pediatric telehealth triage, care coordination, and population health management roles rather than direct clinical practice.
How can I get hired as a pediatric nurse practitioner in Texas with little or no experience?
The most realistic entry path is a new graduate NP residency or fellowship, and Texas Children's Hospital and Children's Health Dallas both run structured NP residency programs designed for new graduates without post-certification experience. Applying to primary care pediatrics clinics within large Texas health systems is also effective, as those settings tend to offer more supervision and onboarding support. Holding active PNCB or ANCC certification and a Texas prescriptive authority registration before you apply gives you a clear edge over candidates still completing credentials.
Where can I find and apply to pediatric nurse practitioner jobs in Texas?
You can find and apply to pediatric nurse practitioner jobs in Texas on Migrate Mate, which lists current Texas openings across health systems, children's hospitals, and outpatient clinics. Find roles that fit your experience and specialty focus below and apply directly.
See All 40 Pediatric Nurse Practitioner Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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