Nurse Practitioner (84510)

Nurse PractitionerIncludes callIncludes weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 4mo ago

Job Description

Job DetailsJob Location: Val Verde Nursing and Rehabilitation Center - Del Rio, TX 78840Position Type: Full TimeEducation Level: 4 Year DegreeJob Category: Health CarePrimary

Responsibilities

The NP is responsible for practicing the nursing profession ethically, dutifully, and according to and within the Scope and Standards of Practice of the Texas Board of Nursing.

The NP is responsible for Provider-level care coordination, as outlined in the Texas Independence Health Plan (ISNP) Model of Care, for all ISNP Members.

The NP is generally expected to be in his/her facilities during customary working hours (approximately 8:00am – 5:00pm) to ensure that these facilities have adequate Provider-Level coverage to meet patient/resident/member health care needs while also allowing the NP to have adequate time for documentation, and rotational weekday/weekend on-call responsibility.

Essential Functions Responsible for maintaining a high measure of professionalism in dress and actions that appropriately reflect the mission and policies of the organization and facilities with whom they work and within which they work. Attend and participate in daily morning meetings daily when in facilities.

Accountable for their own clinical and professional actions and to performing duties within the appropriate scope of practice allowed by respective prescriptive authority agreements with attending physicians. Respond timely to all Compliance requests.

Report to the Clinical Operations Manager (COM), maintain communication with COM and facility staff regarding Plan specific to facility and/or patient/family concerns.

Responsible for Provider-Level health care delivery and preventative care management for specific Texas Independence Health Plan ISNP Plan Members (Plan Members) who are assigned to collaborating physicians in assigned practice facilities.

Provide proactive, preventative/maintenance care for the Plan Members’ medical, emotional, and behavioral conditions. Provide clinical care and education to Plan Members, as well as education to the family and Nursing Facility staff. Adhere to and be accountable to all ISNP Model of Care Provider metrics and goals.

Participate in an on-call rotation to ensure continuity of care for Plan Members after hours, weekends and holidays. Maintain reasonable and appropriate communication with the facility staff for questions, notifications, and family concerns to assist in providing optimal clinical care.

Efficiently navigate and operate a laptop computer and enter data and documentation daily into designated Electronic Medical Record Systems in a timely manner. Participate in ongoing staff education and reasonably assist, as requested, with Quality Improvement at the facilities/communities.

Communicate professionally in face to face conversations with families and staff. Review medications, orders, and diagnostic tests, and respond to abnormalities appropriately, within BON approved scope of practice.

Provide ongoing evaluation and treatment options of chronic illnesses, and care for acute exacerbations of chronic illnesses as they occur. Provide ongoing evaluation and education to patients and families on Advance Care Planning (Goals of Care and Anticipatory planning).

Review and respond to consultant recommendations such as psychiatric, dietary, rehabilitative therapies, and pharmacy. Perform all other duties congruent with the ISNP Plan as assigned. Maintain adequate Medical Malpractice Insurance (generally expected to be $1m/$3m).

Qualifications

Educational/Training

Requirements

BSN, MSN, current Board Certification Licensing

Requirements

RN, APN/APRN Experience

Requirements

The NP is licensed as both a Registered Nurse and an Advanced Practice Registered Nurse in the state of Texas. The NP maintains an up to date Board Certification in his/her specialty.

The NP is responsible for maintaining a Texas Statutory Prescriptive Authority Agreement with attending Physicians and/or Medical Directors and for maintaining Texas Board of Nursing ongoing educational requirements for licensure and re-certification.

The NP will comply with all State and Federal guidelines required to practice as a licensed Advanced Practice Registered Nurse, including maintaining an active RN and APRN license. The NP will maintain Professional Medical Malpractice Liability Insurance.

Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

Key Responsibilities

The Nurse Practitioner provides provider-level care coordination and preventative health management for ISNP members within nursing facilities. Responsibilities include treating chronic and acute conditions, conducting patient education, and collaborating with attending physicians.

Requirements

Candidates must hold a BSN and MSN with current Board Certification and active RN and APRN licenses in Texas. Maintenance of a Texas Statutory Prescriptive Authority Agreement and professional medical malpractice insurance is required.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Clinical EducationChronic Illness ManagementPatient EvaluationMedical Documentation

Geriatrics — Nurse Practitioner Career Context

Of the 50 active Geriatrics listings this role was benchmarked against, 16% are remote, 58% have no call, 68% require no weekends.

Geriatrics pay on WeekdayDoc is down 2.0% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Practitioner Jobs

40 matches · ranked by pay

Salary Distribution37 jobs · 36 employers

6
<$125k
4
$125k-145k
14
$145k-165k
10
$165k-185k
3
$185k+

Annual compensation range

Benefits & Perks33 jobs

401k / retirement match
91%
CME allowance
48%
Sign-on bonus
39%
Relocation assistance
9%
Loan repayment
3%

Share of similar jobs offering each benefit

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$110-$115/hr
#2

PRN Nurse PractitionerPer Diem

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$150k-$206k
#3

VSP Nurse Practitioner

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#4

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+ 38 more · ranked by pay

Work-life snapshot

median 6.3this job 3.0
Better work-life than 20% of Geriatrics (NP) listings

Listing-based score, 0–10, across 605 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends

Living in Del Rio

Typical 3-bedroom home value
$249k
Typical market rent
$1,548/mo
Residents’ average commute
19 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.

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About Regency Integrated Health Services

Hospitals and Health Care
Victoria, TX
501-1,000 employees