Acute Care Positions in Texas (4)
View All JobsAdvanced Nurse Practitioner · Surgical Intensive Care Unit
Dallas, Texas
Advanced Practice Provider · ACNP or PA, San Antonio, TX
San Antonio, Texas
Advanced Practice Provider · ACNP or PA, San Antonio, TX · Per Diem
San Antonio, Texas
PRN Critical Care Advanced Practice Provider
Houston, Texas
Acute Care Tips
- •Ask about orientation length, procedure training, and overnight support
- •Negotiate shift differentials for nights, weekends, and holidays
- •Clarify patient load per shift and escalation/backup structures
- •Confirm credentialing and privileging timelines before your start date
- •ICU, ED, or step-down RN experience strengthens candidacy, so highlight it
Why Acute Care?
ICUs, step-down units, and hospital specialty services, serving complex adult patients.
Lines, airway support, and bedside procedures within hospital privileges.
Hospital services run around the clock, so shift patterns and differentials are part of the offer. Confirm both in each listing.
Hiring in Texas
Acute Care Careers in Texas
Who is hiring
4 listings in Texas come from 3 employers. The Specialty Alliance (GI Alliance) has the most, with 2.
- The Specialty Alliance (GI Alliance)2 listings
- HCA Healthcare1 listing
- Veterans Health Administration1 listing
Where the listings are
Listings with a stated location are spread across 3 cities, led by San Antonio (2), Dallas (1) and Houston (1).
How these roles are set up
All 4 are on site.
Full-Time is the most common arrangement (2), followed by Per Diem (1).
Posted pay
2 of 4 listings state an annual salary. A median appears once at least 5 listings from 3 employers do, with no single employer above 40% of them. Until then, compare pay listing by listing. Nationally, nurse practitioners earn a median annual wage of $132,300 (BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025).
Licensure and practice rules in Texas
AANP classifies Texas as a restricted practice state. Texas requires NPs to have a prescriptive authority agreement with a supervising physician.
Texas is a Nurse Licensure Compact member. The compact covers the RN license beneath your APRN credential. The APRN license itself is still issued by Texas.
Applications, fees and renewal rules come from the Texas Board of Nursing.
Sources: AANP State Practice Environment (practice authority); NCSBN Nurse Licensure Compact roster (verified August 11, 2026); BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025. Counts come from live listings on this board, recounted November 14, 2026.
Acute Care NP jobs in nearby states
Common Questions
Acute Care NP Jobs in Texas FAQ
How many Acute Care NP jobs are open in Texas?
4 listings in Texas come from 3 employers. The Specialty Alliance (GI Alliance) has the most, with 2. 4 of these 4 listings were posted in the last 30 days, and the newest was posted on November 12, 2026.
Do NPs need a collaborating or supervising physician in Texas?
Yes. Texas requires NPs to have a prescriptive authority agreement with a supervising physician. The Texas Board of Nursing publishes the current rule.
Is Texas part of the Nurse Licensure Compact?
Yes, Texas is a Nurse Licensure Compact member (verified against the live NCSBN roster, August 11, 2026). The compact covers the RN license underpinning your APRN credential (a multistate RN license works across member states), but APRN licensure itself is still issued individually by each state, including Texas.


