Position Summary: The Integrative Nurse Practitioner (NP) provides comprehensive, patient-centered primary care services for pediatric, adolescent, adult, and geriatric patients within TAN Healthcares integrated care model. The NP evaluates, diagnoses, and treats acute and chronic medical conditions while emphasizing disease prevention, wellness, preventive medicine, immunizations, and patient education. Working collaboratively with the Chief Medical Officer, Supervising Pediatrician, physicians, behavioral health professionals, nursing staff, care managers, and other interdisciplinary team members, the Integrative NP delivers whole-person care that addresses the physical, behavioral, developmental, and social needs of patients across the lifespan.
The Integrative NP is committed to delivering high-quality, evidence-based healthcare while supporting TAN Healthcares mission, values, and commitment to improving the health of the communities we serve.
Essential Job Responsibilities Patient Assessment and Diagnosis
Conduct comprehensive patient assessments, including obtaining medical histories, performing physical examinations, reviewing diagnostic findings, and evaluating patient concerns. Order, interpret, and evaluate laboratory studies, diagnostic imaging, and other appropriate diagnostic tests. Develop accurate differential diagnoses and individualized treatment plans utilizing current evidence-based clinical guidelines. Assess newborn, pediatric, adolescent, adult, and geriatric patients while considering developmental, medical, behavioral, environmental, and social factors that may impact health outcomes.
Primary and Pediatric Care Services
Provide comprehensive primary and preventive healthcare services for pediatric and adult patients across the lifespan. Evaluate growth and development, perform age-appropriate screenings, developmental surveillance, and anticipatory guidance consistent with pediatric standards of care. Administer and manage childhood and adult immunizations according to current CDC and ACIP recommendations. Diagnose and treat acute illnesses, chronic medical conditions, and minor injuries within the scope of licensure. Perform routine wellness examinations, preventive screenings, immunizations, and health maintenance services. Prescribe medications, therapies, and other treatment modalities consistent with Texas APRN regulations and organizational protocols. Refer patients to specialists, hospitals, emergency departments, or other healthcare providers when medically appropriate.
Chronic Disease Management
Collaborate with physicians, behavioral health providers, nursing staff, pharmacists, care managers, referral coordinators, and other members of the healthcare team to provide coordinated, patient-centered care. Identify behavioral health concerns through appropriate screening and facilitate timely referrals for integrated behavioral health services. Collaborate with families and caregivers to support the ongoing management of pediatric chronic conditions, developmental concerns, and preventive health needs. Address social determinants of health through coordination with internal resources and community partners. Participate in interdisciplinary care planning and case conferences as appropriate.
Patient Education
Educate patients, parents, guardians, and caregivers regarding diagnoses, medications, developmental milestones, preventive care, nutrition, immunizations, healthy lifestyle choices, and disease management. Encourage patient engagement in treatment plans and promote shared decision-making. Provide culturally sensitive education tailored to each patients health literacy and individual needs.
Documentation
Maintain accurate, complete, and timely documentation within the electronic health record (EHR) in accordance with organizational policies, regulatory requirements, and professional standards. Document patient encounters, treatment plans, prescriptions, referrals, consultations, and follow-up care. Complete all required documentation to support quality initiatives, reimbursement, compliance, and continuity of care. Participate in the rotating on-call schedule as assigned and appropriately document telephone encounters and after-hours patient communications.
Community Engagement
Support community outreach activities and health education initiatives that improve access to care and promote community wellness. Participate in school, pediatric, and community health initiatives that promote childhood wellness, immunizations, preventive care, and healthy development. Represent TAN Healthcare professionally during community events when requested.
Compliance, Quality, and Professional Responsibilities
Maintain compliance with HRSA Health Center Program requirements, FTCA risk management principles, HIPAA regulations, state and federal laws, and organizational policies. Participate in peer review, quality assurance, risk management, and performance improvement initiatives. Support organizational quality goals related to clinical measures, patient satisfaction, continuity of care, and access to services. Maintain clinical competencies in pediatric and family practice standards while adhering to evidence-based guidelines for patients across the lifespan. Maintain current licensure, certification, DEA registration, credentialing, privileging, and continuing education requirements. Attend required meetings, training, and organizational activities. Perform other duties as assigned.
Minimum Education, Qualifications, and Experience Required
Masters or Doctoral degree in Nursing from an accredited program. Licensed as an Advanced Practice Registered Nurse (APRN) in the State of Texas. Current national certification as a Family Nurse Practitioner. Current DEA registration and prescriptive authority OR willing to apply for DEA registration Current Basic Life Support (BLS) certification. Demonstrated ability to assess, diagnose, treat, and manage acute and chronic medical conditions. Strong clinical decision-making, communication, and interpersonal skills. Ability to exercise sound judgment while maintaining patient confidentiality.
Preferred
Experience working in a Federally Qualified Health Center (FQHC), community health center, or other safety-net healthcare setting. Experience providing pediatric primary care. Experience collaborating with physicians within a family practice or pediatric practice. Experience managing childhood immunizations and well-child visits. Experience providing telehealth services. Experience serving underserved, uninsured, underinsured, vulnerable, or medically complex populations. Experience working within an integrated primary care and behavioral health model. Bilingual English/Spanish preferred.
Physical Requirements
Ability to sit, stand, walk, bend, and perform routine clinical duties. Ability to communicate effectively with patients, families, staff, and community partners. Ability to travel between clinic locations as needed.
| Location | Orange, TX |

