The Advanced Practice RN is appointed by the Medical Director subject to the approval of the SSLC Director.  Performs advanced clinical medical care under the supervision of a physician.  Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement.  Provides treatment to HHS employees injured in course and scope of employment. Performs all other duties as assigned by the Medical Director/Facility Director, including planning, assigning, and/or supervising the work of others.  Works under minimal supervision with extensive latitude for the use of initiative and independent judgment.  Works under the clinical and administrative supervision of the Medical Director and/or other supervising physician. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

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Essential Job Functions (EJFs):

• Provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary.  The assessment includes diagnosis, treatment and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
• Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis including review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted.
• Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition individuals are under treatment for.
• Provides medical diagnosis and the review of the treatment plan at the Individual Service Plan (ISP). Includes review of all the identified risks of the individual, (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed. 
• Develops accurate and timely documentation, which includes dictation of annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care.
• Provide treatment to HHS employees injured in course and scope of employment as needed.

Knowledge, Skills and Abilities (KSAs):

• Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations.
• Knowledge of principles, methods and procedures for the delivery of medical evaluations, diagnosis, and treatment.
• Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans.
• Skill in interpretation of interpret laboratory analyses and x-rays.
• Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.
• Ability to examine, diagnoses, and treat physical and mental disorders.
• Ability to supervise the work of others who provide medical care to patients.
• Ability to appropriately interact with individuals with developmental disabilities.
• Ability to present ideas clearly and concisely in both written and oral communications.
• Ability to prepare and maintain medical records.
• Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.
• Ability to work independently and be flexible in carrying out assigned responsibilities.

Registrations, Licensure Requirements or Certifications:

• Registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact. 
• Certified as an advanced practice registered nurse by the Texas Board of Nursing.
• Must have, or can obtain, a current registration certificate from the Drug Enforcement Agency (DEA). 
• Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B and enroll as a Medicaid and Medicare Part B provider.

Initial Screening Criteria:

• Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master’s degree or higher level.
• Clinical nursing experience.
• Experience in supervising or leading the work of others.