ADVANCED PRACTICE NURSE JOB DESCRIPTION

Patients leave encounters without a clear care plan when no one owns the full scope of assessment, diagnosis, and treatment coordination. The Advanced Practice Nurse fills that gap. Holding prescriptive authority under state Board of Nursing regulations and operating across inpatient, outpatient, and community settings, this role shapes clinical outcomes for individuals and families across the lifespan. It demands both independent clinical judgment and sustained collaboration with physicians, multidisciplinary teams, and patients navigating complex or chronic conditions.

As the Advanced Practice Nurse, you own the delivery of comprehensive patient care from initial history and physical examination through treatment planning, medication management, and follow-up across a licensed clinical practice. You work within a multidisciplinary health team, holding active state APN licensure and national certification, and report clinical performance through peer review and quality assurance processes governed by collaborating physician agreements.

Career Impact: Holding prescriptive authority and national NP certification positions practitioners as accountable clinical leads recognized across hospital, hospice, and community health systems.

Business Impact: Patients with chronic, complex, and acute conditions receive coordinated, evidence-based care when the Advanced Practice Nurse manages assessment, diagnosis, and individualized treatment plans without gaps.

Growth Opportunity: Experience spanning oncology, palliative care, psychiatry, and nephrology builds the specialty depth that opens pathways to clinical nurse specialist, lead APRN, or director of advanced practice roles.

• Own comprehensive patient assessments, including medical history, physical examination, and review of laboratory and radiologic studies.
• Develop individualized plans of care in collaboration with physicians, nursing staff, and the multidisciplinary health team.
• Prescribe pharmacological and non-pharmacological treatments within the scope of delegated prescriptive authority and state regulations.
• Educate patients and families on treatment plans, disease prevention, health maintenance, and available community resources.
• Document examination findings, diagnostic impressions, procedure codes, and all care activities in the medical record to documentation standards.
• Collaborate with surgeons, specialist consultants, and interdisciplinary team members to coordinate continuity of care across settings.
• Participate in quality assurance activities, peer review processes, and continuing education to maintain licensure and clinical competence.
• Monitor patient response to treatment, audit charts routinely, and recommend adjustments to the plan of care based on outcomes.

• Master's degree in Nursing or higher from an NLN or AACN-accredited program, or equivalent graduate nursing education.
• 2 or more years of clinical nursing experience, with demonstrated competency in physical assessment and patient care management.
• Active Registered Nurse license and Advanced Practice Nurse registration in the state of practice.
• National Nurse Practitioner certification from an accredited certifying body is congruent with the population focus of the position.
• Prescriptive authority certification or eligibility, including Drug Enforcement Administration registration where required by state law.
• Basic Life Support and Advanced Cardiac Life Support certification current at time of hire.
• Ability to obtain and maintain credentialing through the employing medical group or hospital medical staff office by start date.
• Strong written and verbal communication skills with the ability to document accurately and interact effectively across all levels of the care team.

• Specialty certification in oncology, palliative care, psychiatry, or nephrology nursing is congruent with the assigned patient population.
• Minimum 5 years of nursing experience in hospice, palliative care, geriatrics, or intensive care for roles serving complex chronic populations.
• Certification from the National Board for Certification of Hospice and Palliative Nurses for positions within palliative or end-of-life care services.
• Experience engaging in clinical research as a primary investigator or co-investigator within a healthcare or academic medical setting.

• Patient plan-of-care completion rate per daily census, reflecting consistent assessment and documentation ownership.
• Peer review outcomes score across quarterly review cycles, measuring adherence to clinical and documentation standards.
• Prescriptive authority compliance rate, tracking adherence to state delegation agreements and DEA registration requirements.
• Continuing education contact hours are completed annually against the Board of Nursing and national certification body mandates.
• Interdisciplinary team participation rate across rounds, committee meetings, and quality assurance activities per quarter.

• Base Salary Range: $105,000 to $135,000 annually, depending on specialty and state
• Bonus: Annual performance bonus of 3 to 8 percent of base salary
• Equity: Not typically offered in healthcare clinical roles
• Health Benefits: Medical, dental, and vision coverage for employees and dependents
• PTO: 18 to 25 days annually, plus federal holidays
• Common Perks: Continuing education reimbursement, DEA and licensure fee coverage, malpractice insurance

Figures are estimates based on general US market benchmarks and may be outdated. Adjust based on location, company size, and seniority level.

Background checks, including criminal history review and drug screening, are a standard condition of employment for all clinical positions. All qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected under applicable federal, state, and local law. Reasonable accommodations are available to individuals with disabilities throughout the application and employment process. Candidates must hold current authorization to work in the United States.

The Advanced Practice Nurse owns the full scope of patient assessment and care delivery, performing physical examinations, reviewing laboratory and radiologic studies, and leading the health care team through influence and innovation within a Colorado Permanente Medical Group setting. Working closely with multidisciplinary colleagues and collaborating physicians, the Advanced Practice Nurse ensures clinical competence, regulatory compliance, and compassionate patient-centered outcomes across GI and Liver practice.

Key Responsibilities

• Obtain pertinent medical history, perform physical examinations, and review laboratory or radiologic studies to assess patient status.
• Perform procedures within the limits of expertise and in accordance with State Regulations and Organizational Policies.
• Educate and counsel patients and families regarding treatment plans, disease prevention, and health promotion.
• Document examination data, diagnostic impressions, appropriate codes, and all patient care activities in the medical record.
• Conduct telephonic and virtual encounters, manage in-basket tasks, and take appropriate actions in emergency situations.
• Lead the health care team by influence, innovation, and by modeling integrated, effective patient care and exemplary service.
• Collaborate with all members of the health care team and seek consultation when personal limitations are reached.
• Participate in quality assurance activities, Peer Review processes, and continuing education to maintain clinical competence.
• Evaluate personal performance, establish annual goals, and comply with relevant federal, state, and organizational laws and policies.

Required Qualifications

• Master's Degree in Nursing from an accredited graduate nursing program approved by the Colorado State Board of Nursing.
• APN Prescriptive Authority Certification, Registered Nurse License, and Advanced Practice Nurse Registration (Colorado) required.
• Advanced Cardiac Life Support, Basic Life Support, Drug Enforcement Administration Registration, and National Provider Identifier required.
• Nurse Practitioner National Certificate and Taxonomy codes required at time of hire.
• Must obtain and remain credentialed by the Colorado Permanente Medical Group by the start date.
• GI/Liver experience required and must obtain Full Prescriptive Authority within two years of hire date.
• Education and certification must be congruent with the population focus of the position.

Embedded within the Pediatric Palliative Care service, the Advanced Practice Nurse formulates and implements individualized plans of care in collaboration with physicians, nursing staff, and the multidisciplinary health team, including participation in QI monitoring and policy development. Working closely with patients, families, and consultants across inpatient and outpatient settings, the Advanced Practice Nurse advances safe, evidence-based outcomes in pain and symptom management for pediatric populations.

Core Functions

• Provide direct patient care and formulate plans of care in collaboration with physicians, nursing staff, and the multidisciplinary health team.
• Obtain medical history, perform physical assessments, and order and interpret appropriate diagnostic studies.
• Prescribe appropriate medications as set forth in the delegation of prescriptive authority and make referrals to subspecialties as indicated.
• Communicate management and follow-up plans to patients and families and provide emotional support throughout care.
• Identify educational needs of patients and families and provide health maintenance care and education.
• Participate in housestaff and nursing teaching, policy development, and QI monitoring for the Pediatric Palliative Care service.
• Evaluate goals and outcomes considering benefit-versus-burden, safety, quality, and cost-effectiveness for patients and families.
• Develop diagnostic strategies and therapeutic interventions needed to achieve the goals of the patient's plan of care.
• Participate in self and peer evaluation and act as a clinical resource for staff on or off the unit.

Qualifications and Experience

• Master's Degree in Nursing or advanced nursing degree from an accredited school or college of nursing.
• Current licensure as Registered Nurse and certification as a pediatric nurse practitioner required.
• Ability to obtain Illinois Advanced Practice Nurse license and eligibility for credentialing through the Medical Staff Office by start date.
• Certification from the National Board for Certification of Hospice and Palliative Nurses required.
• Minimum 2 years of clinical experience as a pediatric nurse practitioner with palliative care experience.
• Advanced knowledge in pain and symptom management and ability to conduct physical examinations and health assessments.
• Strong communication skills with demonstrated ability to facilitate communication among various levels of practitioners.

Reporting to the oncology care leadership, the Advanced Practice Nurse performs comprehensive health histories, implements individualized medical plans of care, and monitors medication adjustments across a multidisciplinary oncology setting. Partnering with Surgeons, Radiation Oncology, and Inpatient Nursing staff, the Advanced Practice Nurse coordinates continuity of care and evaluates patient quality of life to drive consistent clinical improvement.

Primary Duties

• Perform comprehensive initial and episodic health histories, physical exams, and implement individualized nursing and medical plans of care.
• Initiate appropriate diagnostic, therapeutic, medical, and nursing actions and provide follow-up care, including acute and routine examinations.
• Monitor and adjust patients' medications according to protocol, including adequate pain control, and triage patient problem calls.
• Order appropriate laboratory and diagnostic procedures and document information in patients' charts following documentation standards.
• Provide health education to patients and families, and manage medical emergencies in the office according to standing orders.
• Collaborate with Surgeons, Radiation Oncology, Inpatient Nursing, and Medical staff to coordinate continuity of care.
• Evaluate the quality of care and quality of life through assessment of patient response and recommend interventions as indicated.
• Review and audit charts routinely and provide patient and family counseling regarding psychological and psychosocial issues.

Skills and Qualifications

• Master's Degree in Nursing with NJ Registered Nurse license and Nurse Practitioner certification and licensure.
• CDS and DEA registration and BLS and ACLS certification required.
• Oncology experience highly preferred and ONS/ONCC Chemotherapy Immunotherapy Certificate highly preferred.
• Oncology nursing certification (OCN, AOCNP) preferred.
• Solid assessment, clinical, and documentation skills with strong attention to detail.
• Excellent written and verbal communication skills with great interpersonal skills.
• Highly organized and patient-oriented with the ability to manage multiple priorities.

Sitting at the intersection of primary care and behavioral health, the Advanced Practice Nurse delivers nursing and medical services to individuals and families across the lifespan, ordering and interpreting diagnostic tests and prescribing pharmacological and non-pharmacological therapies within the Texas BNE regulatory framework. Operating across interdisciplinary team meetings, individual service plan development, and direct consumer care, the Advanced Practice Nurse enables measurable improvements in psychiatric and medical outcomes for community-based populations.

Duties

• Take an active role in interdisciplinary team meetings to develop appropriate individualized plans of service with measurable goals and intervention strategies.
• Participate in the development and updating of individual service plans and modify plans based on changing needs.
• Document rationale for all interventions, obtain informed consent, and maintain security of confidential consumer information.
• Respond to psychiatric and medical emergency care needs and maintain current knowledge of Texas Mental Illness Code.
• Schedule sufficient face-to-face interactions with consumers to achieve productivity benchmarks and document accordingly.
• Provide clinical care aligned with quality of care standards, including evaluation, treatment planning, and medication prescription.
• Conduct job responsibilities in accordance with ethical standards, state contracts, professional standards, and applicable laws.
• Utilize computer programs, including Word, Excel, Outlook, PowerPoint, and internet resources necessary to the position.

Experience and Qualifications

• Master's Degree from an accredited university with at least 6 months of experience as an APN in the clinical area.
• Current State of Texas Driver's License required and must obtain within 3 months if licensed in another state.
• Licensed to operate within boundaries set by the BNE for the State of Texas and the American Academy of Nurse Practitioners.
• Ability to formulate appropriate differential diagnoses and identify appropriate diagnostic tests and pharmacologic interventions.
• Excellent organizational skills with the ability to prioritize workflow, meet deadlines, and handle multiple tasks simultaneously.
• Effective verbal and written communication skills with the ability to maintain a high level of professionalism and confidentiality.
• Able to work autonomously with minimal supervision and apply sound analytical and problem-solving skills.

A key member of the patient care department, the Advanced Practice Nurse I leads evidence-based and value-based care initiatives, mentors APRNs and graduate students, and disseminates scholarly findings through publications and conference presentations across local, national, and international platforms. Collaborating across nursing staff, multidisciplinary team members, and organizational committees, the Advanced Practice Nurse I strengthens clinical outcomes and advances the recognition of APRN practice within HackensackUMC.

Accountabilities

• Serve as a clinical resource for evidence-based practice, mentor APRNs and graduate students, and act as a co-investigator in research.
• Analyze patterns of variance in practice and recommend evidence-based changes to improve patient outcomes.
• Provide culturally diverse and educationally appropriate health management education and model Service Excellence Standards.
• Seek opportunities to promote APRN practice recognition locally, nationally, and internationally through publications and presentations.
• Serve as a clinical resource to nursing staff, patients, families, and multidisciplinary team members to evaluate complex patients.
• Participate in organizational meetings, work-groups, and committees representing APRNs and the department of patient care.
• Support organizational strategies through annual professional cascading goals and disseminate relevant research findings.

Background and Experience

• Master's Degree in Nursing with graduation from an NLN/AACN accredited program.
• NJ State Professional Registered Nurse License and Certification as APN in New Jersey or Advanced Practice Nurse License required.
• AHA Basic Health Care Life Support HCP Certification required.
• Experience in relevant patient care setting or as regulations dictate.
• Maintains clinical competencies through continuing education programs as mandated by Board of Nursing and national certification body.

Consistent quality of life for patients facing chronic and life-threatening conditions depends on the Advanced Practice Nurse - PPV, who performs routine and emergency assessments, coordinates palliative care referrals, and develops clinical practice guidelines across multiple care locations. Based within a hospice and palliative care organization committed to the values of Compassion, Integrity, and Excellence, the Advanced Practice Nurse - PPV enables informed goal-setting for patients and families while ensuring compliance with state and federal regulatory standards.

Role Responsibilities

• Perform routine and emergency assessments and bedside palliative care patient and family evaluations.
• Assist in all facets of care coordination for palliative care referrals and initiate reimbursement for services rendered.
• Prepare and maintain timely, accurate patient records, charts, and documents to support sound medical practice and reimbursement.
• Assist patients and families in the identification of goals of treatment and ongoing plans of care, and communicate these among the IDT.
• Provide training and continuing education for staff and assist in the development of clinical practice guidelines in support of quality palliative care.
• Advocate for improvements in palliative care through participation in professional, private, and governmental groups.
• Comply with applicable laws and regulations, apply rules of state and federal regulatory agencies, and adhere to confidentiality practices.
• Promote positive working relationships between agency and corporate personnel and attend staff meetings and community events as requested.
• Engage in active self-care activities and define goals for professional growth and participation in professional organizations.

Education and Experience

• Master's Degree in Nursing with certification as a Clinical Nurse Specialist or Nurse Practitioner.
• Licensed to practice in the state of work with a current collaborative physician agreement in place.
• Minimum of 5 years nursing experience with clinical nursing care in oncology, hospice, geriatrics, or intensive care preferred.
• Advanced knowledge of palliative care philosophy, hospice principles, and state and federal regulatory requirements.
• Ability to read, analyze, and interpret professional journals, technical procedures, and governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals, and effectively present information to diverse audiences.
• Strong written and verbal communication skills in English with the ability to articulate and embrace hospice philosophy.

The Advanced Practice Nurse delivers patient-centered oncology care within a New Jersey health services network, evaluating patients daily, facilitating safe and timely discharge, and engaging in research as a primary or co-investigator. Working closely with Consulting Physicians and multidisciplinary team members, the Advanced Practice Nurse ensures coordinated assessment and education across complex oncology admissions and hospital transfers.

Job Functions

• Evaluate patients daily and ensure the plan of care is implemented.
• Facilitate patient-centered coordinated care through participation in daily interdisciplinary team rounds and staff RN patient rounding.
• Serve as a clinical resource to nursing staff, patients, families, and multidisciplinary team members to evaluate complex patients and identify appropriate interventions.
• Collaborate with Consulting Physicians to coordinate care of complex oncology patients and work closely with collaborating physicians to provide quality care.
• Facilitate the discharge of patients in a safe and timely manner and evaluate and assess hospital transfers and admissions.
• Identify educational needs of patients and families and collaborate with multidisciplinary team members to implement appropriate teaching materials.
• Actively engage in research as a primary investigator or co-investigator and address clinical and system opportunities for improvement.

Professional Experience

• Master's Degree in Nursing with a Board Certified Advanced Practice Nurse or Nurse Practitioner credential.
• NJ Nurse Practitioner license required.
• 5+ years of nursing experience in Palliative Care and/or Hospice.
• Solid assessment, clinical, and documentation skills with strong attention to detail.
• Excellent written and verbal communication skills with great interpersonal skills.
• Highly organized and patient-oriented.

Advanced Practice Nurse leads quality improvement initiatives and educates Nephrology Nursing staff across Hemodialysis and Peritoneal Dialysis modalities, integrating patient-centered best practices, legislative requirements, and research literature into specialty care delivery. The work directly supports excellence in evidence-based nephrology nursing and enables the professional development of staff and the advancement of clinical scholarship at the point of care.

Key Deliverables

• Plan, coordinate, and implement quality improvement initiatives to integrate patient-centered care, advance nursing best practices, and evaluate quality of care.
• Educate Nephrology Nursing staff on all modalities, including Hemodialysis and Peritoneal Dialysis for Acute, In-centre, and Home Dialysis.
• Lead the integration and teaching of in-depth nursing knowledge and skill using adult learning principles and innovative approaches.
• Influence clinical scholarship by leading the development and exchange of knowledge related to clinical specialty.
• Contribute to quality patient care through the roles of advanced practitioner, educator, researcher, and administrator and leader.

Minimum Qualifications

• Master's Degree in Nursing or a health-related discipline completed or in progress.
• Current College of Nurses of Ontario Certificate of Competence with national certification in Nephrology from the Canadian Nurses Association preferred.
• Membership in the Registered Nurses' Association of Ontario is preferred.
• Minimum 5 years of relevant nursing experience.
• Knowledge and experience in both Haemodialysis and Peritoneal Dialysis are required.
• Knowledge and skills in adult education, program design, group facilitation, teamwork, and conflict management.
• Superior interpersonal, coaching, and leadership skills with the ability to manage multiple projects and set priorities.
• Proficient in computer skills, flexible with change, and able to problem-solve effectively.

The Advanced Practice Nurse delivers adult mental health services to primary care, prenatal, and HIV clients of the VNACJ Community Health Center in Asbury Park, prescribing psychiatric medications and collaborating with the Psychiatrist on complex cases to improve psychological outcomes across vulnerable populations. Working closely with the broader health care team, the Advanced Practice Nurse shapes care plan implementation, community outreach education, and adherence to primary care regulatory standards.

Day-to-Day Responsibilities

• Provide mental health services for primary care, prenatal, and HIV clients and families within established guidelines.
• Collaborate with health team members to develop and implement clients' psychiatric plans of care and monitor the quality and appropriateness of services.
• Prescribe psychiatric medications as needed and initiate client teaching regarding psychological aspects of illness.
• Participate in community outreach to educate the community regarding CHC services.
• Adhere to agency infection control, safety policies, and guidelines of primary care regulatory agencies.

Required Qualifications

• Master's Degree in Nursing from an NLN-accredited program with licensure as an Advanced Practice Nurse in NJ.
• Certification as a Psychiatric APN with current CPR and professional certifications maintained.
• Excellent psychiatric skills.
• Thorough knowledge of current practice trends.
• Strong verbal and written communication skills with excellent interpersonal skills.

Reporting to population-related nurse managers, the Advanced Practice Nurse functions as the clinical leader across the three spheres of influence in an inpatient ICU and pulmonary clinic setting, partnering with the health care team to design and measure safe, cost-effective, evidence-based care strategies. Partnering with nurses, nursing practice leadership, and the broader organization, the Advanced Practice Nurse advances nursing practice and maintains current professional competencies to support improved patient and system outcomes.

Scope of Work

• Partner with population-related nurse managers in leading the nursing clinical practice area and coordinate clinical activities of nurses within a practice area.
• Collaborate with members of the health care team to design, implement, and measure safe, cost-effective, evidence-based care strategies.
• Utilize specialized knowledge and skills within the three spheres of influence: nurse-patient/family, nurse-nurses and nursing practice, and nurse-organization/system.
• Maintain current professional knowledge and competencies and contribute to the advancement of nursing practice.

Technical Qualifications

• Master's Degree in Nursing with an Advanced Practice Nurse Prescriber (APNP) credential.
• Advanced Practice Certification as a CNS, NP, or CNM and certification in the area of clinical specialty if available.
• BLS (CPR) Certification and a valid driver's license in good standing required.
• Minimum 2 years of experience as an RN.
• Clinical expertise in evidence-based practice, consultation, education, mentoring, informatics, and change leadership.

Embedded within a clinical care team, the Advanced Practice Nurse Practitioner administers nursing care, diagnoses patients, and establishes treatment plans for ill, injured, or disabled individuals while educating patients on health maintenance and disease prevention. Working closely with collaborating physicians and specialists, the Advanced Practice Nurse Practitioner builds patient rapport and facilitates referrals to support safe and continuous medical care.

Activities

• Administer nursing care and diagnose and establish treatment plans for ill, injured, or disabled patients.
• Monitor and report changes in patient symptoms or behavior and communicate with collaborating physicians or specialists regarding patient care.
• Educate patients about health maintenance and disease prevention.
• Provide advice and emotional support to patients and families.
• Facilitate referrals to other healthcare professionals and medical facilities, and maintain accurate patient medical records.

Knowledge, Skills, and Abilities

• Previous experience in nursing or other medical fields.
• Familiarity with medical software and equipment.
• Strong problem-solving and critical thinking skills.
• Ability to build rapport with patients.
• Ability to thrive in a fast-paced environment.

Advanced Practice Nurse supports the mission of the Rush College of Nursing by facilitating comprehensive, coordinated care across the health continuum, integrating research findings into specialty practice, and serving as a preceptor to Rush University students. The work directly supports the advancement of scholarly nursing practice through publications, presentations, and ongoing professional development aligned with Rush's mission, vision, and values.

Work Activities

• Facilitate entry of clients into the healthcare system and provide comprehensive, coordinated, and continuous care spanning the health continuum.
• Provide healthcare services including assessment, diagnosis, patient education, and treatment, and evaluate the effectiveness of patient care and clinic outcomes.
• Coordinate and monitor healthcare services with referral sources and facilitate placement of APN students, and serve as a preceptor to Rush University students.
• Integrate research findings into specialty practice, disseminate scholarly knowledge through publications and presentations, and maintain professional development.
• Meet the needs and expectations of the assigned clinic site in accordance with Rush policies and procedures.

Position Requirements

• Master's or Doctorate Degree in Nursing with current Advanced Practice Nurse certification from a national certifying body required.
• Current State of Illinois RN and APN licensure and CPR certification required.
• Analytical ability and the ability to work in complex organizational systems.
• Ability to interact effectively with others in difficult situations.
• Knowledge of using computer systems to enter or retrieve data.