• Provides advanced primary, secondary or tertiary health care for individuals, families or groups at an advanced or expert clinician level; assesses individual health, analyzes data to determine health and nursing care needed, plans a strategy to meet identified health care needs, evaluates responses to interventions and makes changes in care or treatment as needed; identifies and allocates community health care resources or coordinates and evaluates other health resources necessary to meet individual or group needs at the most appropriate level.
• Performs comprehensive physical examinations, secures health histories, performs or orders laboratory tests and conducts other appropriate procedures to assess the health status of patients or clients.
• Reviews and analyzes laboratory tests, x-rays and other diagnostic data; determines diagnoses; prescribes pharmaceuticals within the scope of the program or specialty area assigned; formulates goals and strategies for meeting individual health care needs; consults with physicians or other providers as needed.
• Provides advanced professional expertise and technical assistance to nurses, therapists and ancillary staff in implementing health care strategies and providing for individualized care and treatment within the area of specialization and certification, such as pediatrics, family practice, orthopedics, obstetrics-gynecology or geriatrics; participates in quality assurance activities related to health care services provided by licensed and non-licensed health care members.
• Counsels patient, family members and others on health problems, prescribed treatments, use of drugs and other matters; recertifies patients for skilled nursing care under Medicare requirements.
• Provides continuity of an individualized health care program for clients by referring to or collaborating with physicians and other members of the health care team.
• Identifies health care needs within the community and makes recommendations to provide comprehensive health care to clients; provides education and training to members of the community and the health care team regarding health care needs.
• Develops and recommends practice standards which pertain to assigned programs; evaluates care outcomes and suggests strategies to improve program delivery; informs local administrators of community health needs and suggests/implements corrective actions to ensure quality of care.

Education and Experience requirements at this level consist of possession of a valid Oklahoma license as a Registered Nurse by the Oklahoma Board of Nursing, recognition as a certified Advanced Practice Nurse by the Oklahoma Board of Nursing, and three years of experience as a Registered Nurse plus one year of experience as an Advanced Practice Nurse. Note: Approval for prescriptive authority requires current licensure in Oklahoma as a Registered Nurse and as a Certified Nurse Practitioner (CNP), Certified Nurse Midwife (CNM), or Clinical Nurse Specialist (CNS) within 30 calendars days of the entry-on-duty date. The Advanced Practice Registered Nurse must hold a graduate degree at an advanced practice level or a post-master’s certificate at an advanced practice level if the master’s degree is in nursing, in order to be eligible for initial application for prescriptive authority.