ADVANCED PRACTICE REGISTERED NURSE   DUTIES AND RESPONSIBILITIES: * Identifies the physical, social, and emotional health needs of individuals and families through systematic assessment, utilization of professional skills, health history, physical evaluations, and laboratory and other diagnostic tools. * Utilizes appropriate or specialized knowledge and skills in the provision of direct patient care and evaluates the effectiveness of care provided. * Delegates appropriate nursing care functions to registered nurses, licensed practical nurses, assistant nursing personnel, and students. * Participates in staff development programs including orientation, in-service, continuing education for nursing and other agency personnel. * Works toward development of innovative methods of dealing with work-site problems. * Teaches and counsels individuals, families, and groups on the maintenance of health, prevention of disease and disability; participates in professional and community activities on matters related to health. * Maintains records and reports accordingly to agency standards. * Prescribes and dispenses nonscheduled drugs as described in a written practice agreement with a BSHC licensed physician. * Makes appropriate referrals. * Provides continuity of care for clients receiving service from more than one agency by planning, coordinating and exchanging information. * Provides nursing expertise and consultation to nursing personnel and others. * Adheres to the terms and conditions set forth in BSHC’s corporate compliance program. * Ensures confidential information in accordance with BSHC’s policy and current HIPAA regulations. * Performs other duties as assigned.   MINIMUM QUALIFICATIONS / REQUIREMENTS: * Current license to practice as a Nurse Practitioner in Kentucky. * Certified by the American Nurses Credentialing Center or the American Academy of Nurse Practitioners. * BLS & ACLS certified, PALS certified depending on privileges. * Ability to set priorities, make judgments, delegate appropriate functions, and assist others in similar decisions. * Demonstrates effective verbal and written communication skills.   PHYSICIAN ASSISTANT DUTIES AND RESPONSIBILITIES: * Performs medical services that are within the scope of training received in an approved program and which are also within the scope of the Supervising Physician. * Obtains and records case histories; performs appropriate physical examinations; presents the resulting data to the Supervising Physician when indicated, and ensures proper documentation in the BSHC Electronic Medical Record System. * Performs noninvasive laboratory procedures and related studies; assists licensed personnel in the performance of invasive laboratory procedures and related studies. * Gives injections, administers medications, and requests diagnostic studies when indicated or directed by the Supervising Physician. * Prescribes and administers drugs and medical devices to the extent delegated by the Supervising Physician. * Sutures and cares for wounds, removes sutures and clips, and changes dressings. * Provides patient counseling services and patient education consistent with guidelines established by the Supervising Physician. * Assists the Clinic’s Medical Team in delivery of services to patients; executes specific orders at the direction of the Supervising Physician. * Demonstrates evidence of attributes essential to professional * Knows and accepts that the role of PA is limited. * Establishes effective interpersonal relationships with patients, professionals and others. * Maintains attributes and expresses attitudes essential to the role of a professional * Refers patients with problems beyond one’s professional competencies to appropriate sources of care. * Maintains relationship with patients referred. * Maintains competency through Continuing Medical Education. * Performs duties that are delegated by the Supervising Physician. * Adheres to the terms and conditions set forth in BSHC’s corporate compliance program. * Ensures confidential information in accordance with BSHC’s policy and current HIPAA regulations. * Performs other duties as assigned.   MINIMUM QUALIFICATIONS / REQUIREMENTS: * Graduate of an accredited or approved physician assistant training program. Must be certified in the state of Kentucky as a Physician Assistant. * Ability to work with staff and patients. * Experience in delivering medical care in a rural area is desirable.