MO Project: Contextual Branding

Health Care Practitioner (Advanced Practice Registered Nurse) (Physician Assistant)

  • Health Care Practitioner (Advanced Practice Registered Nurse) (Physician Assistant)
  • What will I be doing?
  • Do I qualify?
  • Can I be successful?
  • Benefits
  • How do I apply?
Class Number: 
Annual Salary Range:
$52,332.00 – $83,436.00
Twice-a-Month Salary Range:
$2,180.50 – $3,476.50
Pay Grade: 

View Class Specification Document


This is advanced practice registered nurse/physician assistant work providing health care services for patients/residents in a state facility or program under a collaborative or supervision agreement with a physician.

Job Duties

Functions as an Advanced Practice Registered Nurse and applies nursing principles to diagnose and treat patients/residents in collaboration with a physician, or functions as a Physician Assistant and applies professional standards to diagnose and treat patients/residents under physician supervision.


Assesses health care status, in collaboration with patients and their families, by obtaining a complete health database that includes health history, physical examination, and diagnostic procedures to determine current and/or potential health needs.

Initiates and interprets laboratory tests; initiates treatments and provides follow-up care according to professional standards and the collaborative/supervision agreement.

Prescribes medications related to the medical conditions of patients.

Makes rounds of unit and/or facility to determine status of patients; reviews medical records and nursing reports and consults with patients.

Directs and supervises the work of lower level staff.

Provides professional expertise and technical assistance to health care staff.

Participates in consultation, referral, and collaborative activities with other health care staff.

Develops and implements health care plans by examining patients, diagnosing illness, and determining the course of treatment.

Participates in additional professional responsibilities of monitoring quality assurance and attending meetings involving departmental staff and/or professional organizations.

Establishes and signs a practice agreement annually with the collaborating/supervising physician.

Provides on-site preceptorship for students.

Exercises considerable independence in the performance of duties within the limits of established policies of the agency, collaborative/supervision agreements, and other state statutes; receives general supervision from the Medical Director or other designated authority.

Performs other related duties as assigned.

View Class Specification Document

(The following minimum qualifications will determine merit system eligibility and may be used to evaluate applicants for Missouri Uniform Classification and Pay System positions not requiring selection from merit registers.)


Possession of a current Document of Recognition as an Advanced Practice Registered Nurse from the Missouri State Board of Nursing and a current Missouri license as a Registered Nurse.


Possession of current Certification by the National Commission on Certification of Physician Assistants and a current Missouri license as a Physician Assistant from the Missouri State Board of Registration for the Healing Arts.

Special Requirements

Must have a formal collaborative practice arrangement or supervision agreement consistent with the regulations established by the Missouri State Board of Nursing and/or the Missouri State Board of Registration for the Healing Arts.

Please note that documentation that supports your eligibility (i.e. transcripts, employment records, etc.) may be required at any time during the application and hiring process. If you do not possess the minimum qualifications, please consider one of many other employment opportunities with the State of Missouri.

View Class Specification Document

Key Skills

Do you possess the key skills which are considered essential for successful employment in this classification?

Comprehensive knowledge of current professional medical practice and nursing theory and practice.


Comprehensive knowledge of, and clinical competence in, nursing or physician assistant assessments of health and illness conditions, prevention, and treatment.

Knowledge of current medications, including administrations and their actions and use.

Skill in identifying patients' problems, symptoms, and/or deviations in behavior.

Skill in completing physical and developmental assessments and developing nursing care or medical care plans including conducting histories, initiating diagnostic tests, interpreting test results, making diagnoses, initiating appropriate treatments, and/or making referrals.

Ability to function in the advanced practice registered nursing role or to function in the physician assistant role and follow professional standards, agency policies, state statutes, and collaborative/supervision agreements.

Ability to supervise professional and technical health care staff.

Ability to develop and maintain effective working relationships with patients, staff, and other health care professionals.

View Class Specification Document

The following link will provide you with general information about State of Missouri employee benefits.

View benefits

View Class Specification Document