Under general supervision and in accordance with standardized procedures, incumbent performs physical examinations, manages and treats common episodic and chronic medical and surgical problems, counsels’ patients and families, monitors patient progress, and assists with medical research projects.  The Nurse Practitioner takes a leading role in activities such as managing the clinical aspects of clinic, nursing performance improvement, job performance/competency evaluations, scheduling, and working with the directors and employees in the orientation and training of new employees.  Executes leadership in the following areas:  Direct/Indirect Patient Care, Support of Systems, Research, Education, and Professional Leadership.  Works in collaboration with other health care team members, consulting and referring as appropriate, but retains responsibility for ongoing clinical management of the patient.  Must work with any and every physician. Other duties as assigned.