ARNP/PA - High Risk Breast

The US Oncology Network; Spokane (WA); On-site; USD 125,000 - 182,000; Full time

Job summary

The US Oncology Network is seeking a Cancer Genetic Advanced Nurse Practitioner in Spokane to lead hereditary cancer risk assessment and counseling within an integrated cancer care team. You will collaborate with oncologists, breast surgeons, and radiologists to guide surveillance and risk-reduction plans.

Responsibilities include genetic risk assessment, patient education, evidence-based practice, and mentoring junior staff, with emphasis on regulatory compliance and quality improvement in a

Qualifications

• DNP or MSN with NP program completion.
• ARNP/RN licensure and CGRA certification.
• Minimum 3 years of oncology or genetics experience.
• City of Hope training preferred.
• Current BLS/CPR certification.

Responsibilities

• Assess, plan, implement, and evaluate care for oncology and hereditary risk patients.
• Initiate and document appropriate interventions; prescribe therapies as indicated.
• Perform procedures with minimal supervision.
• Provide education and wellness resources to patients and families.
• Incorporate evidence-based research into clinical practice.
• Ensure timely documentation and charge capture.
• Participate in case management, palliative care, and staff education.
• Mentor new ARNPs and precept students.

Skills

AR NP licensure

CGRA certification

Oncology/Genetics experience

City of Hope training

BLS/CPR certification

Education

DNP/MSN with NP program completion

Tools

BLS/CPR certification

Job description

Overview

Join a Legacy of Care – Delivering over 50 years of Healing and Hope

For over five decades Cancer Care Northwest has been the Inland Northwest's premier cancer center, providing an integrated approach to the diagnosis, treatment and healing of cancer and blood-related diseases.

Our collective passion to fight against cancer is what motivates and inspires us every day and is the reason Cancer Care Northwest has become the Inland Northwest's premier cancer center. We provide comprehensive, innovative, compassionate, integrated care throughout each patient's journey. We are searching for dedicated professionals who share our passion in saving lives. Are you looking to work alongside a team of professionals passionate about patient care? Join us in our mission to save lives.

Cancer Care Northwest is currently seeking a highly motivated Cancer Genetic Advanced Nurse Practitioner. This position will play a key role in identifying and managing patients at elevated risk for hereditary cancers, while collaborating closely with oncologists, breast surgeons, and radiologists.

Working under supervision or in partnership with physicians, the ARNP participates in the care of individuals, families, and patient populations affected by cancer, hereditary conditions, or related diagnoses. Responsibilities include prevention, screening, clinical management, and research, with an emphasis on genetic risk assessment and counseling. This position will function as a direct care provider and patient educator, while maintaining compliance with OSHA and other regulatory standards. Supports and adheres to Cancer Care Northwest/US Oncology Compliance Program, including Code of Ethics and Business Standards.

Responsibilities

• Assess, plan, implement, and evaluate care for oncology and hereditary risk patients.
• Initiate and document appropriate interventions; prescribe therapies as indicated.
• Perform procedures with minimal supervision.
• Provide education and wellness resources to patients and families.
• Incorporate evidence-based research into clinical practice.
• Ensure timely documentation and charge capture.
• Participate in case management, palliative care, and staff education.
• Mentor new ARNP’s and precept students.

Genetics & High-Risk Focus

• Conduct cancer genetic risk assessments for patients with personal or family history of cancer.
• Provide counseling on inheritance patterns, testing options, and implications for care.
• Interpret genetic test results and communicate findings to patients and care teams.
• Develop individualized surveillance and risk-reduction plans for high-risk breast patients. Monitor patients longitudinally for changes in risk status, clinical findings, or genetic updates.
• Participate in continuing education such as tumor boards, case conferences, and quality improvement initiatives related to genetics and high-risk care.
• Maintain current knowledge of genetic guidelines (i.e. NCCN, ACMG) and integrate evidence-based genetics into practice, including variant reclassification and secondary findings.
• Support clinical research related to cancer genetics and hereditary syndromes.

Qualifications

• DNP/MSN from an accredited nursing school; completion of NP program
• ARNP/RN licensure and CGRA certification
• Minimum 3 years of experience, preferably in oncology or genetics
• City of Hope training is preferred
• Current BLS/CPR certification

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.

Salary & Benefits

Salary DOE – $125,000 - $182,000

Benefit information https://careers.usoncology.com/benefits