High Risk Breast APP

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

Job summary

Cancer Care Northwest in Spokane is seeking a highly motivated high-risk breast cancer ARNP to join our oncology team. This role focuses on identifying and managing patients at elevated hereditary cancer risk, collaborating with oncologists, breast surgeons, and radiologists.

Under supervision, the ARNP will provide direct care, education, and risk assessment, participate in tumor boards and research, and help develop surveillance plans while adhering to OSHA and compliance standards.

Qualifications

• DNP or MSN with NP training from accredited nursing school.
• ARNP/RN licensure and CGRA certification.
• Minimum 3 years of oncology or genetics experience.
• City of Hope training is 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.
• 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.
• 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.

Skills

3+ years experience

Oncology

Genetics

Education

DNP/MSN nursing degree

NP program completion

ARNP/RN license

CGRA certification

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 high-risk breast cancer APP. 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.

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

Minimum 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

To perform this job successfully, an individual must be able to:

• Regularly: stand, walk, grasp, reach, talk, and hear
• Occasionally: sit, bend, stoop/crouch, lift up to 40 pounds, pull/push up to 40 pounds, and carry up to 40 pounds
• Vision: clearly see up to 5 feet with or without corrective lenses

Work Environment

While performing the essential duties/responsibilities of this job, the employee:

• will not be exposed to any workplace environmental conditions caused by extreme noise, heat, cold, workplace hazards, or atmospheric dust/fumes/vapors/mists
• will be exposed to blood borne pathogens
• will be exposed to toxic or caustic chemicals
• will be exposed to ionizing radiation, medical preparations, and other conditions common to an oncology/hematology clinic environment

Salary Range

DOE $125,000 - $182,000

Benefit information

https://careers.usoncology.com/benefits