NURSE PRACTITIONER- RURAL CANCER CARE

Franklin Primary Health Center; Brewton (AL); On-site; USD 90,000 - 120,000; Full time

Job summary

Franklin Primary Health Center is seeking a Nurse Practitioner to lead the Rural Cancer Care Program in Brewton, AL. You will provide autonomous clinical care including early cancer detection, preventive screenings, and survivorship planning in a PCMH model.

Responsibilities include conducting screenings, managing chronic diseases, coordinating referrals, and ensuring quality metrics. Travel across FPHC rural sites is required to support access and equity.

Qualifications

• Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited institution.
• Active Alabama RN and CRNP license with FNP or AGPCNP board certification; DEA registration and Alabama QACSC.
• Minimum of 2 years of clinical primary care, chronic disease management, or oncology experience preferred; experience in FQHC/RHC settings desirable.
• Proficiency with OCHIN Epic EHR and clinical decision support tools.

Responsibilities

• Conduct independent clinical evaluations and cancer screening tests (breast, Pap/HPV, prostate, skin, colorectal risk) across rural clinics.
• Evaluate, diagnose, and manage chronic conditions impacting cancer risk and treatment tolerance.
• Order and interpret imaging and labs; formulate evidence-based plans.
• Develop survivorship care plans and coordinate monitoring with chronic care management.
• Collaborate with regional oncology centers and care networks for closed-loop referrals.

Skills

Chronic disease management

Cancer screening

Patient education

EHR proficiency

Education

MSN or DNP from accredited institution

Tools

OCHIN Epic EHR

Clinical decision support tools

Job description

Job Details: Job Location: Brewton Family Medical Center - Brewton, AL 36426, JOB SUMMARY: The Nurse Practitioner (NP) serves as a primary clinical provider for FPHC’s Rural Cancer Care Program under the Alabama Rural Health Transformation Grant. Operating within an integrated Patient-Centered Medical Home (PCMH) care model, the NP delivers direct, autonomous clinical services focusing on early cancer detection, preventive screenings, diagnostic evaluations, chronic disease management, and survivorship management in rural, medically underserved communities. This role combines high-volume screening execution with clinical panel management and peer consultation to close quality care gaps, manage complex comorbidities, and improve regional cancer health equity.

Essential Duties & Responsibilities

• Clinical Screening & Diagnostics: Conduct independent clinical evaluations, clinical breast exams, cervical cancer screenings (Pap/HPV testing), prostate exams, skin cancer assessments, and colorectal risk evaluations across rural clinic sites.
• Chronic Disease Management & Risk Mitigation: Evaluate, diagnose, and manage co-occurring chronic conditions (e.g., hypertension, type 2 diabetes, obesity, hyperlipidemia, and COPD) that impact cancer risk, diagnostic workups, and treatment tolerance; optimize pharmacological regimens and lifestyle interventions to improve overall patient health outcomes.
• Diagnostic & Treatment Management: Order and interpret diagnostic imaging (mammograms, ultrasound, CT/MRI, PET scans), laboratory panels, and genetic risk profiles; formulate evidence-based treatment and diagnostic plans.
• Survivorship Care Planning: Develop and execute post-treatment cancer survivorship care plans, manage acute treatment side effects (pain management, neuropathy, toxicity), and coordinate ongoing monitoring alongside chronic care management.
• Care Coordination & Closed-Loop Referrals: Collaborate with regional tertiary oncology centers, chronic disease specialists, and multidisciplinary care networks to ensure seamless, closed-loop referral tracking for complex or confirmed cancer cases within established timelines.
• Quality Improvement & Compliance: Document clinical encounters in OCHIN Epic to meet HRSA UDS, HEDIS cancer screening, and chronic disease quality metrics; participate in continuous quality improvement (CQI) audits and NCQA PCMH care team huddles.
• Patient Education & Advocacy: Provide culturally competent counseling on cancer prevention, chronic disease self-management, lifestyle risk factors, family history, and tobacco cessation.

Additional Responsibilities

• Remain abreast of current employee health practices and guidelines through continuing education classes, journals and professional organizations.
• Attends continuing education related to infection control practices, monitoring and surveillance of infectious disease processes within an organization.
• Maintains a professional approach with confidentiality.
• Observes and supports Center policy.
• Is prompt and efficient with minimal absences.
• Carries out additional duties as assigned.

The preceding examples are representative of the assignments performed by this position and are not intended to be all-inclusive.

Performance Standards

Performance will be evaluated by Chief Nurse Practitioner bi-annually wherein a satisfactory overall rating is considered as a minimum acceptable level of performance.

Customer Satisfaction Requirements

Must provide the very best customer satisfaction to patients, visitors, and co-worker at all time in a professional and courteous manner. Provide assistance in resolving customers’ problems. Coordinate efforts and interfaces with other departments to resolve problems. Actively protects customer confidentiality. Actively keeps environment clean and safe with a professional and welcoming image. Always treats customers as welcome guests and provides a warm and sincere greeting. Consistently presents a professional appearance in dress and grooming by adherence to dress code policy. Effectively and regularly demonstrates the values of the organization. Effectively involves customers in decisions that affect them. Follow through in a timely manner of commitments made to customers. Take ownership of your attitude toward Service Excellence.

Health and Safety Requirements

• Must adhere to safety regulations, personnel policies and procedures.
• Safety and Hazard Communication training update is required annually.
• Knowledgeable of OSHA and CLIA requirements to assure compliance.
• Maintain yearly health maintenance records by obtaining TB skin testing and completion of the hepatitis series.

Privacy Rule Compliance Requirements

• Adheres to Health Insurance Portability and Accountability Act (HIPAA Privacy Rule) policies and procedures.
• Must successfully complete Privacy Rule compliance training annually or as revisions are made to the policies and procedures.
• Must comply with Privacy Rule guidelines by learning to protect FPHC patient’s medical privacy.
• Must comply with Privacy Rule guidelines by appropriately maintaining our patient information in compliance with national standards.
• Must comply with Privacy Rule guidelines by providing appropriate security of FPHC patient records.

Qualifications & Competencies

• Education: Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited institution.
• Licensure/Certification: Active, unencumbered Alabama RN and CRNP license with Family Nurse Practitioner (FNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) board certification; active DEA registration and Alabama QACSC.
• Experience: Minimum of 2 years of clinical primary care, chronic disease management, or oncology experience preferred; experience in FQHC, Rural Health Clinic (RHC), or medically underserved settings highly desirable.
• Technical Skills: Proficiency with OCHIN Epic EHR and clinical decision support tools.
• Travel: Ability to travel across FPHC rural health center locations in Escambia, Monroe, Choctaw, and Conecuh counties as scheduled.

Knowledge, Skills and Abilities

Demonstrated clinical competence. Assumes responsibility for own continued personal and professional growth. Demonstrated appropriate manner, conduct, grooming and sound judgment. Demonstrated ability to work cooperatively and communicate effectively. Good health and consistent attendance. Membership and participation in AL Board of Nursing Association encouraged.

Other Qualifications

Bilingual/bicultural will be considered.

Physical/Mental Demands

Requires working under stressful conditions and irregular hours. Must be able to express ideas clearly and concisely; and exercise balanced judgment in evaluating situations and making decisions. Work requires sitting, standing, stooping, bending, driving and a considerable amount of walking, moving and examining objects at high and low reach, and reading. Must be able to lift and move patients as needed.

Protected Health Information (PHI) Access

RESTRICTED- For purposes of HIPAA Compliance, there are 4 workforce categories, which define the level of access to PHI that is granted to the incumbent. This position is classified as PRIMARY PROVIDERS and therefore is granted RESTRICTED access- to be defined according to the purpose for which use or disclosure is intended. Use and disclosure must be in accordance with applicable privacy policies and procedures.