APP - Breast Surgery

Advanced Practice Provider (APP)

Breast Surgical Oncology & High-Risk Breast Clinic

The Advanced Practice Provider (APP) works collaboratively with a team of three breast surgical oncologists to provide comprehensive care for patients with breast disease, breast cancer, and elevated hereditary cancer risk. This primarily office-based role focuses on breast surgical oncology, high-risk patient management, survivorship, hereditary cancer assessment, and post-operative care across the continuum of care.

The APP serves as a direct patient caregiver, educator, and care coordinator, supporting patients through diagnostic evaluation, treatment planning, perioperative care, and long-term surveillance. The role includes participation in multidisciplinary breast cancer care and development of individualized prevention and risk-reduction strategies for high-risk patients.

This position is primarily clinic-based, with occasional operating room coverage accounting for less than 5% of work time. Responsibilities include management of post-operative follow-up visits, hereditary cancer risk assessment, minor in-office procedures, and support of clinic staff and patient care workflows. Comprehensive onboarding, training, and mentorship will be provided to support success in the role.

The general pay scale for this position at WVCI is $120,000-$170,000. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity, etc.

Employment Type: Full Time - 1.0 FTE

Benefits: M/D/V, Life Ins., 401(k)
Location: Springfield, OR

• Conduct comprehensive evaluations for patients with breast cancer, high-risk breast lesions, hereditary cancer syndromes, and abnormal breast imaging.
• Obtain and review personal and family medical histories, imaging, pathology, laboratory studies, and genetic testing results to support clinical decision-making.
• Perform pre-operative and post-operative assessments, including wound evaluation, drain management, and monitoring for surgical complications.
• Manage post-operative follow-up appointments and ongoing surveillance care plans.
• Develop individualized surveillance, prevention, and risk-reduction plans for patients at elevated hereditary or familial breast cancer risk.
• Coordinate genetic testing and provide patient education regarding hereditary cancer syndromes, inheritance patterns, and implications for treatment and screening.
• Educate patients and families regarding diagnoses, surgical treatment options, recovery expectations, survivorship, and lifestyle modifications.
• Support high-risk breast clinic operations through cancer risk assessment, patient counseling, and coordination of preventive care strategies.
• Assist with minor in-office procedures as appropriate to training and clinical competency.
• Provide clinical support and collaboration with nursing, medical assistants, and administrative staff to ensure efficient patient care delivery.
• Collaborate closely with breast surgeons, medical oncology, radiation oncology, radiology, pathology, genetics, nursing, and navigation teams to ensure multidisciplinary, patient-centered care.
• Participate in tumor boards, quality improvement initiatives, and evidence-based clinical practice development.
• Maintain timely and accurate documentation within the electronic medical record.
• Stay current with evolving breast oncology and genetics guidelines, including NCCN recommendations and advances in genomic medicine.

NURSE PRACTITIONER

• Master of Science in Nursing (MSN) and completion of an accredited Nurse Practitioner program.
• Current RN and APRN licensure in the practicing state.
• Basic Life Support (BLS)/CPR certification required.
• Prior experience or strong interest in breast surgery, oncology, women's health, genetics, or high-risk patient care preferred
• Genetics knowledge or prior genetics experience is not required. Comprehensive training and mentorship will be provided.
• Interested candidates will have the opportunity to complete specialized cancer genetics education and certification training through City of Hope.

PHYSICIAN ASSISTANT

• Completion of an accredited Physician Assistant program.
• Current NCCPA certification and state licensure.
• Basic Life Support (BLS)/CPR certification required.
• Prior experience or strong interest in breast surgery, oncology, women's health, genetics, or high-risk patient care preferred.
• Genetics knowledge or prior genetics experience is not required. Comprehensive training and mentorship will be provided.
• Interested candidates will have the opportunity to complete specialized cancer genetics education and certification training through City of Hope.

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 accommodations 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. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations 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.

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.