APRN High Risk Genetics

Middlesex Health System•Middletown, CT

About The Position

The High-Risk Genetics APRN provides specialized, evidence-based care for patients with high-risk genetic mutations who need ongoing surveillance, management, and risk reduction. The APRN works collaboratively with Genetic Counselors, Primary Care Physicians, Gynecologists, and Oncologists, serving as a primary clinical contact to support timely access, long-term surveillance coordination, and continuity of care across Middlesex Health locations. The role includes evaluating and following patients with confirmed high-risk genetic mutations, developing and monitoring individualized surveillance and risk-management plans, and coordinating screening, diagnostic testing, referrals, and specialty care. The APRN educates patients and families about genetic risk, risk reduction, screening, and cascade testing, and contributes to quality improvement and evidence-based clinical protocols for the High-Risk Genetics Clinic. This position is in the Cancer Center and is scheduled for 8 hours per week on the day shift, with a weekend requirement of every other weekend or every third weekend. Compensation is listed at $53.5800 to $83.0500 per hour. Middlesex Health describes itself as a Magnet-designated organization and a Connecticut Top Workplace, with access to professional development, a clinical ladder, shared governance, and the Mayo Clinic Care Network.

Requirements

Master’s Degree in Nursing (MSN) from an accredited APRN program.
Current, active Advanced Practice Registered Nurse (APRN) licensure in the State of Connecticut.
National Board Certification as a Nurse Practitioner; FNP, AGNP, or AOCNP preferred.
Active APRN prescriptive authority and DEA certification.

Nice To Haves

National Board Certification as an FNP, AGNP, or AOCNP.
Minimum of 2–3 years of clinical APRN experience in oncology, clinical genetics, or high-risk specialty clinics.
Strong knowledge of hereditary cancer syndromes, NCCN surveillance guidelines, and multidisciplinary care models.

Responsibilities

Conduct comprehensive clinical evaluations and follow-up visits for patients with confirmed high-risk genetic mutations.
Formulate, implement, and monitor individualized surveillance and risk-management care plans based on national guidelines.
Order, interpret, and track guideline-directed screening and diagnostic modalities.
Prescribe medications and write diagnostic orders as clinically indicated.
Coordinate referrals to specialty services as appropriate.
Collaborate with Genetic Counselors to connect testing recommendations with long-term clinical care.
Enhance communication and continuity of care among genetics, primary care, oncology, gynecology, and surgical services.
Educate patients and families about genetic risk factors, lifestyle risk reduction, screening guidelines, and cascade testing implications for family members.
Engage in risk-management conversations to support informed patient decision-making.
Identify and address gaps in high-risk screening adherence across female and male patient populations.
Participate in quality improvement projects, clinical protocol creation, and evidence-based practice guidelines for the High-Risk Genetics Clinic.