ARNP/PA - High Risk Breast

The US Oncology Networkβ€’Spokane, WA

About The Position

Cancer Care Northwest is seeking a highly motivated Cancer Genetic Advanced Nurse Practitioner to identify and manage patients at elevated risk for hereditary cancers. The role collaborates closely with oncologists, breast surgeons, and radiologists. Under physician supervision or in partnership with physicians, the ARNP participates in care for individuals, families, and patient populations affected by cancer, hereditary conditions, or related diagnoses. The position focuses on prevention, screening, clinical management, research, genetic risk assessment, and counseling. It serves as a direct care provider and patient educator and must maintain compliance with OSHA and other regulatory standards, as well as the Cancer Care Northwest/US Oncology Compliance Program, Code of Ethics, and Business Standards.

Requirements

  • DNP or MSN from an accredited nursing school and completion of an NP program.
  • ARNP/RN licensure and CGRA certification.
  • At least 3 years of experience.
  • Current BLS/CPR certification.

Nice To Haves

  • Experience in oncology or genetics is preferred.
  • City of Hope training is preferred.

Responsibilities

  • Assess, plan, implement, and evaluate care for oncology and hereditary-risk patients.
  • Initiate and document appropriate interventions and 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.
  • Conduct cancer genetic risk assessments for patients with a personal or family history of cancer.
  • Counsel patients 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 tumor boards, case conferences, and quality improvement initiatives related to genetics and high-risk care.
  • Maintain current knowledge of genetic guidelines, including NCCN and ACMG, and integrate evidence-based genetics into practice, including variant reclassification and secondary findings.
  • Support clinical research related to cancer genetics and hereditary syndromes.
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