Nurse Practitioner or Physician Assistant (Hybrid) - Breast Oncology

Washington University in St Louis • Saint Louis, MO

2d • Hybrid

About The Position

A Nurse Practitioner or Physician Assistant specializing in Breast Medical Oncology will join the oncology team at Siteman Cancer Center and WashU Medicine in a hybrid outpatient role combining direct patient care with dedicated administrative time. The position includes three outpatient clinic days and two administrative days, with remote flexibility available under department policy. The primary location is Siteman Cancer Center, with occasional support at other WashU/Siteman sites, and the provider primarily supports one collaborating physician.

The APP cares for adult patients with breast cancer across the disease continuum, including early-stage, locally advanced, and metastatic disease. In collaboration with a medical oncologist and multidisciplinary oncology team, the provider evaluates patients, develops and manages treatment plans, monitors treatment response and toxicities, oversees systemic anticancer therapies, provides education, coordinates supportive care, and guides patients through treatment, survivorship, and ongoing care.

The role also includes general patient assessment and management, counseling and education for patients and families, maintaining accurate medical records, supporting quality and safety initiatives, and participating in clinical research and professional development. The posting additionally describes duties involving ITB therapy and pumps, rehabilitation nursing, and rehabilitation nursing research and education.

Requirements

• Master’s degree.
• For Nurse Practitioner applicants: Master of Science in Nursing with an emphasis in a Nurse Practitioner program.
• For Nurse Practitioner applicants: Advanced Practical Nurse licensure, or ability to obtain it within three months of hire.
• For Physician Assistant applicants: graduation from a Physician Assistant program.
• For Physician Assistant applicants: current Missouri and/or Illinois PA licensure, depending on location, or ability to obtain it within three months of hire.
• Basic Life Support certification from the American Heart Association or American Red Cross; online BLS certifications without a skills assessment component are not accepted.
• Additional certifications may be necessary based on specialty.
• No specific work experience is required.
• A driver’s license is not required.

Nice To Haves

• Master’s degree in Nurse Practitioner studies or Physician Assistant Studies.
• Advanced Practice Nurse licensure from the Illinois Department of Financial and Professional Regulation or Missouri Division of Professional Registration.
• Certified Nurse Practitioner credential from the Illinois Department of Financial and Professional Regulation or Missouri Division of Professional Registration.
• Physician Assistant credential from the Illinois Department of Financial and Professional Regulation or Missouri Division of Professional Registration.
• Skills and attributes including adaptability, clinical decision making, clinical diagnostics, communication, customer empathy, attention to detail, disease management, Epic EHR, family support, HIPAA compliance, interpersonal communication and relationships, multitasking, organization, patient care, patient education and evaluations, patient management, pharmacology, preventive care, teamwork, and time management.

Responsibilities

• Obtain patient histories and assess patients through observation, interview, and examination.
• Order, perform, and interpret diagnostic studies.
• Provide preventive health assessments, screenings, immunizations, and care.
• Treat and manage acute and chronic disease conditions, and develop patient-centered plans of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers, and others as appropriate.
• Manage breast oncology patients across early-stage, locally advanced, and metastatic disease, including treatment planning, systemic anticancer therapy oversight, and monitoring response and treatment-related toxicities.
• Provide counseling and education to patients and families or caregivers about disease management, complication prevention, disease prevention, quality of life, and outcomes.
• Monitor the accuracy of patient medical records and maintain required reports, records, and statistics.
• Maintain a safe, comfortable, and therapeutic patient and family environment in accordance with clinic and hospital standards.
• Manage health conditions through prescriptive authority or referrals to healthcare providers or community resources; perform diagnostic or therapeutic interventions consistent with certification and state regulations.
• Champion safety and quality of care for patients using ITB therapy and serve as an expert in ITB pump care and management.
• Help develop an educational program for patients and lead the program’s quality and safety initiative.
• Serve as a clinical expert in rehabilitation nursing and manage complex clinical nursing situations with autonomy and advanced skill.
• Provide management services for clinical research projects and monitor participating subjects, including medication administration and patient and family education.
• Follow departmental policies, procedures, quality assurance programs, and safety, environmental, and infection-control standards.
• Participate in continuous quality and process improvement activities focused on evidence-based patient care.
• Pursue professional growth through educational programs, current literature, in-service meetings, and workshops.
• Contribute to rehabilitation nursing through research, publications, and presentations.
• Perform other duties as assigned.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays and coinsurance.
• Free Metro transit U-Pass for eligible employees.
• Defined contribution 403(b) retirement savings plan, with university contributions starting at 7%.
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program, financial resources, and access to dietitians.
• Four weeks of caregiver leave to bond with a new child.
• Family care resources for childcare and adult care.
• Tuition coverage for the employee and family, including dependent undergraduate tuition up to 100% at WashU and 40% elsewhere after seven years of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level