Advanced Practice Provider (APRN or PA) - Breast Surgical Oncology

Role Overview

The Breast Surgery Oncology Advanced Practice Provider supports high‑quality patient care through a hybrid practice model that includes outpatient clinic responsibilities, operating‑room first‑assist duties, and administrative coordination. The APP collaborates closely with physicians, other advanced practice providers, and multidisciplinary teams to ensure continuity of care across the surgical, inpatient, and ambulatory settings.

Key Responsibilities

• Conduct comprehensive assessments of patients throughout the surgical, inpatient, and ambulatory continuum, including psychological status.
• Provide direct care for a wide range of oncologic diseases: new patient consultations, follow‑ups during and after cancer surgeries, therapies, and autonomous survivorship clinic visits.
• Utilize EPIC for documentation, order entry, and care delivery.
• Perform and document histories, physicals, diagnostic studies, therapeutic procedures, and prescribe medications.
• Obtain informed consent, educate patients and families, and manage symptom‑related toxicities.
• Coordinate care with multidisciplinary teams (physicians, nurses, case managers, social workers, therapists, pharmacists, etc.) and facilitate long‑term, multi‑disciplinary treatment plans.
• Serve as a medical expert for intake processes, ensuring safety and appropriate treatment modality.
• Participate in tumor board reviews, treatment planning, and peer‑to‑peer insurance reviews.
• Run an independent Advanced Practice Provider clinic and manage peri‑operative care, including pre‑ and post‑operative visits.
• Contribute to development, modification, and interpretation of oncology guidelines, policies, procedures, and quality‑assurance activities.
• Engage in clinical research, safety and process‑improvement initiatives, and institutional training/meetings.
• Perform credentialing procedures and provide coverage for colleagues as needed.
• Assist in the operating room as first or second assist, employing scalpel, electric knife, sterile technique, and adhering to OR regulations.
• Perform minor surgical procedures (wound debridement, suture/staple removal, drain placement/removal, seroma evacuation, biopsies, etc.) as delegated.
• Obtain test results, formulate assessments and plans with supervising physicians, and document patient notes.
• Educate nursing staff, students, and community members; participate in student education across multiple health professions.
• Perform routine patient care tasks such as IV starts, venipuncture, and medication administration.
• Participate in research and administrative projects pertinent to the patient population.

Qualifications

• Education: Master's degree from an accredited Physician Assistant program (ARC‑PA) or Advanced Practice Registered Nurse program meeting Texas Board of Nursing requirements.
• Licensure/Certification: Active Texas Board of Nursing or Texas State Board of Physician Assistant Examiners license; Basic Life Support (BLS) or CPR certification.
• May be required: Eligibility for limited prescriptive authority in Texas; Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) as appropriate.
• Preferred: RNFA certification, experience in surgical first‑assisting, outpatient clinic operations, Epic utilization, and prior exposure to breast surgery or oncology practice.
• Experience: No required experience; preferred experience in breast surgery or oncology.

Pay

Salary range: Minimum $117,500 – Midpoint $146,500 – Maximum $176,500.

Schedule

Typical work schedule is a 4/10 arrangement with a designated flex day.

Work Location

Home site: The Woodlands, Texas. Primary operating‑room coverage at Northwest campus with occasional coverage at TMC.

Benefits

• Employer‑paid medical coverage starting day one for employees working 30+ hours/week.
• Optional group dental, vision, life, AD&D, and disability insurance.
• Accrued paid time off, extended illness bank, paid holidays, and wellness leave.
• Childcare assistance and other leave options.
• Tuition Assistance Program after six months of service.
• Access to extensive wellness, fitness, and employee resource groups.
• Defined‑benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer‑paid life and reduced‑salary protection programs.