Surgical APP

This full-time Surgical Advanced Practice Provider position is located at 500 W Main Street #350, Lewisville, TX 75010 and supports the Surgical Oncology team. The role is classified as Level 1, 2, or Senior based on candidate experience. Texas Oncology is the largest community oncology provider in the country with approximately 600+ providers across 220+ sites in Texas and southeastern Oklahoma, treating half of all Texans diagnosed with cancer annually. The practice delivers high-quality, evidence-based cancer care in a warm, patient-centered environment.

About the role

Under supervision or in collaboration with surgical attending physicians, the Surgical APP delivers care in an outpatient clinic setting or a hybrid outpatient clinic and hospital/operating room setting. The role focuses on evaluation, education, and longitudinal management of patients undergoing surgical care, including surgical consultation, pre-operative preparation, hospital/intraoperative assistance (hybrid only), and post-operative follow-up. The APP functions as a direct caregiver, patient educator, first assist in the OR (hybrid only), and care coordinator across the surgical continuum.

Responsibilities

• Conducts comprehensive assessments of patients referred for surgical evaluation.
• Performs pre-operative history and physical exams, reviews diagnostic imaging and labs, and assists in surgical planning.
• Provides post-operative follow-up care, including wound assessments, suture/staple removal, and monitoring for complications.
• Educates patients and families on surgical procedures, expectations, recovery timelines, and self-care.
• Coordinates care with surgeons, nursing staff, and ancillary services to ensure seamless transitions across the surgical continuum.
• Documents all patient encounters, assessments, and plans of care in the electronic medical record in a timely and accurate manner.
• Participates in quality improvement initiatives and incorporates evidence-based practices into clinical care.
• Develops foundational knowledge of outpatient surgical billing and documentation requirements.
• May assist with in-office procedures with appropriate training.
• Assists in the operating room as first or second assist, following institutional credentialing and training requirements, including patient positioning, prepping, draping, and procedural support (hybrid role only).
• Performs post-operative rounds and communicates findings to the surgical team (hybrid role only).
• Other duties as assigned.

Qualifications

Nurse Practitioner track:

• Master of Science in Nursing (MSN) from an accredited nursing school and successful completion of a Nurse Practitioner program.
• Level 1: entry-level, typically 0–3 years of experience, preferably in a surgical or outpatient care setting.
• Level 2: minimum 3 years of experience.
• Level Senior: minimum 6 years of experience.
• Registered Nurse First Assistant (RFA/RFNA) certification required (hybrid role only).
• RN state licensure and current registration with the State Board of Nursing in practicing state.
• Current state licensure as a Nurse Practitioner.
• Current Basic Life Support (BLS)/CPR certification required.

Physician Assistant track:

• Successful completion of an accredited Physician Assistant program.
• Current NCCPA (National Commission on Certification of Physician Assistants) certification.
• Level 1: entry-level, typically 0–3 years of experience, preferably in a surgical or outpatient care setting.
• Level 2: minimum 3 years of experience.
• Level Senior: minimum 6 years of experience.
• Current state license as a Physician Assistant in practicing state.
• Current Basic Life Support (BLS)/CPR certification required.

Benefits

• Competitive salaries with potential for productivity-related compensation.
• Generous CME budget.
• Annual allotment of education days.
• Tailored professional onboarding.

Opportunities

• Educational development with programmatic training, including treatment review and coordination, survivorship, genetic consultations, high-risk clinics, and advanced care planning.
• Involvement in clinical research.
• Leadership roles regionally and state-wide.
• Mentorship of new colleagues and APP students.
• Career advancement.
• Publication and speaking opportunities.

Physical Demands

Requires full range of body motion including manual and finger dexterity and eye-hand coordination. Requires standing and