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Job Summary

The High Risk and Genetics Program at Monument Health’s Cancer Care Institute is a new and developing program looking at adding a High Risk Genetic Advanced Practice Provider/Counselor to join the High Risk and Genetics team which consists of 2 physicians (Gynecological Oncologist & Breast Surgeon) , supported by a program support specialist.

Job Description

The High Risk and Genetics Program is designed to provide comprehensive assessment and management of patients who are at risk for a hereditary cancer and provide comprehensive genetic risk assessment for those who are at risk for or who have already been diagnosed with breast or other cancers.  The role of the Advanced Practice Provider at the Monument Health Cancer Care Institute is to assess for genetic and non-genetic risk factors that predispose to cancer; provide recommendations for and implementation of genetic testing; provider cancer surveillance and management recommendations; provide accurate and up-to-date information about breast cancer risk and risk reduction strategies; assist in the screening and early detection of hereditary cancer; provider information and education to patients regarding related health issues; serve as an expert resource on high risk breast cancer and genetics for both patients and clinicians; and work in partnership and collaboration with other members of the health care team, both inside and outside of Monument Health.

Essential Functions:

• Provide comprehensive risk assessment of individual patients by:
  • A careful review of patient’s medical history
  • A careful review of patient’s family history
  • Creation and assessment of at least a 3-generaion pedigree
  • Assessment of breast cancer risk with use of a variety of risk assessment models (i.e. Gail, Claus, Tyrer-Cuzick (IBIS), etc. as indicated
  • Perform Clinical Breast Examinations, as indicated
  • Assess Body Mass Index (BMI), as indicated
  • Identify patients who may be candidates for cancer genetic testing
  • Provide genetic counseling and education to families at risk for hereditary cancer syndromes
  • Make recommendations based on risk assessment/or physical examination findings
    • (Recommendations may include genetic testing, mammography, colonoscopy, breast MRI, breast ultrasound, chemoprevention)
  • Order genetic testing and evaluate and interpret results
  • Order screening and diagnostic tests.  May be done independently or in collaboration/consultation with physicians
  • Prescribe chemopreventative or other agents.  Maybe done according to standardized procedures or in collaboration/consultation with physician.
  • Provide patient education on lifestyle changes/recommendations: risk reduction strategies, breast awareness, screening and diagnostic tests recommended, cancer genetics, and follow-up plan
  • Provide interventions, as indicated, surveillance strategies, genetic counseling and testing, as indicated, follow-up/surveillance plan, and discussion of appropriate referrals to other specialists
  • Referral to other specialists, as indicated (may include cancer genetics, radiology, medical oncology, breast surgeons, gynecologists, gynecologic oncologists, plastics/reconstructive surgeons, primary care, etc.)
• Use evidence-based/consensus driven practice guidelines and assessment tools for evaluating and managing patients at high risk for breast cancer and/or for those at inherited/genetic risk who may/may not have already been diagnosed with cancer
• Document assessment findings and create an individualized management plan that provides for optimal patient care

Additional Requirements

Required:
In South Dakota Certifications - Certified Nurse Practitioner (CNP) - South Dakota Board of Nursing or Physician Assistant (PA) - South Dakota Board of Medical and Osteopathic Examiners.

Preferred:

Experience - 1+ years of Clinical Experience; 3+ years of Healthcare Experience;

1+ years of Oncology Experience

Master's degree in Genetic Counseling from an accredited program

Physical Requirements:
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.