Advanced Practice Provider - High Risk Genetics & Oncology Genetics Counseling
Location: Rapid City, South Dakota
Type: Full Time
Hospital, Public and Private
Internal Number: 1
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.
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.
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
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.
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.
Headquartered in Rapid City, S.D., Monument Health is a community-based health care system with a mission to make a difference, every day. The system offers care in 31 medical specialties and serves 12 communities across western South Dakota. With over 5,000 physicians and caregivers, Monument Health is composed of 5 hospitals and 38 medical clinics and specialty centers. Monument Health is a member of the Mayo Clinic Care Network.Monument Health is committed to the future of medicine, with medical training partnerships, a medical residency program and more than 130 active research studies. We are confident about western South Dakota’s future, and we’re honored to be your partner in delivering excellence in health care.