Job Description: Advanced Practice Provider (APP) - Breast Surgery

Position Title: Advanced Practice Provider (Nurse Practitioner or Physician Assistant)
Department: Breast Surgery
Reports To: Surgical Breast Oncology Surgeon / Surgical Services Leadership
Location: Arlington campus, Greenville NC
Employment Type: Full-Time

Position Summary

The Advanced Practice Provider (APP) will work collaboratively with a breast surgeon to provide comprehensive, patient-centered care throughout the continuum of breast health. This includes pre-operative evaluation, peri-operative management, post-operative follow-up, and clinical support in both outpatient and operative settings. The APP will play a key role in patient education, care coordination, intraoperative and clinical efficiency within the breast surgery practice.

Key Responsibilities

Clinical Care

• Conduct thorough patient histories, physical examinations, and assessments for patients with benign and malignant breast conditions.
• Order, interpret, and review diagnostic studies including labs, imaging, and pathology reports.
• Develop and implement evidence-based treatment plans in collaboration with the supervising breast surgeon.
• Provide pre-operative counseling, surgical consent discussions, and education regarding procedures, expectations, and recovery.
• Perform post-operative evaluations including wound checks, drain management, pain control, and complication surveillance.
• Manage urgent patient concerns (e.g., infection, seroma, pain issues) in clinic or via telehealth as appropriate.
• Assist with in-office procedures such as biopsies, seroma aspirations, excisions, and dressing changes.

Surgical Support

• Provide first-assist support in the operating room for breast surgeries, including lumpectomies, mastectomies, sentinel lymph node biopsies, and reconstructive-related procedures as appropriate.
• Support intraoperative tasks such as retraction, suturing, patient positioning, and documentation.

Care Coordination & Patient Navigation

• Collaborate with multidisciplinary teams including radiology, oncology, plastic surgery, radiation oncology, pathology, and genetics.
• Support referral management, survivorship planning, and coordination of imaging and diagnostic workflows.
• Participate in tumor boards, case reviews, and multidisciplinary planning meetings.

Education, Communication & Support

• Provide empathetic, clear education to patients and families regarding diagnosis, treatment options, and follow-up care.
• Assist with genetic testing coordination and risk-reduction counseling when appropriate.
• Document all encounters thoroughly in the electronic health record (EHR) in compliance with organizational standards.

Quality & Professional Development

• Participate in quality improvement initiatives within the breast surgery service line.
• Remain current with clinical best practices through continuing education, conferences, and professional development.
• Support practice growth by improving clinic workflow, patient throughput, and patient satisfaction.

Qualifications

Required

• Master's degree from an accredited NP or PA program.
• Current NP or PA license in NC.
• Minimum 2+ years of surgical experience, preferably in general surgery, oncology, plastic surgery or breast surgery.

• BLS/ACLS certification.
• Strong interpersonal and communication skills with a patient-centered approach.

Preferred

• Experience in breast surgery or plastic surgery.
• Familiarity with breast imaging workflows and cancer care pathways.

Working Conditions

• Outpatient clinic setting and operating days.
• Requires standing, walking, and light lifting at times.
• Exposure to operating room and procedural environment.