Outpatient Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associates

Department Overview

The OHSU Knight Cancer Institute is an internationally recognized leader in cancer research, prevention, early detection, and patient-centered cancer care. As Oregon's only NCI-designated Comprehensive Cancer Center, the Knight brings together experts across research and clinical disciplines to transform cancer outcomes through innovation and collaboration.

About the DIRECT Clinic

The DIRECT (Diagnostic Interception and Rapid Early Cancer Testing) Clinic is a new, pioneering program designed to serve as the Knight's centralized entry point for adults with a suspicion of cancer or a positive cancer early-detection test result.

The clinic provides a coordinated, cancer-site-agnostic diagnostic pathway that streamlines evaluation, accelerates access to imaging, procedures, and specialty consultation, and helps patients move from concern to diagnostic resolution as quickly as possible.

Your Opportunity as a Founding Advanced Practice Provider (APP)

As a founding member of this growing program, the APP will play a key role in shaping clinical workflows, building innovative care pathways, and improving the experience and outcomes of patients during one of the most critical stages of their cancer journey.

Please upload your resume and cover letter when applying

Function/Duties of Position

Position Summary:

OHSU classification: Clinical Associate APP, represented by the Oregon Nurses Association & Advance Practice United, subject to the active collective bargaining agreement.

Location:

OHSU Radiation Medicine clinic, Knight Cancer Institute (Kohler Pavilion), Marquam Hill campus, Portland, OR; telehealth visits as clinically appropriate.

Clinical Responsibilities:

Direct Clinical Activities

Patient population: Adults (18+) referred with a suspicion of cancer (e.g., abnormal imaging, unexplained mass or lymphadenopathy, concerning signs, symptoms, or laboratory findings) or a positive cancer early-detection/MCED test, without an established cancer diagnosis nor oncologist. Cancer-site agnostic.

Practice area and practice type: Ambulatory diagnostic clinic within OHSU Radiation Medicine (in-person and telehealth visits). Independent practice under the clinical direction of, and in collaboration with, the DIRECT Medical Director, with consultation from Radiation Medicine faculty and diagnostic and oncology specialists.

Clinical coverage requirement: Weekday day shift. New and return patient visits, results-disclosure visits, triage of new referrals and patient messages, and timely follow-up of pending diagnostic results.

Department-specific activities: DIRECT case-review huddles with the Medical Director and navigator; presentation at multidisciplinary tumor boards as needed; Radiation Medicine staff meetings.

Indirect Clinical Activities

Referral review and triage; Epic order entry, result review, and diagnostic work-queue management; coordination with Radiology, Interventional Radiology, Endoscopy, Pathology, and community diagnostic partners; communication with referring providers; documentation.

General responsibilities:

All APPs are expected to support the clinical, education, and research mission of OHSU through routine clinical care that includes working with students, trainees, and patients participating in research, consistent with their role, scope of practice, and applicable contract and institutional policies. In the DIRECT Clinic this includes caring for patients enrolled on cancer early-detection trials and partnering with the Medical Director on pathway development, quality improvement, and program evaluation

Required Qualifications

Experience:

• No prior APP experience required; new graduates are welcome to apply. Structured orientation and mentorship are provided by the DIRECT Medical Director.
• Preferred: Post-graduate APP fellowship or residency training in oncology, internal medicine, or primary care.

Education:

• Successful completion of a Master's or Doctoral degree in Nursing from an accredited Nurse Practitioner program (e.g., Family, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care NP).
  - OR -
• Successful completion of a Master Degree in Physician Assistant/Associate Studies from an accredited program.

Registrations, Certifications and/or Licenses:

• Current RN and APRN licensure with the Oregon Board of Nursing
• Licensure with Washington Board of Nursing (within 90 days of start date)
• Current ANCC (or equivalent) Certification
• DEA Certification

-OR-

• Current PA licensure with the Oregon Medical Board
• PA licensure with the Washington Medical Board (within 90 days of start date)
• Current NCCPA Certification
• DEA Certification

Knowledge, Skills & Abilities:

• Perform comprehensive assessments and develop, with physician guidance as needed, efficient diagnostic plans for suspected malignancy across organ systems (cancer-site agnostic).
• Working knowledge of diagnostic modalities - imaging, laboratory testing, and tissue acquisition

Preferred Qualifications

• Clinical experience (as an APP, RN, or in another clinical role) in ambulatory care, oncology, primary care, or internal medicine.
• Exposure to cancer screening, early detection, diagnostic evaluation, or care coordination/navigation, including through clinical rotations.
• Experience or interest in clinical research.
• Knowledge of MCED testing and consensus guidance for evaluation of signal-positive results; familiarity with NCCN guidelines for diagnostic evaluation; quality improvement methodology; experience

Additional Details

OHSU employees have access to robust and competitive benefits for well-being and peace of mind. Packages include medical, dental and vision plans, generous paid time off, multiple retirement options, participation in the Public Student Loan Forgiveness (PSLF) program, wellness support and more.

You'll also find a commitment to belonging. OHSU welcomes diverse people and ideas, and we foster a culture that is inclusive, equitable and accepting of all. We aim to help you:

• Feel supported.
• Explore well-being programs and resources.
• Connect with colleagues to share and build knowledge.
• Find fulfillment by balancing work, life and community.

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