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.

Why Join Our Team

• Opportunity to work closely with a highly specialized breast surgeon.
• Meaningful role in supporting patients through complex and emotional care journeys.
• Collaborative, multidisciplinary environment committed to excellence and innovation in breast health.