Nurse Practitioner

Department Memorial Medical Group - Surgery & Trauma

The Surgery and Trauma Nurse Practitioner works collaboratively with breast surgical oncologists to provide comprehensive, patient-centered care for individuals with breast disease, breast cancer, and elevated hereditary cancer risk.

This outpatient-based role spans breast surgical oncology, high-risk patient management, survivorship, and hereditary cancer assessment across the continuum of care. The NP serves as a direct caregiver, educator, and care coordinator-supporting patients through diagnostic evaluation, treatment planning, perioperative care, and long-term surveillance.

In addition, the NP functions as the NAPBC Co-Coordinator, supporting the Breast Program Director (BPD) and multidisciplinary team in achieving and maintaining accreditation through the National Accreditation Program for Breast Centers (NAPBC). This includes leadership in program coordination, quality improvement, documentation, and regulatory compliance.

SUPERVISION: Reports directly to the Practice Manager

RESPONSIBILITIES AND DUTIES:

Clinical Care Responsibilities

• Conduct comprehensive evaluations for patients with:

Breast cancer

High-risk breast lesions

Hereditary cancer syndromes

Abnormal breast imaging

Obtain and interpret:

Personal and family medical histories

Imaging, pathology, and laboratory studies

Genetic testing results

Perform pre-operative and post-operative assessments, including:

Drain management

Monitoring for surgical complications

Prevention and risk-reduction interventions for high-risk patients

• Coordinate genetic testing and provide patient education regarding:
• Hereditary cancer syndromes
• Inheritance patterns
• Implications for treatment and screening
• Educate patients and families on:
• Diagnosis and treatment options
• Surgical expectations and recovery
• Survivorship care and lifestyle modifications
• Collaborate with multidisciplinary teams including:
• Breast surgery
• Medical oncology
• Radiation oncology
• Radiology
• Pathology
• Genetics
• Navigation and nursing teams
• Participate in multidisciplinary breast cancer conferences (tumor boards) and clinical decision-making
• Maintain accurate and timely documentation in the electronic medical record
• Stay current with evolving guidelines (e.g., NCCN, genomic medicine advances)
• Assist with in-office procedures consistent with training and competency

NAPBC Co-Coordinator Responsibilities

• Serve as NAPBC Co-Coordinator, supporting the Breast Program Director (BPD) in maintaining compliance with all NAPBC standards
• Site visit preparation and readiness
• Submission and management of required documentation
• Follow-up on deficiencies and corrective actions
• Ensure all program protocols are:
• Evidence-based
• Current and compliant
• Reviewed and approved by the Breast Program Leadership Committee (BPLC)

Breast Program Leadership Committee (BPLC) Coordination

• Scheduling and agenda development
• Multidisciplinary representation
• Annual and triennial standard reviews
• Quality improvement activities
• Barriers to care and action plans
• Ensure completion and documentation of required:
• Annual evaluations (e.g., treatment planning, quality measures)

Multidisciplinary Breast Care Conference (Tumor Board) Coordination

Case presentation percentages

Required specialty attendance

• Clinical staging
• Genetic and clinical trial considerations
• Monitor compliance with NAPBC presentation thresholds and requirements

Documentation & Regulatory Compliance

• Maintain required documentation, including:

Protocols

Templates

• Meeting minutes
• Compliance reports
• Meets regulatory and privacy standards

Quality Improvement &
Outcomes

• Lead and coordinate breast program quality improvement (QI) initiatives, including:
  • Selection of improvement projects
  • Implementation using methodologies (e.g., PDSA, Lean, DMAIC)
  • Outcome tracking and reporting
• Monitor adherence to NAPBC quality measures and:
  • Identify gaps
  • Develop corrective action plans
  • Report findings to the BPLC

Clinical Program Oversight

• Support development and monitoring of evidence-based protocols for:
  • High-risk breast management
  • Genetic evaluation
  • Survivorship and surveillance
  • Patient navigation
• Ensure alignment with national guidelines (NCCN, ASCO, etc.)

Data, Research &
Community Outreach

• Track clinical research accrual (target 2% of analytic cases annually)
• Coordinate and document:
  • Community outreach programs
  • Prevention and early detection…