Nurse Practitioner - Surgical Oncology

Scheduled

Hours:

40

Position Summary: This position will be in clinic running their own patient schedule 4 days a week, with one day dedicated to complete administrative tasks. After a 6 month probation period, the admin day can be from home. The clinic runs 8a-4p, will need to be ready to see patients prior to 8a and may need to stay passed 4p depending on how the clinic flow goes.

APPs see about 18-22 patients a clinic day. Surgical Oncology sees a mix of patients and this position will need to be able to see any of these patients in their clinic. Breast (new and returns), endocrine (returns), and melanoma (returns). There are times where our APP will see post op patients, but this is not regularly scheduled with the APP.

The clinic volume is typically 18-22 patients with a 1 hour lunch break to break the day up. Our clinic locations are at the Siteman Cancer Center at BJH in Central West End, and we will be starting to see patients in 2026 at MoBap.

Our APPs have dedicated team members who can help with scheduling follow ups and assist with patients in clinic. In 2026, we will have 4 full time breast surgeons, 2 full time endocrine/melanoma surgeons, and 1 part time endocrine surgeon. Our APPs will primarily see new breast patients who are not in need of surgical intervention, in addition to return breast, endocrine, and melanoma patients.

Day to day would be seeing patients in clinic (new, returns, and postoperative), documentation and notes through patient encounters, and following up on patients results.

Provides primary and/or specialty nursing and/or medical care in a variety of settings; works under physician oversight as required by state regulation and functions within the scope of practice defined by the Nurse Practitioner’s specialty certification, Barnes‑Jewish Hospital medical by‑laws, and, where it exists, the collaborative practice agreement.

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient‑centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition.
• Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations.
• May bill for services covered by collaborative practice agreement.
• Provides counseling and education of patients and their families/caregivers concerning preventative health, treatment options and community resources.
• Monitors/ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc.
• Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards.
• Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education.
• Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards.
• Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence‑based patient care.
• Enhances professional growth and development through educational programs, current literature, in‑service meetings and workshops.

• Normal office environment
• Exposure to blood‑borne pathogens
• Exposure to chemicals
• Requires protective devices
• Dust, dirt, grease or other disagreeable elements
• Patient care setting
• Direct patient care setting

• Typically sitting at desk or table
• Typically standing or walking
• Typically bending,…