Advanced Practice Provider: Undiagnosed Mass Clinic

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a history of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states.

Together, our fully integrated research and clinical care teams seek to discover new cures for the world’s deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities makes us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

The Undiagnosed Mass Clinic (UDM) PA-C/ARNP is a physician assistant or advanced registered nurse practitioner who provides dedicated support to this growing Fred Hutch program, which serves as a diagnostic entry point for patients with suspected cancer. The APP provides comprehensive evaluation, diagnostic workup coordination, and medical management for patients referred to suspected malignancy, unexplained mass, or abnormal diagnostic finding requiring further oncologic assessment.

The APP independently evaluates new referrals, develops diagnostic plans, orders and interprets testing within scope of practice, coordinates care across specialties, communicates findings to patients and referring providers, and facilitates timely transition to disease-specific oncology teams when cancer is confirmed. When cancer is not identified, the APP collaborates with referring providers and primary care teams to ensure appropriate follow-up and disposition.

The UDM APP can practice at the intersection of oncology, diagnostic medicine, and care coordination. Significant collaboration with nurse navigation, pathology, radiology, and disease-specific oncology teams is necessary. All clinical responsibilities are performed within the APP scope of practice, institutional privileges, and under the supervision of an attending physician.

This is a part time (50% FTE) position.

• Perform comprehensive and problem-focused H&P for patients referred to the UDM Clinic.
• Review referral records, imaging, pathology, lab studies, and prior evaluations.
• Develop, order, and manage diagnostic workups for patients with suspected malignancy.
• Interpret and communicate diagnostic findings to patients, referring providers, and consulting teams.
• Coordinate diagnostic testing, specialty consultations, and follow-up evaluations across multiple disciplines and healthcare settings.
• Collaborate closely with wide range of team members and specialists to ensure efficient progression through the diagnostic process.
• Track and manage pending studies, referrals, pathology results, and other diagnostic milestones to ensure timely completion of evaluations.
• Provide follow-up care and medical management while diagnostic workup is underway.
• Facilitate hand-offs and referrals to disease-specific oncology services when cancer is diagnosed.
• Coordinate care transitions back to primary care providers, referring physicians, or other specialty services when…