DESCRIPTION OF POSITION:

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:

o Breast cancer

o High-risk breast lesions

o Hereditary cancer syndromes

o Abnormal breast imaging

• Obtain and interpret:

o Personal and family medical histories

o Imaging, pathology, and laboratory studies

o Genetic testing results

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

o Wound evaluation

o Drain management

o Monitoring for surgical complications

• Develop individualized care plans, including:

• • Surveillance strategies

o 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

Program Leadership & Accreditation

• Serve as NAPBC Co-Coordinator, supporting the Breast Program Director (BPD) in maintaining compliance with all NAPBC standards
• Coordinate accreditation activities, including:

• 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

· Coordinate BPLC operations, including:

• Scheduling and agenda development
• Attendance tracking
• Multidisciplinary representation

• Maintain detailed BPLC meeting minutes, including:

• 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)
• Triennial reviews (e.g., screening, survivorship, genetics)

Multidisciplinary Breast Care Conference (Tumor Board) Coordination

· Coordinate and track compliance with tumor board requirements, including:

o Case presentation percentages

o Required specialty attendance

o Prospective case discussion

• Ensure documentation includes:

• Clinical staging
• Treatment planning
• Genetic and clinical trial considerations

• Monitor compliance with NAPBC presentation thresholds and requirements

Documentation & Regulatory Compliance

· Manage and submit all Pre-Review Questionnaire (PRQ) materials for accreditation

• Maintain required documentation, including:

o Protocols

o Templates

• Meeting minutes
• Compliance reports

• Ensure all documentation:

• Is audit-ready
• Excludes protected health information
• 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 initiatives (minimum of two annually)
• Ensure follow-up systems are in place for abnormal findings identified during outreach

Care Coordination & Navigation Integration

• Collaborate with navigation teams to ensure:
  • Continuity across the care continuum
  • Timely transitions between treatment phases
• Support implementation and evaluation of patient navigation processes

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

Minimum Qualifications

• Master of Science in Nursing (MSN) or equivalent advanced degree
• Completion of accredited Nurse Practitioner program
• Current licensure as an Advanced Practice Registered Nurse (APRN)
• Board certification as a Nurse Practitioner (NP)
• Experience in oncology, breast care, or surgical specialties preferred

Preferred Qualifications

• Experience with NAPBC, CoC, or oncology accreditation programs
• Knowledge of breast oncology guidelines (NCCN, ASCO)
• Experience with quality improvement methodologies (PDSA, Lean, DMAIC)
• Strong organizational, data management, and program coordination skills
• Certification in oncology or breast care (e.g., CBCN, AOCNP) preferred

Physical Demands/Work Environment

• Work requires a variety of physical activities, including moving about within and outside of all hospital properties for long periods of time.
• Must be able to respond quickly and effectively to emergency and non-emergent situations.
• May be required to assist in controlling disorderly conduct or combative patients.
• Must be able to exchange accurate information with patient, family, peers and medical personnel.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

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