ST. CHARLES MEDICAL GROUP

ADVANCE PRACTICE PROVIDER JOB DESCRIPTION

TITLE: Breast & Reconstructive Surgery Advanced Practice Provider (NP/PA)

REPORTS TO POSITION: Medical Director, Breast Surgery

DEPARTMENT: Cancer Center

DATE LAST REVIEWED: 10/8/24

OUR VISION: Creating Americas healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

POSITION OVERVIEW: Supports breast and reconstructive surgery program at St Charles Cancer Institute

WORK SCHEDULE: 40 hours per week; will assist breast and reconstructive surgeons in the OR, in clinic and with hospital rounding, charting of patient care, attendance at multidisciplinary conferences.

WORK LOCATION: Bend and Redmond

CALL EXPECTATION: None

DEPARTMENT SUMMARY: St. Charles Cancer Institute is a hospital-based program with two comprehensive cancer centers (one in Bend and a second cancer center scheduled to open in Redmond in 2026). Our practice consists of medical, radiation, and surgical oncologists providing the full spectrum of cancer care with full supportive services.

ESSENTIAL FUNCTIONS AND DUTIES:

Clinical Duties:

• First assist in the OR for breast and reconstructive surgeons

• Rounds on admitted patients, see post-op patients in clinic, assist with in office procedures

• Provides acute care for surgical patients (pain, wound checks, etc)

• Provides follow up care

• Performs patient examinations, obtains and records pertinent medical history, subjective and objective findings.

• Orders and interprets appropriate laboratory, imaging, and other diagnostic procedures.

• Administers and prescribes medications in compliance with state law and practice guidelines.

• Orders and performs appropriate medical and surgical procedures in accordance with State law and practice guidelines.

• Instructs patient and family regarding medications and treatments.

• Recommends community resources to meet patient and family needs.

• Collaborates with physicians and other caregivers to manage the acute and long-term health needs of patients.

• Provides monitoring and supports continuity of care between physician visits.

• Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely. Charts tests, examination results, and other appropriate clinical data.

• Triages patient telephone calls, providing consultation as needed.

• Communicates effectively with colleagues, patients, physicians, and administration.

• May perform additional duties of similar complexity within the organization, as required or assigned.

Essential Functions:

• Acts as a leader and supports departmental goals and the vision, mission and values of the St. Charles Health System in all respects.

• Provides customer service in a manner that promotes goodwill, is timely, efficient and accurate.

• Creates a healing environment that supports all aspects of care, respects the wholeness of the individual, and demonstrates therapeutic presence through attitudes and behaviors that enhance the safety and care experience for patients, caregivers and guests.

• Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change; Contribute as necessary to assist in policy formation for the organization.

• Participates in creating intentional relationships and puts a high level of focus on attitudes and behaviors that enhance the care experience.

• Is familiar with the organization structure, communications systems and billing process, completing billing and coding documentation within time assigned.

• Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health systems corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health systems investigations and proceedings.

• Keep all licenses and appropriate certifications current and unrestricted to maintain privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.

• Increases understanding and collaboration throughout the medical community.

• Maintain compliance of hospitals Medical Staff Bylaws, Rules and Regulations, as required by SCHS Board of Directors.

EDUCATION

Required:

• Successful completion of an approved Physician Assistant and/or Nurse Practitioner course of study and certification as appropriate to the incumbents license.

• Complete annual fire/safety, etc. education in-services as required.

• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.

• Complete annual CME as required to maintain license and appropriate Board certification.

• Complete in a timely manner assigned Computer Based Learning modules.

Preferred: n/a

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.

• Physician Assistant requires NCCPA certification. Nurse Practitioner requires AANC, NCC or AANP, AMCB certification.

• Unrestricted Federal DEA number.

• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.

• Valid drivers license and the ability to meet SCHS driving requirements.

• Current BLS certification required.

• If provider will practice sedation, moderate or deep, ACLS certification is also required.

• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.

Preferred:

• Federal DEA number registered in Oregon.

EXPERIENCE

Required:

• Experience using EMR (Electronic Medical Records) software.

• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.

• Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.

Preferred:

• Two years experience as an Advance Practice Provider, of which at least one year in the Oncology specialty.

• Epic EMR software experience.

ADDITIONAL POSITION INFORMATION

n/a

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

PHYSICAL REQUIREMENTS

Continually (75% or more)

• Standing & Walking

• Keyboard Operation

• Using a Clear and Audible Speaking Voice

• Hearing at Normal Speech Levels.

Frequently (50%)

• Sitting

• Lifting, Carrying & Pushing / Pulling up to 25 lbs.

Occasionally (25%)

• Bending, Stooping, Kneeling, Crouching

• Lifting, Carrying & Pushing / Pulling 25lbs. to 50 lbs.

• Grasping / Squeezing

• Hearing at Whispered Speech Levels

Rarely (10%)

• Climbing Stairs

• Exposure to Wet / Slippery areas

• Exposure to Chemical Solutions

**Nothing in this job description is intended, nor shall be interpreted, as a grant or approval of medical staff membership or clinical privileges. By law and applicable accreditation standards, medical staff membership and clinical privileges can be granted or approved only by a hospitals medical staff and governing body. Employment processes and requirements, which are governed primarily by the human resources policies of St. Charles, are separate and distinct from medical staff membership and clinical privileging processes and requirements, which are governed primarily by the bylaws and policies of the hospital medical staff. Accordingly, employed physicians and providers of St. Charles are required at all relevant times not only to satisfy the requirements and perform the duties set forth in this job description, but, also, to satisfy the requirements and perform the duties for obtaining and maintain appropriate medical staff membership and clinical privileges.

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