APP-Breast Surgery

Details

• Specialty: Breast Surgery
• Schedule: Monday to Friday 
• Call Schedule: TBA
• Practice Detail: St. Vincent Breast Care Services is seeking an APP to join our elite team. 
• EMR System: Athena/Sunrise
• Facility: St. Vincent Carmel
• Location:Carmel, Indiana
• Visa Eligibility: N/A

Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term Option, etc.). Connect with your Talent Advisor today for additional specifics.

Responsibilities

Responsibilities:

In collaboration with a physician, provide for the expansion of individualized primary healthcare services by diagnosing and treating certain acute or chronic health conditions.

• Obtain patient history and perform assessment via observation, interview and examination. Order, perform and interpret diagnostic studies. Perform preventative health assessments, screening, immunization and patient care.
• Provide direct treatment and management of health conditions via referral to other healthcare providers or community resources.
• Counsel and educate patients and their families/caregivers concerning preventative health, treatment options and community resources.
• Document delivery of health care and nursing processes in accordance with specific specialty area standards and network nursing policy.

Requirements

• Assesses and manages treatment for patients of all ages for a variety of breast conditions including clinic consultations and in-office procedures.
• Orders and interprets laboratory and imaging data
• Manages care for patients with history of breast cancer in all stages including initial diagnosis, post-surgical, and in all phases of survivorship.
• Initiates testing and further work up in patients recently diagnosed with breast cancer
• Assesses benign breast disease and breast infections
• Performs pre and post op assessment in patients undergoing surgical procedures
• Examples of in-office procedures:
• Aspiration
• Incision and drainage
• Punch biopsy
• Superficial excisional biopsies (including wound closure) (ie, sebaceous cyst, skin tags, irritated nevus, lipomas)
• Palpation guided core biopsies (dependent on state and institutional policies)
• Port removals (dependent on state and institutional policies)
• US assessment, seroma aspiration, cyst aspirations, intralesional injections (ie, injection of Kenalog into bx proven granulomatous mastitis), monitor benign lesions such as fibroadenomas, ultrasound-guided biopsies (dependent on state and institutional policies)

• Manages patients within the high-risk clinic
• Follows patients with family history or personal history of high-risk lesions
• Assesses individual and family risks for a variety of inherited genetic disorders, generates 3 generation pedigrees, orders and interprets genetic test findings.
• Determines short- and long-term risk of development of breast cancer
• Creates personalized surveillance plans for patients based on their risk of breast cancer
• Counsels women on breast cancer risk reduction measures including surgical intervention, lifestyle alterations, and chemoprevention
• Follows patients on chemoprevention
• Manages patients in survivorship
• Management of cancer surveillance and adjuvant therapies
• Connecting patients to resources regarding ongoing management of side effects of cancer treatment (ie, PT/OT, lymphedema, nutrition, sexual health, counseling)/li>
• Works with other members of the oncology service line to provide comprehensive team care for patients
• Prevention of recurrence, secondary cancers, and late effects
• Screening &ndash recurrence & new primaries (radiation-induced sarcomas, chemotherapy-induced leukemias), order and review imaging
• Healthy Lifestyles
• Physical Activity
• Nutrition and weight management
• Supplement Use
• Familial/Genetic Risk Assessment
• Immunizations and infections
• Surveillance for disease progression, secondary cancers, and late effects
• Cardiovascular disease
• Anthracycline-Induced Cardiac Toxicity
• Anxiety, depression, trauma, and distress
• Cognitive Function
• Fatigue
• Lymphedema
• Pain
• Hormone-related symptoms
• Sexual function
• Sleep disorders
• Intervention to control consequences of cancer treatments, provide updates, foster adherence

Collaborative

• Works alongside breast surgeon as first assist in the operating room
• Works alongside the breast surgeon in the clinic
• Writes orders, rounds, and discharges patients after surgical procedures/admission
• Follow up on ordered medical tests and imaging
• Assists in data collection for research studies

Licensure/Certification/Registration:

Required:

• BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
• One or more of the following required:
  • Nurse Practitioner credentialed from the American Nurses Credentialing Center (ANCC) obtained within 6 Months (180 days) of hire date or job transfer date.Valid state license required specific to the state in which the associate works.
  • Nurse Practitioner credentialed from the Indiana Board of Nursing obtained within 6 Months (180 days) of hire date or job transfer date.Valid state license required specific to the state in which the associate works.
  • Nurse Practitioner credentialed from the National Certification Corporation (NCC) obtained within 6 Months (180 days) of hire date or job transfer date.Valid state license required specific to the state in which the associate works.
  • Registered Nurse credentialed from the American Nurses Credentialing Center (ANCC) obtained prior to hire date or job transfer date.Valid state license required specific to the state in which the associate works.
  • Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date.Valid state license required specific to the state in which the associate works.

Education:

• Master's degree of Nursing required.

Why Join Our Team

Ascension St. Vincent in Indiana has been providing rewarding careers in healthcare for over 148 years. With 24 hospitals throughout the greater Indianapolis and Evansville areas, Ascension St. Vincent offers careers in a wide range of services including acute and long-term care, bariatrics, cancer care, cardiovascular services, emergency services, neuroscience, orthopedics, pediatric services, primary and urgent care, women's health services and more.

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

For further information, view the  EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify