Advanced Practice Provider (APRN or PA)-High-Risk Breast Cancer Clinic| Affiliate Faculty

Renown Health & University of Nevada, Reno School of Medicine (UNR Med) Reno/Lake Tahoe Region

Position Summary

Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) invite applications for an Advanced Practice Provider (APP) to join our growing High-Risk Breast Cancer Clinic within the William N. Pennington Cancer Institute. This full-time position serves as a primary clinical provider for patients at elevated risk for breast cancer, including those with hereditary cancer syndromes.

The APP will independently evaluate patients, perform comprehensive risk assessments, develop personalized surveillance and risk-reduction plans, prescribe preventive therapies, and collaborate closely with breast surgeons, medical oncologists, radiologists, pathologists, and genetic counselors. This role is integral to the academic-community mission of Renown and UNR Med, supporting clinical care, education, and program development. The position reports to the Medical Director of the Comprehensive Breast Program.

Responsibilities

Clinical Risk Assessment & Stratification

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  Conduct detailed personal and family history assessments related to breast and hereditary cancers.

  
  
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  Utilize validated breast cancer risk-assessment models (e.g., Tyrer-Cuzick, Gail, Claus, BOADICEA) to stratify patients into standard, high, and ultra-high risk categories.

  
  
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  Review and interpret prior breast imaging and pathology, including premalignant and high-risk lesions.

  
  

Genetic Risk Evaluation & Counseling

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  Provide pre-and post-test counseling for hereditary cancer genetic testing.

  
  
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  Identify patients who meet criteria for genetic testing for breast and other hereditary cancer syndromes.

  
  
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  Interpret genetic test results, including pathogenic variants, VUS, and negative findings.

  
  
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  Educate patients on cancer risks, screening recommendations, cascade testing, and risk-reduction strategies.

  
  
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  Coordinate referrals to specialized genetic counseling services when appropriate.

  
  

Risk Reduction & Medical Management

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  Develop individualized breast cancer risk-reduction plans.

  
  
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  Prescribe and manage endocrine risk-reducing therapies (tamoxifen, raloxifene, aromatase inhibitors) in alignment with clinical guidelines.

  
  
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  Monitor medication tolerance, side effects, and adherence.

  
  
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  Counsel patients on lifestyle and non-pharmacologic risk-reduction strategies.

  
  

Breast Pathology & Surveillance

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  Interpret and counsel patients regarding high-risk and premalignant breast lesions, including:

  
  
  
  
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    Atypical ductal hyperplasia (ADH)

    
    
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    Atypical lobular hyperplasia (ALH)

    
    
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    Lobular carcinoma in situ (LCIS)

    
    
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    Flat epithelial atypia and other high-risk findings

    
    
  
  
  
  
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  Recommend appropriate imaging surveillance (mammography, breast MRI) based on risk stratification.

  
  
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  Coordinate follow-up care and referrals to breast surgery or medical oncology as indicated.

  
  

Collaboration, Education & Program Development

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  Work collaboratively within a multidisciplinary breast care team.

  
  
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  Serve as a clinical resource for high-risk breast cancer management within the breast center.

  
  
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  Participate in quality improvement initiatives, clinical guideline development, and patient education efforts.

  
  
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  Maintain accurate and timely documentation in the electronic medical record.

  
  
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  Support the academic mission of UNR Med through teaching, mentorship, and participation in educational activities as appropriate.

  
  

Qualifications

Required

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  Current licensure as a Nurse Practitioner or Physician Assistant.

  
  
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  Graduate of an accredited NP or PA program.

  
  
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  National board certification (AANP, ANCC, NCCPA, or equivalent).

  
  
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  Eligibility for Nevada state licensure and DEA registration.

  
  
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  Demonstrated clinical experience in women's health, oncology, breast health, genetics, or a related specialty.

  
  
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  Strong communication skills and commitment to patient-centered care.

  
  

Preferred

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  Experience in breast oncology, hereditary cancer syndromes, or high-risk breast management.

  
  
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  Prior experience in an academic or multidisciplinary clinical environment.

  
  
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  Familiarity with breast imaging, pathology, and risk-assessment models.

  
  

RENO/TAHOE

Reno/Tahoe is one of the West's most desirable regions, offering four seasons, over 300 days of sunshine, and a welcoming, family-friendly community. The region features a vibrant dining scene, expanding arts and culture, and abundant year-round outdoor recreation. With immediate access to Lake Tahoe and the Sierra Nevada mountains, residents enjoy world-class skiing, hiking, biking, and water activities - all contributing to an exceptional quality of life.

ABOUT RENOWN HEALTH

Renown Health is Nevada's largest, not-for-profit integrated academic health network, serving northern Nevada, Lake Tahoe, and northeast California. With more than 8,000 employees, Renown includes the region's only Trauma Center, two acute care hospitals, a children's hospital, an acute rehabilitation hospital, a physician-led medical group, and Hometown Health, the region's largest locally owned insurance company.

In 2021, Renown Health and UNR Med formed Nevada's first integrated academic health system, expanding clinical care, medical education, research, and access to evidence-based care across the state.

ABOUT UNR MED

The University of Nevada, Reno School of Medicine (UNR Med) is a research-intensive, community-based medical school with more than $30 million in annual grants and contracts. UNR Med trains future physicians, residents, physician assistants, speech pathologists, audiologists, and biomedical scientists. Its mission emphasizes community-focused medical education, innovative research, and expanding access to high-quality healthcare throughout Nevada.

APPLY NOW

For more information: Lynn Onofri | In-House Provider Recruiter | lynn.whalen@renown.org