Advanced Practice Provider: Undiagnosed Mass Clinic

Overview

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.

Responsibilities

• 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 malignancy is excluded.
• Provide patient and caregiver education regarding diagnostic plans, test results, treatment recommendations, and follow-up care.
• Serve as a clinical resource for nurse navigation and intake referral processes.
• Participate in multidisciplinary conferences, QI initiatives, and departmental committees as assigned.
• Communicate effectively with inpatient and outpatient teams to support continuity of care.
• Participate in program development efforts that support growth, operational efficiency, and access within the UDM Clinic.
• Additional duties as assigned.

Qualifications

Required:

• Graduate of an accredited Physician Assistant program or Nurse Practitioner program.
• Current Washington State licensure as a Physician Assistant-Certified (PA-C) or Advanced Registered Nurse Practitioner (ARNP), or ability to obtain licensure prior to employment.
• DEA registration required upon credentialing.
• Minimum of four years of APP experience in oncology, hematology, surgical oncology, hospital medicine, internal medicine, or other relevant specialty.
• Demonstrated clinical expertise in complex patient evaluation and diagnostic reasoning.
• Strong collaborator with the ability to work effectively independently and with a multidisciplinary team.
• Excellent verbal and written communication skills.
• Experience utilizing electronic medical record (EMR).
• Strong organizational skills and ability to manage multiple patient workups simultaneously.
• Ability to work independently while maintaining collaboration with supervising physicians and teams.

Preferred:

• Broad experience in oncology, cancer diagnostics, hematology, and complex medical evaluation.
• Experience coordinating multidisciplinary care across healthcare systems.
• Familiarity with cancer screening, diagnostic imaging, pathology review, and oncologic referral pathways. Familiarity using NCCN and other professional guidelines to direct care.
• Experience with quality improvement and program development initiatives.

The annual base salary range for this position is from $140,000 to $210,752, and pay offered will be based on experience and qualifications.Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position.

This position may be eligible for relocation assistance.Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (22 days if working 8 hours, 5 days per week or 18 days if working 10 hours, 4 days per week.), CME (5 days), paid sick leave, paid holidays (11 days per year), paid parental leave (up to 4 weeks). Paid time off is prorated for part-time positions.

Additional Information

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.