Physician Assistant/Nurse Practitioner - Oncologist

Department: Providers

Classification: Full-Time

Schedule: Per assigned clinic provider template, Monday–Friday

Location: Assigned Clear Choice Dermatology clinic(s), Oregon

Reports To: Regional Manager (administrative); Medical Director (clinical)

FLSA Status: Exempt

POSITION SUMMARY

Clear Choice Dermatology is a growing dermatology organization committed to delivering exceptional, patient-centered skin cancer care. The Dermatologic Oncology Physician Assistant (PA) or Nurse Practitioner (NP) works closely with dermatologists, Mohs surgeons, dermatopathologists, and multidisciplinary care teams to evaluate, treat, and coordinate care for patients with melanoma, squamous cell carcinoma, basal cell carcinoma, Merkel cell carcinoma, and other cutaneous malignancies. Within CCD protocols and the collaboration agreement, this provider directly manages systemic therapy, immunotherapy, and targeted therapy for skin cancer patients, and plays a key role in patient education, surveillance, treatment management, and continuity of care throughout the patient's treatment journey.

CORE RESPONSIBILITIES

Evaluation & Diagnosis

• Evaluate and manage patients with skin cancers and oncology-related dermatologic conditions
• Obtain comprehensive medical histories and perform focused physical examinations, including full-body skin and lymph node examinations
• Order, review, and interpret laboratory tests, imaging studies, pathology reports, and diagnostic evaluations, including staging studies

Systemic Therapy & Immunotherapy Management

• Develop and implement treatment plans in collaboration with supervising/collaborating physicians and specialists
• Directly manage systemic therapy, immunotherapy (e.g., immune checkpoint inhibitors), and targeted therapy for skin cancers, including ordering and prescribing within scope of license, CCD protocols, and the collaboration agreement
• Confirm eligibility before each treatment cycle by reviewing labs, performance status, and side effects, and hold or adjust treatment per protocol
• Assess and manage treatment-related side effects and complications, including immune-related adverse events (e.g., colitis, pneumonitis, hepatitis, endocrine and skin toxicities), and escalate serious events to the collaborating physician or emergency care per protocol
• Coordinate infusion scheduling, prior authorizations, and medication access with the care team
• Follow CCD safety standards for ordering, handling, and documenting hazardous drugs and high-risk medications

Surveillance & Patient Education

• Conduct follow-up visits and surveillance for patients with melanoma and other high-risk skin cancers, and keep patients on the correct recall schedule
• Educate patients and families regarding diagnoses, treatment options, prognosis, expected side effects, prevention, and supportive care, and obtain informed consent for treatment
• Promote skin cancer prevention, sun protection, and self-examination

Care Coordination

• Coordinate care with dermatologists, Mohs surgeons, medical oncologists, radiation oncologists, and other specialists as needed
• Present cases at tumor board and track recommendations, referrals, and outside results so that nothing falls through the cracks

Documentation, Quality & Growth

• Maintain accurate and timely documentation in the EMR (EMA / Modernizing Medicine), including treatment plans, cycle assessments, and adverse events
• Close charts and select accurate diagnosis and procedure codes in a timely manner to support compliant billing
• Support MIPS/quality measures, including biopsy follow-up, melanoma recall, and referral loop closure
• Participate in quality improvement initiatives and patient care programs
• Support the growth and development of dermatologic oncology services within the practice
• Follow HIPAA, OSHA, CLIA, and CCD clinical policies and protocols at all times

WHY JOIN CLEAR CHOICE DERMATOLOGY

Join our team dedicated to advancing dermatological health and skin cancer care. We offer opportunities for professional growth, ongoing education, and a collaborative work environment focused on excellence in patient care.

Requirements

POSITION REQUIREMENTS

Education & Licensure

• Active Oregon PA or NP license (or ability to obtain prior to start date)
• For PAs: current NCCPA certification and a collaboration agreement with a CCD physician, as required by Oregon law, covering systemic and immunotherapy management
• For NPs: national board certification as a Nurse Practitioner (e.g., AANP or ANCC)
• DEA registration and prescriptive authority (or ability to obtain)
• Completion of an approved chemotherapy/immunotherapy safety course (e.g., ONS/ONCC Chemotherapy Immunotherapy Certificate or equivalent) before managing systemic therapy independently, or within a set time after hire
• Current BLS certification
• Ability to be credentialed with CCD's contracted insurance plans

Skills & Competencies

• Strong clinical assessment and patient management skills
• Sound judgment in recognizing and managing treatment toxicities
• Excellent communication and interpersonal skills
• Ability to work independently while collaborating within a multidisciplinary team
• Strong documentation and time-management skills
• Commitment to providing compassionate, patient-centered care

Preferred

• Oncology, hematology, dermatology, surgical oncology, or related specialty experience
• Experience caring for patients receiving immunotherapy, targeted therapies, or other cancer treatments
• Familiarity with melanoma, squamous cell carcinoma, basal cell carcinoma, Merkel cell carcinoma, and other cutaneous malignancies
• Experience interpreting pathology reports and coordinating cancer treatment plans
• Experience in a fast-paced specialty clinic environment
• Interest in skin cancer prevention, surveillance, and patient education, and in contributing to the growth of dermatologic oncology services

PHYSICAL DEMANDS

• Standing, walking, bending, and reaching for extended periods during the clinic day
• Fine motor skills and manual dexterity sufficient to perform skin examinations and minor procedures
• Visual acuity (correctable) sufficient for close examination of skin and use of a dermatoscope
• Occasional lifting of up to 25 lbs

WORKING CONDITIONS

• Work is performed in an outpatient dermatology clinic setting
• Potential exposure to bloodborne pathogens, infectious materials, sharps, and hazardous drugs; PPE and OSHA protocols are required
• Regular work with patients and families facing serious diagnoses, which requires composure and compassion
• May be assigned to, or asked to cover, more than one CCD clinic location; occasional travel between clinics may be required

WORK STANDARDS

• Arrive prepared to begin the scheduled clinic template on time
• Complete and sign all documentation within practice-established timelines
• Maintain active licensure, certifications, and DEA registration, and notify HR / Credentialing of any change in status
• Complete all required CCD trainings (including HIPAA and OSHA) by assigned due dates
• Represent Clear Choice Dermatology with professionalism, integrity, and a genuine commitment to patient satisfaction

COMPENSATION & BENEFITS

• $170,000 base salary based on experience
• Productivity bonus opportunities, comprehensive benefits, paid time off, CME allowance, malpractice coverage, and opportunities for professional growth within a leading dermatology practice dedicated to advancing skin cancer care.