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Washington University in St. Louis
St. Louis, Missouri · Hybrid

Nurse Practitioner or Physician Assistant (Hybrid) - Breast Oncology

Nurse PractitionerFull-Time Physician-Supervised State

Listed compensation

$97k-$175k

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage and nights and shift pattern.

Posted 52m ago · Verified live

Job Description

Location: ST. LOUIS, MO 63108

Scheduled Hours

40

Position Summary

A Nurse Practitioner or Physician Assistant specializing in Breast Medical Oncology will join the nationally recognized oncology team at Siteman Cancer Center and WashU Medicine campus in a hybrid outpatient role that combines direct patient care with dedicated administrative time. This position provides the opportunity to practice at the top of licensure while supporting patients throughout every stage of their cancer journey.

The APP provider will care for adult patients with breast cancer across the disease continuum, including early-stage, locally advanced, and metastatic disease. Working collaboratively with a medical oncologist and a multidisciplinary oncology team, the Nurse Practitioner or Physician Assistant will evaluate patients, develop and manage treatment plans, monitor treatment response and treatment-related toxicities, oversee systemic anticancer therapies, provide patient and family education, coordinate supportive care services, and guide patients through treatment, survivorship, and ongoing care.

Highlights

  • Schedule: 3 outpatient clinic days + 2 admin days (remote flexibility available per department policy).
  • Location: Primary care at Siteman Cancer Center, with occasional support at other WashU/Siteman sites. Primarily supports one collaborating physician.
  • Focus: Dedicated Breast Medical Oncology specialty

This role is ideal for an APP who is passionate about oncology, values meaningful patient relationships, and enjoys working within a highly collaborative medical environment.

Job Description

Primary Duties & Responsibilities:

Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient-centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition.

May bill for services covered by collaborative practice agreement.

Provides counseling and education of patients and their families/caregivers concerning disease management, complication prevention, disease prevention, and quality of life improvement measures, and outcome management activities.

Monitors/ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc.

Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards.

Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations.

Champions the safety and quality of care for patients using ITB therapy and serves as an expert in the care and management of ITB pumps. Helps develop a detailed educational program for the patients and lead the quality and safety initiative for the program.

Serves as clinical expert regarding rehabilitation nursing while demonstrating a high level of autonomy and expert skill in complex clinical nursing situations.

Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education.

Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards.

Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care.

Enhances professional growth and development through educational programs, current literature, in-service meetings and workshops.

Contributes to the advancement of the rehabilitation nursing profession as a whole through research, publications, and presentations.

Performs other duties as assigned.

Working Conditions

  • Job Location/Working Conditions
  • Normal office environment
  • Exposure to blood-borne pathogens
  • Exposure to chemicals
  • Requires protective devices
  • Dust, dirt, grease or other disagreeable elements
  • Patient care setting
  • Direct patient care setting
  • Physical Effort
  • Typically sitting at desk or table
  • Typically standing or walking
  • Typically bending, crouching, stooping
  • Using tools requiring high dexterity
  • Occasional lifting (25 lbs or less)
  • Equipment
  • Office equipment
  • Lab/research equipment

Clinical/diagnostic Equipment

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education

Master's degree

Certifications/Professional Licenses

The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.

Basic Life Support - American Heart Association, Basic Life Support - American Red Cross

Work Experience

No specific work experience is required for this position.

Skills

Not Applicable

Driver's License

A driver's license is not required for this position.

More About This Job

We are seeking a dedicated NP or PA to join our team. Below are additional requirements and information based on each role.

Required Qualifications

Nurse Practitioner

  • Master of Science in Nursing with emphasis in the Nurse Practitioner program.
  • Advanced Practical Nurse licensure (or ability to successfully obtain licensure within three months of date of hire).
  • Certain/additional certifications may be necessary based on area of specialty.

Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requirements).

Physician Assistant

  • Graduate of PA program.
  • Current PA licensure to practice in the state of Missouri and/or Illinois, depending on location, or ability to obtain within three months of date of hire.
  • Certain/additional certifications may be necessary based on area of specialty.

Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

Preferred Qualifications

Education

Master's degree - Nurse Practitioner, Master's degree - Physician Assistant Studies

Certifications/Professional Licenses

Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation, Advanced Practice Nurse (APN) - Missouri Division of Professional Registration, Certified Nurse Practitioner - Illinois Department of Financial and Professional Regulation, Certified Nurse Practitioner - Missouri Division of Professional Registration, Physician Assistant - Illinois Department of Financial and Professional Regulation, Physician Assistant - Missouri Division of Professional Registration

Work Experience

No additional work experience unless stated elsewhere in the job posting.

Skills

Adaptability, Clinical Decision Making, Clinical Diagnostics, Communication, Customer Empathy, Detail-Oriented, Disease Management, Epic EHR, Family Support, HIPAA Compliance, Interpersonal Communication, Interpersonal Relationships, Multitasking, Organizing, Patient Care, Patient Education, Patient Evaluations, Patient Management, Pharmacology, Preventive Care, Teamwork, Time Management

  • Grade
  • S31

Salary Range

$97,000.00 - $174,600.00 / Annually

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Questions

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

Pre-Employment Screening

All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position.

The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Benefits Statement

Personal

  • Up to 22 days of vacation, 10 recognized holidays, and sick time.
  • Competitive health insurance packages with priority appointments and lower copays/coinsurance.
  • Take advantage of our free Metro transit U-Pass for eligible employees.
  • WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness

Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resource

Key Responsibilities

The provider will evaluate patients, develop treatment plans, and monitor treatment response for adult patients with breast cancer. They will work collaboratively with a multidisciplinary oncology team to provide direct patient care, education, and supportive care services.

Requirements

Candidates must hold a Master's degree and possess current licensure as a Nurse Practitioner or Physician Assistant in the state of Missouri. Basic Life Support certification is required, and the role is suitable for entry-level applicants as no specific work experience is required.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Clinical assessmentTreatment planning

Oncology — Nurse Practitioner Career Context

The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$136k midpoint carries the purchasing power of roughly $150k in an average-cost state. 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Oncology listings this role was benchmarked against, 30% are remote, 54% have no call, 72% require no weekends — this position is remote.

What does the Oncology market look like in Missouri?
MeasureThis jobMarket
Listed pay$97k–$175kOncology median $139k (middle half $130k–$159k)287 comparable listings, Oct 2026
Cost-of-living adjusted pay~$150k in purchasing powerMissouri index 90.8 (US = 100)BEA Regional Price Parities (2024)
Oncology listings in Missouri5 active289 nationallylive on WeekdayDoc, Oct 2026
Work settingremotepeers: 30% remote · 54% no call · 72% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMissouri Nurse Practitioner listings: 19% state a sign-on bonus (median $10k) · 9% offer loan repayment335 active listings, Oct 2026
Oncology pay trend+6.8% vs prior quarter—through Sep 2026
Washington University in St. Louissilver tier, 70/100Top Employers work-life index74 active listings
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

26 matches · ranked by pay

Salary Distribution

26 jobs · 19 employers
9
<$160k
9
$160k-195k
1
$210k
7
$230k-265k

Annual compensation range

Benefits & Perks

24 jobs · 19 employers
401k / retirement match
92% this job
Sign-on bonus
63%
CME allowance
50%
Loan repayment
25%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

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LifeStance Health · Philadelphia, Pennsylvania

$230k-$260k
#2

PMHNP Nurse Practitioner @ Philadelphia / Penn, PA

LifeStance Health · Philadelphia, Pennsylvania

$230k-$260k
#3

Child & Adolescent PMHNP @ Haverford, PA

$230k-$260k
#4

Child & Adolescent PMHNP @ Multiple Philadelphia Suburbs PA

$230k-$260k
+ 24 more · ranked by pay

Work-life snapshot

median 5.1this job 4.8
Better work-life than 50% of Oncology (NP) listings

Listing-based score, 0–10, across 287 comparable listings. Shaded area = the share scoring below this one.

  • Hybrid
  • Remote
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About Washington University in St. Louis

Benefits & Perks

Up to 22 days vacation
10 holidays
Sick time
Health Insurance
403(b) with 7% employer contribution
Tuition coverage
4 weeks caregiver leave
Metro transit U-Pass