Advanced Registered Nurse Practitioner (ARNP)
Listed compensation
$140k-$190k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
Integrative Medicine with Purpose, Compassion, and Impact.
- Location: Salish Cancer Center | Fife, WA | On-Site
- Status: Full-Time | 1.0 FTE | 40 hrs/wk
- Hiring Range: $140,000 - $190,000 per year
- Position Close Date: 11/5/2026
Salish Cancer Center is seeking a compassionate and skilled Advanced Registered Nurse Practitioner (ARNP) – Medical Oncology/Hematology to join our multidisciplinary healthcare team. This is an opportunity to provide meaningful, patient-centered care to individuals and families navigating the challenges of cancer diagnosis, treatment, and survivorship.
The ARNP plays a vital role in delivering comprehensive, evidence-based oncology care, managing treatment-related symptoms and complications, and supporting patients throughout their cancer care journey. The ideal candidate combines strong clinical judgment and oncology expertise with a genuine commitment to compassionate communication, patient education, and collaborative care.
If you are passionate about improving patient outcomes and making a meaningful difference in the lives of patients and their families, we invite you to explore this opportunity at Salish Cancer Center.
What You’ll Do
Provide Comprehensive Patient Care: Conduct detailed patient assessments, including medical histories, physical examinations, and reviews of laboratory, imaging, pathology, and diagnostic results.
Diagnose and Manage Medical Conditions: Evaluate and manage acute and chronic conditions, with an emphasis on oncology and cancer-related care, within the ARNP's scope of practice.
Develop Individualized Treatment Plans: Collaborate with patients, families, physicians, and the multidisciplinary care team to establish, implement, and evaluate appropriate treatment plans.
Manage Cancer Treatment: Monitor patients receiving chemotherapy, immunotherapy, targeted therapy, hormonal therapy, and other systemic cancer treatments, including treatment response, adverse effects, and complications.
Prescribe Medications and Treatments: Prescribe medications and therapies in accordance with Washington State laws, organizational policies, clinical guidelines, and professional scope of practice.
Educate Patients and Families: Explain diagnoses, treatment options, medications, symptom management, disease progression, follow-up care, prognosis, and goals of care.
Coordinate Continuity of Care: Facilitate referrals, follow-up services, and communication among oncologists, specialists, primary care providers, nursing staff, pharmacists, and other healthcare resources.
Maintain Clinical Documentation: Complete accurate and timely documentation of assessments, diagnoses, treatment plans, prescriptions, patient communications, and follow-up care in the electronic medical record.
Support Quality and Patient Safety: Participate in multidisciplinary care planning, quality improvement, utilization review, and initiatives that enhance clinical outcomes and the patient experience.
Maintain Professional and Regulatory Compliance: Follow applicable laws, regulations, credentialing requirements, professional standards, and organizational policies while maintaining current knowledge of evidence-based oncology practices.
What You Bring
- Master's degree in nursing from an accredited nursing program.
- Current, unrestricted Advanced Registered Nurse Practitioner (ARNP) license in Washington State.
- Current national board certification appropriate to the ARNP's area of practice.
- Current Basic Life Support (BLS) certification.
- Appropriate prescribing authority and controlled substance registration, as applicable to the position.
- Ability to meet all organizational credentialing and privileging requirements.
Demonstrated knowledge of advanced nursing practice, clinical assessment, diagnosis, treatment planning, and medication management.
Strong understanding of applicable federal and Washington State healthcare regulations and professional practice standards.
Previous experience in medical oncology/hematology, or another specialty cancer-care setting.
Experience managing patients receiving systemic cancer treatments and addressing cancer-related symptoms and treatment toxicities.
Oncology-specific certification, such as Advanced Oncology Certified Nurse Practitioner (AOCNP), or the ability to obtain certification within one year of employment.
Why Salish Cancer Center?
You’ll be part of a passionate, multidisciplinary team dedicated to transforming the lives of those touched by cancer. We blend state-of-the-art oncology care with integrative, patient-centered approaches that support the whole person — body, mind, and spirit.
A Mission That Matters. You’ll help deliver compassionate care that honors dignity and respect, empowering patients and their families through every stage of their cancer journey. Our mission emphasizes integrity, inclusivity, and healing for everyone touched by cancer.
Team-Centered, Collaborative Environment. Our providers and staff take pride in their work, going above and beyond to ensure personalized care for every patient. You’ll have the opportunity to collaborate with experienced clinicians across medical oncology, naturopathic care, acupuncture, and native healing modalities.
Integrative and Innovative Care. Salish Cancer Center is known for its integrative approach that combines evidence-based treatments with complementary therapies, including naturopathic medicine and acupuncture, supporting holistic wellness alongside conventional cancer care.
State-of-the-Art Facility. Our center features a modern infusion suite and on-site pharmacy, with advanced clinical resources that help staff deliver high-quality oncology services in a supportive setting.
Inclusive Culture and Values. We uphold values of compassion, respect, integrity, and health, and we are committed to an inclusive workplace where every team member and patient feels welcomed and valued.
Community Impact. As a not-for-profit entity of the Puyallup Tribe, Salish Cancer Center plays a meaningful role in the community — offering hope, support, and care that honors culture, tradition, and individual healing journeys.
Our team is deeply committed to supporting patients and families with dignity, compassion, and excellence. If you are passionate about integrative oncology and want to make a meaningful impact in a collaborative and community-focused environment, we would love to hear from you. Apply today and help us advance whole-person cancer care in our community.
In accordance with federal law, Native American Preference in employment applies and job placements are given on a competitive basis, using job related factors.
Key Responsibilities
The ARNP will provide comprehensive oncology care, including patient assessments, diagnosis, and the development of individualized treatment plans. They will also manage systemic cancer treatments, educate patients and families, and coordinate care across a multidisciplinary team.
Requirements
Candidates must hold a Master's degree in nursing and a current, unrestricted ARNP license in Washington State. Additionally, they require national board certification, BLS certification, and experience in medical oncology or hematology.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Oncology — Nurse Practitioner Career Context
Of the 47 active Oncology listings this role was benchmarked against, 28% are remote, 55% have no call, 77% require no weekends.
The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$165k midpoint carries the purchasing power of roughly $154k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Cost-of-living adjusted pay | ~$154k in purchasing power | Washington index 107.0 (US = 100)BEA Regional Price Parities (2024) |
| Oncology listings in Washington | 6 active | 299 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 28% remote · 55% no call · 77% no weekends47 benchmarked listings |
| Sign-on & loan repayment | not stated | Washington Nurse Practitioner listings: 21% state a sign-on bonus (median $30k) · 13% offer loan repayment348 active listings, Oct 2026 |
| Oncology pay trend | +6.4% vs prior quarter | —through Sep 2026 |
Location & Logistics
Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$165k midpoint, that is roughly $7k–$12k a year versus a typical 4–7% state rate.
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