Salary Range: $117,766- $138,548

Essential Responsibilities

Clinical Duties

• Perform High-Resolution Anoscopy (HRA) for inpatient and outpatient populations in accordance with AMC protocols.

• Conduct diagnostic evaluations for patients with abnormal anal Pap smears or at high risk for anal dysplasia or malignancy.

• Assist in clinical decision-making regarding potential endo mucosal and rectal resections when indicated.

• Collaborate directly with the General Surgery team to support the continuity of patient care.

• Provide pre-procedure and post-procedure education, counseling, and follow-up.

• Document all clinical activities, findings, and patient care plans in the EMR in a timely and accurate manner.

Program Development

• Participate in the development and launch of AMC's new HRA screening program.

• Support workflow design, patient flow, referral pathways, and scheduling processes to optimize service quality and efficiency.

• Partner with Infectious Disease, Primary Care, and other referral sources to ensure a coordinated approach to patient care.

• Assist in establishing clinical protocols, patient education materials, and quality standards.

Training & Education

• Complete formal training through the International Anal Neoplastic Society (IANS) Clinical Workshop to gain competency in HRA.

• Participate in ongoing education to maintain procedural quality and emerging best practices.

Collaboration & Communication

• Work closely with the Surgical team, Nursing, Infectious Disease, and ancillary staff to ensure seamless care coordination.

• Maintain clear, consistent communication with referring providers to support continuity of care and patient satisfaction.

• Participate in multidisciplinary team meetings and case discussions.

Minimum Qualifications

• Master's degree from an accredited Nurse Practitioner or Physician Assistant program.

• Current NYS licensure as an NP or PA.

• National certification applicable (ANCC, AANP, NCCPA).

• BLS and ACLS certification.

• Excellent communication, clinical judgment, and procedural skills.

• Ability to work independently while collaborating within a surgical team environment.

Preferred Experience

• Experience in general surgery, colorectal surgery, infectious disease, oncology, or procedural-based care.

• Prior experience working with immunocompromised or HIV-positive patient populations.

• Procedural experience (colposcopy, anoscopy, endoscopic skills, etc.) strongly preferred but not required.

Program Rationale & Impact

This new service addresses a significant gap in regional care by providing local access to HRA--a procedure typically available only in larger metropolitan areas such as NYC and Rochester. The APP's work will directly contribute to:

• Early detection of anal dysplasia and malignancy in high-risk patient populations.

• Improved long-term survival outcomes through earlier intervention and surgical planning.

• Enhanced patient satisfaction by reducing the need for external referrals.

• Recapturing patients currently referred to out-of-system providers, strengthening AMC's regional competitiveness.