Genetic Counselor Genetic Testing Stewardship Program

Nemours - Wilmington, DE3.9

30+ days ago
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.

Primary Function -
The purpose of this position is to improve precise and cost effective genetic testing for Nemours patients. As a member of the Genetic Testing Stewardship Program (GTSP) in Precision Medicine, the GC will provide information about genetic testing and its results to ordering clinicians. This GC will be a resource to clinicians within the Nemours system who seek to order genetic testing. The GC will facilitate genome-level testing (panels, exome/genome testing) across all specialties and will review genetic test requests for appropriateness to avoid duplicate, unnecessary or inappropriate testing. Review of the medical records may be necessary to assess the appropriateness of the test order. The GC may discuss appropriateness of testing or an alternative testing strategy with the ordering clinicians. The GC will monitor test utilization of in house providers and track recommendations, including potential cost savings and outcome data.

The GC will have direct patient contact to obtain informed consent and to return genetic testing results, as desired by the ordering clinician. If requested, the GC may participate fully in the clinical genetics evaluation and documentation of physical exam under the supervision of the clinical geneticist in outpatient and inpatient settings, in particular for patient in whom extensive genetic testing is desired. The GC will review orders for signed consent, according to Delaware/Florida law. The GC will track ordered testing and follow up on results return. The GC will review results, inform the clinician of results and their interpretation, document discussion and recommended follow up. The GC will interface with EMR system to flag critical results, for example drug incompatibilities, as appropriate.

Essential Functions –

Participate in the GTSP to manage utilization of testing by working with clinical staff to review test orders and help advise ordering providers. Responsible for providing current and accurate information regarding genetic testing, informed consent, results interpretation, and recommendations Track requested orders and orders placed after review, including the cost or potential cost of the requested orders and orders placed after review. Track test ordered and monitor results return. Review results and flag critical results within the EMR. Follow up with clinician to guide disclosure of results and clear explanation of test results, recommendations. Assure complete and accurate documentation related to genetic information and genetic counseling in the medical record. Will work with other stake holders to further the GTSP and its role in Precision Medicine. Maintain up to date knowledge regarding clinical genetics by attending educational and scientific conferences and participation in continuing education regularly. Provide educational lectures to local clinicians and students. Participate in teaching and supervision of genetic counseling master program students. May participate in the clinical genetics evaluation and documentation of physical exam under the supervision of the clinical geneticist in outpatient and inpatient settings. May have independent genetic counseling visits as necessary for consenting and results return.

Non-Essential Functions -

Engage in patient, staff and community educational activities to increase awareness and understanding of genetics. Participate in research studies, manuscript/abstract preparation and delivery of scientific presentations. Participate in selected precision medicine projects. Present at and actively participate in monthly clinical genetics case conference.


Master’s degree from an Accreditation Council for Genetic Counseling-accredited program and be either board certified or have active candidate status at the time of hire (i.e. working on passing board exam). Minimum 1 - 3 years job related experience.

Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.