Pediatric ARNP - Genetics

Join One Team Mary Bridge

At Mary Bridge Children's Hospital & Health Network, kids and families are at the center of everything we do. Based in Tacoma, Washington, and serving communities throughout the South Sound, our nationally recognized pediatric hospital, clinics and specialty network bring together providers, nurses and team members dedicated to delivering exceptional care for children and families.

Recognized as a Top Children's Hospital by The Leapfrog Group and backed by a growing pediatric network, we're proud to make a difference in the lives of children and families every day while helping shape the future of children's healthcare.

FTE: .8, Shift: Day, Schedule: TBD

Position Summary

The Genetics Advanced Registered Nurse Practitioner (ARNP) delivers specialized genomic, metabolic, and genetic services for pediatric and adult patients and families. This role encompasses diagnostic assessment, genetic and metabolic testing coordination, infusion therapy administration, newborn screening follow-up, gene variant interpretation, and personalized management of inherited and metabolic conditions. Working closely with geneticists, metabolic specialists, genetic counselors, dieticians, and multidisciplinary teams, the ARNP ensures evidence-based care plans and seamless integration of precision medicine into clinical practice. The ARNP also leads program development and quality initiatives to advance health outcomes.Responsibilities Direct Patient Care • Conduct comprehensive genetic and metabolic diagnostic assessments, pedigree analysis, and medical/family history reviews • Provide pre-test and post-test genetic counseling for inherited disorders, including inborn errors of metabolism • Coordinate and interpret genetic/genomic tests (panels, exome, genome) and metabolic assays (e.g., plasma amino acids, acylcarnitine profile) • Manage pharmacological, nutritional, and other therapeutic interventions, including infusion therapies for genetic and metabolic diseases in both outpatient and inpatient settings • Oversee newborn screening follow-up: review results, order confirmatory testing, initiate early interventions, and counsel families on outcomes • Document genetic and metabolic encounters, infusion orders, and newborn screening plans accurately in the electronic health record Genetic & Metabolic Program Development • Participate in developing and updating protocols for genetic and newborn screening workflows, informed consent, metabolic emergency plans, and infusion therapy • Monitor key metrics such as test turnaround time, infusion complication rates, dietary compliance, and newborn screening referral completion • Lead quality improvement projects to optimize metabolic crisis interventions, infusion therapy optimization, and patient education materials Multidisciplinary Team Care & Leadership • Collaborate in case conferences and team meetings • Supervise and mentor genetic counseling interns, clinical trainees, nursing staff, and infusion teams on metabolic best practices Professional Citizenship • Embody organizational values of compassion, stewardship, collaboration, and respect • Adhere to hospital, departmental, and regulatory standards (e.g., HIPAA, CLIA, CAP, state newborn screening mandates) • Engage in departmental meetings, community outreach, newborn screening advocacy, and continuing professional development Requirements • Master’s or Doctoral degree in Nursing (MSN or DNP) with a focus on genetics, pediatrics, or metabolic nursing • Current, unrestricted Washington State APRN license and Nurse Practitioner certification • National genetics nursing certification (e.g., ANCC Genomics Nursing Certification) certification preferred • Competency in infusion therapy protocols, infusion pump technology, and aseptic technique preferreed • Familiarity with newborn screening programs, confirmatory testing guidelines, and early intervention services preferred • Basic Life Support (BLS) required • 2 years of clinical experience in genetics, metabolic disease management, or infusion therapy preferred • Proficiency with Epic preferred • Strong analytical, diagnostic reasoning, and patient/family education skills

Where kids and families are always first

Everything we do starts with a commitment to children and families. From specialized pediatric care to family-centered support services, our teams work together to create a safe, compassionate and healing environment where every child can thrive.

For more than 70 years, Mary Bridge Children's has cared for children across the South Sound and beyond. Today, that legacy continues through a network of pediatric specialists, clinics and hospital services anchored by a new state-of-the-art pediatric hospital designed specifically for children, families and care teams.

Why Choose Mary Bridge Children's?

One Team Mary Bridge

Providers, nurses and staff come together as one team to deliver compassionate, high-quality care for children and families across the region.

Award-winning pediatric care

Named a Top Children's Hospital by The Leapfrog Group six times in the past eight years, recognizing excellence in patient quality and safety.

A new era of children's care

Work in a state-of-the-art pediatric hospital and medical office building designed specifically for children, families and care teams.

A growing pediatric network

Opportunities across hospital, specialty, primary care and urgent care settings, supported by a Level IV NICU and comprehensive pediatric specialty network.

Career growth

Continuing education, leadership development and advancement opportunities supported by one of the region's largest health systems.

Pacific Northwest lifestyle

Enjoy vibrant communities, outdoor adventure and easy access to waterfronts, mountains and everything the South Sound has to offer.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $164,313.73 - $187,843.14 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.