Primary Location:

UofL Health - Brown Cancer Center - UMC

Address:

529 S. Jackson St. Louisville, KY 40202

Shift:

First Shift (United States of America)

Job Description Summary:

The Oncology RN Clinician is a licensed professional who provides evidence-based care to adult and geriatric patients during all phases of their oncology treatment. The Oncology RN Clinician works collaboratively with the interdisciplinary healthcare team to provide patient centered care utilizing an in-depth knowledge of oncology disease states, treatment and critical thinking skills. Responsibilities are to provide and coordinate patient care including but not limited to; direct Medical Oncology clinics to provide for physician patient consultation, ensure labs and appropriate tests are completed and reviewed in a timely manner, provide education and support for patients and families and to interact with triage to provide an extension of the clinical support. The Oncology RN Clinician will provide follow-up for patients after clinic and treatment appointments to ensure continuity of care using evidence-based nursing practices to achieve safe, quality care for patients and families. The Oncology RN Clinician is expected to demonstrate technical competence, profession and clinical judgement and communication skills. The Oncology RN Clinician is expected to participate in continuous learning and staying abreast of the latest evidence-based practices in oncology.

Job Description:

•    Oversees the overall operation of the clinics to ensure all patients are seen in a timely fashion, rescheduled for follow up appointments and scheduled appropriately for treatments and other procedures as ordered by the physician.
•    Clinic duties include a high level of interaction with physicians, comprehensive patient teaching regarding chemotherapy and side effects, and ensuring labs and other tests are ordered appropriately.
•    Demonstrates expertise and maintains knowledge base in the current care of oncology patients including all therapies related to patient treatments and outcomes.
•    Performs appropriate patient assessments including but not limited to; medical history update, medication reconciliation and focused system assessment and documents appropriately.  Identify changes in patient status by recognizing signs/symptoms of adverse reactions and side effects.  Communicated pertinent information concerning patient condition to appropriate provider.
•    Maintains accurate documentation of assessments, treatments, education, medications and patient response, pain assessment, critical labs and other care as needed.
•    Adhere to all policies and procedures related to use and route of medications administered in the clinic as well as knowledge of medications and side effects.
•    Communication to appropriate resources such as pharmacy, social work, etc. regarding need for preauthorization for medications, tests or hospitalizations.  Communication to appropriate resources when no coverage exists for patients.
•    Clinician uses evidence-based practices to ensure quality outcomes for patients.
•    Clinician assumes responsibility for all patient care including follow up with patient, family, physician, triage, APRN and other staff to ensure quality care provided in a timely manner.  Appropriate follow up calls after clinic and/or treatment appointments including but not limited to; missed appointments, cancelled appointments to ensure continuity of care.
•    Collaboration with the interdisciplinary healthcare team including Clinical Trials department to ensure compliance with requirements and proper procedures are followed for all clinical trial protocols and other aspects of patient care.
•    Work collaboratively with other members of the healthcare team to provide appropriate education and support services/resources (community,etc.) and assist with appropriate referrals to resources to meet the needs of the oncology patient.
•    Clinician initiates appropriate consent form and follows policies/procedures for all procedures and treatments including clinical trials.
•    Functions independently and provides care based on knowledge, established standards of care, policies and procedures and exhibits high level of critical thinking.  Supervises and delegates to all unlicensed personnel efficiently and appropriately to guide patient care.
•    Participates in quality and patient safety/experience and performance improvement initiatives.  Participates in various committees representing the Cancer Center.  Participates in preparation for various accreditation surveys such as FACT, Joint Commission, NAPBC.
•    Evaluate outcomes by continuously monitoring patient goals and progression toward achievement of goals.
•    Continuous professional growth as demonstrated by:  maintain professional certification in Oncology, maintain chemotherapy provider card, attends and participates in local, regional and national conferences and disseminates information to peers.  Participates in community activities and cancer center projects and initiatives.
•    Maintains annual competencies 
•    Performs other duties as assigned  or as required to meet the needs of the facility, department and patient.
III.    University of Louisville Hospital Core Expectations 

Collaboration & Teamwork: works cooperatively and collaboratively with others toward the accomplishment of shared goals.

Valuing Diversity: recognizing and embracing the unique talents and contributions of others.

Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers.

Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.

Organizational Alignment: ability to align people, processes and organizational structure with UMC’s strategic direction.

Developing Others: views people, their knowledge and capabilities as assets and provides opportunities that allow employees to continuously learn and develop.

Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.

Integrity: conducts business with honesty and professional ethics. Seeks to achieve results in the best interest of the organization. Models and reinforces ethical behavior in self and others.

Additional Responsibilities:

•    Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.

•    Adheres to and exhibits our core values:

 *Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.

*Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.

•    Maintains confidentiality and protects sensitive data at all times.

•    Adheres to organizational and department specific safety standards and guidelines.

•    Works collaboratively and supports efforts of team members.

•    Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.

Skills, Knowledge or Abilities critical to this role: 

•    Must have strong relationship building skills and ability to make and use connections throughout UofL Hospital to complete projects and maintain strong partnerships with other departments.

•    Must have strong initiative and be able to gather and analyze information skillfully and be able to develop alternative resources and directions.

•    Must be able to break down complex tasks into manageable parts in a systematic, detailed way and consider input from others.

•    Must be detail oriented and check work continuously for quality and accuracy.

•    Must be able to problem solve by identifying and resolving issues in a timely manner as well as assist with development of solutions.

•    Must be flexible and ability to continually look for opportunities to make appropriate adjustments and changes.

•    Must be able to delegate appropriately to all unlicensed personnel and provide appropriate follow up to ensure care has been provided.

Language Ability: 

•    Must be able to communicate effectively in both verbal and written formats.

•    Must have the ability to respond to common inquiries or complaints from patients, families, staff and general public and seek out appropriate assistance from leadership.

Reasoning Ability:  

•    Must have ability to provide assessment, collect information and draw appropriate decisions/conclusions to assist in guiding treatment for patients.
•    Must have ability to interpret a variety of instructions and deliver successful results.

Computer Skills: 
•    Must have capacity to learn other relevant systems and databases as needed.
•    Previous electronic medical record experience preferred.
 

Additional Job Description:

Education / Accreditation / Licensure (required & preferred): 
Graduation from an accredited/approved school of nursing
BSN preferred, must enroll or obtain degree within 2 years of hire.
Current unrestricted Kentucky license required.
ONS Chemotherapy/Biotherapy Provider card required.
ONCC certification (OCN, BMTCN and/or CBCN) preferred upon hire, must obtain within 1 year of eligibility.

Experience (required and preferred):
3 years oncology patient care experience preferred. 

V.    Work Environment/Job Activities

TRAVEL    DEGREE OF FREQUENCY    
    Local    0High-over 60%
0  Moderate-31-60%
1 Light-0-30%
0  N/A
    National     0High-over 60%
0  Moderate-31-60%
1 Light-0-30%
0  N/A
                    
PHYSICAL ACTIVITIES/EQUIPMENT USAGE 
 (Please note the percentage of time the activity or equipment is used as part of the job.

Activities    HIGH
Over 60%    MODERATE
31-60%    LIGHT
0-30%    NONE
0%
    Sitting    0
1
0
0
    Standing    0
1
0
0
    Bending    0
0
1
0
    Walking    0
1
0
0
    Driving    0
0
1
0
    Dexterity    0
1
0
0
    Vision    1
0
0
0
    Hearing    1
0
0
0
    Lifting (20 lbs.)    0
1
0
0
    Repetitive Motions    0
0
1
0
Equipment                
      Computer    0
1
0
0
      Telephone    0
1
0
0
      FAX    0
1
0
0
      Scanner    0
1
0
0
      Copier    0
1
0
0
                
Other physical activity or equipment usage if moderate or high (please explain):

VI.    Disclaimers
•    Critical features of this job are listed above.  They may be subject to change at any time due to reasonable accommodation or other reasons.

I.    Acknowledgement
I have read and received a copy of this job description. 

Employee’s Signature/Date  ___________________________________________