REPORTS TO POSITION:Clinical Manager of Cancer Services
DEPARTMENT: Cancer Services
DATE LAST REVIEWED:April 2022
OUR VISION: Creating Americas healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Cancer Center at St. Charles Health System is a comprehensive cancer center that provides holistic care to our patients.The cancer center provides chemotherapy, medical oncology, infusion services, radiation therapy, integrative medicine, nutrition, social work, survivorship, and other supportive care treatments. All of our staff support our patients in the various stages of their treatments.
POSITION OVERVIEW: TheRegisteredNurse Clinical Oncology Practiceserves as a single point of contact for referring physicians, patients, and caregivers to provide assistance with accessing clinical and supportive care services offered within St. Charles Health System. This Registered Nurse collaborates and coordinates the delivery of quality, efficient and cost-effective health care services for patients with complex illnesses inclusive of all providers and partners of the health care team. This position does not directly manage any other caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Serves as both a clinical and supportive resource for the patient and familyby providing education about their illness, ensuring access to timely care,coordinating follow up, and assisting with other needs throughout the continuum of care.
Collaborates with healthcare providers and community resources to develop an evidence-based, comprehensive individualized plan of care. Ensures interventions are patient centered and facilitates effective and efficient medical utilization.
Develops, documents, and monitors patient/family response to plan of care, and revises the plan as indicated. Provides patient self-management support and tools with a focus on empowering the patient/family to build capacity for self-care.
Act as a patient advocate and liaison between patients, PCP, specialists, hospital, post-acute care, and community resources to ensure timely access to services.
Performs clinical procedures and treatments within the nursing scope of practice including but not limited to injections, central line care, venipuncture, IV placement, and port access/flush.
Assists with admissions to the hospital as needed.
Utilizes clinical interventions based on risk stratification and evidence-based clinical guidelines under the direction of designated leadership.
Gathers medical information from providers for the purpose of decision making for pharmaceutical utilization, referrals, and coordination of care. Monitors physician, patient, and staff satisfaction scores. Measures timeliness of care indicators and tracks patient volumes.
Completes timely post-hospital follow-up including review of discharge instructions, medication reconciliation, and follow-up appointments.
Utilizes documentation and evaluation tools to efficiently and accurately document the processes and interactions with patients in the care coordination program.Maintains care coordination file in established clinical format using PC technology and system tools.
Participates in multidisciplinary team conferences and in overall program evaluation of processes. Identifies problems and proposes/develops process improvement strategies to enhance care management services.
Participates in professional development, regarding evidence-based engagement, communication, behavior change, and care coordination strategies to incorporate into clinical practice that also keeps the health care team current.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient, and caregiver.
Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.
Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patients care,asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc.
Provides and maintains a safe environment for caregivers, patients, and guests
Documents all patient care with proficiency in compliance with hospital policies, procedures, and regulatory agencies.
Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.
Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organizations corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: As required for RN Licensure.
Preferred: N/A
LICENSURE/CERTIFICATION/REGISTRATION:
Required:
Registered Nurse with a current, valid, and unencumbered license in the State of Oregon.
AHA Basic Life Support for Healthcare Provider Certification.
Valid Oregon drivers license and ability to meet St. Charles Health System driving requirements.
Ability to travel to business functions/meeting with clients and providers/attend trainings/meetings and all St. Charles Health System worksites.
Preferred: N/A
EXPERIENCE:
Required: Minimum of one (1) year of experience in oncology or ambulatory care nursing with experience in disease management, care coordination, patient education, and triage skills.
Preferred: One (1) to two (2) years clinical oncology nursing experience, preferably in an outpatient or ambulatory setting.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.
Strong team working and collaborative skills.
Ability to effectively reach consensus with a diverse population with differing needs.
Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results.
Ability to multi-task and work independently.
Attention to detail.
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
Strong analytical, problem solving and decision-making skills.
Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office.
Understanding and application of federal and state regulations, local programs and their eligibility requirements and application processes; insurance benefits, services, and limitations.
Able to perform phlebotomy procedures following the Standards of Practice as outlined in the St. Charles Health System Work Instruction.
PHYSICAL REQUIREMENTS
Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.
Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.
Rarely (10%): Climbing stairs.
Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle.
Exposure to Elemental Factors
Rarely (10%): Wet/slippery area, chemical solution.
Never (0%): Heat, cold, noise, dust, vibration, uneven surface.