RN, Nurse Navigator, Oncology-Multidisciplinary Clinics, FT, Days

The Oncology Palliative Care Nurse Navigator will work collaboratively with referring providers, Palliative Care team and Knight Cancer teams to include Physician, surgeons, residents, fellows, RN coordinators and schedulers in the care of this complex population throughout the continuum of care and treatment. This position will work with the clinical nurse manager and other oncology nurse navigators to develop standard metrics, identify patient barriers, coordinate smooth transitions of care, and to be available for team members in determining and outlining the plan of care. This position will collaborate with the other palliative care nurse navigators and nurse coordinators to cover days off and vacations. An Oncology Palliative Care Nurse Navigator (NN) is a professional RN with oncology and palliative care-specific clinical knowledge who offers individual assistance to patients, families, and caregivers to help overcome healthcare system barriers. Using the nursing process, a NN provides patient/family education and resources to facilitate informed decision-making and timely access to quality health and psychosocial care throughout all phases of the cancer continuum

The NN will work with the ONS and HPNA core competencies as the guide. The NN competencies to be performed: (a) coordination of care, (b) communication to patient, families, and members of the healthcare team, (c) patient and family education (d) professional role.

The Knight Cancer Institute provides total patient centered medical care in a practice setting staffed by faculty (Physicians, Nurse Practitioners) as well as fellows of Oregon Health and Science University

Specific responsibilities for this role include:

Incoming Referrals

• Collaborates with referring providers, patient care coordinators, and palliative care providers to identify and facilitate the scheduling ofnewly referred patients
• Provides patient education including: contact information for the palliative care providers, medication questions, prescription renewal process, follow-up appointments.
• Assembles/distributes new patient packets and provides reminder calls to new patients as required.

Patient Visit and Indirect Patient Care

• Provides on-going nursing assessment of the patient across the continuum in relation to treatment plans, patient and family inquiries, symptom management, psycho-social support and education. May include initiating a plan of care based on protocols or algorithms.
• Assists NP team with telephone calls and triage to provide safe, effective and appropriate disposition of health-related problems using approved practice protocols (includes assessment, patient education, and crisis intervention).

• Completes, processes and follows-up on prescription preparation and prior authorizations for the outpatient clinic.
• Assists Outpatient team in referrals to community healthcare providers, palliative care, and hospice programs
• Assists scheduler in referrals of patients to other providers for diagnostic/laboratory testing if requested
• Documents all care accurately and timely in the electronic medical record (EMR) and or chart according to Unit policy and procedures and MGH, HIPAA and Joint Commission requirements.

Administrative

• Assists the NP manager with the preparation of weekly/monthly outpatient team meetings as needed
• Works with providers on clinical policies and procedures, as needed
• Assists in outpatient quality improvement processes where appropriate
• Assists in the development and management of an outpatient database and data entry.
• Works with the Outpatient NP/Manager to perform other tasks as required.

Education:

• External applicants: Baccalaureate of Science in Nursing Degree from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA).
• Internal applicants: Associate's Degree in Nursing.

Registrations, Certifications and/or Licenses:

• Current, unencumbered Oregon State Registered Nurse License
• BLS at time of hire and must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA (upload documentation with online application).
• BLS must not expire during orientation or probation period, and must have the same expiration date (upload documentation with online application).
• OCN and CHPN certification within 24 months of start.

Job Related Knowledge, Skills and Abilities (Competencies):

Communication skills including fluency in oral and written English.

Basic computer skills including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health Record information and tools.

• Minimum 2-3 years nursing in Palliative Care, acute care, oncology or ambulatory care.
• Knowledge of health and social service system.
• Excellent clinical judgment and critical thinking skills
• Excellent communication and organization skills and attention to detail.
• Ability to work independently, as well as in groups.
• Must have excellent phone and customer service skills, the ability to multi-task and remain professional in a busy clinic setting
• Excellent computer skills;
• Ability to document meticulously.
• Ability to communicate well with diverse populations.
• Complete ELNEC training within 12 months of start.
• Complete CAPC online training curriculum 12 months of start.
• Must be able to perform the essential functions of the position with or without accommodation.
  

Education:

Current OHSU employees: BSN preferred

Job Related Knowledge, Skills and Abilities (Competencies):

• Knowledge of end-of-life care, including advance care planning, symptom management, and bereavement care is preferred.
• Experience with databases

Orientation Period: 6-8 weeks

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