Office Oncology RN

About the Organization

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, and more than 9,000 health care professionals. Our flagship is Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. Recognized as one of the Best Places to Work in Healthcare by Modern Healthcare and the first in the state to achieve Magnet with Distinction status for nursing excellence, we deliver over 4,000 babies and perform more than 34,000 surgeries annually. Lexington Health is the region’s third-largest employer and features an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and a dedicated Alzheimer’s care center. We also offer postgraduate medical education programs in family medicine, transitional year residencies, and an informatics fellowship.

About the Role

Responsible for providing professional nursing care to oncology patients in an office setting. This includes education and management of oral chemotherapy care plans, general nursing duties, and carrying out physician orders such as assisting with procedures, administering injections, performing phlebotomy, PICC line care, VAD care, Hickman/Broviac care and maintenance, wound care, patient triage, and prescription coordination.

Responsibilities

• Assist physicians with patient care, including setting up equipment, administering injections, and ensuring proper documentation in medical records.
• Triage patients over the phone and in person; instruct and inform patients about physician orders, lab results, and medication instructions using the teach-back method.
• Process chemotherapy orders, notify physicians of patient needs or condition changes, and document all chemotherapy-related procedures in the EHR.
• Perform chemotherapy dose limit checking, adjustments, and banding, including drug interaction checks (drug/drug, drug/allergy, drug/diagnosis, drug/gender) and medication reconciliation.
• Determine and apply appropriate nursing care models; regularly re-evaluate patient needs and counsel patients, families, and significant others.
• Insert intravenous cannulas, administer prescribed intravenous solutions and medications, and monitor infusion sites.
• Refer patients to Hospital Social Worker, Nurse Navigator, Financial Counselor, Dietician, Home Health, DME, or Hospice as appropriate.
• Prepare clinical records and progress notes for each patient visit in a timely manner.
• Participate in educational in-service programs and stay current with trends in oncology care.
• Communicate with billing staff to facilitate insurance approvals for medications, including chemotherapy, prior to administration.
• Maintain, sterilize, and calibrate medical instruments; coordinate supply levels and stock exam rooms.
• Notify billing team to pre-certify patients for inpatient admissions, outpatient procedures, and other visits requiring prior approval.
• Document all unusual situations internally and externally to maintain accurate patient records; complete Online Occurrence reporting as needed.
• Keep the work area neat and orderly; ensure necessary supplies are available.
• Perform all other duties as assigned.

Requirements

• Graduate of an Accredited School of Nursing.
• Current South Carolina license as a Registered Nurse.
• ONS Chemotherapy and Biotherapy Certification required within 6 months of hire; recertification as required.
• BLS and CPR certification.
• National Oncology Certification within 2 years of hire.
• Strong analytical skills with in-depth knowledge of cancer and cancer therapy.
• Demonstrated proficiency in PICC line care, VAD care, Hickman/Broviac care and maintenance.
• Ability to communicate effectively with patients of all ages (Adult: 18–65 years; Geriatric: Over 65 years).
• Awareness of cost containment and drug waste avoidance.
• Compliance with OSHA and CLIA health and safety regulations.

Benefits

• Day-one medical, dental, and life insurance benefits.
• Health care and dependent care flexible spending accounts (FSAs).
• 403(b) match plan with dollar-for-dollar matching up to 6% from day one.
• Employer-paid life insurance equal to 1x salary; optional supplemental life insurance up to 3x salary at low cost.
• Adoption assistance.
• Employer-paid short-term and long-term disability coverage after 90 days of eligible employment.
• Tuition reimbursement and student loan forgiveness.

Pay

Sign-on bonus of up to $10,000.

Schedule

Full-time day shift: 0800 – 1630.