Registered Nurse, Hematology Oncology Triage/Clinic, 36 Hours (Days)

In accordance with the American Nurses Association’s “Standards of Clinical Nursing Practice,” the registered staff nurse, under the general supervision of the Nurse Manager, is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The registered staff nurse is accountable for clinical, educational, quality, and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines, and standards of practice.

Responsibilities

• Consistently and effectively utilizes all steps of the nursing process in the provision of timely, safe, efficient, and appropriate patient-centered care.
• Administers ordered injections, pump disconnects, and vaccines.
• Triages telephone calls from patients, families, community, or referring offices, including prioritizing calls based on clinical acuity, determining severity, directing callers to emergency services if necessary, and providing health information.
• Makes follow-up calls to patients as instructed by the provider, including assessing changes in status for high-risk patients.
• Processes prescription refills, including documenting requests in the patient record for provider review and approval.
• Coordinates home care referrals and works closely with providers and nursing staff in the clinic.
• Analyzes assessment data to determine appropriate nursing diagnoses and facilitates access to the healthcare system.
• Demonstrates effective communication, teaching, and negotiating skills with providers, nurses, and all members of the medical center staff.
• Implements interventions identified in the nursing and medical plan of care, ensuring quality assessment, managed care, and patient satisfaction.
• Schedules appointments for primary care physicians and specialists.
• Reviews and triages lab/x-ray results, notifying medical practitioners of critical values.
• Documents triage interactions and patient information in electronic health record systems.
• Communicates additional documentation or notes from triage events to physicians for follow-up care.
• Performs patient vitals, medication reconciliation, and health histories, documenting findings in the electronic medical record for provider review.
• Conducts pre-visit reviews of patient information to ensure required data (e.g., lab results, consults) is available in the EMR for provider use during visits.
• Evaluates patient progress toward clinical and educational outcomes.
• Performs in-office procedures such as EKGs, PFTs, and assists with bone marrows, surgical procedures, etc., as ordered by the provider.
• Conducts Nurse Only visits for tasks not requiring a physician or NP, such as BP checks, immunizations, injections, and patient education.
• Performs other related duties as required.

Requirements

• Nursing degree: Diploma, ASN, or BSN (BSN preferred). Ability to obtain BSN within 4 years if not already held.
• Current RN licensure in the state of Massachusetts in good standing, required by start date.
• Current Basic Life Support (BLS) certification by start date.
• Bio/chemo certificate required.
• ONS chemotherapy provider card required; OCN preferred (must obtain within 2 years of hire).
• Minimum 1 year of experience; 2 years preferred with demonstrated competence in all aspects of nursing care and independent decision-making in adult primary care.
• Experience in hematology/oncology, emergency medicine, triage, or adult ambulatory care preferred.
• Previous experience with surgical oncology, transplants, stem cell transplants, or amyloidosis preferred.
• Recent port access, peripheral IV insertion, and clinical assessment skills preferred.
• Previous skills with drains, wound vacs, and assisting with minor procedures preferred.

Skills

• Basic computer proficiency, including ability to access, enter, and interpret computerized data/information.
• Effective interpersonal skills to facilitate communication with healthcare team members, patients, and families.
• Organizational skills to set priorities and efficiently complete assigned work.
• Multilingual skills (beyond English) preferred for patient populations served.
• Analytical ability to solve clinical nursing issues and conduct quality improvement research.
• Ability to effectively delegate appropriate patient care activities.
• Effective verbal and written communication skills appropriate to patient populations served.
• Physical ability to meet core job responsibilities in accordance with practice setting demands.
• Ability to manage stress due to critical patient care issues, organizational changes, and personnel issues.
• Sound clinical judgment and decision-making skills in triage situations.
• Pleasant telephone manner and excellent customer service skills.
• Knowledge of electronic medical record systems and their usage.
• Outstanding written, verbal, telephone, and interpersonal communication skills, including time management and prioritization.
• Knowledge of primary care clinical procedures and processes involved in delivering quality care.
• Ability to work effectively with minimal supervision and as part of a team.
• General office abilities, including a minimum of 40 WPM typing and faxing.
• Reading comprehension skills and computer literacy required.
• Excellent command of the English language.

Pay

Compensation range: $38.05 - $79.47 per hour. This range is based on minimum job qualifications and considers factors such as education, experience, and licensure/certifications directly related to the position.

Benefits

• Medical, dental, vision, and pharmacy benefits.
• Flexible Spending Accounts.
• 403(b) savings matches.
• Earned time cash out and paid time off.
• Career advancement opportunities.
• Resources to support employee and family wellbeing.

Schedule

36 hours per week (Days).