RN - Hematology/Oncology Clinic

About the role

The 3 CE Outpatient Hematology/Oncology Clinic of the Nemours Center for Cancer and Blood Disorders provides comprehensive outpatient services to children and families with hematological and oncological diagnoses. This is a full-time position, 0830-1700.

Principal Diagnoses

• Anemia
• Thrombocytopenia
• Sickle Cell Disease
• Hemoglobinopathy
• Coagulopathy Disorders
• Neutropenia
• Spherocytosis/Elliptocytosis
• Hemolytic Disorders
• Leukemias
• Brain/CNS tumors
• Solid tumors
• Lymphomas
• Histiocytosis
• Neuroblastoma
• Neurofibromatosis
• Genetic blood disorders

Primary Function

Provides telephone triage for pediatric hematology/oncology/transplant and cellular therapy patients, delivering timely assessment, care coordination, and first-line clinical support for a medically complex, immuno-compromised pediatric population by using standardized protocols and sound clinical judgment to determine the appropriate level of care.

Essential Functions

• Performs telephone triage assessments for pediatric hematology/oncology/transplant and cellular therapy patients with symptoms or concerns including fever, neutropenia, bleeding, pain, dehydration, treatment-related toxicities, and other urgent or non-urgent clinical issues, using sound clinical judgment to determine the appropriate level of care.
• Utilizes standardized hematology/oncology/transplant and cellular therapy triage protocols, SmartPhrases, and Epic workflows to support consistent symptom assessment, documentation, communication, and care recommendations.
• Documents and communicates clinical information clearly in Epic through telephone encounters, In Basket routing, and related workflows to support continuity of care and timely interdisciplinary follow-up.
• Provides patient and family education, anticipatory guidance, and follow-up instructions by phone regarding symptoms, treatment-related concerns, home management, and when to seek urgent or emergent evaluation.
• Reviews and clinically prioritizes new patient referrals, outside records, and laboratory information to support appropriate scheduling timeframes, provider assignment, and timely access to care.
• Collaborates with care teams to coordinate care across outpatient and inpatient settings, including same-day visits, infusion scheduling support, urgent add-ons, direct admissions, emergency department escalation, and other disposition needs based on clinical presentation.
• Supports medication, treatment access, and authorization workflows by initiating or routing telephone encounters, communicating with the appropriate clinical or operational teams, and facilitating timely follow-up to reduce delays in care.
• Manages triage communication workflows, including In-Basket prioritization and timely response to patient, family, provider, pharmacy, and care team needs.
• Conducts follow-up calls and ongoing communication for high-risk patients, unresolved concerns, and care plan updates to promote patient safety and continuity.

Knowledge, Skills, And Abilities

• Demonstrates advanced clinical judgment in pediatric hematology/oncology/transplant and cellular therapy care, including the ability to assess, prioritize, and respond to urgent and non-urgent patient concerns by telephone.
• Strong knowledge of hematology/oncology/transplant and cellular therapy symptoms, treatment-related toxicities, supportive care needs, and considerations for immunocompromised pediatric patients.
• Ability to utilize standardized triage protocols, clinical guidelines, and independent nursing judgment to determine appropriate disposition and escalation.
• Strong verbal and written communication skills, with the ability to communicate clearly and compassionately with patients, families, providers, and interdisciplinary team members.
• Proficiency in Epic documentation, telephone encounters, In Basket management, and related clinical communication workflows.
• Ability to provide effective patient and family education, anticipatory guidance, and follow-up instructions tailored to clinical needs.
• Strong organizational skills and the ability to manage multiple priorities, high call volumes, and time-sensitive issues in a fast-paced environment.
• Ability to collaborate effectively across outpatient, inpatient, infusion, pharmacy, and ancillary teams to support continuity of care.

Certifications

• Must hold current APHON Chemotherapy/Biotherapy Provider or Instructor Status, ONCC Certification preferred (CPHON, CPON, BMTCN, TCTCN).

Experience

Hematology, oncology, transplant, and cellular therapy experience required, and triage experience preferred.

Additional Operational Responsibilities

• Supports workflow standardization, patient throughput, and quality metrics tracking.
• Participates in quality improvement initiatives and continuous process improvement efforts.
• Supports development and maintenance of triage workflows, SmartPhrases, and standardized documentation tools to improve consistency and efficiency.
• Aids in data collection, reporting, and workflow monitoring related to triage volume, turnaround times, access, and quality metrics.

About Us

Nemours Children's Health is an internationally recognized children’s health system providing comprehensive pediatric care, research, education, and advocacy services. The system serves more than 1.7 million patient encounters each year through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.