Advanced Practice Nurse, Certified Nurse Practitioner - Hematology & Oncology

Veterans Health Administration • Cleveland, OH

7h • Onsite

About The Position

The VA Northeast Ohio Healthcare System is recruiting an Advanced Practice Nurse, Certified Nurse Practitioner to work in the Medicine Service in Hematology and Oncology. The role provides independent and collaborative clinical care for patients with benign hematologic conditions, cancer, and treatment-related needs. The nurse practitioner manages a patient panel, promotes health and disease prevention, develops individualized care plans, and evaluates and adjusts those plans to support optimal outcomes.

The position includes hematology and oncology clinic care, cancer survivorship services, shared-care management with supervising physicians, treatment monitoring, toxicity assessment, patient and family education, and coordination with interdisciplinary teams. The nurse practitioner orders and interprets diagnostic studies, prescribes interventions within approved clinical privileges, initiates referrals, and ensures continuity of care. Clinical encounters and follow-up activities are documented in the electronic medical record in accordance with VHA policies and applicable standards.

The position is in person; telework and virtual work are not available. The work schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. VA offers a total rewards package that includes salary increases and potential performance awards, paid time off, retirement benefits, and federal insurance programs.

Requirements

• Graduate of an approved professional nursing school accredited by ACEN or CCNE at the time the program was completed; foreign nursing education must have an approved equivalency evaluation.
• A post-master's certificate, master's degree, or doctoral degree as a Nurse Practitioner.
• Active, current, full, and unrestricted Nurse Practitioner license in a U.S. state, territory, commonwealth, or the District of Columbia.
• Full and current basic board certification as an FNP, ANP, AGPCNP, ACNP, AGACNP, or GNP from ANCC, AANPCB, or another nationally recognized certifying body in the area of academic preparation.
• For Nurse Practitioner III qualification, at least one year of specialized APN (NP) experience equivalent to Nurse II is required. Nurse II is the entry grade and requires no experience beyond the basic requirements.
• Proficiency in basic written and spoken English for direct patient care.
• U.S. citizenship, subject to the stated VA policy exception for non-citizens when qualified citizens cannot be recruited.
• Successful completion of required pre-employment screening, including applicable drug testing, background/security investigation, onboarding, and identification requirements.
• Participation in the seasonal influenza vaccination program.
• Ability to perform physical duties associated with advanced practice nursing, potentially including prolonged walking, standing, and sitting, moderate lifting, repeated bending or kneeling, and use of safe patient handling and mobility protocols.

Nice To Haves

• Competency in bone marrow biopsy and aspiration, including pre-procedure evaluation, informed consent, sterile technique, specimen handling, post-procedure monitoring, and communication of results.
• At least two years of inpatient and/or outpatient hematology/oncology patient-care experience, including independent management of Hem/Onc patients, familiarity with multidisciplinary workflows, and comfort with longitudinal care complexity.
• Advanced oncology nursing certification, such as AOCNP, or equivalent specialty certification.
• Demonstrated ability to independently manage hematology and oncology patients, including triage, symptom management, care coordination, and clinical decision-making.

Responsibilities

• Manage benign classical hematologic conditions, including anemia, thrombocytopenia, neutropenia, coagulation disorders, and iron disorders, through evaluation, diagnosis, treatment planning, and longitudinal follow-up.
• Provide cancer survivorship care, including recurrence surveillance, management of late and long-term effects, psychosocial support, preventive health strategies, and transition planning.
• Participate in shared-care management with supervising physicians for selected solid tumor and malignant hematology patients, including interval assessments, diagnostic-study review, treatment discussions, and continuity of care.
• Conduct independent clinic visits, obtain histories, perform targeted physical examinations, interpret laboratory and imaging results, initiate evidence-based diagnostic workups, and develop management plans within approved clinical privileges.
• Manage patients receiving active oncology or hematology treatment by monitoring response and tolerance, reviewing laboratory and imaging results, adjusting supportive care, coordinating follow-up, and ensuring safe continuity of care.
• Assess systemic-therapy toxicities and side effects, including those related to chemotherapy, immunotherapy, and targeted agents; classify severity, initiate diagnostics or supportive interventions, and escalate care when appropriate.
• Coordinate interdisciplinary care with physicians, nursing, pharmacy, nutrition, social work, survivorship services, and other specialty teams.
• Participate in tumor boards, multidisciplinary case conferences, and team meetings; present cases and contribute to collaborative management plans.
• Educate patients and families about diagnoses, treatment options, survivorship expectations, toxicity management, and self-care strategies in a clear and culturally sensitive manner.
• Triage patient messages, manage prescriptions, review external records, respond to clinical inquiries, and coordinate diagnostic follow-up.
• Document clinical encounters accurately in the electronic medical record in accordance with VHA policies, facility standards, regulatory requirements, and clinical-privilege parameters.
• Independently manage a panel of patients with acute and chronic conditions, emphasizing health promotion and disease prevention using evidence-based practice.
• Develop and implement individualized plans for population health and disease management, and assess and adjust care plans to achieve optimal outcomes.
• Order and interpret laboratory tests and diagnostic studies; prescribe pharmacologic and non-pharmacologic interventions within clinical privileges; and initiate referrals and specialty consults as indicated.
• Demonstrate leadership and collaborate within interdisciplinary teams; exemplify ICARE values of Integrity, Commitment, Advocacy, Respect, and Excellence.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Traditional federal pension with five-year vesting.
• Federal 401(k) with up to 5% in contributions by VA.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level