Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associate

Oregon Health & Science University•Tualatin, OR

3d•Onsite

About The Position

The OHSU Knight Cancer Institute is seeking an Advanced Practice Provider to primarily support its Community Hematology Oncology clinic in Tualatin, Oregon. The role provides care for patients with cancer and blood disorders across ambulatory, infusion, and hospital settings at multiple sites. Occasional coverage may be needed at community clinics in Beaverton, East Portland, NW Portland, and Gresham. The position is classified by OHSU as Clinical Associate APP and delivers care within a defined scope of practice in Adult Medical Oncology, following departmental workflows, productivity standards, the collective bargaining agreement, and institutional policies. The schedule consists of four 10-hour shifts per week and may include weekends and holidays. The position is represented by the Oregon Nurses Association & Advance Practice United and is subject to the active collective bargaining agreement. The successful candidate will work in a fast-paced, team-oriented environment and use clinical knowledge and oncologic experience to support a complex patient population. Clinical duties include evaluating urgent patient needs and treatment tolerance, reviewing labs and modifying orders, writing chemotherapy orders within credentialed privileges, managing anticoagulation, responding to infusion-room questions and patient situations, coordinating with phone triage staff, and seeing same-day add-on patients when needed. The APP may admit and round on patients in community hospitals in collaboration with attending physicians and, when applicable, serve as backup on-call for an attending physician. The role also supports clinical research by helping identify eligible patients, caring for patients participating in clinical trials, completing required documentation, and participating in research projects as appropriate. Educational work includes contributing to patient education materials and programs, providing individualized oncology education, educating others about oncology and hematologic malignancies, and teaching students if assigned. APPs are expected to maintain professional standards, participate consistently in unit and departmental meetings, respond to organizational communications, and meet institutional and departmental deadlines. Applicants must have either a qualifying master's degree in nursing and nurse practitioner credentials, or a master's degree in Physician Assistant/Associate Studies from an accredited program. The position requires the applicable Oregon and Washington licensure, national certification, and DEA certification. The role requires the ability to travel between floors, clinical offices, and locations.

Requirements

Successful completion of a Master’s Degree in Nursing or Master of Science in Nursing in a recognized APRN specialty for Nurse Practitioner applicants, or a Master’s Degree in Physician Assistant/Associate Studies from an accredited program for Physician Assistant/Associate applicants.
For Nurse Practitioner applicants: current RN and APRN licensure with the Oregon Board of Nursing; Washington Board of Nursing licensure within 90 days of the start date; current national board certification; and DEA certification.
For Physician Assistant/Associate applicants: current PA licensure with the Oregon Medical Board; Washington Medical Board PA licensure within 90 days of the start date; current NCCPA certification; and DEA certification.
Strong clinical assessment, diagnostic reasoning, and patient management skills.
Ability to prioritize, organize, and manage multiple tasks in a fast-paced, high-acuity environment.
Effective communication with patients, families, and multidisciplinary teams, including complex care discussions and transitions of care.
Ability to collaborate across disciplines and contribute to coordinated, comprehensive, team-based care.
Sound clinical judgment and decision-making, including recognizing and responding to clinical deterioration.
Proficiency in documentation and use of electronic health record systems.
Ability to adapt to changing clinical demands, workflows, and patient volumes.
Strong attention to detail and commitment to patient safety and quality care.
Ability to educate patients, families, and learners on complex disease processes, treatments, and supportive care needs.
Professionalism, accountability, and reliability in meeting responsibilities and deadlines.
Ability to maintain confidentiality and exercise discretion with sensitive information.
Commitment to evidence-based practice, regulatory standards, continuous professional development, and effective, ethical, and professional performance.
Ability to travel between floors, clinical offices, and locations.

Nice To Haves

One or more years of experience as an APP.
One or more years of experience in oncology.
Experience with EPIC and Beacon.
Exposure to clinical trial research.
Hematology/Oncology certification.
Advanced clinical assessment, diagnostic reasoning, and management of complex hematologic/oncologic malignancies.
Strong clinical judgment and timely escalation of care for acutely ill and immunocompromised patients.
Proficiency in chemotherapy/biotherapy management, including monitoring and toxicity management.
Proficiency in EHR documentation, order entry, and use of oncology-specific treatment plans and pathways.
Oncology certification is preferred.

Responsibilities

Evaluate urgent patient needs and determine tolerance of treatment.
Review laboratory results and modify orders as needed.
Write chemotherapy orders in compliance with credentialed privileges.
Manage patient anticoagulation.
Respond to nurse questions and patient situations in the infusion room.
Work with phone triage staff to manage patient issues.
See patients as same-day add-ons when needed.
Admit patients to community hospitals in collaboration with attending physicians.
Round on patients in community hospitals in collaboration with attending physicians and within credentialed privileges.
Provide backup on-call coverage for an attending physician.
Assist in identifying patients eligible for clinical trials.
Care for patients participating in clinical trials and complete necessary documentation.
Participate in research projects as appropriate.
Participate in developing patient education tools and programs.
Provide individualized patient education on oncology.
Educate others on oncology and hematologic malignancies.
Participate in teaching medical, nurse practitioner, and physician associate students if assigned.
Participate in unit and departmental meetings, respond to organizational communications, and meet institutional and departmental deadlines.
Travel between floors, clinical offices, and locations.