Advanced Practice Provider

OneOncology • Cookeville, TN

26d

About The Position

The Advanced Practice Provider (APP) provides care in a variety of settings served by Tennessee Oncology, delivering quality care to specific populations across cancer prevention, screening, diagnosis, active treatment, and palliative care as part of a multidisciplinary healthcare team. The role includes assessment, diagnosis, and management of cancer and related disorders. The APP uses evidence-based literature and practice to positively affect the health and healthcare delivered to patients with a past, current, or potential cancer diagnosis.

The APP assesses patients’ physical and psychosocial status, obtains and documents health histories and examinations, orders and interprets tests, manages cancer symptoms and treatment side effects, communicates care plans, and coordinates care with physicians and other healthcare professionals. The position also provides patient, family, staff, professional, and community education and collaborates with other disciplines to support continuity and quality of care. Clinic needs may include procedures such as bone marrow biopsies and call coverage, though on-call coverage is not a mandatory requirement of practice.

Requirements

• License to practice as an RN or PA in Tennessee.
• Master’s degree in nursing or certification as a Physician Assistant.
• National APP certification through the American Nurses’ Credentialing Center or American Academy of Nurse Practitioners, or qualifying Clinical Nurse Specialist status meeting criteria for a certificate of fitness to prescribe medications; listed credentials include AOCN, AOCNP, AOCNS, or certification by the National Commission on Certification of Physician Assistants.
• Current knowledge of oncology and primary care.
• Ability to work independently.
• Knowledge of Tennessee Oncology Advanced Practice Provider Guidelines and the Advanced Practice Practitioner provisions in the Tennessee Oncology Policy and Procedure Manual.
• Tennessee Oncology skills certification required by the specific clinic; skills may include bone marrow biopsy, skin punch biopsies, paracentesis, and specialized access of chemotherapy delivery devices.
• Maintain current Basic Life Support certification for the healthcare provider.
• Must be willing and able to lift up to 50 pounds.
• Ability to remain upright on the feet most of the time and stationary for half of the time.
• Ability to communicate, distinguish sounds, and visualize.
• Regular manual dexterity; occasional reaching or stretching and occasional crouching or stooping.

Nice To Haves

• Minimum of one year of oncology nurse experience is preferred.

Responsibilities

• Assess patients’ physical and psychosocial status and obtain and document comprehensive health histories.
• Perform and document complete, system-focused, symptom-specific physical examinations.
• Assess cancer-related symptoms, comorbidities, treatment response, disease progression or recurrence, and potential late effects of cancer and its treatment.
• Conduct pharmacologic assessments, including prescription and over-the-counter medications, supplements, and complementary or alternative therapies.
• Recognize abnormal assessment findings, order and interpret laboratory and diagnostic tests, and prioritize urgent or high-priority problems.
• Identify patients who may be eligible for clinical trials and provide care to patients participating in clinical trials.
• Relay appropriate patient-care information to the collaborating physician and communicate care plans to patients, caregivers, and healthcare team members.
• Write prescriptions and orders for medications, blood products, diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance with written practice protocols.
• Administer therapeutic measures and obtain specimens in accordance with practice guidelines.
• Manage cancer symptoms and side effects related to cancer treatment; refer patients or request consultation from physicians and other healthcare professionals as appropriate.
• Assist with family dynamics and coping mechanisms during acute and chronic phases of patient care.
• Serve as a resource to healthcare team members, evaluate quality of care, and recommend improvements.
• Perform procedures as clinic needs warrant, such as bone marrow biopsies.
• Take call as required by clinic need; coverage may be mutually scheduled with the supervising physician and APPs. Call duties may include responding to patient, family, or hospital calls; weekend hospital rounds; admitting patients; and contacting the supervising physician for backup.
• Maintain American Nursing Credentialing Center certification and current Basic Life Support certification for healthcare providers.
• Educate patients and families about proposed treatment plans using age- and culturally appropriate methods.
• Facilitate patient decision-making about discontinuing active cancer treatment while optimizing supportive care.
• Educate cancer survivors about risks of long-term effects of cancer and its treatment.
• Provide formal and informal oncology-care education to staff; participate in developing educational materials and present cancer-care updates to professionals.
• Participate in community discussions, support groups, and informal consultation to provide oncology education and support to the lay community.
• Report patient information accurately and in a timely manner and edit dictation.
• Work effectively with others, use the chain of command, and collaborate across health disciplines to support continuity and quality of care.
• Represent APPs in department and board meetings and share information with the APP group.
• Perform other duties as requested by the supervising MD.

What This Job Offers

• Job Type: Full-time