Registered Nurse III - Cancer Center Exams - 10K SIGN ON BONUS8 Hour Days

Cedars-Sinai•Los Angeles, CA

2d•$60 - $96

About The Position

The Registered Nurse III (Clinical Nurse III) is a proficient and experienced clinician who provides comprehensive care to complex patients using advanced assessment skills, critical thinking, and strong technical and organizational abilities. The role requires in-depth knowledge of nursing care for the unit’s patient population and specialized skills in managing care for individual patients and groups, including their families. The Clinical Nurse III also mentors colleagues and supports staff development. Each year, the nurse selects and demonstrates achievement in one of three clinical advancement pathways—Clinical Quality, Education, or Leadership—and maintains an ANCC-approved specialty nursing certification. This position serves patients at the Samuel Oschin Cancer Center, which treats more than 60 types of cancer and provides outpatient infusion and supportive services. The nurse supports clinic procedures, patient flow, practice management, continuity of care, chemotherapy services, telephone triage, and care for patients experiencing side effects after autologous stem cell transplant. The role also includes comprehensive direct and indirect nursing care, patient and family education, collaboration with interdisciplinary teams, and participation in quality improvement and unit initiatives.

Requirements

Associate degree or college diploma in nursing (minimum).
At least 3 years of relevant acute care experience in the area of specialty.
For promotion within the clinical ladder, at least 1 year as a Clinical Nurse II at CSMC.
California State RN License upon hire.
Basic Life Support (BLS) upon hire, unless a higher certification is required by the specialty unit.
ANCC specialty certification (OCN) within 1 year.
Other competencies or certifications required by the specialty unit, such as ACLS, PALS, or fetal heart monitoring, within 1 year.

Nice To Haves

Bachelor of Science in Nursing from a state-accredited program.

Responsibilities

Assist with in-office procedures and clinic flow, support practice management, and facilitate continuity of care.
Manage outpatient chemotherapy schedules, set up new oral chemotherapy medications electronically, and manage monthly prescriptions.
Provide telephone triage for clinic patients, including needs related to chemotherapy, results review, and symptom management.
Manage acute and chronic side effects following autologous stem cell transplant.
Administer intramuscular and subcutaneous chemotherapy injections; use CADD pumps for continuous infusions; access, de-access, and troubleshoot PAS-ports and chest ports.
Educate patients and families about treatment plans, medications, and treatment side effects.
Provide and precisely document nursing process components and relevant interventions for direct and indirect care, supporting patient safety, comfort, hygiene, and protection in a timely manner.
Provide experienced care and patient education on disease prevention and restorative measures.
Provide comprehensive direct and indirect care to complex patients, including administration of medications and therapeutic agents needed to implement treatment, prevention, or rehabilitation plans.
Perform skin tests, immunizations, phlebotomy, and initiation of peripheral venous access.
Observe and evaluate patients and promptly alter care plans based on signs and symptoms of illness, treatment or medication reactions, behavior, or physical condition.
Use advanced assessment skills and appropriate data sources to distinguish normal from abnormal patient characteristics.
Plan and implement individualized care in collaboration with interdisciplinary teams; make appropriate reports and referrals and follow standardized procedures.
Initiate emergency procedures when indicated.
Provide care to special patient populations and patients with diverse cultural backgrounds; assess readiness to learn, ability to follow instructions, and ability to provide consent.
Adjust care to patients’ cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family, and condition-related needs.
Identify and assess patient safety concerns related to age and development, intervene to provide a safe environment, and evaluate the effectiveness of interventions.
Select and participate in a clinical advancement pathway by serving as a mentor, preceptor, or educator; leading a clinical quality or nursing research initiative; or serving as a charge nurse or council chair, along with related activities.
Provide constructive input in unit and department meetings and initiatives focused on improving nursing outcomes and the work environment.
Assist coworkers, new staff, temporary staff, and students.
When assigned charge nurse responsibilities, coordinate unit activity throughout the shift, authorize incidental overtime, and initiate the chain of command as appropriate.
Participate in at least 50% of unit meetings and provide constructive input to assist in unit direction.
Act as a change champion and agent and participate in departmental quality improvement activities.