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

Cedars-Sinai Medical Center•Los Angeles, CA

1d•Onsite

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, critical-thinking, technical, and organizational skills. The nurse applies in-depth specialty knowledge to care for individual patients and groups, including their families, and serves as an experienced mentor who helps develop staff and identify resources that support professional growth. Each year, the nurse selects and demonstrates achievement in one of three clinical advancement pathways: Clinical Quality, Education, or Leadership, and consistently maintains an ANCC-approved specialty nursing certification. This position supports outpatient care at the Samuel Oschin Cancer Center, which treats more than 60 types of cancer and provides chemotherapy and supportive services. The role includes clinic and infusion-related care, patient and family education, telephone triage, management of chemotherapy and prescriptions, and care for patients experiencing acute or chronic effects following autologous stem cell transplant. The nurse collaborates with interdisciplinary teams, adapts care to patients’ individual needs, supports safety and quality improvement, and may coordinate unit activity when assigned charge nurse responsibility.

Requirements

At least 3 years of relevant acute-care experience in the specialty area.
At least 1 year as a Clinical Nurse II at CSMC to be promoted within the clinical ladder.
California State RN License upon hire.
Basic Life Support (BLS) upon hire, unless a higher level of certification is required.
ANCC specialty certification (OCN) within 1 year.
Other specialty-specific competencies or certifications as required by the unit, such as ACLS, PALS, or fetal heart monitoring.
Select and demonstrate achievement in one of the Clinical Quality, Education, or Leadership advancement pathways each year.
Consistently maintain specialty nursing certification approved by ANCC.

Nice To Haves

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

Responsibilities

Assist with in-office procedures, clinic flow, practice management, and continuity of care.
Manage the outpatient chemotherapy schedule, 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; work with CADD pumps for continuous infusions; and access, de-access, and troubleshoot PAS-ports and chest ports.
Educate patients and families about treatment plans, medications, and treatment side effects.
Precisely document nursing-process components and relevant interventions for direct and indirect patient care, supporting patient safety, comfort, hygiene, and protection.
Provide experienced care and patient education on disease prevention and restorative measures.
Provide comprehensive direct and indirect care to complex patients, including administering medications and therapeutic agents for treatment, disease prevention, or rehabilitation.
Perform skin tests, immunizations, phlebotomy, and initiation of peripheral venous access.
Observe and evaluate patients, and promptly alter plans of care based on signs and symptoms, treatment or medication reactions, behavior, and physical condition.
Use advanced assessment skills and appropriate data sources to distinguish normal from abnormal findings.
Plan and implement individualized care in collaboration with interdisciplinary teams.
Make appropriate reports and referrals and provide care in accordance with standardized procedures; initiate emergency procedures when indicated.
Provide care to special patient populations and patients from diverse cultural backgrounds, adjusting care for cultural, spiritual, age, psychosocial, communication, gender, sexual-orientation, economic, educational, family, and condition-related needs.
Assess patient readiness to learn and ability to follow instructions and provide consent; identify age- and development-related safety concerns, intervene to maintain a safe environment, and evaluate intervention effectiveness.
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, among related activities.
Support and provide constructive input at 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 duties, 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 help guide the unit.
Act as a change champion and participate in departmental quality-improvement activities.