Registered Nurse (Float)

Tennessee Oncology•Nashville, TN

12d

About The Position

Provides patient-centric, safe, high-quality care throughout all stages of the patient care journey. Helps patients manage and live with their diagnosis while retaining autonomy and independence through appropriate disease, symptom, and psychosocial management. The primary focus is supporting provider-side operations and working closely with physicians and advanced practice providers (APPs) to ensure efficient clinic visits, including pre-visit planning, scheduling, and chart preparation. Monitors patient response to treatment and collaborates with healthcare teams, patients, and families to adjust the plan of care as needed. Identifies actual and potential problems and intervenes to seek satisfactory resolutions, whenever possible while the patient is present. This role provides clinical and operational support across Tennessee Oncology clinics and care settings as needed. It includes direct patient care, coordination and education, communication among patients and care teams, documentation, and participation in quality and professional development activities. The RN may occasionally take an assignment or assist in the infusion area to maintain familiarity with its processes and workflows.

Requirements

Graduate of an accredited or approved school of nursing.
Valid license to practice professional nursing in the State of Tennessee.
At least one year of nursing experience.
Current AHA or ARC Basic Life Support (BLS) certification, or obtain it within three months of hire.
Obtain an ONS Chemotherapy/Immunotherapy card within six months of hire.
Knowledge of nursing principles and practices, oncology practices and treatments, current developments in cancer diagnosis and therapy, and research practices.
Ability to administer antineoplastic and other treatment therapies.
Ability to empathize with patients and families and manage grief and challenging patient interactions.
Ability to collaborate with healthcare teams to develop personalized cancer treatment plans.
Ability to cope with death and dying, form and maintain trusting relationships, and multitask in a fast-paced, changing environment.

Nice To Haves

Two years of oncology nursing experience.
Experience in an outpatient facility.
ONCC certification.

Responsibilities

Work with providers and operations leaders to optimize visit schedules, accounting for workflows, visit types, treatment types, available resources, and patients’ special needs.
Monitor provider schedules for accuracy of on-service dates and work with providers to minimize overbooking and decouple visits where appropriate.
Serve as a resource for patient services staff on schedule changes and questions; adjust treatment-plan dates or other orders within scope of practice.
Collaborate with providers, infusion staff, and managers to balance schedules.
Collect and review clinical and diagnostic data before, during, or after patient encounters, including chart preparation, triage of laboratory and diagnostic results, prescription refill needs, and patient education about results and visit schedules.
Monitor visit schedules and clinic flow and assist as needed to keep provider clinics on time.
Provide RN oversight and act as a resource for Medical Assistants; intermittently audit documentation for accuracy and completeness.
Clarify patient history, review-of-systems, and medication-reconciliation questions identified during rooming; complete or oversee nursing evaluations, including second-signing for Medical Assistants when applicable.
Assist with transitions of care, including paperwork, orders and notes, handoffs for satellite appointments, direct admits, and blood transfusions.
Liaise between staff and providers regarding patient and caregiver needs, and communicate essential medical information between patients and providers clearly and accurately.
Support revenue cycle management teams with diagnosis-code updates and other information needed for prior authorizations or post-service billing; identify and correct chart inaccuracies before services are provided when possible.
Help patients and families navigate the clinic, assess referral needs, assist with referrals, follow up on referrals and testing, and document in the electronic medical record (EMR).
Collaborate with external agencies and centralized Tennessee Oncology teams, including Patient Financial Services, Telephone Triage, and Care Coordination, to support communications with patients, caregivers, hospitals, and home care agencies.
Assess and evaluate patient concerns and needs using critical assessment skills and approved symptom-management algorithms while avoiding duplication of effort.
Provide education tailored to the learning needs and level of patients and families, supply relevant educational materials, and document teaching and learning responses in the EMR.
Provide empathetic emotional support to patients and caregivers while maintaining professional boundaries.
Complete patient-requested paperwork, including FMLA and short- or long-term disability forms and return-to-work documentation.
Provide direct patient care, including vital-sign measurement, laboratory draws and specimen collection, assistance with provider-performed procedures, peripheral IV starts, central venous access device care, dressing changes and wound care, and administration of chemotherapy and other standard-of-care or research drugs after required training and competency validation.
Occasionally take an assignment or assist in the infusion area as an RN to maintain familiarity with its processes and workflows.
Manage prescription requests, refill extensions, prior authorizations, and clinic prescriptions according to Tennessee Oncology policies and procedures.
Document care and services and follow applicable policies, procedures, and standards of care.
Assist with clinic inventory and supplies as needed and generate, review, and act on assigned daily clinical or operational reports.
Collaborate with research staff and participate in patient-care and operations meetings, assigned committees, QOPI or other accreditation preparation, and quality-improvement activities as assigned.
Maintain professional growth through professional activities, relevant organization memberships, or specialty certification.
Complete required and assigned training, continuing education, and competency validations on time.
Demonstrate positive, professional behavior and support a healthy, inclusive work environment.
Perform other duties within the scope of competency as assigned.
Travel to other Tennessee Oncology clinics or care settings as needed.