Registered Nurse (Float)

OneOncology•Nashville, TN

11d

About The Position

The Registered Nurse (Float) provides patient-centric, safe, high-quality care throughout all stages of the patient care journey. The role helps patients manage and live with a cancer diagnosis while retaining autonomy and independence through appropriate disease, symptom, and psychosocial management. Its primary focus is supporting provider operations and working closely with physicians and advanced practice providers (APPs) to ensure effective clinic visit flow. The nurse helps ensure pre-visit planning, including scheduling and chart preparation, is completed; monitors treatment response; and collaborates with healthcare teams, patients, and families to adjust care plans as needed. The nurse identifies actual or potential problems and intervenes to resolve them while the patient is present whenever possible. The role works across Tennessee Oncology clinics and may occasionally assist in the infusion area to maintain familiarity with its processes and workflows. It provides clinical oversight and support to medical assistants, coordinates patient care and transitions, educates and supports patients and caregivers, and performs direct nursing care. The nurse also contributes to clinic operations, quality improvement, accreditation preparation, and professional development.

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.
Knowledge of oncology practices and treatments and current developments in cancer diagnosis and therapy.
Knowledge of research practices.
Ability to administer antineoplastic and other treatment therapies.
Ability to empathize with patients and families and handle grief and challenging patient interactions.
Ability to collaborate with the healthcare team to develop personalized treatment plans for cancer patients.
Ability to cope with death and dying.
Ability to form and maintain trusting relationships.
Ability to multitask and work 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, considering workflows, clinic hours, visit types, treatment types, available resources, and patients’ special needs.
Monitor provider schedules for accurate on-service dates and work with providers to minimize overbooking.
Coordinate decoupling of visits when appropriate, taking into account patient needs such as long-distance travel and transportation challenges.
Serve as a resource for patient services staff regarding schedule changes and questions; move treatment plan dates or adjust 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, triaging lab and diagnostic results, identifying prescription refill needs, and educating patients about results processes and visit schedules.
Monitor clinic schedules and patient flow and assist as needed to keep provider clinics on time.
Provide RN oversight and serve as a resource for Medical Assistants; periodically 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 providers with transitions of care by facilitating paperwork, transmitting orders or notes, and completing handoffs for satellite appointments, direct admissions, blood transfusions, and other needs.
Act as a liaison between providers and on-site or remote staff regarding patient and caregiver needs, and communicate essential medical information between patients and providers.
Support revenue cycle management teams with diagnosis-code updates and information needed for prior authorizations or billing; identify and correct chart misinformation before services are provided when possible.
Help patients and families navigate the clinic, assess and support referrals to other resources, close the loop on referrals and testing, and document these activities in the EMR.
Collaborate with external agencies and centralized Tennessee Oncology teams, including Patient Financial Services, Telephone Triage, and Care Coordination, to address communications from patients, caregivers, hospitals, and home care agencies; assess concerns using approved symptom-management algorithms and avoid duplicating efforts.
Provide patient- and family-centered education, appropriate educational materials, and documentation of teaching and learning responses in the EMR.
Provide empathetic emotional support to patients and caregivers while maintaining professional boundaries.
Assist with patient-requested paperwork, including FMLA, short- and long-term disability, and return-to-work forms.
Provide direct patient care, including vital-sign measurement, lab draws and specimen collection, assistance with provider-performed procedures, peripheral IV starts, central venous access device care, dressing changes, and wound care.
Administer chemotherapy and other standard-of-care or research drugs after required training and competency validation; occasionally take an RN assignment or assist in infusion to maintain familiarity with 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 care standards, policies, and procedures.
Assist with clinic inventory and supplies as needed; generate, review, and act on assigned daily clinical or operations reports.
Collaborate with research staff and participate in patient care and operations meetings, assigned committees, QOPI or other accreditation preparation, and quality improvement activities.
Maintain professional growth through professional activities, relevant organization memberships, or specialty certification.
Complete required training, continuing education, and competency validations on time.
Demonstrate positive, professional behavior that supports a healthy and inclusive work environment.
Perform other duties within the nurse’s competency as assigned.
Travel to other Tennessee Oncology clinics or care settings as needed.