RN - Hematology/Oncology Clinic

Nemours Children's Health•Wilmington, DE

4h•Remote

About The Position

Nemours Children’s Health is an internationally recognized children’s health system providing comprehensive pediatric care, research, education, and advocacy services. The 3 CE Outpatient Hematology/Oncology Clinic of the Nemours Center for Cancer and Blood Disorders provides comprehensive outpatient services to children and families with hematological and oncological diagnoses. This position is for a 0.8 FTE (32 hours a week/64 hours per pay period) 0830-1700. The Hematology/Oncology Clinic and Day Therapy is staffed by Registered Nurses daily. Hours of operation are as follows: 06:45am – 5 pm, Mondays and Thursdays; 8:00 am -5pm, Tuesdays, Wednesdays, and Fridays. The primary function of this role is to provide telephone triage for pediatric hematology/oncology/transplant and cellular therapy patients, delivering timely assessment, care coordination, and first-line clinical support for a medically complex, immuno-compromised pediatric population by using standardized protocols and sound clinical judgment to determine the appropriate level of care.

Requirements

Must hold current APHON Chemotherapy/Biotherapy Provider or Instructor Status
3-5 years nursing experience
Hematology, oncology, transplant, and cellular therapy experience required
Must be a graduate of an accredited school of nursing.
Must be eligible for Delaware State license (or compact license).
Current AHA Healthcare Provider (HCP) Certification required

Nice To Haves

ONCC Certification preferred (CPHON, CPON, BMTCN, TCTCN)
triage experience preferred
BSN is preferred
PALS optional but required to obtain within a year of hire.

Responsibilities

Performs telephone triage assessments for pediatric hematology/oncology/transplant and cellular therapy patients with symptoms or concerns including fever, neutropenia, bleeding, pain, dehydration, treatment-related toxicities, and other urgent or non-urgent clinical issues, using sound clinical judgment to determine the appropriate level of care.
Utilizes standardized hematology/oncology/transplant and cellular therapy triage protocols, SmartPhrases, and Epic workflows to support consistent symptom assessment, documentation, communication, and care recommendations.
Documents and communicates clinical information clearly in Epic through telephone encounters, In Basket routing, and related workflows to support continuity of care and timely interdisciplinary follow-up.
Provides patient and family education, anticipatory guidance, and follow-up instructions by phone regarding symptoms, treatment-related concerns, home management, and when to seek urgent or emergent evaluation.
Reviews and clinically prioritizes new patient referrals, outside records, and laboratory information to support appropriate scheduling timeframes, provider assignment, and timely access to care.
Coordinates care across outpatient and inpatient settings, including same-day visits, infusion scheduling support, urgent add-ons, direct admissions, emergency department escalation, and other disposition needs based on clinical presentation.
Supports medication, treatment access, and authorization workflows by initiating or routing telephone encounters, communicating with the appropriate clinical or operational teams, and facilitating timely follow-up to reduce delays in care.
Manages triage communication workflows, including In-Basket prioritization and timely response to patient, family, provider, pharmacy, and care team needs.
Conducts follow-up calls and ongoing communication for high-risk patients, unresolved concerns, and care plan updates to promote patient safety and continuity.
Supports workflow standardization, patient throughput, and quality metrics tracking.
Participates in quality improvement initiatives and continuous process improvement efforts.
Supports development and maintenance of triage workflows, SmartPhrases, and standardized documentation tools to improve consistency and efficiency.
Assists with data collection, reporting, and workflow monitoring related to triage volume, turnaround times, access, and quality metrics.