Clinical Oncology Nurse Navigator-Cancer Center- Mount Sinai Queens- Full Time Days (4- 10 hr shifts M-F)

Clinical Oncology Nurse Navigator

The Clinical Oncology Nurse Navigator (ONN) is a professional registered nurse with oncology-specific clinical knowledge, who provides individualized assistance to the patients, families, and caregivers through informed decision making, timely access to quality health and psychosocial care, and coordination of appropriate follow-up visits throughout the cancer continuum. This individual helps overcome healthcare system barriers, influence the systems and behaviors, and address the gaps of care through research and evidence-based practices guided by regulatory committees and professional organizations.

The Clinical Oncology Nurse Navigator supports the organizational strategies to deliver high-quality care to the population served through community needs assessment, navigation program development, marketing and outreach, and ONN specific-outcome metrics (i.e., care coordination, guidance, education, and advocacy) established by the organization.

The Clinical Oncology Nurse Navigator initiates, develops, and implements mechanisms for effective collaboration with the interdisciplinary team, that includes (but not limited to), new patient coordinators (NPC), clinical oncology associates, clinical coordinators (RNs), clinical infusion nurses, advanced practice providers (NPs & PAs), physicians, social workers, and nursing/administrative leadership for the attainment of the highest standards of patient care.

This position reports directly to discipline leadership with a professional line to MSH Nursing or related disciplines professional practice leadership.

Developing and implementing a plan of care for a specialty patient population, and/or specialty specific standards of care organization wide.

Responsibilities

Patient Care

1.Delivers patient care by incorporating the tenets of the professional practice model of Relationship-Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards.

2.Organizes and leads in the execution of day to day patient care coordination, as appropriate to program objectives and areas of clinical expertise.

3.Assists patients in accessing cancer care and navigating health care systems using a thorough chart review in EMR systems.

4.Assesses barriers to care and engage patients and families in creating potential solutions to financial, practical, and social challenges.

5.Identifies appropriate and credible resources responsive to patient needs (practical, social, physical, emotional, spiritual), taking into consideration reading level, health literacy, culture, language, and the amount of information desired.

6.Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of a robust plan of care throughout the cancer care continuum.

7.Establishes and implements short and long term goals, objectives, policies and operating procedures to ensure a high level of performance in nursing care delivery to the specialty patient population.

8.Educates patients and caregivers on the multidisciplinary nature of cancer treatment, the roles of team members, the promotion of health, and what to expect from the health system, while anticipating needs and readiness to learn.

9.Follows up with patients to support adherence to the agreed-upon treatment plan through continued non-clinical barrier assessment and referrals to supportive resources in collaboration with the interdisciplinary team.

Patient Experience

1.Leads nursing practice using the tenets of the Professional Practice Model of Relationship-Centered Care for the promotion of the patient experience.

2.Assesses patient capacity to self-advocate and help patients optimize time with their doctors and treatment team (e.g., prioritize questions, clarify information with the treatment team).

3.Communicates effectively with patients, families, and caregivers to build a trusting relationship.

4.Employs active listening and remain solutions-oriented in all interactions with patients, families, and members of the healthcare team.

5.Empowers patients to communicate their preferences and priorities for treatment to their healthcare team and participate in their wellness by providing self-management and health promotion resources and referrals.

6.Demonstrates a commitment to ethical principles about confidentiality, informed consent, business practices, and compliance with relevant laws, policies, and regulatory requirements.

7.Demonstrates caring, respect, compassion, empathy, and active listening through dialogue, body language, and actions.

8.Follows up on all patient concerns promptly, provides service recovery as needed, and escalates patient concerns as appropriate.

Quality and Safety

1.Practices safe and efficient patient-centered care, identifying and escalating barriers, and opportunities for improvement.

2.Collaborates with the interdisciplinary team to create and implement quality improvement projects, evidence-based practice activities, and nursing research studies.

3.Identifies and investigates issues or variances in practice/operations and escalate accordingly.

4.Implements principles of high reliability to identify and avoid high-risk behaviors to provide a safe environment for patients.

5.Escalates potential safety hazards or gaps from best practice following the institutional chain of command protocol.

6.Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives.

Operations

1.Supports implementation of the mission, vision, goals and objectives of the department throughout the clinical service, and individual patient care units.

2.Demonstrates patient-focused and cost-effective approaches to patient care in terms of equipment, staff, supplies, and all other resources.

3.Escalates any issues, variance, or deficits to Assistant Nurse Managers, Clinical Nurse Managers accordingly.

4.Accurately and thoroughly documents all encounters in the EMR in compliance with hospital, regulatory and legal requirements, and standards of care.

5.Facilitates the care continuum on a continuous basis. Educate patients on advance care planning as well as accessing medical records via My Chart accordingly.

6.Perform glucometer/code cart as assigned.

Administrative Practice

Collaborates with other members of the health care team in the development, implementation, and ongoing review of policies, procedures, and standards of care for designated patient populations.

Demonstrates knowledge of hospital, departmental and care center standards, policies, procedures and guidelines as well as regulatory agency standards. Assures readiness for Joint Commission and other agency surveys and presents related programs during Joint Commission and other agency visits.

Participates in the development and implementation of continuous quality improvement programs to support the professional practice model and care delivery systems

Participates in quality management activities including identifying and communicating issues of performance improvement and risk in a timely manner, using chain of command.

Leads and participates in committee activities

Professional Development

1.Supports the mission, philosophy, goals and objectives of the Department of Nursing or Related Discipline and The Mount Sinai Hospital.

2.Maintains clinical and leadership competencies, supports relationship centered care, the professional practice model, the care delivery model and is responsible and accountable for their own nursing practice.

3.Approaches patients, families and other members of the health care team in a professional, respectful manner.

4.Serves as a clinical role model and resource to leadership and nursing staff in the development and implementation of nursing standards consistent with the established model of care.

5.Contributes to the environment of care to support clinical colleagues, patients and their families, and members of the healthcare team.

6.Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy.

7.Incorporates ethical principles into decision making for patients and family members.

8.Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning, and innovation for self and others.

9.Acquires knowledge and skills relative to the role, patient population, clinical specialty and local, and/or global health community needs through continued education professional organizations and other related activities.

10.Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives.

11.Advances as a clinical leader through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area.

12.Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care.

13.Contributes to the profession of nursing through participation in hospital committees and professional organizations.

14.Works collaboratively with clinical leadership and supportive resources to ensure that patients have access to comprehensive interdisciplinary patient and family educational programs throughout their care trajectory.

Qualifications