Advanced Practice Registered Nurse - Medical Oncology - Full Time

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The Advanced Practice Registered Nurse (APRN) delivers medical care to a wide variety of patients. The APRN is also examines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care.The Advanced Practice Registered Nurse (APRN) delivers medical care to a wide variety of patients. The APRN is also examines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care.

CORE JOB FUNCTIONS

• Performs and documents complete physical examinations and comprehensive health histories.
• Functions independently to perform age-appropriate history and physical for patients.
• Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities
• Implements interventions to support the patient to regain or maintain physiologic stability.
• Assists with the provision of care in accordance with facility, state, and federal regulations.
• Monitors the effectiveness of interventions.
• Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
• Collaborates with multidisciplinary team members by making appropriate referrals.
• Facilitates staff, patient and family decision making by providing educational tools.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

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This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Certification and Licensing:

• Florida APRN license
• Graduate of master’s in science of nursing or higher curriculum.
• Board certification as APRN from nationally accredited organization such as American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP)
• Current Certification in BLS and ACLS
• CITI certification within one month of employment
• ONS Chemotherapy and Biotherapy certification on hire or during orientation

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Experience:

• Minimum 2 years of relevant advanced practice nursing experience (preferred).
• Preferred 2 years of experience in treating hematology/oncology patients.

Professional Development

AOCNP certification within one year of employment

• Participates in 360 ◦ peer review process
• Submits annual protocols to practice site
• Maintains national certification and organizational credentials
• Able to author of contribute to an article.

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Knowledge, Skills and Attitudes:

• Ability to exercise sound judgment in making critical decisions.
• Skill in completing assignments accurately and with attention to detail.
• Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
• Ability to work independently and/or in a collaborative environment.
• Ability to communicate effectively in both oral and written form.

Department Specific Functions

• Serve as a primary clinical point of contact for high-priority cancer patients, ensuring timely assessment, triage, follow-up, and coordination of care across the oncology continuum.
• Review outside records, pathology, imaging, laboratory results, and prior treatment history to support timely clinical decision-making and appropriate assignment to the oncology team.
• Coordinate expedited access to oncology specialists, diagnostic testing, procedures, treatment planning, and supportive services to reduce delays in care for high-priority patients.
• Provides patient/family education regarding disease processes, treatment options, treatment symptoms and outcomes, possible complications, goals of care, medications, discharge planning, survivorship, and lifestyle modification.
• Collaborate closely with physicians, disease-site teams, nursing, navigation, scheduling, social work, and supportive care teams to ensure seamless and patient-centered care coordination.
• Triage urgent symptoms, abnormal test results, treatment-related toxicities, or changes in clinical status and escalate concerns to the appropriate physician or care team in a timely manner.
• Facilitate communication between the patient, family/caregivers, referring providers, and the oncology care team to support understanding of the care plan and next steps.
• Serve as a liaison with referring providers and external institutions to obtain necessary records, clarify urgency, and ensure continuity of care for high-priority patients.
• Participate in staff meetings and other pertinent meetings related.
• Collects data for patient and High Priority Patient (HPP) program evaluation and participates in quality assessment and improvement activities.
• Track key program metrics for high-priority patients, such as time to appointment, time to treatment, completed referrals, barriers addressed, patient outcomes, and care coordination interventions.
• Participate in unit QI/Research projects.
• Provides coverage to areas of need when assigned.
• Provides new patient education, and ongoing teaching to oncology patients according to accreditation requirements.
• Provide education on and referrals to the Survivorship and Supportive Care Program.

• Assure appropriate transfer of patient/communication/documentation to the patient’s physician
• and team.
• Facilitates shared decision making with the patients, caregivers, families, and care team.
• Promotes advanced care planning by assisting patients in formulating a discussion with their care team.
• Screen patients for clinical trials and refer to the appropriate primary investigator (PI).
• Collaborates with referring physician or physician investigator (PI) through discussion and assessment of diagnoses and ascertains patient eligibility for participation in the Extended Access Program (EAP), including documentation of criteria specified in the EAP protocol.
• Attends institutional PI and Site Disease Group (SDG) meetings and participates by providing patient updates.
• Supports the physician, regulatory analyst, and/or staff with accurate reporting of adverse events, by expanded access program/compassionate use participants in accordance with regulatory requirements.
• Acts as liaison between physician, clinical team and regulatory analyst for the completion and submission of expanded access/compassionate use documents.
• Precept or mentor nursing staff and nursing students.
• Demonstrates awareness of community and hospital resources and assists staff, patients, and families to effectively utilize them.
• Work with outreach team to identify and create opportunities for patients/to share their experience in the community and build awareness, ultimately leading to potential new patients.
• Support patient events internally and externally.

Outpatient Oncology Clinics and/or Hospital-based Centers (in addition to Core Job Functions)

• May travel to main campus and satellites to provide care to patients that are new to the system and or require follow-up care.
• Round with collaborating physician(s) at main campus, the hospital, and satellite locations.
• Collaborate with physicians, staff, and leaders in the care of outpatients. Inpatient Consultations and Follow-up Care
• Assist collaborating physician(s) with coordination of care to those patients that are Hospitalized.
• Support appropriate coordination of care when preparing patients for discharge.
• Consult with collaborating physicians on the initial consults and follow-up care of hospitalized patients.
• Communicate with Patient Experience Team, Sylvester Inpatient Service Leaders, and UTOWER staff on Sylvester Friends and Family patients being admitted.

Communication/Patient Satisfaction:

• Leads by example to provide service excellence by communicating in a cooperative, positive and professional manner.
• Displays courtesy toward customers by introducing self and addressing customer by name.
• Meets customers’ expectations by listening, seeking solutions to potential and actual problems, and demonstrating sensitivity and awareness of others.
• Follows through to ensure that established expectations are satisfied; keep customers informed of progress.

• Works effectively and cooperatively in groups/teams to ensure quality patient care.
• Report any patient complaints or issues with care to direct report and/or the Oncology Service Line leader.

Professional Accountability:

• Assumes responsibility for self-improvement by attendance at in-services and or other related continuing education opportunities classes, staff meetings, and education related to personal growth and departmental needs.
• Obtains appropriate continuing education credits needed to maintain professional licenses and certification and institutional accreditations.
• Participates in appropriate professional organizations.
• Maintains and completes Personnel Development Record as per policy.
• Maintains oncology certification, chemotherapy competency, and APRN/RN license.
• Demonstrates dependability/reliability by promptly reporting to work when scheduled.
• Assists other team members as appropriate.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

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