Registered Nurse - Hematology/Oncology

Delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, selfmanagement, and customer satisfaction throughout the continuum of care.

Maintains current knowledge of practice standards and guidelines related to Cancer Care. Recommends changes in practice to meet changing standards. Collaborates with primary care and subspecialty clinic providers, other members of the health care team, other disciplines to coordinate care for patients followed in Hematology/Oncology.

Assists in the development of criteria for those patients who would benefit from case management intervention. Develops plan of care for patients identified as needing case management intervention. Assesses patient's ability to meet goals, establishes mutual goals with the patient/family, monitoring and evaluating patient's goal attainment.

Facilitates patient involvement in care by communicating ongoing patient status, identifying barriers to care, exploring motivational and adherence issues, evaluating support system, and examining patterns of over and underutilization of services. Follow up on laboratory tests, radiology exams or other studies as requested. Is knowledgeable of normal and abnormal results and takes appropriate actions based on protocols developed by Clinic Team and physician leaders.

Utilizes telephone, TeleHealth, MyHealtheVet, and individual clinic visits for case management intervention during and between clinic hours of operation. Initiates referrals for appropriate interdisciplinary care including radiology, radiation/oncology, dietary, social work, and occupational therapy. Utilizes the computer to access medical information and document assessment, interventions, and outcomes.

Maintains data base of patients who are individually case managed, including patients with abnormal labs who require follow-up, admissions, and discharge follow-up. Reports clinical outcomes of patients receiving case management intervention. Communicates with internal and external providers to ensure continuity of care.

Performs telephone triage for patients assigned to Hematology/Oncology Clinic. The incumbent facilitates provision of quality health care to the Veteran population by improving patient access, reducing unnecessary outpatient visits, and promoting self-care activities by performing patient assessment, clinical triage and patient education activities utilizing the telephone. Assists in coordinating the admission of Hematology/Oncology patients. Facilitates transition from inpatient to outpatient care including transition to other VAs or CBOCs.

Assesses patient and family learning needs, instruct patient and family on self-care, disease prevention, health promotion, exit interview activities taking into account issues related to patient's age and cultural diversity concerns related to religion, ethnic background, or other issues. Develops or obtains evidence-based patient education materials and provides patient and family education for specific cancer disease. Collaborates with other team members on patient education activities.

Accesses patients presenting for care to determine if potentially life threatening conditions are present which require emergent interventions. Chief complaint is assessed, vital signs and other objective findings are utilized to triage patient according to their level of activity. Able to perform effectively in an emergency.

Initiates/participates in quality improvement activities that result in improved outcomes. Participates in ambulatory care performance improvement activities that may include data collection, analysis of data, evaluating outcomes, reporting outcomes, and implementing changes in practice based on performance measurement criteria. Some of the performance measures include Advanced Clinic Access of performance measures, Customer Service Standards, External Peer Review Program, and Clinic Guidelines Compliance.

Assists in the identification, development, and monitoring of specific clinic indicators. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday-Friday 8:00am-4:30pm.Schedule may be subject to change based on the needs of the Agency. Compressed/Flexible: Not available Telework: Not available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not available Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized