Nurse Clinician, CBC

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

The Center for Blood Cancers Nurse Clinician (NC) operates under a clinical case management model to provide and coordinate care to patients during all phases of the treatment in the Center for Blood Cancers Program. In collaboration with physicians, advance practice providers, patients and families, the Nurse Clinician (NC) gathers data and uses his/her knowledge of complex health problems to provide and facilitate the delivery of quality, evidenced-based care, while promoting efficient and effective patient outcomes in both the inpatient and outpatient setting. This position provides education and support to physicians, staff, patients, caregivers and families regarding innovations/evidence for quality outcomes. In collaboration with physicians, staff, patient and families, the NC facilitates implementation of the plan of care during all phases of treatment and facilitates communication among patients/caregiver/family and all care providers. The NC is cognizant of the psychosocial and financial impact that disease and hospitalization has on the patient and family and acts as an advocate to identify and obtain needed resources and support. Nurse clinicians have expertise in nursing practice and ensure continuing expertise through clinical experience and continuing education. The complexity of the role requires a high level of autonomy.

Essential Functions:

• Facilitates patient and family-centered visits and interactions, promoting collaboration, and communication between the patient, family, and all health care providers in the outpatient setting. Plans and manages care collaboratively with the interdisciplinary team, patient and family.
• Performs daily acute health assessments, including pertinent history, review of systems and physical assessment; collects and reviews all pertinent clinical and diagnostic data to assist physicians and team members to thoroughly assess and evaluate each patient encounter.
• Performs direct care of patient as needed
  • Vital sign measurements
  • Lab draws/specimen collection
  • Assists with provider performed procedures including, but not limited to, bone marrow biopsies
  • Starts peripheral IVs, manages central venous access devices including accessing and de-accessing implanted ports and PICCs
  • Prepares & administers chemotherapy and other standard of care or research drugs according to Tennessee Oncology (TO) standards after training and competency validation
  • Manages prescription/refill extensions per TO policy, procedure, standards
  • Triages calls/communications from outpatients and their caregivers, hospital staff, home care agencies, etc. Utilizes critical assessment skills to assess and evaluate patient concerns/needs, using approved symptom management algorithms
• Collects and synthesizes pertinent data, assists with interpreting findings, communicates the need or issue to the physician and team, and implements plan, following all policies, procedures, or physician-directed protocols. Documents relevant information in medical record. Shares findings with patient and family in a meaningful manner.
• Collaborates with physicians, nursing staff, patient/family, and other disciplines to define plan of care with measurable clinical outcomes. Takes primary responsibility for coordinating the plan of care across the continuum of treatment (from the time the patient enters the Center for Blood Cancers Program until they return to the care of the referring physician.)
• Maintains up to date knowledge of