Registered Nurse, Oncology - Upper East Side

AdvantageCare Physicians is the largest physician led outpatient medical office in the New York Metropolitan Area.  With 36 medical offices in the Brooklyn, Long Island, Manhattan, Queens and Staten Island, we aspire to be the preferred care destination for our patients and the communities we serve.   This vision is accomplished through focusing our care on the needs of our patients as we partner with them in the pursuit of better health.  Each and every day, our actions should be guided by these principles as we interact with our patients, each other and our communities.  The values that drive the AdvantageCare Physicians culture include a caring attitude, quality focus, collaboration, excellence and good citizenship.  By integrating these behaviors into our day-to-day operations, we can deliver the highest quality healthcare while also creating positive patient experiences.

The Registered Nurse – Oncology organizes and provides clinical supervision to the specialty patient care team including, but not limited to, delegation of responsibilities, mentoring, evaluating, educating, scheduling and counseling the care team staff. Responsible for providing professional nursing care to patients and proactively supports the efforts to ensure that standards for patient satisfaction, patient safety, and quality of care are maintained, as established by AdvantageCare Physicians. Primary liaison between patients, staff and physicians and supports the Advanced Care Model.

Responsibilities:

• Provides clinical supervision to the Licensed Practical Nurses (LPNs) and Care Team Associate IIs (CTA IIs) on the specialty care team.  Responsible for daily/weekly Care Team scheduling and management of PTO requests.  Delegates tasks appropriately according to the scope of licensure and follows up on delegated tasks to ensure completion.  May function as the Lead Nurse in the medical office when the Manager, Nursing (and/or Assistant Manager, Nursing) is unavailable or has not been designated. 

• Assists with applicant screening, selection, training, providing feedback for performance evaluations, and providing information related to employee discipline and termination of staff.

• Ensures nursing practices of the specialty care team as well as own practices are in accordance with nursing standards, local, state and federal guidelines and organizational policy.

• Provides general nursing care to patients, including: administering prescribed medications and treatments in accordance with nursing standards and per orders including:

  • starting intravenous lines, maintaining PICC or midlines, routine PICC/ midline dressing changes.

  • intermittent chemotherapy infusion, antibiotic infusions, steroid infusions, fluid/ electrolyte infusions.

  • line maintenance and troubleshooting, assessing line site and patency regularly.

  • administering medications and fluid therapy.

  • reviewing pertinent lab values and drug information.

  • keeping infection control and prevention as a priority.

  • planning, articulating, and coordinating care and interventions; maintaining consideration for specific age-related characteristics, needs related physical development.

  • communication, and socialization and safety, in collaboration with other members of the care team.

• In coordination with the Manager, Nursing and Practice Administrator, manages and inventories clinical supplies.

• Prepares equipment and aids physician during treatment, examination, testing of patients and patient procedures. Verifies chief complaint and takes vital signs as requested. Reviews the EHR active medication list with patients. Conducts and documents point-of-care tests based on protocol. Administers medications as directed by provider.

• Identifies patients who may need point-of-care testing as well as patients with special needs (i.e., transportation). Coordinates outpatient work-up and or treatment plans when patient situation requires it (i.e. further clinical testing, x-rays, and facilitates communication between physicians and health care providers). Pends tests and procedure orders for physician approval and co-signature. Prepares prescriptions or medication refills, for review and signature by provider.

• Contacts patients with test results and provides recommendations on cases per physician determination and/or standards of care. Adds recommendations to individualized care plan(s) and reviews After Visit Summary (AVS) with patient. Facilitates clinical messages and chronic condition management education to patients.

• Accountable for the administration, treatment and training of patient self-administered drugs.

• Provides patient/family education on self-management of chronic conditions including:

  • Patient/family education about line site, tubing, and catheter management.

  • Patient/family education on the rationale for therapy.

  • Education on possible side effects/ adverse effects of therapy, and signs and symptoms of infection to report.

• Develops a plan of care with the patient, family, and physician about infusion therapy.

• Monitors the patient's response to treatment throughout therapy.

• Collaborates and communicates with the ordering physician throughout therapy.

• Documents progress notes in electronic health record within 24 hours.

• Manages in-basket requests and responds to all requests in a timely manner. Will serve as a clinical liaison between the call center and medical office.

• Triages urgent same day or double- booked appointment requests.

• Performs other job-related duties as required including participation in nursing practice work groups and committees.