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Registered Nurse - Nurse Coordinator Cancer Center Melanoma Durham, NC
Duke University Health System
Location: Durham, North Carolina
Internal Number: 203493
Duke University Hospital
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Duke Nursing Highlights:
Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
The Duke Melanoma Oncology Nurse Coordinator is professional RN with oncology-specific clinical knowledge who offers individualized assistance to patients, families, and caregivers to help overcome healthcare system barriers. Using the nursing process, a Nurse Coordinator provides education and resources to facilitate informed decision making and timely access to quality health and psychosocial care throughout all phases of the cancer continuum.
The Melanoma Oncology Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes providers, residents, fellows and other clinical support staff. This professional provides clinical support to patients and caregivers, such as comprehensive assessment, general and focused education, and decision-making support. The Melanoma Coordinator has the skills and knowledge to coordinate quality, patient-centered care through effective communication with the interprofessional cancer care team.
This person will travel with the provider team to other Duke Cancer Institute facilities to improve the coordination and care of the entire Melanoma population. In alignment with the position statement published by ONS, the Nurse Coordinator role encompasses the following:
Coordination services facilitate care transitions through diagnosis, treatment, survivorship, and end-of-life care.
The Nurse Coordinator should practice in accordance with the ONS Oncology Nurse Navigator Core Competencies as applicable to their practice. The core competencies of include coordination of care, communication, education, and professional role.
The nurse in a RN Coordinator role should possess comprehensive oncology expertise, as evidenced by certification through the Oncology Nursing Certification Corporation or other oncology nursing certification accredited by the National Commission for Certifying Agencies or within 2 years of hire.
RN Coordinators advocate for adherence to evidence-based clinical practice guidelines and pathways and participates in the collection and analysis of patient outcome data to optimize patient and organizational outcomes.
The workload of the RN Coordinator will be based upon data from reliable and valid metrics, including health system standards and measures sensitive to the contribution to the navigation process. Duties will include:
Collaborate with the multidisciplinary team including: nurse triage, schedulers, and other support services
Facilitate obtaining additional records, slides, scans needed for new patient evaluations and return patients if not in Care Everywhere
Route return appt requests in clinic to front desk as directed by MD/APP
Check through clinic visits and ensure all patients have appropriate orders
Coordinate outside labs/scans with other providers
Coordination of outside chemo being given at home
Obtaining all materials needed for new patients such as: outside lab/scan results and pathology for review, as needed (office staff can call and get but may need nurse to track)
Ensure follow-up appointments are scheduled appropriately as requested
Assist with prior authorizations, as needed
Assist with insurance/family medical leave paperwork
Coordinate chemotherapy schedules
Chemotherapy teaching and calendars in partnership with clinic pharmacists
Symptom management teaching
Triage of patients (calling patients back for issues that don't need direct APP/MD response)
Assist with medication refills requests
Calling patients with negative or normal test results as directed by the APP/MD
Other tasks as assigned by Nurse Manager or delegated tasks by the APP/MD within the nursing scope
Education: BSN required for external applicants
Internal applicants: Associate's Degree in Nursing
1 year of Oncology experience.
Certification: Oncology Certified Nurse (OCN) Preferred Job Related Knowledge, Skills, and Abilities:
Communication skills including fluency in oral and written English.
Basic computer skills including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health
Four years' experience in an oncology setting
Must obtain an Oncology Nurse (OCN) within one year of hire Registrations, Certifications, and/or Licenses:
Current unencumbered NC RN license.
Current BLS certification issued by the American Heart Association
Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.
Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursingjudgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other nursing personnel in the de livery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Act as preceptor and support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Perform other related duties incidental to the work described herein.
Knowledge, Skills and Abilities
Knowledge of scope of the registered nurse, licensed practical nurse and NCA
Knowledge of and appropriate application of the nursing process
Knowledge of professional theory, practice and procedure
Ability to assess nursing needs of acute and chronically ill patients and their families
Ability to independently seek out resources and work collaboratively
Ability to establish and maintain effective working relationships
Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
Ability to teach patients and families in accordance with the nursing plan of care
Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
Ability to use fine motor skills
Competent in BLS and/or other specialized life support requirements designated by work area
Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
Ability to use computer and learn new software programs
Able to document and communicate pertinent information using computer and/or paper documentation tools
Ability to navigate the entity to provide clinical care for patients
Ability to withstand prolonged standing and walking.
Ability to remain focused and organized
Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
Working knowledge of infection control procedures and safety precautions
Working knowledge and completion of appropriate JCAHO and other regulatory requirements
Pre-employment Physical Capacity Testing Required
Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are expected to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.
Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.
Degrees, Licensures, Certifications
Must have current or compact RN licensure in the state of North Carolina. BLS required.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.