UCSF

Public health sciences university in San Francisco

RN Navigator - Lung Nodule Outpatient Clinic

Nursing & Frontline Patient CarePosted on Nov 12

Full-timeSan Francisco, CA, USA$93.47 - $121.11

About the Job

Requirements

Minimum of three years of total registered nurse experience.
Recent registered nurse experience within the last three years caring for adults in an acute care thoracic, pulmonary, surgical, and/or solid tumor oncology practice setting.
Ability to work independently, prioritize, manage complex workflows, and coordinate care across multidisciplinary teams.
Knowledge, abilities, and clinical judgment essential to performing the assigned duties.
Flexibility to perform other duties as operationally needed.
Flexibility to orient and work at all UCSF Medical Center locations.
Current licensure as a Registered Nurse in California.
Current American Heart Association CPR certification.

Responsibilities

Assess patients early in the referral process, match unmet needs with appropriate services, and coordinate referrals and support services.
Use the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care.
Coordinate patient care for an assigned adult oncology outpatient population using an interdisciplinary approach across the continuum of care.
Use knowledge of cancer disease processes, treatment modalities, symptom management, supportive care, surgical processes, and patient education to guide care.
Adhere to oncology nursing and surgery practice standards and National Patient Safety Goals.
Integrate nursing theory, research, and cancer disease-process knowledge to assess and manage care for the breast cancer patient population.
Maintain knowledge of advances in cancer treatment, including new treatment regimens, combination therapies, radiation protocols, surgical advances, and pre- and postoperative care.
Use computer technology for data collection, documentation, communication, and research while maintaining confidentiality.
Participate in departmental research protocols and manage patient and family physical, psychosocial, and cultural needs.
Provide nursing care in accordance with Medical Center and Ambulatory Services policies and procedures.
Set and revise priorities based on acuity, visit volume, resource availability, and patient and family preferences.
Conduct phone intake for new patients, triage according to practice guidelines, and obtain necessary information before appointments.
Coordinate ongoing care for established patients by conducting nursing assessments, managing care plans, providing disease and symptom-management interventions, and communicating with third-party payers about proposed treatment plans.
Facilitate communication among providers and the care team, attend tumor board and department staff meetings, and build working relationships with related departments.
Act as a referral liaison with oncology staff to coordinate care among healthcare providers and community agencies.
Monitor treatment timelines, explain necessary care gaps, and proactively address problems that could delay treatment.
Work with Cancer Registry staff and others to collect data, track outcomes, and support strategic planning.
Identify patient resources, including local support groups and classes, and prepare patients and families to access them.
Develop procedures and policies to improve patient-care flow, service accessibility, patient education, symptom management, and treatment resources.
Collect patient and family medical history and information about psychosocial, cultural, nutritional, and other physical needs.
Assist the healthcare team in formulating and implementing patient care plans.
Articulate practice and departmental goals and philosophy; comply with JCAHO and Title 22 activities; and follow clinical and administrative policies and procedures.
Protect patient rights and confidentiality, participate in patient-care and ethics conferences as appropriate, and support cost-containment efforts.
Attend and participate in at least 75% of staff meetings, read department communications, and incorporate relevant information into practice.
Promote and participate in research activities to enhance patient care.
Participate in training new staff.
Perform other duties as assigned.

Desired Qualifications

Five or more years of recent registered nurse adult oncology experience.
Recent adult ambulatory care experience.
Project, quality improvement, and/or performance improvement experience.
Experience with care coordination, patient navigation, and/or complex multidisciplinary clinical workflows.
Ability to help develop and improve clinical programs and processes as a highly organized, self-directed registered nurse.
Oncology Certified Nurse or other relevant specialty certification.

JOB SUMMARY

Under general supervision of the Medical Director and Associate Director of Clinical Operations, guided by the policies and procedures of the Ambulatory Services, and in collaboration with the physician staff and senior clinical nursing staff, the Clinical Nurse (CN) performs the role of a Nurse Navigator within the Lung Nodule Outpatient Clinic. The CNII, Nurse Navigator demonstrates critical thinking and uses the nursing process to assess and meet the needs of patients by providing care coordination for patients being referred to the Lung Nodule Clinic. She/he will assess patients in the early stage of the referral process to match unmet needs with appropriate services and referrals and support services, such as dietitians, providers, social work, and financial services. Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. Functions as a member of the interdisciplinary and nursing teams.

The Lung Nodule Nurse Navigator serves in a leadership role and coordinates patient care for an assigned adult Oncology outpatient population. This nurse is experienced and highly skilled with knowledge and understanding of the cancer disease process, the major treatment modalities, symptom management, supportive care, and patient education. This nurse will have an in-depth knowledge and understanding of the surgical process, supportive care, and patient education. At this operational level, the nurse proactively embraces the Oncology Nursing Society/Standards of Oncology Nursing practice and surgery standards to utilize the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. The nurse utilizes an interdisciplinary approach across the continuum of care with adherence to National Patient Safety Goals set forth by regulatory requirements. The nurse is recognized and utilized as a clinical resource and demonstrates investment in the overall forward movement of the unit and the organization.

Required Qualifications

Minimum of three (3) years of total RN experience
Recent, within the last 3 years, RN experience caring for adult in acute care thoracic, pulmonary, surgical and/or solid tumor oncology practice setting.
Demonstrated ability to work independently, prioritize and manage complex workflows and coordinate care across multi-disciplinary teams.
Demonstrated knowledge, abilities and clinical judgement that are essential to the successful performance of the duties assigned to the position.
Flexibility to perform others duties as operationally needed.
Flexibility to orient and work at all UCSF Medical Center locations.

Preferred Qualifications

Five (5) or more years of recent RN adult oncology experience
Recent adult ambulatory care experience
Project, quality improvement (QI0 and/or performance improvement (PI) experience
Experience with care coordination, patient navigation and/or complex multi-disciplinary clinical workflows
Demonstrated ability to be a highly organized, self-directed RN who can help develop adn improve clinical programs and processes
OCN or other relevant specialty certification

REQUIRED LICENSES/CERTIFICATIONS

Current licensure as a Registered Nurse in the State of California.
Current American Heart Association CPR certification

DUTIES & ESSENTIAL JOB FUNCTIONS

Identify the functions or tasks that employees in the job perform. The essential functions should state the purpose of the work and the results to be accomplished, rather than how the function is performed. Of the tasks listed, what percentage of time is devoted to each? The more time employees spend on a function, the more likely it is that the function is essential. Generally, include those functions that account for 10% or more of the work, i.e., key items that contribute significantly to the achievement of the job. The functions should add up to 100%.

% of time	Essential Function (Yes/No)	Key Responsibilities (To be completed by Supervisor)
40	Yes	Clinical Knowledge and Skills Management: Integrates nursing theory, research, and knowledge of the cancer disease process to effectively assess and manage appropriate care for the breast cancer patient population Maintains knowledge base consistent with the advances in Cancer treatment i.e., new treatment regimens, combination therapies, new radiation protocols, surgical advancement, and the pre and post op care of a surgical patient Utilizes computer technology for, and maintains confidentiality of data collection, documentation, communication, and research. Is competent and participates in research protocols as dictated by specific departments. Manages situations with advanced skills, ensuring the incorporation of patient/families' physical, psychosocial, and cultural needs. Utilizes the nursing process in providing care for a group of patients in accordance with all Medical Center and Ambulatory Services Policies and Procedures. Establishes and/or revises priorities based on acuity, visit volume, resource availability, and patient/family preference.
40	Yes	Nursing Process and Care Coordination Coordinates all new patients by conducting phone intake, triaging according to practice guidelines, and ensuring that all necessary information is obtained prior to the new patient appointments. Provides/coordinates ongoing care for established patients by performing nursing assessments, managing patients’ overall care plan, providing nursing interventions for disease/symptom management and interacting with third party payers to provide rationale for proposed treatment plans. Facilitates communication between providers by working with the care team (e.g., surgery, oncology, radiation therapy, primary care, social work, and genetics), attends tumor board meetings and department staff meetings, and develops working relationships with all related departments. Acts as a referral liaison with oncology staff to assist in the coordination of care among multiple health care providers and community agencies. Prevents delays in treatment by monitoring for needless time gaps, explaining necessary and expected gaps to patients, and identifying and proactively addressing problems in care. Work with Cancer Registry staff and others to collect data, track outcomes, and support strategic planning processes. Identifies and recommends helpful resources for patients, including local support groups, classes, and resources; be able to prepare patients and families to successfully access the resources. Develops more efficient procedures and policies to improve new and established patient care flow, accessibility to services, and patient education, including symptom management and treatment resources. Contributes to data collection re: patient and family medical history, psychosocial, cultural factors, nutritional, and special needs of the patient's physical status. Assists members of the health care team in the formulation and implementation of the patient's plan of care.
10	Yes	Professional Responsibility Articulates practice/departmental goals and philosophy. Complies with activities mandated by JCAHO/Title 22. Maintains knowledge of and adheres to established clinical and administrative policies and procedures. Ensures protection of patient rights and confidentiality in all interactions. Participates in patient care/ethics conferences, as appropriate. Supports Medical Center cost containment efforts. Attends and participates in at least 75% of staff meetings. Reads meeting minutes and other department communications and integrates information into practice. Promotes and participates in research activities to enhance patient care. Participates in the training of new staff
10	Yes	Other duties as assigned
100%		(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)

Budgeted Job Salary Range: 93.47-121.11

UCSF

RN Navigator - Lung Nodule Outpatient Clinic

About the Job

Requirements

Responsibilities

Desired Qualifications

About the Company

UCSF

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