Department OverviewFunction/Duties of PositionThe Pediatric Neuro-Oncology and Infusion Center APP delivers care aligned with a defined scope of practice in Pediatric Hematology-Oncology, with work expectations operationalized through departmental workflows, productivity standards, and performance expectations consistent with the collective bargaining agreement (CBA) and institutional policies.
This role is structured to meet contract-defined work expectations of 1792 hours of clinical coverage (minus approved Paid Time Off), inclusive of daytime and weekend coverage, aligned with the clinical coverage model and patient care needs of the service.
The Pediatric Neuro-Oncology and Infusion Center APP will participate in departmental scheduling processes, including weekends, with scheduling practices aligned to contract provisions, equitable distribution of coverage, and maintenance of safe, consistent clinical operations.
Clinical Activities (not assigned administrative, education, or research FTE):
- Direct
- Pediatric Hematology-Oncology
- Ambulatory clinic, Infusion Center
- Combination of independent and partnership practice
- Clinical coverage requirement: A maximum of the following minus Paid Time Off: 13 12-hr shifts on Saturdays and 11 12-hr weekday shifts on weekdays in the Infusion Center; 2 half-day sessions/week of Neuro-Onc independent practice; 4 half-day sessions/week of Neuro-Onc partnership practice
- Indirect (if applicable): Up to a maximum of 2 half-day sessions/week (minus Paid Time Off)
- Department specific activities:
The APP independently evaluates, diagnoses, and manages a medically complex, high-acuity patient population, exercising clinical judgment across the full scope of APP practice in collaboration with the pediatric neuro-oncology faculty.
Pediatric Neuro-Oncology (0.85 FTE)- Treatment Planning and Orders: Develops, reviews, and modifies chemotherapy and targeted therapy treatment plans, roadmaps, orders, and supportive care protocols with neuro-oncology faculty and oncology pharmacy, adjusting for protocol requirements, disease status, toxicities, and patient-specific factors.
- Clinical Triage and Acute Management: Assesses patient and family concerns by phone and patient portal, including new neurologic changes, treatment toxicities, medication side effects, and suspected progression; determines disposition, orders diagnostic studies, prescribes, and initiates treatment.
- Complex Care Management: Directs symptom management (pain, nausea, neurologic and endocrine complications) and integrates the medical plan across infusion, palliative care, rehabilitation, neurosurgery, neurology, endocrinology, radiation oncology, and outside facilities to prevent avoidable emergency visits, admissions, and treatment interruptions.
- Targeted Therapy and Clinical Trials: Provides longitudinal management of patients on targeted therapies, immunotherapies, and clinical trials; interprets laboratory and imaging results, grades adverse events, and implements dose modifications while maintaining protocol compliance.
- Peer-to-Peer Review and Appeals: Conducts or prepares peer-to-peer reviews with insurance medical directors for advanced imaging, molecular testing, targeted agents, proton radiation, trial-related procedures, and supportive care with clinical and evidence-based justification.
- Direct Patient Care: Sees neuro-oncology patients in clinic for on-treatment, toxicity, and acute visits.
- Clinical Leadership: Serves as the clinical resource for nurse care coordinators on issues requiring medical assessment; develops care pathways and workflows; participates in neuro-oncology tumor board and quality improvement.I
Infusion Center Coverage (0.15 FTE)- Serves as covering provider for the Doernbecher Infusion Center, including approximately one weekend per month.
- Evaluates and manages acute issues arising during treatment, including hypersensitivity and infusion reactions, chemotherapy and immunotherapy side effects, fever, and new symptoms; determines need for escalation, transfer, or admission.
Faculty Activities (service, scholarship, and research):
- Clinical APP faculty expectations include sustained contributions within the four pillars of OHSU's mission, including clinical, scholarship, and teaching https://o2.ohsu.edu/school-of-medicine/school-medicine-procedures-and-general-guidelines-promotion-and-tenure.
- Faculty pursuit opportunities specific to position:
- To be determined collaboratively with the division head and neuro-oncology medical director
Other Activities (not covered above):
- All APPs are expected to support the clinical, education, and research mission of OHSU through routine clinical care that includes working with students, trainees, and patients participating in research, consistent with their role, scope of practice, and applicable contract and institutional policies.
Required QualificationsEducation:
- Successful completion of a Master's Degree in Nursing or Master of Science in Nursing in a recognized APRN specialty (Certified Nurse Midwife, Certified Registered Nurse Anesthetist, or Nurse Practitioner)
- OR -
- Successful completion of a Master's Degree in Physician Assistant/Associate Studies from an accredited program.
Registrations, Certifications and/or Licenses:
- Current RN and APRN licensure with the Oregon Board of Nursing.
- Current national certification in the area of specialization.
- Current BLS, ACLS or PALS Certification as indicated for the position
- DEA Certification.
- OR -
- Current PA licensure with the Oregon Medical Board.
- Current NCCPA Certification.
- Current BLS, ACLS or PALS Certification.
- DEA Certification.
Experience:
- Prior experience in a Pediatric sub-specialty
- Preferred: Pediatric hematology/oncology or neuro-oncology experience
- Preferred: APHON Pediatric Chemotherapy/Biotherapy Provider card
- Preferred: Experience with targeted therapy and clinical trial management.
Additional DetailsUnion Representation: This position is represented by the Oregon Nurses Association - Advance Practice United (ONA-APU), subject to the active Collective Bargaining Agreement (CBA).
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