SUMMARY: Oversees and manages nursing care provided at CCSI/POMS assigned facilities, including coordination, training and scheduling of nursing staff (RNs, LPNs, Medical Assistants, and Patient Care Technicians). Is responsible to establishing, maintaining, and staff compliance with all patient care standards, regulatory rules, and CCSI/POMS standards and procedures. Serves as a liaison between staff, patients, and management; provides patient care to medical oncology and hematology patients; and coordinates nursing services with other satellite clinics as appropriate.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Nurse Manager Duties
   1. Plans, directs and coordinates Nursing services at the Manager's assigned clinics and other satellite clinics as appropriate while ensuring compliance with Federal, State and local laws.
   2. Coordinates day-to-day Nursing operations at assigned clinics.
   3. Serves as a liaison between Nursing staff and physicians, management, other healthcare providers and other members of the healthcare team with the CCSI/POMS clinics to coordinate and improve care of shared patients.
   4. Serves as a liaison between patients, their families/significant others, other healthcare staff, nursing students, vendors, and management; acting as a patient advocate for issues and/or complaints.
   5. Responsible for maintaining and ordering appropriate medical supplies to ensure all clinical procedures and treatments can be performed when scheduled.
   6. Represents medical oncology Nursing and participates in special meetings as needed.
   7. Completes the nursing staffing schedules to ensure adequate staffing is provided for patient care and overstaffing is minimized. Creates monthly nursing schedule for the Director of Nursing. Approves nursing time off requests, requests for leave required within a work day, and approves nursing time cards prior to payroll processing. Reports to the Executive Director any overtime needs.
   8. Responsible for training and continued competency for nursing staff in daily nursing duties, chemotherapy administration, patient education, and new medications, policies and procedures. Ensures RNs, LPNs, and MAs current license is on file. Coordinates CPR classes for clinics.
   9. Supervises nursing staff for the assigned clinic and ensures staff comply with CCSI / POMS employee policies and procedures for assigned clinics.
   10. Assists in gathering information and providing recommendations for the replacement or purchase of Medical Oncology equipment.
   11. In conjunction with the Director of Nursing, formulates and implements new nursing policies, procedures and patient education programs for the assigned clinics.
   12. Works with pharmacy staff as needed to obtain oral chemotherapies for patients.
   13. Participates in interview process, selection, training, development and evaluation of nursing staff.
   14. Serves as a resource person for staff, physicians and patients.
   15. Serves as a safety coordinator for the facility and ensures compliance with safety and health policies and procedures.
   16. Is able to function as a staff RN.
   17. Utilizes EPIC to document all clinical data.
   18. Is an expert on the EPIC system clinical modules and is able to train staff and assist with user issues.

1. Clinical Practice
   1. Assessment:
      1. Assists patients as needed with completion of history and physical form.
      2. Assesses patient vital signs, as needed.
         1. New Patients: height, weight, blood pressure, pulse, respirations, and temperature.
         2. Rechecks: height, weight, and blood pressure.
         3. As needed, checks pulse oximetry and blood sugar per glucose monitor.
         4. Documents and reconfirms in each visit the patient's current medications and allergies.
         5. Utilizes the electronic medical record (EMR) system to accurately chart all patient visit information.
      3. Assesses physical, psychological and educational needs of patients according to guidelines, standards of care and individual needs.
      4. Assesses patient care needs and/or changes in condition throughout treatments and procedures, and communicates findings to the provider.
   2. Planning
      1. Coordinates plan of care for patients, including follow up treatments and appointments.
      2. Coordinates scheduling of chemotherapy and other treatments, facilitates processing of provider orders, and coordinates with pharmacy staff on provider orders.
      3. Assists in preparation and transfer of patients within the facility or for transfer to other facilities.
   3. Implementation
      1. Provides professional nursing care to patients based on patient needs and plan of care.
      2. Assists the provider as needed in complex interventions, examinations, and procedures.
      3. Completes or coordinates with laboratory or hospital staff to collect specimens, label, and transport specimens to laboratory.
      4. Administers treatments as ordered by the provider, including fluids, antibiotics, chemotherapy treatments, and other treatments as indicated.
      5. Administers injections, including subcutaneous and intramuscular injections.
      6. Accesses, draws blood samples, and provides routine maintenance care for all types of central lines, including infusaports, Hickman's, Groshong's, PICC's and any other tunneled or non-tunneled catheter.
      7. Monitors, evaluates and documents patient responses to treatments.
      8. Communicates any changes in patient condition during treatments to the provider and implements revised plan of care as needed.
      9. Revises patient medication profiles and assists provider with medication refill orders as needed.
      10. Ensures documentation is complete and accurate and entered into the EMR or Pharmacy systems or in paper charts.
   4. Patient Education
      1. Provides and reinforces patient and family/significant other teaching, such as providing appropriate brochures on treatment, potential side effects, etc. and answering questions.
      2. Documents patient and family/significant others educational needs and documents intervention and understanding.
      3. Refers to other members of the healthcare team as necessary for assistance to meet patient and family / significant others' needs.
   5. Evaluation and Documentation
      1. Documents all observations, interventions, and patient responses to interventions.
      2. Witnesses' patient or authorized person's signature on consent forms, as needed.
      3. Takes, records and follows-through on provider orders as needed.
      4. Follows-through on provider messages, "PANIC"-level reports, "STAT" orders, etc.
   6. Other
      1. Rooms patients and enters visit documentation into the EMR or pharmacy systems or into paper charts for providers, as needed.
      2. Directs patients, families, significant others to exam and/or procedure rooms and treatment areas as needed.
      3. Cleans exam and infusion rooms, disinfects surfaces, and ensures exam rooms are ready for patients, as needed.
      4. Inspects oxygen tanks, Oximeter, and Glucometer monitors and documents results.
      5. Stocks supplies in nursing areas and patient rooms and arranges with the appropriate individual to replenish stock.
      6. Provides nursing support to the radiation oncology department on an as-needed basis, including: patient assessment, administration of pre-medications, and coordination of patients' treatments with medical and radiation services.
      7. Complies with all applicable safety and health regulations, policies and procedures. Complies with established personal protective equipment requirements necessary for protection against exposure to chemotherapeutic agents, blood and body fluids, other potentially infectious material, chemical disinfectants, and other hazardous substances.
      8. Performs all duties in a safe, responsible manner using required safety devices and personal protective equipment and following appropriate safety guidelines, including use of Universal Precautions, proper hand washing technique, and other work practice controls which minimize occupational exposure.
2. Professional Communication
   1. Maintains confidentiality in matters relating to all aspects of employment, including patient/family/significant other confidentiality.
   2. Interacts with patients/family/significant others with a variety of developmental and sociocultural backgrounds in appropriate manner.
   3. Provides information to patients and family/significant others that reduces anxiety and conveys an attitude of acceptance, sensitivity and caring.
   4. Maintains professional relationships and conveys relevant information to other members of the health care team.
      1. Internal Contacts: Physicians, nurse practitioners, other RNs, LPNs, Medical Assistants, laboratory staff, pharmacy staff, secretaries, scheduling, billing representatives, etc., and staff at other CCSI facilities.
      2. External Contacts: Research, home health care, hospice, blood banks, hospitals, same day surgery, x-ray departments, couriers, pharmacies, laboratories, floor nurses, other provider offices, etc.
   5. Communicates and coordinates with other healthcare professionals to obtain and follow through on provider orders, such as blood orders, occupational therapy, physical therapy, medical equipment, etc.; Hospice consults; case management, such as pre-certifications for drugs or tests; and, provider referrals.
   6. Relays information appropriately over computers, telephones, facsimiles, pagers, and other communication devices, and follows-through as needed.
   7. Maintains and prioritizes messages, gathers appropriate information needed to respond (such as patient chart, lab results, etc.), communicates appropriate information to providers, and follows-through on provider orders and requests as needed. In provider's absence, checks and assesses provider messages regularly and addresses as needed.
   8. Initiates / coordinates with insurance companies to obtain pre-certifications and pre-authorizations for patients' medications and procedures.
   9. Will be proficient on the electronic medical records system and accurately and completely document patient information utilizing the system.
3. Teamwork
   1. Works collaboratively as a health care team member.
   2. Reports on patient conditions as needed to those who require information, including providers, supervisors, and other professional staff as appropriate while maintaining patient confidentiality.
   3. Assists with tasks necessary for the general operation and organization of the Nursing unit.
   4. Maintains positive attitude with patients, family/significant others and coworkers.
4. Professional Development
   1. Attends staff meetings and mandatory in-services.
   2. Participates in continuing education opportunities and maintains licensure.
   3. Maintains necessary certification(s) and licensure(s).
   4. Contributes to the quality of patient care and participates in quality improvement initiatives.

OTHER DUTIES: Performs other duties as assigned.

EDUCATION/QUALIFICATIONS: Graduate of an accredited school of professional nursing. Current licensure in the State of Illinois for practice as a professional nurse. Prefer current chemotherapy and PICC certification or willingness to become certified. Current CPR certification. Previous experience in oncology nursing, charge nurse management, and leadership. Must take EPIC training and successfully pass required tests.

KNOWLEDGE/SKILLS/ABILITIES: Knowledge of nursing processes and the ability and willingness to demonstrate and maintain clinical competency (both cognitive knowledge and technical skills) as required for the limit of assignment. Ability and willingness to work with patients' growth and development needs, particularly to patients diagnosed with cancer (newly diagnosed, receiving treatment and terminal care) or immunosuppressed. Ability to manage a sometimes demanding and fast-paced work environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes and those who are dying. Verbal and written English communication skills for safe and effective patient care and to meet documentation standards. Competent skills in the Electronic Medical Records and other systems required to perform his/her job functions. Organization and interpersonal skills. Understands and practices patient confidentiality. A positive attitude towards health care team members and diverse patient populations.

PHYSICAL REQUIREMENTS OF JOB: Standing, walking, sitting, carrying, pushing, pulling, balancing, bending, stooping, squatting, crouching, twisting, reaching, handling, kneeling, and wrist and digital dexterity. Patient lifting, ambulating, and transfer of patients in wheelchairs, on gurneys and beds. Speaking, hearing, and visual acuity to perform tests on patients; receive and interpret instructions; hearing to take blood pressure and hear breath, heart, and bowel sounds; chart; and operate equipment. Able to support persons (possibly 200 pounds or more) in emergency situations. Able to move quickly from place to place on occasion. Possible driving.

MENTAL DEMANDS: Must be able to work under stress and adapt to changing conditions.

WORKING CONDITIONS: Job duties involve the potential for exposure to blood, body fluids, and chemotherapeutic agents. Normal patient care environment.

BENEFITS:

1. Health insurance
2. HSA Option
3. Dental insurance
4. Paid Time Off (PTO)
5. Sick Time
6. Vision insurance
7. 401(K) w/ match & profit sharing
8. Life Insurance
9. Short- & Long-Term Disability

Pay Range: $47 per hour