Job Summary:
Provide high quality health care to Kaiser Permanente members in a cost-effective manner and in accordance with accepted professional practice standards.
Essential Responsibilities:
- Must have flexibility to provide follow up care for oncology patients in both acute and ambulatory patient settings.
- Assess and diagnose oncology patients, and formulate and implement treatment plans, addressing complex medical conditions.
- Admit and discharge inpatients, write all needed orders and complete discharge summary within electronic health record during hospital rotation.
- Round on inpatient oncology patients Monday through Friday, although may share weekend rounding in the future.
- Document follow-up notes, monitor chemotherapy infusion, identify and treat adverse reactions and effects of therapy.
- Provide pre and post procedure education, including comprehensive discussions of complex diagnostic and treatment options.
- Perform exams and provide f/u care; order diagnostic studies and medications, schedule procedures, and provide follow-up.
- Flexibility for independently seeing outpatients in clinic and returns (complete management) for specific oncology diseases and/or conditions to be determined by department chief.
- Requires flexibility for urgent, unscheduled backup to oncologists for both inpatients and outpatients.
- May require flexibility to drive from one site to another during the course of a business day.
- Independently perform bone marrow aspirations, and other procedures as determined.
- Performs other duties as requested.
- The above care must be documented in writing in patients permanent medical record in accordance with accepted medical/legal standards.
- All medical care must be provided in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician) and State licensing.
Basic Qualifications:
Experience
- Minimum three (3) years of experience as an NP OR new graduate NP with at least six (6) months of oncology experience within the last three (3) years.
Education
- Graduate of approved A.N.A. Nurse Practitioner program or equivalent requirements to meet State licensure.
License, Certification, Registration
- This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post hire.
- Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire
- Nurse Practitioner License (Oregon) within 6 months of hire
- Advanced Registered Nurse Practitioner License (Washington) within 6 months of hire
- Registered Nurse License (Oregon) within 6 months of hire
- Drug Enforcement Administration Registration
- National Provider Identifier required at hire
Additional Requirements:
- Thorough and working knowledge of Oncology diseases and conditions and their treatment.
- Thorough and working knowledge of chemotherapy, with particular emphasis on bone marrow aspiration.
- Working knowledge of state health care laws, licensing board regulations and controlled substance regulations.
- Important to know limitations and when to refer patients to the Oncologist.
- Ability to assess, diagnose and plan effective treatment for oncology diseases and conditions.
- Excellent procedure skills, especially with bone marrow aspiration.
- Ability to use appropriate procedural/testing equipment, to see large volume of patients, and to interface with large physician and support staff.
- Recognition of normal and abnormal anatomy.
- Writing orders.
- Protocols for blood transfusions, fluid balance, oral intake, bowel and urinary care, IV narcotic and other pain management.
- Post-op protocols for prophylaxis for DVT, mobilization, therapy.
- Knowledge of UM requirements for hospitals.
- Understanding of capabilities of ancillary and support services both IP and OP.
- Knowledge of documentation and coding requirements for both IP and OP.
Preferred Qualifications:
- Minimum five (5) years of clinical experience in Oncology setting.
- Minimum five (5) years as Oncology N.P.
- Minimum five (5) years of acute care inpatient experience, with emphasis on Oncology procedures.
Notes:
- Locations: Central Interstate, Skyline Clinic, Longview Clinic
- on-call position for Oncology NP outpatient