The Department of Oncology seeks a Nurse Practitioner (Multi-Disciplinary Clinical Coordinator). The Multi-Disciplinary Clinical Coordinator for care, outreach and education of the liver multidisciplinary cancer program will be responsible for enhancing patient and provider satisfaction, improving access to services, and assuring that patient data is captured and shared among the team members.
This person will be charged with providing materials and programming to increase awareness and education about this particular tumor type. This individual will serve as an integral member of the multidisciplinary team, working closely with the program champion, and a wide ranging group of specialists and providers.
Further, the coordinator will be responsible for maintaining or developing a way to collect, analyze and present data related to the size and scope of the program, and will be knowledgeable about the particular tumor, cancer in general, the program and Johns Hopkins research related to this tumor. This position will be expected to be a part of the survivorship efforts in liver cancer.
Primary Duties and Responsibilities:
Provides comprehensive, age appropriate, and episodic care to patients as a member of the multi-disciplinary health care team
Obtains patient history; Performs patient care and physical examinations; Prepares patient summaries; Develops care/treatment plan; Attends out-patient clinics and assists with patient management.
Develops care/treatment plan.
Provides information to staff regarding patient's care plan and condition.
Consistently develops effective care/treatment plan for assigned patients according to established protocols and procedures.
Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age.
Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
Makes referrals to appropriate specialties.
Follows long term progress of patients including history and physical examination, orders and interprets re-staging tests, and assesses status.
Observes for evidence of long term effects including infection, toxicity, etc.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Procedures: Performs, but is not limited to the following advance procedures:
Routine laboratory procedures such as cultures, smears, venipuncture, electrocardiograms.
Performs advanced procedures such as biopsy, skin biopsy, and other procedures as necessary.
Provides Emergency Care:
Maintains CPR certification
Maintains airway, breathing, circulation
Starts and provides basic CPR
Orders and administers anti-anaphylactic and supportive medications
Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
Prescribes Schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.
Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms.
Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment.
Works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.
Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in rounds and meetings for consultation.
Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
Performs oncology related procedures, such as biopsy, and other procedures as called upon within the scope of practice.
Assumes fiscal responsibility with working knowledge of evidence based medical model.
Effectively uses resources of the patient and the institution.
Is aware of and adheres to specific capitations and limitations of the patient's insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
Has knowledge of and utilizes all available resources in the event that the patient's resources are limited or unavailable in order to provide medical care and social well-being.
Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.
Additional Duties and Responsibilities:
Triage new patients to members of the liver cancer team by review of medical records, phone history and review of scans
Manage return and follow up patients with team members
Order tests and radiology, when appropriate
Coordination of Liver Multi-Disciplinary Clinic
Coordination of care between disciplines
Presentation of cases at tumor board
Serve as clinical resource for all disciplines particularly the nursing and support staff
Serve as link to research nurses and coordinators for clinical trials
Coordinate with Marketing and Development office for fundraising efforts
In addition, the Nurse Practitioner will have a clinical role in the liver cancer survivorship program, supporting the faculty in providing care, education, and support to patients. This role will include patient assessment, patient follow up, patient education, and patient support with a focus on long-term care and surveillance. Many of these patients will undergo complex treatment regimens, on and off clinical trials, and will require care and support during and after their treatment, due to side effects of treatment and advancing disease.
The Nurse Practitioner will become imbedded in the team, and will work collaboratively with physicians, therapists, nurses, research nurses, data coordinators, social workers, dietitians, and administrative staff to support patients. It is expected that the nurse practitioner will function both independently and collaboratively as a clinician and educator.
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Three years of related clinical nursing experience preferred.
Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
Additional Knowledge, Skills, or Abilities / Competencies:
Advanced clinical skills in specialty area or equivalent.
Research knowledge, including interpretation, utilization, and conduct.
General computer knowledge and capability to use computer.
Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members.
Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care.
Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem solving.
Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel
Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
Classified Title: Nurse Practitioner
Working Title: Liver Cancer Multi-Disciplinary Clinical Coordinator
Starting Salary: Competitive; Commensurate with experience
Location: School of Medicine, East Baltimore Campus
Location State: MD
Resume Required: Yes
Area of Interest: Clinical/Medical
The successful candidate(s) for this position will be subject to a pre-employment background check.
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