RN, Thoracic Nurse Navigator, Hematology/Medical Oncology-Knight Cancer Institute, FT, Days

  • Oregon Health & Science University (OHSU)
  • Portland, OR, USA
  • Feb 23, 2021
Full time Registered Nurse (RN)

Job Description

Department Overview

The Thoracic Nurse Navigator will work collaboratively with Knight Cancer teams to include Physician, surgeons, residents, fellows, and RN coordinators in the care of this complex population throughout the continuum of care and treatment. This position will work with the clinical nurse manager and other oncology nurse navigators to develop standard metrics, identify patient barriers, coordinate smooth transitions of care, and to be available for team members in determining and outlining the plan of care.  This position will collaborate with the other navigators to cover day off and vacations.  An Oncology Nurse Navigator (ONN) is a professional RN with oncology-specific clinical knowledge who offers individual assistance to patients, families, and caregivers to help overcome healthcare system barriers.  Using the nursing process, an ONN provides education and resources to facilitate informed decision-making and timely access to quality health and psychosocial care throughout all phases of the cancer continuum.  The ONN will work with the ONS core competencies as the guide.  The ONN competencies to be performed: (a) coordination of care, (b) communication to patient, families, and members of the healthcare team, (c) patient and family education  (d)  professional role .

Function/Duties of Position


  1. Scientist
    1. Evaluates knowledge of self and others:
      1. Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals.
      2. Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships
    2. Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery.
    3. Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods. 
  2. II. Leader
    1. Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to:
      1. Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion)
      2. The interdisciplinary plan of care
      3. Documenting decision making in the patient’s plan of care and hand-off  communication
    2. Protects and advocates for patient safety, health and wellbeing:
      1. Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command).
      2. Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice.
    3. Keeps the patient as the focus  when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care:
      1. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to.
      2. Allocates resources based on identified patient and family needs
      3. Speaks up immediately about concerns regarding assigned responsibilities
  3. Practitioner
    1. Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate.
    2. Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.
    3. Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights.
    4. Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.
  4. Knowledge Transfer
    1. Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care.   Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home.
    2. Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record.
    3. Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs).  Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Required Qualifications

  • External applicants: Baccalaureate of Science in Nursing Degree from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA)
  • Internal applicants: Associate's Degree in Nursing
  • Current, unencumbered Oregon State Registered Nurse License
  • BLS at time of hire and must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA (upload documentation with online application)
  • BLS must not expire during orientation or probation period, and must have the same expiration date (upload documentation with online application)
  • Must be able to perform the essential functions of the position with or without accommodation

Department Specific Requirements

  • 2 year oncology nursing required.
  • 1 year of nurse navigation experience/ 2 years of solid tumor oncology experience.
  • Communication skills including fluency in oral and written English.
  • Basic computer skills including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health Record information and tools. 

Preferred Qualifications

  • Current OHSU employees: BSN preferred

Additional Details

Orientation: 6-8 weeks 

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.