HFCI Oncology Nurse Navigator (days full time) Detroit Campus

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Nursing
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197531 Requisition #
GENERAL SUMMARY: 
The Clinical Navigation Team consists of Nurse Navigators-Oncology and Patient Access Coordinators. Nurse Navigators-Oncology are nurses with oncology-specific clinical knowledge who offer individualized assistance to patients, families, and caregivers to help overcome healthcare system barriers across the continuum of care. Patient Access Coordinators are administrative staff expert in coordinating services on behalf of the patient and delivering excellent customer service. The Clinical Navigation Team Collaborates with other health care team members including physicians, nurses, advanced practice providers, social workers, financial counselors, community health workers, patient access coordinators, and ancillary and other support staff, and referring physicians to create a high quality, efficient, safe, and exceptional patient experience. The Nurse Navigator-Oncology directly reports to the HFCI Manager-Clinical Navigation or Supervisor-Clinical Navigation.
 
PRINCIPLE DUTIES AND RESPONSIBILITIES: 
  • Holds initial conversation with patient to establish trusted relationship. 
  • Coordinates all required services, such as pre-appointment work-up, appointments, and post-appointment follow up needs across any setting of care or type of treatment, including the coordination of services outside of the health system when deemed necessary due to insurance rules, geography, or patient preference. Delegates these tasks to Patient Access Coordinator as appropriate. 
  • Places orders per disease-team protocols under supervision of MD. 
  • Monitors completion of services in active treatment and in surveillance, based on recommended surveillance protocols and recommendations from survivorship care plan. 
  • Assesses and problem solves clinical issues (drains, infections, refills, etc.), and manages symptoms with other members of the care team. 
  • Manages Tumor Board process by overseeing the appropriate listing of patients, noting plan of care about what they need to facilitate for the patient, communicating plans across multidisciplinary disease-specific team, and following up with patient after physician communicates plan to help facilitate care. 
  • Coordinates multidisciplinary clinic visits to ensure optimal patient experience and coordination of services. 
  • Attends New Patient Appointments to make face to face introduction and do navigation-related education. 
  • Attends transitional visits whenever there is a care plan/ treatment modality change/ or major progression of disease.
  • Facilitates communication with external referring providers and transition back to their care when appropriate. 
  • Under general supervision, performs clinical assessment, psychosocial assessment, diagnosis, triage, consultation, quality assurance, and research. 
  • May partner with local agencies to assist with cancer patient needs. 
  • May assist with community outreach and screening efforts. 
  • Takes after-hours call on a rotational schedule to facilitate prompt intake of new patient referrals. 
  • May require travel between multiple Henry Ford Health System locations. 
Responsibilities stem from the core Nurse Navigator competencies as defined by the Oncology Nursing Society: 
  • Develops rapport with patients and family/caregivers as the primary liaison to care at the Henry Ford Cancer Institute. Serves as the patient liaison, advocate, and navigator of care from diagnosis, through treatment, and into survivorship. 
  • Strives to address and overcome barriers such as difficulty navigating the health care system, poor communication, misunderstanding, fear, anxiety, and lack of resources. Assesses patient needs and potential barriers to care upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate services and referrals and support services, such as dietitians, providers, social work, community resources, and financial services. 
  • Develops or uses appropriate assessment tools (e.g., distress screen, pain scale, fatigue scale, performance status) to promote a consistent, holistic plan of care. 
  • Participates in coordination of the plan of care with the multidisciplinary team, promoting timely follow-up on treatment and supportive care recommendations. 
  • Facilitates timely scheduling of appointments, diagnostic testing, procedures, home care, and DME to expedite the plan of care and to promote continuity of care in adherence with defined disease-specific Care Pathway. 
  • Promotes awareness of clinical trials to patients, families, and caregivers.
  • Demonstrates knowledge of clinical guidelines and specialty resources throughout the disease process. 
  • Supports a smooth transition of patients from active treatment into survivorship or end-of-life care.
  • Facilitates individualized care within the context of functional status, cultural consideration, health literacy, and psychosocial and spiritual needs for patients, family, and caregiver. 
  • Provides anticipatory guidance, education, and appropriate referrals to assist patients in coping with the diagnosis of cancer. 
  • Builds therapeutic and trusting relationships with patients, families, and caregivers through effective communication and listening skills; acts as a liaison between the patients, families, and caregivers and the providers to optimize patient outcomes; and advocates for patients to promote optimal care outcomes. 
  • Facilitates communication among members of the multidisciplinary cancer care team to prevent fragmented or delayed care that could adversely affect outcomes. 
  • Ensures documentation of patient encounters and provided services.
  • Participates in the tracking of metrics and patient outcomes, in collaboration with administration, to document and evaluate outcomes of the navigation program and report findings to the cancer committee. 
  • Collaborates with clinical and administrative leadership to perform and evaluate data to identify areas of improvement that will affect the patient navigation process and program, and participates in quality improvement based on identified service gaps. 
  • Assesses educational needs of patients, families, and caregivers taking into consideration barriers to care (e.g., literacy, language, cultural influences, comorbidities); provides appropriate and timely education to patients, families, and caregivers to facilitate understanding and support informed decision making about diagnosis, treatment options, side effect management, and post-treatment care and survivorship.
EDUCATION/EXPERIENCE REQUIRED: 
  • Graduate from an accredited school of nursing required. Bachelor Degree preferred. 
  • Two (2) years of nursing experience required. Oncology experience preferred. 
  • Outpatient/ambulatory experience preferred. 
  • Maintains and demonstrates current clinical knowledge in area of specialty. 
  • Strong organizational, leadership, listening, critical thinking, problem solving, and interpersonal skills. 
  • Strong communication skills, written and verbal. 
  • Ability to prioritize and reprioritize quickly. 
  • Ability to develop collaborative relationships both internally and externally. 
  • Ability to work in teams and in a self-directed, autonomous manner. 
  • Able to delegate and coordinate efforts of the team/co-workers. 
  • Compassionate and empathetic. 
  • Understands pathophysiology of cancer, multimodality treatment planning, goals of care, symptom management, quality of life, and evidence-based practice guidelines 
  • Demonstrates excellent coaching and mentoring skills. 
  • Takes necessary actions to develop and maintain personal job. competencies/expertise and to improve performance on an ongoing basis; keeps current regarding medical and technological trends in healthcare overall and/or specialty/service line best practices, as well as a working knowledge of insurance rules and community resources. 
  • Computer skills and knowledge of Windows, Outlook and electronic medical record. 

CERTIFICATIONS/LICENSURES REQUIRED: 
  • Current licensure by the Michigan State Board of Nursing as a Registered Nurse. 
  • Certification as an Oncology Certified Nurse (OCN®), Advanced Oncology Certified Nurse (AOCN®), Advanced Oncology Certified Nurse Practitioner (AOCNP®), or Advanced Oncology Certified Nurse Specialist (AOCNS®) at time of hire, or within three (3) years after hire date. 

     Overview

       Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

       care systems, is a national leader in clinical care, research and education.  The system includes

       the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

       insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

       network and many other health-related entities throughout southeast Michigan, providing a

       full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

       The health system also is a major economic driver in Michigan and employs more than 24,600

       employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

       health system is led by President and CEO Wright Lassiter III.  To learn more, visit HenryFord.com.

     Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

       and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

       benefits and services.  Employee's classified as contingent status are not eligible for benefits.    

      Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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