The Hematology /Oncology Clinics are located at the Durham VAMC in Area 1C. This Clinic provides direct care to patients undergoing chemotherapy and hematology/oncology associated treatments and infusions in the outpatient and inpatient settings. The overall care delivery model is an interdisciplinary approach incorporating a full complement of staff members who manage the veterans from onset of care through outpatient maintenance and care delivery.
The following items cover the most significant duties performed but do not exclude other responsibilities which may be assigned.
The Incumbent will:
1. Have dedicated responsibility to coordinate the cancer patient's journey through the care system, across disciplines and sites.
2. Serve as a resource for hematology/oncology providers to assist with care coordination services including, but not limited to the scheduling of biopsies, staging studies, and concurrent chemotherapy and radiation therapy treatments.
3. Orders labs/scans/specialty tests in coordination with and at the request of the patient's Provider(s).
4. Schedules staging/restaging imaging studies such as MRI, CT, PET/CT scans and works with the scheduling staff to expedite the completion of those imaging studies in coordination with and at the request of the patient's Provider(s)
5. Orders biopsies to obtain to tissue for diagnosis in coordination with and at the request of the patient's Provider(s).
6. Orders labs for chemotherapy patients in coordination with and at the request of the patient's Provider(s).
7. Works with the other VA and outside facilities, to order labs/tests/procedures in coordination with and at the request of the patient's Provider(s) for Durham VAMC hematology/oncology patients at the parent location and follows up on the results in conjunction with the patient's Provider(s) (e.g., systematically reviewing patients receiving chemotherapy to ensure arrangement of labs prior to scheduled chemotherapy appointment at a local facility)
8. Oversee and monitor the process, identify barriers, and provide individualized support
9. In response to a care coordination consult for a patient needing stem cell transplant services, works in conjunction with hematology/oncology providers, Surgical Service, and the BMT transplant center to order requests labs/scans/consults/specialty tests and/or specialty procedures as needed for BMT candidates to expedite time to transplant. Submission of the data and transplant arrangements will be made through the Durham Transplant Coordinator, currently in Surgical Service.
10. Provides hematology/oncology care (in person or by e-consult) to patients as directed by Hematology/Oncology leadership and under supervision of a physician including patient evaluation, synthesis of medical information and diagnosis, comprehensive treatment planning, and all aspects of care plan implementation.
11. Writes/co-signs chemotherapy orders in coordination with and at the request of the patient's Provider, as directed by the Hematology/Oncology leadership (e.g., for patients whose Providers are not available) and/or under the supervision of a physician including patient evaluation, synthesis of medical information and diagnosis, comprehensive treatment planning, and all aspects of care plan implementation
12. Provide one-on-one help to access and learn about cancer services from detection through treatment.
13. Analyze current practice, oversee the maintenance of cancer care tracking databases, working with multiple services/systems to bring about process/system redesign changes, developing and monitoring evidence-based standards of practice to identify barriers, improving access to care, and accounting for and reporting on sustainability of timely care.
14. Other clinical, administrative, educational, and research duties as assigned by Hem-Onc leadership.
Work Schedule: Monday, Tuesday, Thursday and Friday 0800-1630
Functional Statement Title: Nurse Practitioner or Physician Assistant
Nurse Practitioner Qualifications:
1. Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
2.Nurse Practitioners appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
3. Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. 1) The Accreditation Commission for Education in Nursing (ACEN), 2) The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of College of Nursing (AACN). The CCNE accredits bachelors and masters degree programs. (b) [The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment.
4.Licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the ACEN or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected.
Physician Assistant Qualifications:
1. Must be a citizen of the United States.
2. Must have a bachelor's degree from a Physician Assistant Training Program which is certified by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) OR graduation from a PA training program of at least 12 months duration which is certified by ARC-PA and a bachelor's degree in a health care occupation or a health related science OR graduation from a PA training program of at least 12 months duration which is certified by ARC-PA and a period of progressively responsible health care experience such as an independent duty medical corpsmen, licensed practical nurse, registered nurse, medical technologist or medical technician. The duration of approved academic training and health care experience must total at least 5 years.
3. Must be certified by the National Commission on Certification of Physician Assistants (NCCPA).
4. Must be proficient in spoken and written English as required by 38 USC 7402(d), 7407(d).
1.Minimum of five years' experience managing oncology patients
2.Demonstrated ability to coordinate care for Hematology and Oncology Clinic patients with other interdisciplinary staff
3.Demonstrated evidence of leadership potential with an emphasis on skills in interpersonal relationships, program development, critical thinking, and problem solving
4.Documented evidence of successful professional practice with progressively complex patients and/or assignments
5.Demonstrated ability to use computer system n support of patient care delivery
6.Demonstrated excellence in written/verbal communication, time management and working with an interdisciplinary team
7.Prior VA experience and working with Veterans
Preferred Education and Certification:
Physician Assistant -
1. Masters in Physician Assistant
Nurse Practitioner -
1. MSN with Adult, Family or Geriatric NP or DNP,
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Reference:VA Handbook 5005, Part II, Appendices G6 Nurse Qualification Standard and G8 Physician Assistant Qualification Standard. These can be found in the local Human Resources Office.Physical Requirements:The position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring Veterans and objects may be required.May be required to don protective equipment in isolation situations or operative/invasive procedures. Responsible for the reprocessing of reusable medical equipment, according to the medical center policies.Required to use available safe patient handling lifting devices in all clinical areas. May also be exposed to Veterans who are combative, secondary to delirium, dementia, or psychiatric disorders.
All applicants are required to submit the following supporting document type(s):
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Other(VA Form 10-2850a Application for Nurses and Nurse Anesthetists or VA Form 10-2850c Application for Associated Health Occupations)
*Other Veterans Document
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf)
VA Form 10-2850c - Application forAssociated Health Occupations(Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf)
Form OF 306 can be obtained at http://www.opm.gov/forms/pdf_fill/of0306.PDF.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1956214.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.