Clinical Nurse Coordinator - Pain Clinic

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

The Registered Nurse is a member of an interdisciplinary care team. This role provides patient centric care and is primarily responsible for nursing assessment and diagnosis, planning, implementation, and evaluation.

The Fred Hutch Pain Clinic manages complex, cancer-related pain before, during, and after active treatment for a variety of cancer diagnoses. The goal of the clinic is to assist patients to improve their overall function and to allow patients to continue treatment while carrying on with as many of their daily routines and activities as possible. The Pain Clinic Clinical Nurse Coordinator (CNC) performs phone-based and in-person assessments, triages symptoms, provides patient education, reviews laboratory results, and performs prescription refills. As part of an interdisciplinary team, the CNC provides patient-centered care and balances pain management with patient safety.

This position is 0.8 FTE, 32 hours/week.

PRIMARY RESPONSIBILITIES:

Assesses physical, emotional, social, and spiritual needs and evaluates patients' adaptation to health changes.
• Develops a plan of care based on patients' disease, symptoms, and response to treatment.
• Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management.
• Coordinates with inter-disciplinary team to ensure continuity of care.
• Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc.
• Implements, evaluates and modifies plan of care.
• Integrates research and evidence based knowledge into clinical practice.

In addition to primary responsibilities of the Registered Nurses (RN), the Clinical Nurse Coordinator (CNC) will have the following key responsibilities:

Direct Patient Care

• Education patients and families: chemotherapy, central lines, injections, home care.
• Telephone and email symptom triage.
• Dressing changes, medication administration, injections.
• New patient orientation.
• Caregiver support.
• Assessment of needs for additional supportive care resources.
• Prescription refills.
• Result reviews.

Indirect Patient Care

• Supportive care referrals.
• FMLA paperwork, disability paperwork, Ferry passes.
• Coordination of outside clinical care.
• Ensuring continuity of care with outside providers.
• Collaboration with research team for patients on trial.

Communication and Teamwork

• Attend regular team meetings with provider and nursing teams.
• Coordination of care with ancillary services.
• Delegation of tasks to appropriate team members.
• Coordinating patient schedules with clinic team.
• Collaboration with infusion RN and other members of the care team to assure patient needs are met.
• Real-time management and escalation of issues in clinic.

Professional Development and Clinic Engagement

• Document all nursing care activities accurately and in a timely fashion.
• Demonstrate knowledge and understanding of patient privacy rights.
• Active participation in continuing education, departmental projects, committee work, and quality improvement initiatives.

Required:

• Graduate from an accredited school of nursing.
• Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and MSL primary state of residence must be updated to WA within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval.
• Applicants that do not have previous oncology experience will be provided additional training and support.
• Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years.
• Additional certification may be required dependent upon department.
• Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge.
• Ability to develop clinical judgment.
• Time Management skills; the ability to organize and manage time and tasks independently.
• Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response.
• Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skill.
• Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response.

Preferred:

• BSN prepared nurse.
• OCN (Oncology Certified Nurse) or BMT RN.
• 2 years of oncology nursing experience.
• Previous telephone triage experience.
• Previous outpatient clinic experience.
• Takes initiative.
• Good communication skills.
• Skilled at multitasking and organization.

The hourly pay range for this position is from $47.64 to $88.19 and pay offered will be based on experience and qualifications.
Registered Nurses are paid on a step-scale basis and are also eligible for shift differentials and other pay premiums such as advanced degree, preceptor and certification.

Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position.

This position is 0.8 FTE, 32 hours/week.

Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), and paid parental leave (up to 4 weeks). Paid time off is prorated for part-time positions.