Clinical Nurse Coordinator, GI Procedure Suite

Overview

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 – Clinical Nurse Coordinator 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.

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

• Triage patient calls for symptoms, propose prescriptions for colonoscopy prep or routine care, diet and prep review for colonoscopies, discussion of results, and discussion of care plans.
• Review the GI work queue and complete orders for GI procedures needing either moderate sedation, anesthesia, or no sedation.
• Chart review for pre-procedure exclusion criteria.
• Triage incoming calls and referrals from the FHCC GI MDs, other FHCC patient care teams, as well as outside MDs to determine how urgent procedures are, which scans and labs are needed, complete orders, and call patients as needed
• Work with the PS Charge RN, MDs, imaging schedulers, and Escalation team to escalate procedures when there is limited space available for urgent procedures.
• Work with the UWMC Digestive Health Center for scheduling of procedures and other UWMC tests, write orders for the preps, call the patients about pre-procedure preparation.
• Participate on research studies of the FHCC GI MD’s, such as the GVHD biorepository study and the Precise study
• Enter deferred referrals for follow up procedures, as indicted in physician letters to patients or procedure note

Qualifications

Required:

• Graduate from an accredited school of nursing
• Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and must upgrade to an MSL primary state of residence, WA, within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval.
• 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) 
• SGNA (Society of Gastroenterology Nursing and Assocates) Certification
• 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 $45.35 to $84.80 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.  

This position may be eligible for relocation assistance.

This position is a 1.0 FTE, 40 hours per 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), paid parental leave (up to 4 weeks). 

Additional Information

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.