The Neuro-Oncology advanced practice provider (APP) delivers care to Neuro-Oncology outpatients. The ideal candidate is an APP committed to the care of patients with brain tumors and who embraces a multi-disciplinary team approach. Responsibilities include management, treatment and follow up care of patients with brain tumors; teaching and mentoring medical, APRN & PA students, residents, and fellows; and shared night/weekend call. The APP is also responsible for partnering with the patient, family, pharmacist, and nurse case manager to impact timely patient flow; and family experience through communication and education; promote an interdisciplinary approach to care; and support new processes to improve patient outcomes.

 

This position is for an APP faculty member appointment in the School of Medicine. The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach, and public service. The APP is expected to comply with the scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice.

 

The AGACNP/ ACNP shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach, and public service. The AGACNP/ ACNP is expected to comply with the scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice.

 

The AGACNP/ ACNP delivers healthcare services to individuals within the scope of their license, provides advanced education to students, peers, and others; and may contribute to new knowledge and/or technology by conducting or participating in scholarship.

Clinical Activities (not related to teaching or research): Assure the safe, efficient, high quality and customer oriented management of patient care to identified patient populations, including but not limited to completing a comprehensive assessment of the patient’s status; developing, monitoring and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives; treat many common acute and chronic health problems; interpret diagnostic tests  prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of  illness and health maintenance; and, refer patients to other healthcare professionals as necessary. 

Neuro-oncology Specific Clinical Responsibilities:

• Supporting the neuro-oncologist during clinic days by editing scribe's notes, coordinating necessary orders including chemotherapy, and managing AVS.
• Conducting independent clinic day dedicated to symptom management, covering areas such as seizure and steroids management, fatigue alleviation, and overseeing mid-radiation and mid-chemotherapy check-ins.
• Managing in-basket tasks, which involve addressing straightforward symptom inquiries and providing guidance on triage decisions such as recommending urgent care or ED visits or advising on the need for short-interval MRI scans (in collaboration with the neuro-oncologist).
• Providing comprehensive chemotherapy education to newly diagnosed patients, ensuring the accuracy of chemotherapy plans, and monitoring treatment progress while following up on outpatient laboratory results.
• Handling paperwork duties, with routine non-medical documentation managed by PCPs, while handling other patient-requested or care-related medical paperwork. In cases of complexity, scheduling a billable appointment is an option.

Scholarship (improvement science, research, writing, abstracts, grant supported work, presentations, etc.): Keep abreast of changes in field and applies knowledge to identify and recommend enhancements to clinical quality, patient experience/satisfaction, length of stay and to achieve improvement that demonstrates a higher standard of care. Assesses and recommends initiatives to improve performance indicators related to patient experience, quality, and costs. Professional development meeting the expectations of ongoing certification. Demonstrates success or productivity in the field as evidenced by securing research funding, publication in journals and/or other forms of peer presentations.      

Teaching/ Clinical Supervision: Support OHSU’s academic missions by participating in the design, development, and assessment of program curricula for professional (advanced practice nursing, medicine, and physician assistant) specialty areas; including course objectives, instructional methods, learning outcomes, projects, and assessment measures. Teach program courses as needed according to specified learning outcomes; academic advising and career related counseling for students; monitoring student retention and identifying and assisting at-risk students. 

Deliver individual instruction to support fellows, residents, graduate APP students, and other clinical learners to support their personal program of learning in the applicable specialty area. Provide instruction and review of the practices, policies, and procedures in a variety of functions; including but not limited to development of treatment plans, interpretation of clinical diagnostic data; developing orders; patient and family communication and education; management of medical equipment, electronic medical records; performing procedures, and transitioning patients to the next level of care. Assures adherence to the specialty specific protocols, best practices, quality, and organizational indicators. Provides input to the performance of the resident or graduate APP student as a provider or graduate APP student provider in the practice setting.

• Master’s Degree as required by specific Advanced Practice Provider role.
• Current licensure as required by specific Advanced Practice Provider governing board(s).
• Demonstrated ability to satisfy standards of performance delineated by law and associated professional practice standards, the latter set forth as an addendum to the position description.
• Ability to manage heavy workload with multiple priorities and inflexible deadlines.
• Ability to communicate effectively verbally and in writing.
• Proficient in the use of computing hardware and software, including personal computing equipment, electronic medical record, word processing and spreadsheet software.
• Regular and consistent attendance at work

• Acute Care, Adult Gerontology Acute Care Nurse Practitioner, or Physician Assistant
• Prefer 3–5 years clinical experience as an AGACNP/ ACNP/PA that demonstrates ability to fulfill responsibilities for the specific role.
• Quality improvement experience
• Experience in the Microsoft Office Suite of products.
• Experience using Epic EMR
• ACNP, PA National Certification, Oregon Nurse Practitioner license with prescriptive authority or Oregon Medical Board license

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.