New

Advanced Practitioner- Gynecologic Oncology

Greater Baltimore Medical Center (GBMC)
United States, Maryland, Baltimore
6701 North Charles Street (Show on map)
Feb 21, 2025
Under the clinical supervision of the Medical Director of the Department is accountable for the clinical management of patients. OCN or AOCN highly desired. Experience and capability to use the EPIC electronic medical record. Experience with pelvic exams and gynecologic office procedures, providing chemotherapy and survivorship services. Provides care to women diagnosed with gynecologic cancers, or who are high risk for development of a gynecologic cancer, as it relates to cancer surveillance, general health maintenance, contraception, menopause and generalized cancer screening, in a timely, professional, and friendly manner. Provides primary cancer surveillance according to published NCCN Guidelines and survivorship care to gyn oncology patients. Provides independent management of GYN Oncology and GYN complaints, including counseling, testing, diagnosis, treatment, and/or follow-up, referring patients appropriately to other physician providers as needed, in the case of issues too complex or complicated to be managed by a Nurse Practitioner. Performs health screening, orders, performs and interprets tests. Establishes medical and nursing diagnoses; orders, performs and evaluates diagnostic studies; performs and monitors therapeutic procedures (i.e., colposcopy and biopsy, endometrial biopsies, vulvar biopsies, incisional and wound care etc), assesses and/or manages follow-up plans. Performs chemotherapy services and care, including but not limited to assisting the attending physicians with writing chemotherapy orders, managing decisions regarding dose reductions, managing chemotherapy-related side effects, including evaluation of patients for emergent chemotherapy-related toxicities in the infusion center or ambulatory areas, ordering anti-emetics, growth colony stimulating factors, pain medications and other medications related to chemotherapy administration, physical examinations, ordering and interpretation of chemotherapy laboratory studies and imaging studies and referral to patients for clinical trial. Documents patient chart information as needed, including but not limited to problem identification, treatment and follow-up, chemotherapy flow sheets and other program forms as needed. Records and documents health assessment data necessary to maintain, coordinate, and/or expedite required services. Provides consultation and collaboration with and referral to physician colleagues as indicated, for high-risk medical conditions or for treatment of side effects of surgery or chemotherapy (i.e. Lymphedema Clinic, Palliative Care etc). Prescribes and regulates medications per Nurse Practitioner-Physician written agreement. Reviews daily laboratory, pathology, genetics, radiology and other reports and provides for appropriate treatment and follow-up as indicated. Reports abnormal patient findings to appropriate physician colleagues and responds accordingly. Assumes responsibility and accountability for time management, professional relationships and interpersonal interactions. Develops, conducts, and/or evaluates formal or informal in-service and continuing education programs in areas of expertise for peer groups and other disciplines. Assumes responsibility for his/her own professional development and remains current in clinical practice by attending relevant continuing education. Participates on department, functional unit, and Hospital committees, as assigned. This includes the division/department quality and safety committee and its related quality improvement projects. Candidate will function independently in the ambulatory setting at GBMC. Education: Successful completion of Physician Assistant Program OR Nurse Practitioner Program with a master's degree. Experience: * 1-2 years of oncology experience preferred Licensure: * Current registration with the Maryland State Board of Examiners of Nurses, as a Certified Adult Nurse Practitioner OR Licensed Physician Assistant. * Completion of all RQI lessons and assessments quarterly, to maintain active CPR card for BLS. * Maintains active ONS Chemotherapy/Immunotherapy Provider Card and certificate of added qualification. * OCN preferred or eligible. Skills: * A high level of analytical ability required for assessing patients and implementing appropriate intervention. * Substantial interpersonal skills required to effectively interact with staff, physicians, patients, and family members. Patient & Workplace Safety: Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. Patient Population: Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. Principal Duties and Responsibilities: * Assumes responsibility for the initial evaluation and treatment of patients in assigned areas. * Performs initial history and physical as evidenced by appropriate documentation. * Writes standard orders in accordance with hospital policy. * Writes appropriate orders related to pre-existing conditions. * Discusses with the attending physician and nursing staff physical and/or emotional findings, which may interfere with care of the patient. * Evaluates nursing, medical, social and educational needs on assigned patients. * Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note. * Writes progress notes for each visit documenting pertinent information regarding patient progress and treatment regime. * Writes orders appropriate to the patient's care requirements in compliance with existing contract. * Establishes medical diagnoses in compliance with contract. * Refers to the physician or designee those problems which require consultation and documents same on progress note. * Makes immediate referral of acute and or life-threatening patient conditions to physician or designee. Documents physical findings and treatment plan pertaining to same. * Performs technical functions according to the contract. * Documents results of technical functions performed. * Reports to physician or designee any abnormal findings related to same. * Monitors patient response related to technical function performed and documents same. * Performs activities to meet patient/family educational needs. * Participates actively in health teaching of patient and family to include preventative health care as well as current medical condition and treatment regime. Evidence of same by documentation on progress note and/or established flow sheet. * Plans and reviews home care instructions with patient and family if needed. Includes needs for service provided by community resources and hospital based ancillary services. * Participates in quality improvement projects of the department. Participates in nursing committees and other activities that promote the growth and development of nursing and/or patient care. * Supervises and mentors Oncology Nurse Coordinator/GI Nurse Navigator and Medical Assistants. * Assesses patients in Infusion Therapy on an as needed basis and manages patients who require immediate attention. Manages patients on an urgent basis, decreasing need to send patients to the Emergency Department during regular business hours * Works with Clinical Trials to manage care according to protocols. * Assesses patients for potential eligibility. * Follows patients through the care continuum parameters set by the study. All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others' needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations Actively pursues learning and self-development Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $78,403.65 - $130,546.00 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.