Service Access Nurse - Oncology Durham, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

General Description of the Job Class

The Service Access Nurse provides services for patients throughout the DCI access process. Services include record review, addressing barriers, providing emotional support, resource referral, and appointment/care coordination. The Service Access Nurse helps establish, promote, and coordinate patient registration, scheduling and record collection for oncology patients referred to the center. The Service Access Nurse acts as a liaison to multidisciplinary and collaborative programs that includes but is not limited to Medical Oncology, Radiation Oncology, Surgical Oncology, Genetics and Radiology. This position will coordinate care between the primary disease group and all appropriate physicians or services. She/he is responsible for ensuring patients receive quality and comprehensive services.

Duties and Responsibilities of this Level

Patient Review

• Review patient records including all relevant medical history
• Complete clinical summary encounter for all new patients
• Participate in tumor boards or patient review meetings with disease group providers
• Document patients, diagnosis and treatment information in Epic Flow Sheet in order to track all new patients and ensure all information is available for new patient visit
• Generate daily flow sheet reports for review
• Provide necessary follow up based on patient review discussion

Record Coordination

• Collect medical records for new patients prior to initial visit by following department policy and procedure
• Contact referring provider and treating hospitals to obtain all previous medical records. On average this will be 4 institutions that will need to be contacted
• Determine what diagnostic tests and procedures have been completed. In addition, identify necessary tests and procedures needed prior to new patient appointment. Coordinate orders with providers
• Utilize PowerShare to request outside imaging and utilize eHealth record templates to request outside records, imaging and pathology when appropriate
• Upload outside records to Epic and other appropriate systems as defined by providers in timely manner and communicate any issues to providers prior to appointments

Scheduling

• Accountable and responsible for access, facilitation, and coordination of a new patient consults from different sources including phone, fax, e-mails, in-basket messages, and workqueue. Processing referrals may include creating new referrals in EPIC, working from a workqueue, registering new patient accounts, entering insurance information, scheduling and coordinating appointments
• Independently assess patient needs and navigate referrals through the system ensuring proper appointment coordination
• Oversee complex process often requiring multiple calls to the patient, referring physician, previous facilities/providers to request records and record review with the clinical team
• Evaluate appropriate level of patient care, utilizing expert level clinical decision making to determine severity of illness for all elective, urgent and emergent referrals

• Coordinate with physician, nursing and/or clinical staff in determining that the following have all been secured: (1) referral authorizations, (2) prior approval of specific treatments and surgical procedures, and (3) second surgical opinions of specific treatment/surgical procedures
• Effectively communicate scheduling needs and referral status with patients, families, multidisciplinary providers, support staff, and referring providers within the institution and in the community
• Have a full understanding of the disease, providers, scheduling guidelines and necessary records within disease group
• Educate patients on cancer type, how cancer is diagnosed, how cancer is treated and different provider roles on their care team
• Identify additional support services the patient may require during first visit including, but not limited to, social work, nutrition, palliative care and/or survivorship

Required Qualifications at this Level

Distinguishing Characteristics of this Level

N/A

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical