Oncology Infusion Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associate

Department Overview

OHSU is the flagship academic health center in Oregon. At OHSU, APPs thrive as clinicians, educators, researchers, and leaders shaping the future of healthcare.

The Knight Cancer Institute Infusion Unit operates 7 days a week, 365 days a year, delivering infusion therapies to patients with hematologic malignancies, solid tumors, and benign conditions.

Function/Duties of Position

Position Summary

OHSU classification: Clinical Associate APP, represented by the Oregon Nurses Association & Advance Practice United, subject to the active collective bargaining agreement.

The Clinical Associate-APP delivers care aligned with a defined scope of practice in the Adult Hematology & Medical Oncology Infusion Unit, with work expectations operationalized through departmental workflows, productivity standards, and performance expectations consistent with the collective bargaining agreement and institutional policies.

This role is structured to meet contract-defined work expectations of 160 annual 12.5-hour shifts, inclusive of daytime coverage, aligned with the clinical coverage model and patient care needs of the Infusion Unit.

The Clinical Associate APP will participate in departmental scheduling processes, including weekdays, weekends, and holidays, with scheduling practices aligned to contract provisions, equitable distribution of coverage, and maintenance of safe, consistent clinical operations.

The APP in this role practices independently and is responsible for the clinical management of patients receiving infusion therapies, ensuring the delivery of coordinated, high-quality care. The provision of efficient care while also coordinating care with the patient’s team of physicians, APPs, Nurse Navigators, and other allied health professionals is essential for this role.

The ideal candidate thrives in a fast-paced, collaborative environment and brings the clinical expertise and oncology experience needed to manage a complex patient population receiving infusion therapies.

Location: Center for Health & Healing, Building 2, multiple floors

Clinical Responsibilities

• Provide comprehensive clinical management of patients receiving infusion therapy in an infusion unit.
• Respond to, and manage, adverse infusion reactions and other emergencies.
• Assess patient condition when notified of an urgent need, and order necessary medications, imaging studies or other supportive care interventions.
• Communicate with primary treatment team regarding adverse reactions or urgent patient issues
• Provide patient education.
• Provide consultation to Outpatient Treatment Unit (OTU) nurses.
• Ensure that the OTU has APP coverage at all times by working collaboratively with colleagues and covering colleagues as needed when peers are on leave.
• Provide urgent medical care for patients requiring same day evaluation
• Provide medical care independently and/or in conjunction with attending physicians. Work in conjunction with physicians to provide continued clinical care in the outpatient setting
• Review labs and imaging as appropriate
• Assure appropriate setting of care (ambulatory, inpatient, critical care, acute care)

Document subjective and objective findings, assessment and plan clearly and accurately in progress notes according to OHSU guidelines

Provide comprehensive symptom management of complex patients by working collaboratively with oncology nurses, palliative care providers, social workers and others based on patient need

Maintain communication with primary care providers and other individuals and agencies (e. g. skilled nursing facilities) as appropriate

Deliver care to patients receiving treatment on clinical trials per protocol guidelines with timely notification of principal investigator/research nurse or study coordinator and appropriate documentation of adverse events

Assess patients calling the triage line and provide management and treatment recommendations, escalating care as clinically indicated.

General Responsibilities

All APPs are expected to maintain professional standards in all aspects of role performance, including consistent participation in unit and departmental meetings, routine monitoring and timely response to organizational communications (e. g., email), and adherence to established deadlines for institutional and departmental requirements.

Required Qualifications

Experience

Minimum of 1 year of APP experience in hematology and/or medical oncology

Note: Completion of an APP Fellowship in Hematology/Oncology may substitute for the required years of experience.

Education

Successful completion of a Master’s or Doctoral Degree in Nursing in a recognized APRN specialty (Nurse Practitioner)

• OR – Successful completion of a Master’s Degree in Physician Assistant/Associate Studies from an accredited program.

Registrations, Certifications And/or Licenses

Current unencumbered RN and APRN (Nurse Practitioner) licensure with prescriptive authority through the Oregon State Board of Nursing.

Current national NP board certification the area of specialization (e. g., Acute Care Nurse Practitioner (ACNP) or Adult-Gerontology Acute Care Nurse Practitioner (AGACNP))

• Current BLS or ACLS certification.
• DEA certification.

• OR – Current unencumbered PA licensure with the Oregon Medical Board.

• Current NCCPA Certification.
• Current BLS or ACLS certification.
• DEA certification.

Knowledge, Skills & Abilities

• Strong clinical assessment, diagnostic reasoning, and patient management skills
• Ability to prioritize, organize, and manage multiple tasks in a fast-paced, high-acuity environment
• Effective communication skills, including clear, concise, and professional interaction with patients, families, and multidisciplinary teams
• Ability to collaborate across disciplines and contribute to coordinated, team-based care
• Sound clinical judgment and decision-making, including the ability to recognize and respond to clinical deterioration
• Proficiency in documentation and use of electronic health record (EHR) systems
• Ability to adapt to changing clinical demands, workflows, and patient volumes
• Strong attention to detail and commitment to patient safety and quality care
• Ability to provide education to patients, families, and learners (e. g., students, trainees, new APPs)
• Demonstrated professionalism, accountability, and reliability in meeting responsibilities and deadlines
• Ability to maintain confidentiality and exercise discretion in handling sensitive information

Commitment to continuous learning and adherence to institutional policies, standards, and evidence-based practice

Physical Demands

Ability to stand and walk for extended periods and move frequently between patient care areas on different floors

• Ability to sit for prolonged periods while completing documentation and computer-based tasks
• Frequent use of hands for typing, writing, and performing clinical tasks requiring fine motor skills
• Ability to bend, stoop, reach, and assist with patient positioning
• Ability to lift, carry, push, or pull up to 25 pounds, and assist with patient handling using appropriate equipment or support
• Visual acuity sufficient for patient assessment, documentation, and use of electronic systems
• Ability to communicate effectively and respond promptly in urgent or emergent situations
• Ability to perform the essential functions of the position with or without reasonable accommodation

Preferred Qualifications

• Minimum of 2 years of APP experience in hematology and/or medical oncology.
• APP experience working in an infusion unit.
• Experience working with clinical trials and experimental therapeutics
• Experience with EPIC and Beacon

Hematology/Oncology Certification

• Ability to recognize and manage oncologic, chemotherapy, biotherapy management, and cellular therapy-related complications), including monitoring and toxicity management
• Strong clinical judgment and timely escalation of care for acutely ill and immunocompromised patients
• Effective communication with patients, families, and multidisciplinary teams

Proficiency in EHR documentation, order entry, and utilization of oncology-specific treatment plans and pathways

Ability to calmly educate patients, families, and learners during an infusion reaction and/or patient emergency

Strong attention to detail and adherence to safety standards related to high-risk therapies and immunocompromised populations

Commitment to evidence-based practice, regulatory standards, and continuous professional development

Additional Details

Apply online. Please be sure to upload a Cover Letter and Resume/CV.

OHSU employees have access to robust and competitive benefits for well-being and peace of mind. Packages include medical, dental and vision plans, generous paid time off, multiple retirement options, participation in the Public Student Loan Forgiveness (PSLF) program, wellness support and more.

You’ll also find a commitment to belonging. OHSU welcomes diverse people and ideas, and we foster a culture that is inclusive, equitable and accepting of all. We aim to help you:

• Feel supported.
• Explore well-being programs and resources.
• Connect with colleagues to share and build knowledge.
• Find fulfillment by balancing work, life and community.

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Why Apply to OHSU?

We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals.

As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations.

We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu