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Medical Oncology APP (APRN or PA-C)

Lexington-Fayette, Kentucky

CHI Saint Joseph Medical Group


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  • Employment Type: Full Time
  • Department: Oncology
  • Hours/Pay Period: 80

The posted compensation range of $45.00 - $200.00 is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2023-315707 Employment Type Full Time Hours/Pay Period 80 Shift Day Weekly Schedule 8:00a.m. Remote No Category Nurse Practitioner
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Job Details


The Oncology Advanced Practice Registered Nurse (APRN) provides high quality, comprehensive, accessible and cost effective oncology patient care through clinical expertise, role modeling, mentoring, consultation, interdisciplinary collaboration and utilization of research. The APRN will provide supervision consistent with their privileges for patients receiving infusion and/or chemotherapy in an outpatient setting. The APRN scope of practice is determined by state and federal regulations, the professional code of ethics, professional practice standards and hospital/department policies/ procedures. The scope of advanced practice registered nursing is distinguished by autonomy and a high degree of independent judgment. This level of clinical decision-making is a sophisticated, innovative synthesis of knowledge, clinical evidence, research, scientific theory and nursing process. The APRN honors the patient’s mind, body and spirit in support of a caring environment focused on healing and wellness.

CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric and Pediatric Medicine in addition to several specialties to deliver custom care based on the unique needs of our patients.


  • Assessment of patient’s needs
    • Performs a comprehensive assessment in accordance with established professional standards, hospital policy, national core measures and other quality indicators. 
    • Considers the patient’s culture, age and developmental level. 
    • Uses research and knowledge as the basis for assessment techniques
    • Initiates and interprets relevant diagnostic tests and procedures in conjunction with Attending MD. 
  • Determination of diagnoses 
    • Critically analyzes assessment data obtained during interview, physical examination, diagnostic tests and/or diagnostic procedures 
    • Derives and prioritizes diagnoses using clinical reasoning.  
    • Support MD plan of care 
  • Identification of expected outcomes  
    • Individualizes identified outcomes derived from assessment data and diagnoses
    • Considers associated risk, benefits and cost
    • Modifies goals for care based on changes in the patient’s health status 
    • Communicates care interventions to MD and Nursing Staff. 
    • Identifies appropriate quality indicators to support care of each patient. 
  • Development of comprehensive plan for care   
    • Designs plan describing assessment/ diagnostic strategies and interventions that address the promotion/restoration of health and the prevention of illness/ disease.
    • Applies current health care knowledge, research and practice. 
    • Demonstrates independent clinical decision-making.      
    • Documents plan in accordance with hospital policies/procedures
    • Collaborates with attending MD and if applicable Internists or Hospitalists as well as other disciplines in development of plan as appropriate.
  • Implementation of interventions and treatments in conjunction with a collaborating physician
    • Provides direct supervision of patient receiving treatments in Outpatient Infusion care setting.  
    • Performs interventions and treatments within the scope of advanced practice registered nursing defined by ANA standards, Kentucky Nurse Practice Act and Collaborative practice agreement.  
    • Performs simple to complex interventions and treatments reflecting knowledge of health care research findings, scientific theory and evidenced base practice.
    • Documents patient assessments and responses to therapy in the medical record.
    • Considering patient’s complex needs and desired outcomes, provides clinical coordination of care. 
    • Monitors accuracy and completeness of patient care provided by other team members. 
    • Provides theory-based consultation to influence the plan of care and enhance the abilities of others according to evidenced based practice. 
    • Involves the patient and family in decision-making.
    • Identifies educational needs of patient related to prioritized diagnoses.   
    • Employs appropriate teaching strategies based on assessment of risks, learning theory, epidemiological principles and the client’s health beliefs, health practices, developmental level, learning needs, readiness and ability to learn and culture. 
    • Uses prescriptive authority, procedures and treatments in accordance with the Kentucky Nurse Practice Act and hospital policies/procedures with collaborative practice agreement on file. 
    • Monitors effects of pharmacologic, non-pharmacologic and other interventions.
    • Initiates interventions in response to changes in patients conditions related to infusions and medication administrations. 
    • Communicates changes in condition and relevant patient information to attending MD.  
    • Makes referrals for additional care as needed.  
    • Implements recommendations from referring sources as indicated.   
  • Evaluation of patient’s progress 
    • Assesses diagnoses and effectiveness of interventions toward plan of care.
    • Revises diagnoses, expected outcomes and plan of care based on advanced knowledge, practice and research 
    • Assures compliance of recommended standards of care. 
  • Commitment to professional role 
    • As the clinical expert, assumes a leadership role in establishing standards of practice and plan of care to improve patient care.
    • Acquires and maintains knowledge and skills appropriate to oncology practice specialty.
    • Utilizes research to evaluate knowledge and develop creative approaches to care. 
    • Disseminates relevant research findings through practice, education and/or consultation.    
    • Maintains professional certification in area of expertise.
    • Evaluates to improve own performance according to standards of practice and patient outcomes.  
    • Seeks feedback regarding own role performance from peers, colleagues, patients and others. 
    • Serves as a role model for the professional development of peers, colleagues and others. 
    • Fosters a learning environment when mentoring staff and students.
    • Participates in professional activities both inside facility and in community.
    • Informs the patient and documents the risks, benefits and outcomes of health care regimens. 
    • Works collaboratively with other disciplines to enhance patient care.
    • Demonstrates support of unit/house-wide shared governance activities.
    • Promotes a positive group dynamic and healing environment through actions and attitude. 
    • Demonstrates recognition of integration of mind, body, and spirit of each patient.  
  • Support for quality care through positive customer relations and creation of a healing environment
    • Assures practice excellence in accordance with accepted standards, 
    • current research findings and nursing services’ caring philosophy. 
    • Minimizes costs and unnecessary duplication of testing or other diagnostic activities  
    • Uses performance improvement data and national care standards to initiate changes in plan of care as appropriate. 
    • Uses caring perspective in regard to patient care interventions.    
    • Displays respect, compassion, empathy and trust in relation to others.
    • Ensures positive customer relations through caring behaviors. 
    • Uses sensitivity in managing difficult or emotional situations.
    • Responds promptly and courteously to patient requests. 
    • Promotes trust by meeting commitments and excellent communication.


Progressive clinical nursing experience
Three to five years of progressive clinical nursing experience with primary care management of an oncology patient population.
Master's Degree Licensed / Certification as a Nurse Practitioner
Verbal and communication skills, presentation skills, computer skills computer skills
Special Competencies required: Must demonstrate appropriate knowledge and skill in the management of patients in need of palliative care.
The role of the nurse practitioner is to work collaboratively with a physician in providing health care maintenance, disease prevention, physical diagnosis, and treatment in the general and specific, specialized settings.
Certification by the State of Kentucky, Board of Registered Nursing as A Family Nurse Practitioner
Current National Certification (ANCC) as a Nurse Practitioner
DEA Controlled Substance Registration National Provider Identifier Number (NPI)

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Are you a career fit with our CommonSpirit Health culture? To understand how we are structured, we believe in some core philosophies with the following:

We will be stronger together, achieving excellence in all we do, collaborating across the fields and growing our collective knowledge.

We will let humankindness guide us as we treat every person with holistic, personalized care for the body, mind and spirit.

We will advance the science and art of nursing as innovative leaders who demonstrate the power of evidence-based, compassionate care. If you believe in working together with humankindness for all to advance the science and art of nursing - then you have found your career fit with us!

“Our hope is that you will always feel inspired, knowing you truly are the heart and soul of CommonSpirit.”

– Kathleen D. Sanford, EVP, Chief Nursing Officer

Your Potential Career Path

This is a snapshot of your potential career path highlights the series of job positions that help you progress towards your goals and objectives. Ultimately, your career path depends on your career values and personal goals.

 Career path shows a list of jobs that someone could get by getting promotions at this company: 1. Student Nurse  2. New Grad Nurse  3. Staff Nurse 4. Educator 5. Charge Nurses/ Supervisors  6. Nurse Practitioner  7. Managers/Directors  8. CNE

Success Profile

What makes a successful Medical Oncology APP (APRN or PA-C) at CHI Saint Joseph Medical Group?

  • Compassionate
  • Trustworthy
  • Proactive
  • Collaborative
  • Communicator
  • Balanced

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.