Nursing Director Ambulatory Oncology

Under the guidance of the Executive Director Ambulatory Oncology Services and in partnership with the Oregon Health & Science University (OHSU) Knight Cancer Institute and Legacy Health the RN Director provides clinical leadership and full management oversight of clinical preparedness for new patient referrals ambulatory oncology triage care coordination and navigation including patient support during transitions of care.

The RN Director reports directly to the Executive Director Ambulatory Oncology Services directly supervises nurse managers clinical and operational supervisors and administrative personnel and indirectly oversees the full scope of clinical coordination servicesincluding triage care coordination and navigationthat support outpatient clinics and patient flow across Knight operations including main campus Legacy Health Community Hematology Oncology (CHO) locations and support as needed for The Vancouver Clinic and Legacy Health Salmon Creek partners ensuring safe high-quality patient-centered cost-effective and competitive care.

The RN Director collaborates with multidisciplinary teams to assess plan and support care delivery. This work is grounded in professional governance and a commitment to safe innovative staffing; clinical excellence; ongoing professional development; and the meaningful engagement of both care providers and recipients as participants in a human-centered health service.

The RN Director partners with Oncology Finance and other key departments leaders and personnel to develop forecasts and budgets for their areas within OHSU and its collaborative agreement partnership with the Executive Director of Ambulatory Oncology Services the RN Director finalizes operating and capital budgets. They also work closely with practice managers and faculty leaders to optimize treatment schedules by analyzing data identifying barriers and coordinating with stakeholders and Medical Directors to resolve issues. The RN Director monitors and reports budget variances across coordination service areas and collaborates with OHSU and Legacy Health leadership to investigate and resolve financial discrepancies. They ensure resource capacity aligns with growth projections set by the Executive Director and the Program Service Line.

As a Registered Nurse the RN Director upholds nursing excellence through the Professional Practice Model and leads operational human resources quality and financial functions related to triage care coordination and navigation. They translate institutional priorities into local practice lead quality and safety initiatives ensure regulatory and policy compliance and foster a supportive and engaged work environment focused on delivering safe high-quality care.

The RN Director makes decisions and takes actions grounded in the ethical principles outlined in the Code of Ethics for Nurses by the American Nurses Association (ANA). They practice in alignment with the ANAs Nursing Administration: Scope and Standards of Practice for Nurse Administrators the applicable State Board of Nursings Nurse Practice Act and the Nurse Executive Competencies developed by the American Organization for Nursing Leadership (AONL).

The RN Director also ensures triage care coordination and navigation services meet the quality and compliance expectations of external accrediting bodies including the Foundation for the Accreditation of Cellular Therapy (FACT) and the Commission on Cancer (CoC). This includes contributing to audit readiness leading quality review processes and supporting the development of documentation and workflows aligned with regulatory and accreditation standards. The RN Director exemplifies the principles outlined in the OHSU Culture of Safety Position Statement by committing to a Just Culture a Reporting Culture a Learning Culture and an Engaged Informed Culture.

1. Strategic Planning:
Aligned with the Executive Director of Ambulatory Oncology Services the RN Director collaborates with operational leaders Medical Program Directors across School of Medicine divisions and key administrative partners to develop a service line plan that translates the Cancer Programs vision nursing practice excellence and organizational strategic goals into local operations. The RN Director is responsible for reviewing clinical-operational plans prior to implementation.
Collaboratively develops goals defines strategies and tactics for key initiatives and establishes clear measures of success.
Assigns ownership of tasks to direct reports to achieve strategic targets.
Develops short- and long-term action plans that support a multidisciplinary approach to best practices in delivering excellent patient care.
Coordinates the implementation of interventions to meet program-level goals.
Leads communication implementation and ongoing evaluation of the strategic plan to ensure alignment with organizational priorities and engagement across teams and stakeholders.

2. Operational Leadership
Partners with others to enhance healthcare and ultimately patient care through interdisciplinary activities such as education consultation management technological development or research opportunities.
Applies systems theory with an understanding that how parts of a system relate to the overall system.
Maintains current knowledge of nursing practice and care team roles within a professional governance framework including charge nurses shared governance representatives professional practice leaders focused on systems and education and preceptors.
Evaluates staff competency and intervenes to optimize performance and ensure safe quality effective and efficient patient care.
Leads and practices patient/family advocacy and promotes patient-centered decisions and outcomes.
Maintains visibility and open communication with staff nursing reporting structure and Cancer Program leadership.
Effectively communicates plans decisions and project updates to staff and stakeholders to support change adoption process improvement and successful implementation of new initiatives.
Communicates in a respectful non-biased and non-judgmental manner consistent with nursing ethics institutional values policies and labor agreements.
Ensures the care environment supports the provision of safe quality care and a workplace that promotes shared decision-making accountability autonomy and engagement.
Engages in reflective practice to strengthen leadership capacityrecognizing how personal values beliefs and assumptions shape decision-making and drive continuous learning.
Integrates equity and inclusion into governanceensuring policies and practices reflect OHSUs commitment to health equity non-biased team engagement and culturally responsive care.
Celebrates achievements through culturally affirming recognitionreinforcing a culture of belonging equity and professional excellence.

3. Financial Management
Evaluates nurse leaders performance against financial targets using electronic tools such as Axion Power BI and Epic-based operational reports (e.g. template utilization visit volumes and appointment access).
Supports and mentors nurse managers in developing full financial literacyincluding productive non-productive and premium pay management labor contract parameters and the relationship between staffing revenue and performance incentives.
Collaborates with Specialty Practice Leaders to align resource allocation with department-level education practice priorities and projected growth.
Develops data-informed innovative strategies to secure and sustain resources for nursing-led initiatives ensuring alignment with institutional priorities.
Promotes transparency in fiscal performancecommunicating costs of care financial risks and opportunities and ongoing mitigation plans in collaboration with finance and operational partners.

4. Human Resources
Uses evidence-based leadership to promote professional accountable behaviors.
Manages leader and staff performance through progressive development to foster a culture of continuous learning.
Builds and sustains a high-functioning workforce in collaboration with Knight Cancer Institute and OHSU Nursing Leadership.
Recognizes and rewards exemplary professional nursing practice.
Provides ongoing progressive mentoring and coaching for staff.
Monitors and evaluates nursing practice performance in alignment with the American Nurses Association (ANA) standards the Oregon State Board of Nursing (OSBN) regulations the National Code of Ethics for Nurses institutional policies and labor contracts held by OHSU.
Oversees application of just cause principles OSBN complaint tools and Human Resources counseling guides to evaluate whether performance deviations are due to human error risk-taking recklessness or intent. Collaborates with professional practice leaders (as applicable) to address individual practice concerns implement improvement strategies and assess outcomes across assigned areas.
Collaborates with leaders in the Program to support behaviors that enhance safety quality patient experience and team engagement.
Leads efforts to recruit and retain highly qualified nursing staff.
Drives employee engagement through active participation in employee engagement surveys and the National Database of Nursing Quality Indicators (NDNQI) and leads development of action plans to build on strengths and address challenges.
Develops and implements succession planning initiatives for departmental leadership roles.

5. Performance Improvement
Develops the department/ quality plan in collaboration with the Executive Director Medical Director and a variety of formal and informal leaders.
Utilizes data to identify areas for improvement based on assessment and current states.
Articulates the link between metrics and goals.
Monitors and uses data to determine patient care and quality improvement objectives.
Evaluates the practice environment and designs/implements quality improvement strategies to ensure nursing sensitive outcomes meet or exceeds established goals.
Evaluates the impact/benefits of organizational nursing and department initiatives.
Identifies areas of risk and makes suggestions for reducing risk and improving outcomes.
Trends and investigates concerns and errors to understand the root cause of occurrences of errors or adverse events and success.
Maintains oversight for the department-level communication plan to connect system healthcare and nursing initiatives.
Supports workflow processes that build a culture of safety.
Uses current research findings and other evidence to expand clinical knowledge enhance role performance and increase knowledge professional issues

6. Professionalism
Evaluates practice in relation to the professional practice of standards and existing evidence.
Promotes translation of theory scope & standards into practice to exercise autonomy and decision-making authority
Advances practice excellence by communicating a clear and consistent message about the ownership of role and standards -based professional practice.
Mentors and supports others to access resources for their professional development
Engages in informal and formal processes of giving and seeking feedback regarding role performance from individuals professional colleagues representatives administrators and others.
Interacts with peers and colleagues to enhance own professional practice and role performance and support the development of others.
Works collaboratively with Practice Leader to promote and support integration of the Professional Practice Model.
Demonstrates accountability to our social contract with patients through monitoring and addressing patient and family compliments and complaints monitoring department patient data and assisting in development of action plans for improvement.

• BSN or higher degree in nursing.
• Masters degree in nursing or related field or in process
  Five years of experience in a related clinical area and Two years related management/leadership experience.
• Experience in complex organizational environments.
• Ability to effectively manage multiple conflicting priorities.
• Proficient with word processing computational spreadsheet (e.g. Excel)
  and presentation software.
• Professional certification in nursing leadership-e.g. Nurse Executive/Administrator within 3 years of assuming the director role.
• Unencumbered Oregon RN license BLS for healthcare provider

• Masters degree in nursing leadership
• Experience in nursing management
• Three years of management experience in the related clinical area of practice
• Professional certification in nursing leadership-e.g. Nurse Executive/Administrator

This position also comes with great benefits! Some highlights include:

• Comprehensive health care plans that cover 100% for a full-time employee and 88% for dependents for .75 FTE and higher.
• $50K of term life insurance provided at no cost to the employee
• Two separate above market pension plans to choose from
• Paid time off- 208 hours per year (full-time) prorated for part-time
• Extended illness bank- 64 hours per year prorated for part-time
• 9 paid holidays per year
• Three weeks of paid parental leave
• Adoption assistance program (up to 5k)
• Substantial Tri-met and C-Tran discounts
• Tuition Reimbursement
• Innovative Employee Assistance Program (EAP)