Lead RN

Overview

ANNUAL SALARY (DEPENDING ON SKILLS/EXPERIENCE): $ - $

SCOPE: The Lead RN is responsible for overseeing the daily clinical operations and nursing functions at their assigned infusion site. This position ensures safe, efficient, and high-quality patient care by managing day-to-day workflows, assignments, and communication among nursing and support staff. The Lead RN acts as the on-site clinical resource and liaison between nursing staff, providers, and the Supervisor of Nursing Services to maintain alignment with organizational standards, policies, and objectives.

ESSENTIAL

JOB RESPONSIBILITIES:

• Oversee daily site operations, including RN assignments, patient flow, and coordination of clinical activities to ensure safe, timely, and effective care.
• Monitor in-baskets, triage queues, and communication channels to ensure timely response and resolution.
• Oversee chart preparation and review (24‑hour and 96‑hour checks) for infusion patients to ensure readiness and accuracy.
• Manage hospital admissions coordination, ensuring communication between physicians and inpatient facilities.
• Oversee and supports INR/Coumadin Clinic workflows and patient monitoring, as applicable.
• Monitor infusion treatment compliance, safety, and documentation.
• Ensure compliance with REMS programs including Ultomiris and Touch program, coordinating staff education and tracking.
• Oversee the proper use, maintenance, and ordering of infusion‑related equipment and supplies (BBraun pumps, Infusystem management and ordering).
• Serve as a clinical resource for nursing and MA staff, providing guidance on treatment protocols, patient safety, and clinical decision‑making.
• Coordinate daily staffing and coverage to ensure adequate clinical support for patient volumes.
• Review and approve PTO requests and timecards for assigned staff, ensuring compliance with staffing needs and payroll accuracy.
• Provide input to the Supervisor, Nursing Services on staff performance and assist with employee reviews and coaching.
• Facilitate orientation and ongoing training for new and existing team members.
• Serve as a mentor and role model, fostering a culture of teamwork, accountability, and professional growth.
• Conduct monthly safety checklists and ensure any findings are corrected and documented.
• Support and reinforce staff education on new drugs, updated chemotherapy or infusion protocols, and equipment procedures.
• Identify opportunities to improve efficiency, safety, and patient satisfaction at the site level and communicate recommendations to leadership.
• Ensure adherence to all company policies, procedures, and regulatory requirements.
• Act as a liaison between the site team and the Supervisor, Nursing Services, to maintain alignment with organizational goals.
• Collaborate with Physicians, Practice managers, and pharmacy staff to ensure coordinated care delivery.
• Support implementation of new programs, clinical protocols, or quality initiatives under direction from the Supervisor.

EDUCATION / TRAINING REQUIREMENTS:

• Graduate of an accredited school of nursing; BSN required, MSN preferred

LICENSES / CERTIFICATIONS / REGISTRATION:

• Current, active RN license in the State of California required
• BLS/CPR certification required
• Oncology Nursing Certification (OCN) and ONS Chemotherapy & Biotherapy preferred

EXPERIENCE REQUIREMENTS:

• Minimum 3 years of clinical nursing experience required, preferably in oncology or infusion therapy
• Minimum 2 years’ experience in an outpatient infusion center or related setting required
• Prior leadership or charge nurse experience preferred

SUPERVISORY RESPONSIBILITIES:

• Provides day-to-day leadership and work direction to nursing and support staff within the assigned site.
• Assigns patient loads and daily RN duties to ensure safe and balanced workflows.
• Reviews and approves staff timecards and PTO requests.
• Provides ongoing coaching, feedback, and training to clinical staff.
• Serves as an on-site escalation point for clinical or operational concerns.
• Participates in the hiring and performance evaluation process by providing feedback to the Supervisor.
• Does not have formal authority for hiring, termination, or disciplinary action;…