RN - Hematology​/Oncology Clinic

Telephone Triage Nurse - Hematology/Oncology

The 3 CE Outpatient Hematology/Oncology Clinic of the Nemours Center for Cancer and Blood Disorders provides comprehensive outpatient services to children and families with hematological and oncological diagnoses.

This position is a 0.8 FTE (32 hours a week/64 hours per pay period) during the hours .

Principal diagnoses include:

• Anemia
• Thrombocytopenia
• Sickle Cell Disease
• Hemoglobinopathy
• Coagulopathy Disorders
• Neutropenia
• Spherocytosis/Elliptocytosis
• Hemolytic Disorders
• Leukemias
• Brain/CNS tumors
• Solid tumors
• Lymphomas
• Histiocytosis
• Neuroblastoma
• Neurofibromatosis
• Genetic blood disorders

Hours of operation:

• 06:45 am‑5 pm, Mondays and Thursdays
• 8 am‑5 pm, Tuesdays, Wednesdays, and Fridays

Provides telephone triage for pediatric hematology/oncology/transplant and cellular therapy patients, delivering timely assessment, care coordination, and first‑line clinical support.

• Performs telephone triage assessments for pediatric hematology/oncology/transplant and cellular therapy patients with symptoms such as fever, neutropenia, bleeding, pain, dehydration, and treatment‑related toxicities.
• Utilizes standardized triage protocols, Smart Phrases, and Epic workflows for symptom assessment, documentation, communication, and care recommendations.
• Documents and communicates clinical information clearly in Epic through telephone encounters and In Basket routing.
• Provides patient and family education, anticipatory guidance, and follow‑up instructions by phone.
• Reviews and prioritizes new patient referrals, outside records, and laboratory information to support scheduling and provider assignment.
• Coordinates care across outpatient and inpatient settings, including same‑day visits, infusion scheduling support, urgent add‑ons, direct admissions, emergency department escalation, and other disposition needs.
• Supports medication, treatment access, and authorization workflows by initiating or routing telephone encounters and facilitating timely follow‑up.
• Manages triage communication workflows, including In Basket prioritization and timely response to patient, family, provider, pharmacy, and care team needs.
• Conducts follow‑up calls and ongoing communication for high‑risk patients, unresolved concerns, and care plan updates.

• Advanced clinical judgment in pediatric hematology/oncology/transplant and cellular therapy care.
• Strong knowledge of symptoms, treatment‑related toxicities, supportive care needs, and considerations for immunocompromised pediatric patients.
• Ability to use standardized triage protocols, clinical guidelines, and independent nursing judgment.
• Strong verbal and written communication skills.
• Proficiency in Epic documentation, telephone encounters, and In Basket management.
• Ability to deliver effective patient and family education and anticipatory guidance.
• Strong organizational skills and ability to manage multiple priorities and high call volumes.
• Collaborative ability across outpatient, inpatient, infusion, pharmacy, and ancillary teams.

Must hold current APHON Chemotherapy/Biotherapy Provider or Instructor Status. ONCC Certification preferred (CPHON, CPON, BMTCN, TCTCN).

3–5 years nursing experience;
Hematology, oncology, transplant, and cellular therapy experience required, and triage experience preferred.

Moderate to high impact role affecting patient safety and outcomes.

• Supports workflow standardization, patient throughput, and quality metrics tracking.
• Participates in quality improvement initiatives and continuous process improvement efforts.
• Supports development and maintenance of triage workflows, Smart Phrases, and standardized documentation tools.
• Assists with data collection, reporting, and workflow monitoring related to triage volume, turnaround times, access, and quality metrics.

• You must be a graduate of an accredited school of nursing.
  • BSN is preferred
  • Must be eligible for Delaware State license (or compact license).
  • Current AHA Healthcare Provider (HCP) Certification required
  • PALS optional but required to obtain within a year of hire.