Nurse Manager - Inpatient Admissions

Location US-MA-Boston
Job Posted Date 4 days ago(3/13/2018 12:06 PM)
Job ID
full time


Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.




The Nurse Manager for Inpatient Admissions Planning will be responsible for day-to day coordination of customer-oriented inpatient access for the Department of Medical Oncology.  This includes understanding the entire immediate and short term demand for inpatient oncology care.  Responsibilities include collaborating with Attending Physicians, Inpatient Nursing & Medical Leadership and the Admitting Department to implement systems and guidelines that optimize the defined bed capacity across Medical Oncology; communicating census capacity issues and facilitating resolutions; serving as the interface between Admitting and Medical Oncology to prioritize admissions from the various sources and patient types (from ambulatory clinic, OSH, Emergent, Elective, and Urgent) and Management of OSH referrals and relationships.

The Mission, Vision and Core values of the Dana-Farber Cancer Institute are incorporated into all areas of practices.




  1. Licensed as a Registered Nurse in the Commonwealth of Massachusetts
  2. Baccalaureate degree required; Baccalaureate degree in nursing preferred
  3. Master’s degree preferred.
  4. Certification in Oncology Nursing, OCN, ACON, or CPON strongly preferred.
  5. Minimum of 5 years oncology or adult acute care experience required
  6. Nursing leadership experience such as flow coordinator, access nurse, bed control nurse, etc required




  1. In collaboration with the Inpatient Medical director and Disease Center Leaders, develop and maintain guidelines and policies for appropriate admissions to the DFCI Inpatient Hospital and Brigham and Women's Hospital.  These guidelines will address:
    1. Baselines for allocation of beds across Medical Oncology Services (BMT, Hematologic Malignancies, Solid Tumor, Palliative Care)
    2. Criteria for prioritizing admissions for each patient type (Emergent, Urgent, Elective, OSH); establishing daily baselines
    3. Process for resolving conflicts when demand exceeds bed availability


  1. In collaboration with the Inpatient Medical Director, Disease Center leaders, Transplant Clinical Coordinators proactively manages the scheduling of all patient admissions and coordinates conflict resolution prior to confirmation of admission with access management.  On a daily basis:
    1. Reviews preadmission lists and addresses variances to set guidelines
    2. Confers with BWH ICU team to identify pending discharges to Oncology floors
    3. Monitors Yawkey expected admit lists and ED lists
    4. Reviews OSH transfer lists
    5. Reviews census reports to assesses I/P bed capacity
    6. Confirms admissions based on bed availability and team capacity with access management


  1. In collaboration with the I/P Medical Director, Chief PAs and Chief Residents manages the assignment of patients to appropriate inpatient teams
    1. Facilitates communication to Access Center
    2. Actively engages with teams on discharges


  1. Participates in all Code Help situations; providing support to the I/P medical Director, I/P medical Oncology Leadership, Access Management, ACNOs, Nurse Directors, Chief/Triage PA, House Staff to facilitate discharges and triage patients to appropriate community settings as necessary


  1. Establishes and sustains successful external relationships with outside facilities and referring physicians. Serves as primary liaison for referring physicians, DFCI MDs, and Access Center to coordinate the timing and placement of outside facility transfers 
    1. Collaborates with Medical Oncology Leadership and Access Center to develop and maintain an algorithm for accepting appropriate outside facility transfers
    2. Assesses appropriateness of requested transfer; triaging if tertiary care isn’t required and arranging f/u with DFCI provider when appropriate
    3. Manages communication and documentation of clinical status of OSH transfers on an ongoing basis
      1. If patient isn’t transferred within 24-48 hours, contacts the referring MD and outside facility nurse to update them on bed status and inputs an updated expect note in the medical record if there has been a change in the patients’s clinical status or finding
      2. If patient is transferred, follows up with the accepting DFCI Attendings to ensure an Expect Note is placed


  1. Other Duties:
    1. Attends Patient Progression and Safety Huddle meetings as requested
    2. Troubleshoots potential issues (referrals, physician, patient) and collaborates with appropriate stakeholders
    3. Maintains high level of visibility both inpatient oncology units and Admissions offices as well as outpatient


  1. Continually updates clinical knowledge and skills through formal and informal education and review of the current literature
  2. Must work well independently, and have sound decision making skills and abilities
  3. Must exercise a high degree of professional judgment within the scope of licensure
  4. Must possess superior interpersonal skills to interact effectively with intra- and inter- hospital physicians and personnel. Through relationship management, has demonstrated the ability to influence people who are not under direct supervision
  5. Possess ability to manage critical issues relating to patient care and changing organizational climate
  6. Requires a high degree of schedule flexibility and cross-coverage
  7. Must demonstrate consistently superior communication skills, initiative and self-motivation




Provides direct and supervision to RN’s, Clinic Assistants, and other support personnel.  Number supervised may vary.





  Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.


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