Clinical Nurse IV - Main Clinic

City of Hope

Irvine, CA

Job posting number: #7098781 (Ref:10015241)

Posted: April 27, 2022

Application Deadline: Open Until Filled

Job Description

About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution.  AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.

City of Hope’s commitment to Diversity, Equity and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities.  Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding.  We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds and perspectives; this is reflected in our work and represented in our people.

Position Summary:

The professional registered nurse (RN) integrates and practices according to the California Nurse Practice Act in alignment with City of Hope Orange County’s mission, vision, and values.  The RN is responsible for implementing the nursing process and collaborates with the interprofessional team while maintaining continuous focus on the patient and family.

At the level of Clinical Nurse IV (CNIV), the RN is a proactive agent who actively participates and leads the integration of research, evidence-based practice (EBP), innovation, and performance improvement to the highest level of quality care. A CNIV engages in and role models lifelong learning, supports professional growth of peers and future RNs, and is dedicated to the advancement of the profession of nursing.

Essential Functions:

Understands and applies the City of Hope Code of Conduct, Code of Organizational Ethics, and Scope and Standards of Oncology Nursing Practice. CNIVs role model a culture of service excellence with an emphasis on collaboration, collegiality, ethics, diversity awareness and cultural competency, quality of care, and resource utilization. CNIVs assure adherence to all policies, procedures, environmental and infection control guidelines, and actively participate in review and update. CNIVs possess leadership behaviors that support their peers on performance, quality improvement, and Nurse Sensitive Indicators (NSI). CNIVs possess integrity, assure confidentiality, and promote the image of the professional nurses through day-to-day interactions with patients, families, and colleagues. CNIVs achieve results through creative problem solving.

CNIVs demonstrate emotional intelligence as role models for healthy and professional behaviors in alignment with the Department of Nursing professional practice model and the principles of Relationship Based Care (RBC).

CNIVs actively apply RBC principles to deliver and promote a work practice environment in which care of self, care of others and care of community can thrive.

CNIVs role model and actively lead collaboration and teamwork to achieve positive working relationships with all nurses, advanced practice providers, physicians, allied health and support staff members, with attention to self-care and healthy work/life balance.

Education / Patient, family, community, and self

  • CNIVs demonstrate expert assessment of patient and family to determine patient’s/family’s ability to comprehend and understand education. CNIVs are experts at facilitating comprehension, minimizing/eliminating barriers and providing patient – centered education.
  • CNIVs, in addition to meeting the expectation of employing educational strategies such as teach back, inclusion of designated caregivers and validating education of individual patients, CNIVs also educate on a broader level.
    • CNIVs contribute to the education of our communities about health, wellness, prevention, and continuum of care issues relevant to the communities.
    • CNIVs are leaders in the review of current literature, attendance at educational programs, workshops, and in-services with dissemination of information back to peers.
  • CNIVs are committed to lifelong learning, including on-going pursuit of education, both formal and informal. CNIVs strive to exceed the minimum expected level of education for the professional registered nurse (Bachelor’s degree), pursue professional certification and promote participation in continuing education offerings, both internal and external.
  • CNIVs, as all California RNs, are required by California state law to complete continuing professional education to maintain licensure. Additionally, CNIVs routinely and actively engage in intellectual curiosity and enrichment.


  • Role Models professional nursing practice in the practice environment and throughout the organization
    • Contributes to EBP projects, Process Improvement, Quality Improvement and/or Shared Governance on unit or organizationally
    • Demonstrates, supports, and teaches Evidence Based Practice techniques to Nursing and ancillary staff
    • Role models excellence in Relationship Based Care (RBC)
  • Mentors new and existing RN staff and ancillary support staff
  • Role models excellence in staff experience by
    • Creating a good working relationship, and positively motivating and influencing peers
    • Being visionary and proactive in empowering teamwork
    • Observing the performance of nursing personnel and constructively sharing this information with the team
    • Encouraging peer to peer responsibility and accountability
    • Facilitating communication and providing constructive feedback to peers
    • Providing effective management of problems and conflicts identified on the unit
    • Applying principles of “Care of Colleagues”
  • Role models excellence in patient experience by
    • Monitoring and ensuring that patient care delivered on the unit is customer focused
    • Monitoring the quality of care being delivered by other nursing staff members
    • Applying decision-making theory and scientific method to solve patient care problems
    • Providing customer service recovery when applicable
    • Acknowledging and assisting in providing unit needs to meet patient care
    • Applying principles of “Care of Patient and Family/Community”
  • CNIVs are expert at communication, clearly articulating expectations and driving positive outcomes.
  • Additional Leadership Roles include:
    • Preceptor of new RNs and nursing students in exemplary professional practice
    • Charge Nurse
    • Leadership role with Shared Governance


  • CNIVs are role models for use of evidence-based practice quality improvement methods. CNIVs actively support exemplary delivery of care for patients and family and resolution of quality concerns for patients and families. Utilizing Lean Methodology, the COH City Blueprint and PDSA concepts, the CNIV continually participates in quality improvement.
  • All RNs are expected to:
  • Follow established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.

Basic education, experience and skills for consideration:

  • Bachelor’s Degree in Nursing required; Master’s Degree in Nursing acceptable if Bachelor's degree is not in nursing.
  • Three years related experience (oncology)

Required Certification/Licensure:

  • Current California RN license
  • Current National certification, must be maintained in order to retain CN IV status (effective February 22, 2022)
  • Current Basic Life Support (BLS) through American Heart Association

Preferred education, experience and skills:

  • Must have proficient / expert oral and written communication and organizational skills
  • Bilingual preferred
  • Demonstrates cultural competence
  • Maintains professional appearance, per dress code policy
  • Demonstrates outward manifestations of City of Hope culture of excellence
  • Compile’s data
  • Conducts analyses
  • Makes recommendations based on data

Additional Information:

  • As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.

City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.

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