Clinic RN

The START Center for Cancer Care; San Antonio (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

The START Center for Cancer Care in Texas is seeking a Treatment RN to provide safe, compassionate care to patients receiving chemotherapy, immunotherapy, biologics and related infusions. You will perform focused assessments, administer IV therapies, monitor for adverse reactions, and collaborate with oncologists to ensure evidence-based treatment.

Responsibilities include documenting in the EHR, educating patients and families, coordinating appointments, and upholding chemotherapy safety

Qualifications

• Current RN license by the Texas State Board of Nursing or a Compact RN license.
• Oncology infusion experience or ONS Chemotherapy/Biotherapy Certification preferred.

Responsibilities

• Administer chemotherapy, immunotherapy, biologics and related IV medications per orders and protocols.
• Monitor patients for hypersensitivity, adverse reactions, and infusion complications.
• Document assessments, medications and reactions in the EHR promptly.
• Coordinate scheduling and patient flow in the infusion environment.
• Educate patients and families about treatment plans, side effects and self-care.

Skills

Communication with physicians and x

Phlebotomy

Venous access

Organization

Time management

Basic computer skills

Education

Texas RN license (or Compact)

Job description

Why Join Us?

The START Center is growing! We are pioneering premier Cancer Care for our patients with leading doctors, advanced diagnostics and cutting-edge therapies. We offer competitive wages, benefits, and yearly bonus opportunities. The growth of our organization and our innovative environment to treat and care for patients that have cancer make us a great match for anyone looking to begin or further their career at a company with a mission that truly impacts lives.

Job Description

Job Title: Treatment RN

Reports to: Director of Clinical Services

JOB SUMMARY: The Chemotherapy Registered Nurse is responsible for providing safe, compassionate, and expert nursing care to patients receiving chemotherapy, immunotherapy, biologics, and supportive infusion treatments. The Chemo RN performs focused patient assessments, administers complex IV therapies, monitors for adverse reactions, educates patients and families, and collaborates closely with oncologists and the interdisciplinary team. This role requires specialized oncology knowledge, strong critical-thinking skills, and strict adherence to evidence-based chemotherapy safety standards.

Supervision received: General supervision by the Director of Clinical Services.

Supervision performed: Treatment and triage Medical Assistants.

Essential Duties

Chemotherapy and Infusion Administration

Administer chemotherapy, immunotherapy, targeted therapy, and related IV medications in accordance with provider orders and evidence-based protocols. Verify chemotherapy orders, doses, and calculations following institutional safety policies (e.g., double-checks, protocol verification). Access, de-access, and manage central lines and peripheral IVs. Monitor patients closely during and after infusions for hypersensitivity, anaphylaxis, or other adverse reactions. Manage infusion-related complications promptly using clinical judgment and emergency protocols.

Patient Assessment and Support

• Perform focused pre-treatment assessments, including vital signs, lab review, symptom evaluation, and treatment appropriateness.
• Identify changes in patient status and communicate significant findings to the Clinic RN and Physician.
• Provide emotional support and education about treatment plans, side effects, symptom management, and self-care strategies.
• Educate patients on infection prevention, neutropenia and thrombocytopenia precautions, and when to seek urgent care.

Treatment Coordination and Documentation

• Ensure accurate and timely documentation of assessments, medications, reactions, and interventions in the EHR.
• Review lab values, diagnostic results, and pre-medication requirements before initiating treatment.
• Assist with scheduling and patient flow to maintain an efficient and patient-centered infusion environment.

Safety and Compliance

• Follow OSHA, USP Guidelines, ONS/ONCC, and facility standards for handling hazardous drugs and PPE.
• Maintain a safe environment for both patients and staff by adhering to infection control and hazardous waste disposal guidelines.
• Maintain chemotherapy competency and annual reassessments as required.

Qualifications

Current RN license by the Texas State Board of Nurses or a Compact RN license until residency is established and a Texas license can be obtained. Preferred 1-3 years of oncology infusion or ONS Chemotherapy/Biotherapy Certification.

Special Requirements Or Skills Required

Ability to communicate well with physicians, staff, and patients. Good phlebotomy, venous access, organizational and time management skills required. Basic computer skills required.