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RN Job In Vancouver, Washington

Oncology Nurse Navigator - TVC Infusion Clinic

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Company: Legacy Health Profession/Specialty: RN Location: Vancouver, Washington 98664
Job Description

Oncology Nurse Navigator


Job ID: 19-9324
Type: Regular Full-Time
# of Openings: 1
Category: Nursing & Nursing Support - Cancer Services
Vancouver Oncology


The Oncology Nurse Navigator (ONN) is a Registered Nurse with comprehensive knowledge of cancer, treatment modalities, and cancer management. The ONN demonstrates critical thinking and utilizes the nursing process to assess and meet the needs of patients and their families/caregivers by providing care coordination throughout the cancer care continuum.

The ONN helps to improve the cancer care experience and preparedness for treatment by orienting and educating patients, families, and caregivers to the healthcare system and multidisciplinary team member roles and resources. The ONN will assess and address patients’ barriers to care, partner with patients/families to address their concerns, issues and needs, and facilitate appropriate referrals. The ONN will demonstrate knowledge of NCCN clinical guidelines and specialty resources to assist patients in making complex clinical decisions and ensure that appropriate standards of care are incorporated into the treatment plan. The ONN will serve as the central point of contact to the patient facilitating collaboration among all team members and ensuring an individualized approach from diagnosis, active treatment through survivorship. The ONN will demonstrate commitment to quality patient care, implement creative and innovative ways to meet diverse patient needs, and demonstrate ability to prioritize utilizing organizational skills and clinical judgement. The ONN will develop collaborative relationships both internally and externally, work in teams, and function with autonomy. The ONN will facilitate the assessment, implementation and evaluation of patient/family education and participate in the development of educational materials. The ONN will promote a consistent, holistic plan of care to enhance the quality of life of patients, families and caregivers through assessment, teaching, communication, support, and the practice of family-centered care. The ONN will work to influence both positive patient outcomes and system outcomes through improved interdisciplinary communication, patient retention, and downstream revenues.



Clinical Practice

Serves as clinical resource for oncology patients/families and is identified as such by Legacy Cancer Institute, physicians, and cancer care team.

Demonstrates knowledge of clinical guidelines (e.g. NCCN, AJCC) through all phases of patients’ care plan and survivorship.

Collaborates with patients, families and caregivers and members of the multidisciplinary care team to develop, implement and evaluate the plan of care.

Actively participates in the creation/delivery of cancer survivorship care plans and supports the provision of survivorship services/programs at Legacy Cancer Institute.

Provides comprehensive assessment, education, communication, and support to patients/families to facilitate shared decision making.

Acts as a liaison between the patients, families, and caregivers and the providers to optimize outcomes; facilitates transistion planning with patients/families and members of the multidisciplinary care team.

Assesses educational needs of patients, families and caregivers by taking into consideration barriers to care (e.g. literacy, language, cultural influences, comorbidities); provides education, resources and referrals (both internal and external).

Effectively utilizes EPIC to streamline and standardize documentation, workflows and management of patient case load to ensure care plan is current and communicated with all care team members.

Responsible for coordinating tumor-site specific cancer conferences.

Serves as oncology RN navigation representative on Legacy Cancer Institute tumor-specific program team(s), attends program planning meetings, participates in quality improvement projects as appropriate.

Participates in development, implementation and evaluation of standards, patient outcomes and program metrics.

Coordination of Care

Facilitates coordination of the plan of care with multidisciplinary team, promotes the appropriate and efficient delivery of services and recommendations (e.g. cancer conferences and clinic rounds).

Collaborates with members of the interdisciplinary team, including physicians, clinic and hospital personnel; facilitates access between patient and physician(s).

Builds relationships with patients, families and interdisciplinary team members to promote timely access to care, improved communication, and continuity of cancer services both within and across systems.

Identifies potential and realized barriers to care (e.g. transportation, language, employment, financial, psychosocial, insurance); seeks assistance from care team members and facilitates referrals as appropriate to mitigate barriers.

Facilitates access to cancer support staff (e.g. social worker, dietitian, genetic counselor, pharmacy navigator, integrative medicine provider(s), therapist(s), psychologist) as needed.

Initiates contact with patients at referral and at high stress points throughout the cancer care experience (e.g. time of diagnosis, changes in treatment plan, cancer recurrence and/or when symptom management issues arise).

Assesses patient needs upon initial encounter, reassesses as needed and at pivotal points throughout the cancer care continuum; matches unmet patient needs with appropriate referrals and support services.

Facilitates scheduling of medical consultations and support services if appropriate.


Utilizes theories and principles of education to support the educational development of patients and families.

Educates patients, families and caregivers, physicians involved in the patient’s care, internal and external healthcare providers, and the wider healthcare community about the role of the ONN.

Assesses patients’ understanding of their diagnosis, treatment options, plan of care, medical terminology, resources, post-treatment care and survivorship (e.g. survivorship care plan, treatment summary); clarifies information and reinforces education as needed.

Ensures communication/teaching is culturally sensitive and appropriate for health literacy; facilitates informed decision making.

Provides appropriate and timely education to patients, families and caregivers to facilitate their understanding about the cancer healthcare system, multidisciplinary team member roles, and available resources.

Educates and reinforces the significance of treatment adherence and follow-up with patients, families and caregivers.

Assesses and promotes healthy lifestyle choices and self-care strategies through education and referrals to ancillary services/staff.

Obtains and/or develop education materials for patients, staff, and community members as appropriate; reviews and revises materials as needed.

Contributes to Legacy Cancer Institute publications and materials (e.g. Annual Report, newsletters, website) as needed.

Community Outreach and Professional Development

Participates in professional education and community outreach events (e.g. prevention and health promotion, early detection and treatment, disease and symptom management, survivorship).

Responsible for networking to foster and maintain positive working relationships with key customers, departments, and programs (both internal and external).

Facilitates continual promotion and development of navigation program to best meet the needs of the community.

Collaborates and builds partnerships with local agencies, healthcare facilities and community organizations to improve and assist with patient care, support and education.

Participates as needed in Legacy Health oncology support and educational groups.

Attends unit trainings/meetings and cancer conferences as required.

Continually stays current on evidence-based practices and trends in oncology nurse navigation; takes responsibility to pursue professional growth and maintain education/skills/competencies.

Cancer Research

Maintains understanding/familiarity of clinical research options available at Legacy Cancer Institute.

Assists with identification of potential patients for LHS cancer research studies; makes patient referrals to research staff.

Promotes awareness of clinical trials to patients and families when appropriate.

Quality/Process Improvement

Participates in Legacy Cancer Institute accreditation processes (e.g. American College of Surgeons Commission on Cancer and NAPBC); continuously monitors and actively contributes to the development of strategies to fulfill accreditation requirements and standards.

Collaborates with cancer committee/management to perform and evaluate data from the community needs assessment to identify areas of improvement for the patient navigation process/program and quality improvement opportunities.

Works with quality staff and others to collect data, track outcomes, and support program development and quality improvement activities using evidence-based research and best practices.

Participates in tracking and monitoring of metrics to document and evaluate outcomes of the navigation program for use by cancer program administration and the cancer committee.

Performs all duties in a manner which promotes teamwork and fulfills Legacy Health vision and mission.



Required: Registered Nurse, BSN required.

Preferred: Master’s degree.


Minimum two years progressively more responsible clinical experience in the field of adult cancer management/care coordination.

Must be able to travel between all Legacy Health medical centers, collaborative community sites, off-campus professional development events and community outreach activities utilizing personal and/or public transportation.

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