Collaborative Practice Nurse RN Sr

The US Oncology Network•Roanoke, VA

14d•Hybrid

About The Position

Blue Ridge Cancer Care is seeking an experienced Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource and care coordinator, partnering with providers, nursing teams, and interdisciplinary staff to improve patient outcomes, enhance the patient experience, and support value-based care initiatives. The role focuses on proactive patient management, care coordination, symptom assessment, patient education, and navigation of complex clinical needs. The position may be fully remote from anywhere in the United States or hybrid, based on business needs and location. Travel to outlying clinics may be needed based on care team requests.

Requirements

Registered Nurse (RN).
Five years of work experience as a Registered Nurse.
Demonstrated leadership, interpersonal, collaboration, communication, and active listening skills.
Ability to apply the full nursing process in daily clinical operations, including assessment, analysis and nursing diagnosis, care planning, implementation, and outcomes evaluation.
Ability to assess health disparities and population and cultural needs in the facility's service area, describe a patient navigation process to address those needs, and document outcomes.
Ability to adapt to shifting value-based care and quality program priorities and to prioritize and reprioritize quickly.
Strong organizational, critical-thinking, and follow-through skills.
Ability to apply or oversee care coordination in conjunction with the multidisciplinary team.
Strong verbal and written communication skills.
Ability to solve problems cross-functionally or independently and recognize when to involve leaders or other care team members.
Ability to work collaboratively in a team and successfully work independently.
Working computer, Microsoft, and internet skills, including experience with an electronic EMR system.
Basic knowledge of local community resources.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
Oncology experience preferred.
Oncology Certification (OCN) is a plus.
Nurse Navigator Certification is a plus.

Responsibilities

Respond promptly to patient inquiries via calls, portal messages, and emails, ensuring timely communication and intervention.
Assess and manage patient symptoms and side effects using open-ended questions and computerized algorithms or pathways, and document interventions thoroughly.
Determine symptom urgency and manage symptoms to prevent unnecessary emergency department visits and hospital utilization.
Collaborate with physicians on cases requiring emergency care that cannot be addressed independently through standard protocols.
Coordinate outpatient clinic visits with providers when appropriate to ensure continuity of care.
Prepare, organize, and lead Patient Care Conferences (huddles), and communicate interventional outcomes to the care team.
Assess patient risk, conduct basic psychosocial assessments, provide emotional support, and delegate or refer patients for further screening and support as needed.
Develop and implement nursing diagnoses and action plans, including support for oral chemotherapy education, adherence, and side-effect monitoring.
Participate in survivorship and advance care planning visits and make referrals to support patient needs.
Participate in research, quality, and performance improvement initiatives, including reporting navigation metrics, while supporting patient advocacy and empowerment.
Mentor and precept less experienced nurses and perform other duties as required.
Identify potential and actual gaps in care delivery and seek opportunities to address and close them.
Stay informed about practice operations guidelines, healthcare economics, value-based care, and quality programs; travel to outlying clinics as needed based on care team requests.