GU Nurse Navigator

OneOncology•Franklin, TN

9d•Hybrid

About The Position

Tennessee Oncology, a prominent community-based cancer care specialist, is seeking a talented and highly-motivated GU Oncology Care Coordinator. This experienced oncology nurse will utilize clinical judgment and the nursing process to coordinate care for patients with genitourinary (GU) cancers throughout their complex treatment journey. The role involves longitudinal tracking of patients from referral to survivorship or end-of-life care, acting as a central point of contact between Tennessee Oncology's medical and radiation oncology departments and external urology practices, nuclear medicine, genetics, cardio-oncology, and supportive/palliative care services. This position is crucial for bridging gaps between disparate electronic medical record systems, supporting data screening, dashboard management, and outcomes analysis for the GU service line. Key goals include reducing time to treatment, closing care gaps, minimizing avoidable hospitalizations and ED visits, and ensuring guideline-concordant, patient-centered care. This is a high-autonomy, high-impact role within Tennessee Oncology’s new GU Center of Excellence, offering opportunities to build workflows, shape a growing program, and advance professionally.

Requirements

Registered Nurse with a current Tennessee RN license.
Graduate of an accredited school of nursing.
Minimum 2 years of oncology nursing experience.
Ability to understand, relate to, and communicate with patients with serious illnesses and their families/caregivers.
In-depth knowledge of GU malignancies and their multidisciplinary pathways (prostate, bladder, kidney, testicular), including neoadjuvant chemotherapy, radioligand therapy, and germline and somatic testing, along with referral services and healthcare organizations involved and their functional relationships.
Ability to manage symptoms, triage, and coordinate care for seriously ill patients via telephone.
Ability to communicate effectively with all levels of clinical staff to coordinate care.
Ability to plan, organize, and complete assigned tasks.
Maintain accurate and detailed records of all information calls and referrals.
Work alongside clinical team and IT to create dashboard for centralized knowledge base of clinical care.
Strong interpersonal and public relations skills for effective promotion of the GU Center of Excellence and Men’s Health Center.
Proficiency in the use of computers and clinical computer software including electronic medical records, and Microsoft Word, PowerPoint, and Excel.
Ability to travel to be in person to interact with patients and physicians on some days of clinical work and potentially traveling to various clinics in middle Tennessee for education and feedback of the program.
Clinical judgment to read and follow oncology clinic notes and to recognize when a patient is off-pathway or clinically deteriorating.
Ability to coordinate care across multiple electronic medical records and organizational boundaries, including systems outside Tennessee Oncology.
Ability to build and maintain a tracking dashboard and to run reports on care metrics.
Ability to work independently with minimal supervision, problem-solve proactively and diplomatically, and manage a longitudinal patient panel.
Comfortable with Computers, Fax, Telephone MS Office (including MS Outlook, Word, Excel and Powerpoint).
Excellent time management and organizational skills are essential.
Current Basic Life Support Certification.
Valid Driver’s License.

Nice To Haves

BSN preferred.
GU oncology strongly preferred.
Oncology Nursing Certification (OCN) preferred, or obtained within 15 months of hire.
Oncology Nurse Navigator Certification (ONN-CG) preferred.
Current ONS Chemotherapy and Immunotherapy certificate preferred.
Prior experience in environment other than a hospital, outpatient preferred.
Prior experience working on quality improvement or administrative projects preferred.
Experience in public speaking and teaching preferred.

Responsibilities

Serve as the point person to identify patients appropriate for multidisciplinary review in the GU Center of Excellence.
Educate New Patient teams and operationalize workflows to surface patients needing GU specialist care (clinical trial candidates, radioligand therapy, early-stage disease requiring perioperative or curative-intent treatment).
Initiate and coordinate the referral process and track and analyze the resulting data.
Educate clinical providers, patients, and families about GU-focused care services and connect them to the Tennessee Oncology GU Center of Excellence / Men’s Health Center through internal referrals.
Serve as the GU care liaison and spokesperson at Tennessee Oncology, building relationships with community urology groups and conducting community outreach and education about GU-centered care.
Assist in developing patient-care protocols and systems to improve coordination, supportive care, and survivorship for GU patients.
Coordinate care across clinics and practices (medical oncology, radiation oncology, and outside urology) between clinic visits to close gaps in care and reduce avoidable urgent care, emergency department visits, and hospitalizations.
Apply critical thinking and creative problem-solving to ensure patients receive necessary care.
Identify and connect patients and families to internal and community resources: genetic counseling, cardio-oncology, pain and symptom support, survivorship clinic, mental health, spiritual care, financial assistance, and bereavement support.
Manage the neoadjuvant-to-surgery pathway for muscle-invasive bladder cancer, including receiving urology referrals, coordinating medical oncology and radiation oncology consults and chemotherapy, and communicating the cystectomy window back to the referring urologist.
Follow up on next-generation sequencing and germline genetic testing, tracking ordering, insurance coverage, turnaround, and results communication, ensuring results are actioned and genetics referrals are completed.
Coordinate cardio-oncology and other consultative needs for patients on specific targeted therapies with defined toxicity profiles.
Provide financial navigation by screening for financial burden and connecting patients to assistance programs.
Supervise referral intake and appointment sequencing (PSMA PET, tumor board, genetics, cardiology clearance, treatment start) to reduce time from diagnosis to treatment.
Screen patients for clinical trial eligibility, explain trial participation, and coordinate trial logistics with the research team.
Maintain structured communication with referring urologists and primary care physicians, including visit summaries, treatment milestones, lab results, and time-sensitive updates.
Create and maintain a GU service-line dashboard tracking patient progress and care metrics.
Run reports on care metrics such as time to treatment, neoadjuvant chemotherapy utilization, RLT completion, testing uptake, and referral response time.