Oncology Quality & Care Pathways Navigator (43972)
About The Position
The Oncology Quality & Care Pathways Navigator serves as the clinical quality resource for the Oncology Service Line. This position partners with physicians, advanced practice providers, nursing, pharmacy, infusion services, and ancillary departments to promote evidence-based, high-quality cancer care across the continuum of treatment. The incumbent performs comprehensive chart reviews, monitors adherence to National Comprehensive Cancer Network (NCCN) guidelines and organizational treatment pathways, identifies gaps in care, evaluates medications and supportive therapies, validates documentation, and collaborates directly with providers to improve patient outcomes. The role supports quality improvement initiatives, accreditation readiness, and clinical standardization while ensuring timely, coordinated, patient-centered care. The purpose of this position is to ensure oncology patients receive evidence-based, timely, and coordinated care by monitoring compliance with established care pathways, identifying opportunities for clinical improvement, and partnering with providers to improve quality, safety, and outcomes.
Requirements
- Registered Nurse (RN), Nurse Practitioner (NP), or Physician Assistant (PA), Certified Medical Assistant (CMA).
- Minimum five (5) years of oncology or Urology clinical experience.
- Demonstrated experience auditing oncology or Urology medical records or managing complex oncology patients.
- Knowledge of oncology staging, biomarker testing, treatment sequencing, and NCCN Guidelines.
- Excellent critical thinking, communication, and physician collaboration skills.
Nice To Haves
- Oncology Certified Nurse (OCN).
- Oncology Nurse Navigator Certification (ONN-CG).
- Experience with QOPI, Commission on Cancer, or similar quality programs.
- Experience with oncology pathway management software and EMR reporting.
Responsibilities
- Review newly diagnosed oncology patients to verify appropriate staging, diagnostic testing, biomarker evaluation, and treatment planning.
- Monitor adherence to NCCN Guidelines, evidence-based pathways, and organizational standards.
- Identify clinical care gaps and collaborate with physicians regarding appropriate follow-up and documentation.
- Audit medical records throughout the patient's continuum of care.
- Validate treatment sequencing, laboratory monitoring, imaging, referrals, and follow-up.
- Ensure documentation accurately reflects diagnoses, clinical decision-making, and treatment response.
- Review chemotherapy, immunotherapy, targeted therapy, endocrine therapy, and supportive care medications.
- Evaluate medication reconciliation and supportive care interventions.
- Collaborate with providers and pharmacy to resolve medication-related concerns.
- Monitor patients for overdue visits, imaging, laboratory testing, treatment, or surveillance.
- Coordinate care among physicians, APPs, infusion services, nursing, pharmacy, and outside providers.
- Assist with transitions of care and removal of barriers that delay treatment.
- Serve as a clinical resource to physicians and APPs.
- Participate in multidisciplinary conferences, tumor boards, and quality meetings.
- Provide objective clinical observations and recommendations to support evidence-based care.
- Track oncology quality indicators and pathway compliance.
- Support QOPI, Commission on Cancer, or other accreditation initiatives, as applicable.
- Develop reports, identify trends, and recommend workflow improvements.
- Independently identify clinical care gaps and documentation deficiencies.
- Recommend evidence-based interventions and follow-up based on established oncology pathways.
- Escalate complex clinical issues to the Director of Clinical Programs or treating physician.
- Prioritize daily work activities to meet quality and patient care objectives.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
