Nurse Navigator - JTCC Inpatient Oncology - F/T Days

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• Under the direction of the local leadership, the Oncology Nurse Navigator (ONN) navigates the patient's journey (starting with pre diagnosis) and continues throughout the treatment continuum.
• In collaboration with the multidisciplinary team, which may include PCP's, surgeons, GYN, GI, oncologists, etc and the entire healthcare team, the ONN supports the oncology patient and facilitates access and timeliness to care.
• The ONN makes referrals as applicable (not limited to) financial counseling, nutrition, social worker.

Responsibilities

Coordinates and navigates outpatient care for oncology patients. Identifies new patients during pre-diagnosis journey and offers navigation services from the beginning of the patient's diagnosis journey to survivorship or end of life. Builds and maintains professional relationships with the medical oncologists, radiation oncologists, surgeons, other medical physicians and professionals involved in the patients care. Establishes communication with physicians, physician extenders and their office staff to outline navigation programs and available resources. Collaborates with the primary medical oncologist, radiation oncologist and/ or oncology surgeon, to act as a resource for the patient and family beginning during initial consultation and continuing through treatment. Maintains a communication system which ensures comprehensive and timely transmission of information to physicians, nursing staff, and the interdisciplinary team. Facilitates access to services. Tracks the flow of patients through diagnostic and treatment services. Documents assessment and follow up notes in the patients' medical record via SMART PHRASE (as applicable). Provides monthly report of activity to the Director/RN Manager/designee. Provides ongoing assessment of patient needs including, but not limited to (and makes referrals as needed) educational, financial, psychosocial, nutritional, and clinical; connects patients and families to available resources within the health system and in the community. Works collaboratively with the research department. Participates and prepares for the Tumor Board as needed. SURVIVORSHIP CARE PLAN - For applicable patients, gathers all information required by the Commission on Cancer and formulates a survivorship care plan at the end of treatment. Distributes and discusses survivorship care plan with the patient and family and other appropriate providers per protocol. Develops and participates in performance improvement activities and development of guidelines in collaboration with Medical Directors and physician leaders to improve patient outcomes, assures appropriate utilization of resources and increases patient satisfaction. Participates in department specific committees. Represents patient navigation services at committee meetings. Provides detailed reports on patients served. Ensures all requirements of regulatory standards for patient care are met. Represents the Cancer Program's services to the community as applicable. Collaborates with marketing for brochures and other marketing materials. Identifies and links patients to available community partners and services. Works with an outreach team to promote service and community awareness. Other duties and/or projects as assigned. Adheres to HMH Organizational competencies and standards of behavior.