Oncology Nurse Navigator, International Patient Center

Job Details

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Job ID:

450 Brookline Ave, Boston, MA 02215


Employment Type:
Full time

Work Location:
Onsite:Up to 1 day remote/wk


The International Oncology Nurse Navigator (ONN) uses their oncology-specific clinical knowledge to  offer individualized assistance to patients, families and caregivers seeking and engaging medical care in  the US, to help overcome healthcare system barriers. Using the nursing process, an ONN provides education and resources to facilitate informed decision making and timely access to quality health and psychosocial care throughout all phases of the cancer continuum. (ONS definition)

The position requires broad knowledge/expertise of oncology care, the ability to work in a highly matrixed organization, case management expertise, excellent organizational and interpersonal skills, and the ability to triage and assess patients from other countries and cultures who are arriving in the US for care in the DF/BWCC.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.


Principal Responsibilities:

  • Participates in day-to-day operations of the program.
  • Participates in program evaluation and development of strategic goals.
  • Participates in the QA/QI projects for the program.
  • Supports the research activities of the program.

Nursing Coordination Responsibilities (For international patients within the program, including but not limited to assessment, education, coordination, and documentation, referral, and repatriation):

  1. Reviews and evaluates international oncology inquiries.
    • Performs triage/onboarding activities including record abstraction and collaboration with IPC staff regarding functional assessment.
    • When needed, communicates directly with the patient prior to the appointment, for Performance Status clarification.
    • Performs initial comprehensive review of patients including Performance Status, assessment of prior treatment, imaging, and medical summaries to assess care needs (consult/treatment) and fitness for travel. Requests additional medical record required to make determination of available treatment options, informing the work of the IPC Patient Program Manager and International Oncology Medical Records Specialist staff.
    • Identifies clinical needs for oncology consult visit –e.g., cancer diagnostic service, medical oncology, surgical oncology, radiation oncology, or multi-D visit in combination with disease center clinical partners. For complex cases, works with Oncology Nurse Director and/or DFCI disease center clinical partners to determine eligibility and opportunity for additional treatment options at DFCI.
  1. Serves as liaison between IPC PPMs, DFCI New Patient Coordinators, disease center Oncology Nurse Navigators and medical oncologists, when applicable, to ensure smooth coordination of care.
  1. Conducts initial review of medical records assembled by Medical Records Specialist (MRS) to ensure that all the medical record information needed for the appointment is available prior to consult. Communicates need to request additional records to MRS to ensure adequate record availability for consultation.
  1. When relevant, communicates directly with the patient prior to the consultation to answer any questions and share information on what to expect during the initial appointment.
  1. In collaboration with Nurse Director and DFCI Oncologists, assists in writing medical summaries:
    • Helps inform and update clinical communications to embassies when applicable, including requests for extension of pre-approved treatment length
    • Patient status updates for referring providers in home country
    • Assists with creating letters of medical necessity for travel.
  1. Assists in writing patient treatment summary in collaboration with the medical oncology team for embassies and/or referring providers in home country.
  1. Reviews updated records and ECOG on all previously accepted consults and established patients that have requested change to scheduled appointment > 8 weeks from determination date.
  1. Participates in the tracking and monitoring of metrics and outcomes, in collaboration with administration, to document and evaluate outcomes of the navigation program
  1. Evaluates patient care in the program and collaborates with the other disciplines to facilitate appropriate clinical decision-making and to implement change when necessary.
  1. Works collaboratively and functions as an effective member of the health care team.
  1. Monitors the environment of care with attention to patient safety and assures compliance with regulatory agency standards.
  1. Maintains clinical practice that is evidence-based and consistent with nursing policies, procedures and standards.
  1. Provides care based on age-specific and culture specific needs of the patient.
  1. Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) in all aspects of professional practice.
  1. Complies with accepted standards of professional nursing practice that is evidence- based and consistent with policy, and procedures determined by DFCI as well as with all licensure/registration requirements applicable to the nursing role.
  1. Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age.


At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong.  As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff.  Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.



  1. Licensed as a Registered Nurse in the Commonwealth of Massachusetts
  2. Baccalaureate degree required; baccalaureate in nursing preferred
  3. Minimum of 1 year (or equivalent) of oncology nursing experience required
  4. 3+ years of oncology nursing is preffered
  5. Certification in Oncology Nursing, OCN, AOCN, or CPON preferred

Professional Development:

  1. Identifies areas for professional growth.
  2. Formulates professional goals, objectives and methods for accomplishing these.
  3. Serves as representative on Nursing and Institute committees, including the Program Nurse Committee
  4. Supports research activities within the Nursing and Patient Care Services and the Institute.
  5. Meets all annual evaluation requirements and competencies within the established time period.
  6. Collaborates in preparing professional reports, articles, and presentations for colleagues and the public.
  7. Pursues active membership in local and national professional organizations.
  8. Commitment to continuous learning and improvement through a high spirit of inquiry, innovation and mentoring.




  1. Demonstrated ability to work as an effective member of an interdisciplinary team.
  2. Demonstrated skills in critical thinking, effective communication, organizational skills, problem solving, and ability to make appropriate independent decisions.


PATIENT CONTACT: Yes- Demonstrates understanding of special needs and behaviors of age groups of the population served:  all age groups, infants to geriatric.

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