• Manage all CoC standard data reporting quality studies dashboards and required submissions.
• Partner with the Cancer Registrar to monitor follow-up metrics concordance reviews and required corrective actions.
• Collaborate with the Cancer Liaison Physician (CLP) to implement track and report quality initiatives.
• Coordinate with research staff to support clinical trial screening enrollment goals and program compliance metrics.
• Lead community outreach survivorship screening and prevention activities in collaboration with community partners.
• Serve as liaison with the American Cancer Society Tennessee Cancer Coalition and state cancer registry partners.
• Maintain ongoing readiness status and serve as subject matter expert for CoC requirements.

• Coordinate activities supporting NCQA Patient-Centered Medical Home (PCMH) recognition for ambulatory primary care practices.
• Maintain documentation evidence files workflows and policies required for PCMH recognition.
• Collaborate with practice leadership to improve access care management population health patient experience and team-based care processes.
• Monitor PCMH performance measures readiness timelines and re-certification milestones.

• Lead quality improvement initiatives across primary care multispecialty oncology infusion renal and endoscopy service lines.
• Identify operational gaps in clinic flow patient throughput scheduling access and coordination; implement process improvement plans.
• Develop and maintain scorecards for quality patient safety access throughput patient satisfaction and regulatory performance.
• Facilitate root cause analyses workflow redesign and performance improvement projects.
• Coordinate Joint Commission readiness activities mock tracers surveillance rounds corrective actions and staff education.
• Audit clinical documentation and workflows for Joint Commission and CoC compliance.
• Develop EMR templates clinical tools and documentation standards to support regulatory compliance and efficient operations.
• Support referral management continuity of care prior authorizations and transitions of care as operationally needed.
• Review reimbursement denials related to medications or infusion services in collaboration with revenue cycle and pharmacy.

• Provide advanced oncology nursing guidance and clinical leadership for ambulatory oncology services and related specialty programs.
• Support staff competency validation orientation annual skills review and ongoing professional development.
• Coordinate education for new therapeutic agents biologics and evolving treatment protocols.
• Train and mentor nursing staff on complex clinical procedures including vascular access care ostomy care phlebotomy infusion therapies and related ambulatory procedures.
• Support chemotherapy competency programs administration standards handling and disposal policies in partnership with pharmacy and environmental services.
• Provide clinical support and staffing coverage during critical shortages or operational disruptions including nursing and clinic support roles as appropriate.
• Assist with patient symptom triage care coordination prescription refill workflows and urgent clinical concerns.
• Coordinate interdisciplinary care plans and transitions across inpatient outpatient and specialty settings.

• Assist with departmental budgeting staffing plans productivity monitoring contracts and expense management related to cancer program and ambulatory specialty operations.
• Support hiring onboarding coaching performance evaluations and corrective action processes consistent with hospital policy.
• Maintain vendor credentialing specialty drug program enrollment REMS compliance activities and applicable external program requirements.
• Prepare executive reports dashboards presentations and strategic updates for leadership.

• Associate or Bachelor of Science in Nursing required; Bachelor of Science in Nursing preferred.
• Current unrestricted Registered Nurse (RN) license in the State of Tennessee required.
• Masters degree in Nursing Healthcare Administration Public Health or related field preferred.

• Minimum 5 years of nursing experience required.
• Minimum 3 years of leadership program management quality or ambulatory operations experience preferred.
• Oncology or cancer program experience preferred.
• Experience with Commission on Cancer standards strongly preferred.
• Experience with NCQA PCMH recognition preferred.

• Strong knowledge of ambulatory nursing operations oncology workflows accreditation and regulatory frameworks.
• Expertise in quality improvement methodologies (Lean PDSA RCA Six Sigma).
• Strong leadership communication and project management skills.
• Ability to analyze data and drive measurable outcomes.
• Ability to manage multiple priorities while maintaining focus on CoC program success as the primary responsibility.

• Maintain successful Commission on Cancer accreditation and readiness status.
• Meet all deadlines for CoC reporting conferences and committee activities.
• Sustain or achieve NCQA PCMH recognition goals.
• Improve ambulatory quality metrics across primary care multispecialty oncology infusion renal and endoscopy services.
• Improve patient access care coordination compliance and operational efficiency.

Education