RN Patient Navigator - GI Oncology

Job ID
Regular Full-Time
Nursing and Nursing Support


Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.


With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality.


At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.


The Oncology Nurse Navigator is a member of an interdisciplinary care team. This role provides patient centric care and is primarily responsible for the care of patients with past, current, or potential diagnosis of cancer. Assist patients, families, and caregiver to overcome healthcare system barriers and provide education and resources to facilitate informed decision making and timely access to quality health and psychosocial care throughout all phases of the cancer continuum.


  • Uses critical thinking and the nursing process to assess and meet the needs of patients by providing care coordination throughout the cancer continuum
  • Works between the domains of the patient and family unit and the healthcare delivery system to improve health, treatment, or end-of-life outcomes
  • Demonstrates effective communication with peers, members of the multidisciplinary healthcare team, health care partners, community organizations and resources
  • Assesses physical, emotional, social, spiritual needs of the patients and families and identifies barriers to care. Provides support and referrals to decrease barriers
  • Follows care pathways to place orders for the providers for diagnostic workup and ensures timely appointments
  • Integrates research and evidence-based knowledge into clinical practice
  • Facilitates the appropriate and efficient delivery of healthcare services, both within and across systems, to promote optimal outcomes while delivering patient-centered care


  • Nursing Degree
  • Current Washington State nursing license
  • Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years
  • Promotes lifelong learning and evidence-based practice, by self and others, to improve the care of patients with a current, or potential diagnosis of cancer
  • Demonstrates professionalism within both the workplace and community through respectful interactions and effective teamwork
  • Disseminates knowledge of the ONN role to other healthcare team members through peer education, mentoring, and preceptor experiences
  • Participates in the tracking of metrics and patient outcomes, in collaboration with administration, to document and evaluate outcomes of the navigation program and report findings to the cancer committee
  • Promotes a patient- and family-centered care environment for ethical decision making and advocacy for patients with cancer
  • Establishes and maintains professional role boundaries with patients, caregivers, and the multidisciplinary care team in collaboration with manager as defined by job description
  • In collaboration with other members of the healthcare team, builds partnerships with local agencies and groups that may assist with cancer patient care, support, or educational needs.
  • Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge
  • Assesses educational needs of patients, families, and caregivers taking into consideration barriers to care (e.g., literacy, language, cultural influences, comorbidities)
  • Provides and reinforces education to patients, families, and caregivers about diagnosis, treatment options, side effect management, and post-treatment care and survivorship
  • Educates patients, families, and caregivers on the role of the ONN
  • Orients and educates patients, families, and caregivers to the cancer healthcare system, multidisciplinary team member roles, and available resources
  • Promotes autonomous decision making by patients through the provision of personalized education and support
  • As part of the multidisciplinary team, provides education and reinforces to patients, families, and caregivers the significance of adherence to treatment schedules, protocols, and follow-up
  • Assesses and promotes healthy lifestyle choices and self-care strategies through education and appropriate referrals to ancillary services
  • Provides anticipatory guidance, education, and appropriate referrals to assist patients in coping with the diagnosis of cancer and its potential or expected outcomes
  • Promotes awareness of clinical trials to patients, families, and caregivers.
  • Assesses patient needs upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate services and referrals and support services, such as dietitians, providers, social work, and financial services
  • Develops or uses appropriate assessment tools (e.g., distress thermometer, pain scale, fatigue scale, performance status) to promote a consistent, holistic plan of care
  • Facilitates timely scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care and to promote continuity of care
  • Participates in coordination of the plan of care with the multidisciplinary team, promoting timely follow-up on treatment and supportive care recommendations
  • Facilitates individualized care within the context of functional status, cultural consideration, health literacy, and psychosocial and spiritual needs for patients, family, and caregiver
  • Assists in the identification of candidates for genetic counseling and facilitates appropriate referrals
  • Supports a smooth transition of patients from active treatment into survivorship or end-of-life care
  • Uses an ethical framework regarding patient care to assist patients with cancer with issues related to treatment goals, advance directives, palliative care, and end-of-life concerns
  • Ensures documentation of patient encounters and provided services
  • Applies basic knowledge of insurance processes (e.g., Medicare, Medicaid, third-party payers) and their impact on staging, referrals, and patient care decisions toward establishing appropriate referrals, as needed
  • Demonstrates knowledge of the FHCC Clinical Pathways
  • Builds therapeutic and trusting relationships with patients, families, and caregivers through effective communication and listening skills
  • Acts as a liaison between the patients, families, and caregivers and the providers to optimize patient outcomes
  • Advocates for patients to promote optimal care and outcomes
  • Provides psychosocial support to and facilitates appropriate referrals for patients, families, and caregivers, especially during periods of high emotional stress and anxiety
  • Empowers patients and families through education and encouragement to self- advocate and communicate their needs
  • Adheres to established regulations concerning patient information and privacy
  • Ensures that communication is culturally sensitive
  • Facilitates communication among members of the multidisciplinary cancer care team to prevent fragmented or delayed care that could adversely affect patient outcomes



  • Bachelor of Science in Nursing
  • Outpatient care coordination
  • Two years of nursing experience
  • OCN certification


This position is patient facing and/or requires access to Fred Hutch clinical facilities. As such, full COVID-19 vaccination is required as a condition of employment, without exception. Booster doses are strongly recommended but not required. If declining a booster, completion of the COVID-19 Vaccination Status Form Questionnaire and COVID-19 Booster Declination Training is required. Because of our immunocompromised patient population, there are no medical or religious accommodations available for any employee who is patient facing and/or requires access to Fred Hutch clinical facilities. Only employees whose positions are fully remote, who are not patient facing and/or require no access to clinical facilities, may apply for medical or religious accommodations. As a condition of employment, newly hired employees must provide proof of vaccination before their first day of employment.


A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists. 


The annual base salary range for this position is from $91,936 to $145,318 and pay offered will be based on experience and qualifications.


Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks), and partially paid sabbatical leave (up to 6 months). 


This position may be eligible for relocation assistance.

Our Commitment to Diversity

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to our Employee Services Center at hrops@fredhutch.org or by calling 206-667-4700.


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