Responsibilities include, but not limited to, the following:
· Serve as a consistent clinical liaison between patients, families, and the oncology care team
· Conduct comprehensive assessments and develop individualized care plans tailored to each patient’s medical, psychosocial, and behavioral health needs
· Provide education to patients and families regarding diagnosis, treatment, symptom management, and survivorship
· Coordinate care across disciplines, schedule appointments, and facilitate timely follow-up
· Identify and address barriers to care, including financial, transportation, or cultural challenges
· Deliver proactive outreach, regular check-ins, and telephone triage to ensure continuity and early issue identification
· Document care coordination activities and patient interactions in the EMR clearly and accurately
· Participate in interdisciplinary team meetings and contribute to shared care planning and quality improvement
· Collect and document patient history and current symptoms.
· Evaluate and prioritize patient symptoms and concerns based on urgency and severity.
· Recognize urgent and emergent situations requiring care escalations.
· Communicate with supportive care staff (navigators, social workers) to ensure the patient has access to appropriate support services, or additional services as needed.
· Support shared decision-making, patient empowerment, and health equity through culturally responsive care