POSITION SUMMARY

KEY RESPONSIBILITIES

In-Office Dispensing (IOD) Program

• Oversee the daily operations and regulatory compliance of the IOD program, including procurement, inventory management, and medication dispensing protocols.

• Ensure adherence to all state pharmacy regulations, DEA requirements, and payer policies governing in-office drug administration.

• Monitor drug utilization trends, reimbursement rates, and financial performance of the IOD program; implement strategies to maximize operational efficiency.

• Partner with billing and coding staff to ensure accurate and timely claims submission for administered medications.

• Maintain vendor relationships with pharmaceutical representatives and group purchasing organizations (GPOs).

Patient Navigation — Xiaflex (Collagenase Clostridium Histolyticum)

• Lead the patient navigation program for Xiaflex, supporting patients diagnosed with Peyronie's disease through the treatment journey from diagnosis through injection series completion.

• Develop and implement standardized workflows for Xiaflex patient identification, prior authorization, scheduling, and follow-up.

• Coordinate closely with urologists and ancillary staff to ensure proper patient selection, informed consent, and post-procedure education.

• Track and report patient outcomes, treatment adherence, and satisfaction metrics for the Xiaflex program.

Benign Prostatic Hyperplasia (BPH)

• Oversee clinical programs and patient navigation for BPH management, including medical therapy, minimally invasive procedures (e.g., UroLift, Rezum, TURP), and surgical referral pathways.

• Support the development of care protocols that align with current AUA guidelines and evidence-based best practices.

• Collaborate with scheduling and care coordination teams to minimize wait times and optimize patient flow for BPH services.

• Monitor quality metrics including symptom score (IPSS) documentation, treatment adherence, and re-treatment rates.

Overactive Bladder (OAB)

• Direct the OAB service line, encompassing conservative management, pharmacotherapy (including IOD of onabotulinumtoxinA), neuromodulation therapy, and advanced treatment referrals.

• Ensure patient navigators provide comprehensive education on treatment options, expected outcomes, and follow-up requirements.

• Track and analyze clinical outcomes data including urinary diary metrics, treatment response rates, and patient-reported quality-of-life measures.

• Facilitate multidisciplinary coordination between urology, urogynecology, and physical therapy as appropriate.

Bladder Cancer Program

• Provide strategic leadership for the bladder cancer care program, covering surveillance, intravesical therapy (BCG, chemotherapy), and navigation for muscle-invasive disease.

• Implement and maintain standardized cystoscopy surveillance schedules and TURBT follow-up protocols in compliance with national guidelines.

• Support navigation for patients requiring cystectomy, systemic chemotherapy, or immunotherapy, ensuring seamless transitions between care settings.

• Coordinate with pathology, radiology, and medical oncology partners to facilitate timely diagnosis and multidisciplinary tumor board participation.

• Manage the IOD program components related to intravesical therapy, including BCG supply chain management and shortage contingency planning.

Prostate Cancer Program

• Lead the comprehensive prostate cancer navigation program, supporting patients from initial PSA screening and biopsy through active surveillance, definitive treatment, and post-treatment monitoring.

• Oversee hormone therapy management including Androgen Deprivation Therapy (ADT) administered through the IOD program.

• Develop and maintain care pathways for low-, intermediate-, and high-risk prostate cancer patients in alignment with NCCN guidelines.

• Facilitate shared decision-making resources and navigation for patients selecting between radiation therapy, surgery, and active surveillance.

• Coordinate post-treatment survivorship programs addressing incontinence, erectile dysfunction, and oncologic surveillance.

Radiation Therapy Coordination

• Serve as the primary liaison between the urology practice and radiation oncology partners for patients receiving external IMRT

• Develop and maintain radiation therapy referral pathways and co-management protocols to ensure continuity of urologic care throughout the radiation treatment course.

• Oversee spacer (e.g., SpaceOAR) program coordination, including patient education, scheduling, and procedural support.

• Monitor radiation-related urologic side effects and coordinate timely clinical follow-up to optimize patient quality of life.

• Collaborate with radiation oncologists on combined modality treatment planning and outcomes tracking.

• Recruit, onboard, supervise, and evaluate oncology nursing staff, patient navigators, and care coordinators within the oncology service line.

• Establish departmental goals, KPIs, and performance benchmarks; report regularly to executive leadership on program performance.

• Lead quality improvement initiatives and root-cause analyses to address care gaps, safety events, or patient satisfaction concerns.

• Develop and manage the oncology department budget, including staffing, supplies, and program investments.

• Ensure compliance with all applicable federal and state regulations including HIPAA, OSHA, and state urology/oncology licensing requirements.

• Represent the practice at community health events, professional conferences, and payer meetings as needed.

• Drive patient satisfaction by implementing service recovery processes and proactively addressing barriers to access and care.

• Maintain current knowledge of industry trends, emerging therapies, and reimbursement policy changes affecting urologic oncology.

• Bachelor's degree in Nursing, Healthcare Administration, or a related clinical/health sciences field (required).

• Master's degree in Healthcare Administration, Business Administration, or Clinical Leadership (strongly preferred).

• Minimum of 5 years of progressive experience in oncology, urology, or a related clinical specialty, with at least 3 years in a program management or leadership role.

• Demonstrated experience managing in-office dispensing programs, including drug procurement, regulatory compliance, and billing.

• Proven experience developing and leading patient navigation or care coordination programs.

• Strong working knowledge of urologic oncology disease states, treatment modalities, and clinical workflows.

• Excellent organizational, analytical, and communication skills with the ability to lead cross-functional teams.

• Proficiency with electronic health record (EHR) systems and healthcare data reporting tools.

• RN licensure with oncology certification (OCN) or Certified Oncology Nurse Navigator (AONN+) credential.
• Experience with Xiaflex patient services programs and specialty pharmacy coordination.
• Familiarity with radiation therapy coordination and multidisciplinary tumor board operations.
• Knowledge of value-based care models, clinical quality measures, and payer contracting in oncology.
• Experience in a physician-owned or private practice urology setting.

CORE COMPETENCIES

PHYSICAL REQUIREMENTS & WORK ENVIRONMENT