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Covenant Health

SENIOR NURSE PRACT-ONC

Company : Covenant Health

Location : Knoxville, TN, 37916

Job Type : Full Time

Date Posted : 9 January 2026

Overview

Breast Cancer Advanced Practitioner, Medical Oncology 

$5,000 Sign-on Bonus for Advanced Practitioners with 1-2 years oncology experience

$10,000 Sign-on Bonus for Advanced Practitioners with 3 or more years oncology experience

Full Time, 80 Hours Per Pay Period, Day Shift

Thompson Oncology Group Overview:

As a member of Covenant Health and Thompson Cancer Survival Center, Thompson Oncology Group is part of the region’s largest cancer-fighting network, with more imaging centers, more board-certified physicians and surgeons, and more cancer and radiation centers closer to where you call home. All Thompson Oncology Group practices are committed to excellence and ongoing quality improvement.

Thompson Oncology Group (TOG) is a leader in medical oncology services and provides patients access to all proven, drug-based treatments and the latest clinical trial medicines. Our team of board-certified, fellowship-trained medical oncologists and certified advanced practice providers deliver on-site care and treatment, including chemotherapy, immunotherapy, targeted therapy, and hormone therapy, at affiliated infusion centers throughout our region.

Position Summary:

The Senior Oncology Nurse Practitioner is a highly specialized APRN focused on providing comprehensive cancer care to Thompson Oncology Group (TOG) patients in both the inpatient and outpatient setting. The Oncology Nurse Practitioner (ONP) will provide care to hematology-oncology patients in collaboration with and under the supervision of their supervising physician. As a member of the TOG provider team, the ONP will follow established treatment protocols in their practice. The ONP will be a primary representative of the TOG provider team in the community and amongst our referring partners and will be expected to display professionalism, communicate clearly, and be an excellent collaborator in support of patients. The ONP can expect a dynamic daily clinic where patients may require anything from primary care services to complex chemotherapy side effect management.

Recruiter: Jennifer Gordon || apply@covhlth.com

Responsibilities

  • Triage telephone calls from patients, physicians, hospitals, and home health and hospice agencies requiring medical intervention, collaborating with physician(s) as necessary.
  • Performs evaluation and treats acute patient problems, including but not limited to oncologic emergencies, chemotherapy related side effects, and complications from cancer diagnoses.
  • Consults with physician and other medical specialties as necessary; adjusts processes as indicated
  • Performs history, physical examination, analyzes data for appropriate diagnosis and treatment, initiates plans of care for inpatient and office consults in collaboration with the physician, and follows previously established plans of care for both oncology and hematology patients in both the outpatient and inpatient setting.
  • Identifies health hazards in the patient’s environment, as well as patient risk factors. Identifies and considers the cultural patterns, economic status and patient resources in plan of care. Collaborates with social services, nurse navigation, and dietary services to provide holistic patient care.
  • Provides routine follow-up examinations and makes recommendations for adjustments to plans of care, as appropriate.
  • Refers patient to appropriate services when complexity exceeds the scope of practice of the practitioner.
  • Provides pre-treatment chemotherapy education to patients and their families in the office setting.
  • Provides education to office staff as needed.
  • Assists with preparation, administration, and supervision of chemotherapy as staff and physician coverage may require.
  • Assists with office medical procedures as required.
  • Provides first call coverage and assist with morning or evening hospital rounds as required. Serves as a point-person for the oncology group in the inpatient setting.
  • Collaborates with physician to formulate and review medical protocols.
  • Monitors and ensures accuracy of recording on patient medical records.
  • Documents patient history of present illness, review of systems, physical assessment, and plan of care in the patient’s medical record based off of office visit findings.
  • Responsible for conducting periodic review of policy and procedures.
  • Serves as a resource person for other staff personnel.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Perform other related duties as assigned or requested.
  • Serves on various committees pertinent to oncology within the Covenant Health System, such as Commission on Cancer and the pharmacy and therapeutics committee
  • First responder to infusion related emergencies or reactions in the on-site infusion center.

Qualifications

Minimum Education:

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

 

Minimum Experience:

Minimum of eight (8) years of Oncology experience as a Nurse Practitioner required. Breast cancer experience is preferred. 

Licensure Requirement:

Must have and maintain certification by American Nurses Association or American Academy of Nurse Practitioners as an Adult, Family or Acute Care Nurse Practitioner. Must meet State of Tennessee requirements as a Nurse Practitioner. Basic life support (BLS) certification required. Advanced Cardiovascular Life Support (ACLS) certification preferred. Certification as an Advanced Oncology Certified Nurse Practitioner by the Oncology Nursing Society required.                                                          

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Frequently asked questions

Knoxville's healthcare landscape offers a unique mix of community-focused oncology care with access to advanced treatments, unlike larger metros where roles may be more specialized. Nurse Pract-Onc positions here often involve a broader scope of patient management, blending inpatient and outpatient care, which enriches clinical experience while serving diverse populations.

In Tennessee, particularly for oncology-focused nurse practitioners, certification by the Oncology Nursing Society as an Advanced Oncology Certified Nurse Practitioner is highly regarded. Additionally, maintaining state licensure and certifications like BLS and ACLS enhances credibility and meets regulatory standards for delivering specialized cancer care.

Handling chemotherapy side effects demands swift assessment and intervention skills. Senior nurse practitioners must differentiate symptoms, coordinate with physicians, and adjust care plans promptly, often under pressure in dynamic clinical environments. Mastery in managing toxicities and patient education is critical to optimizing treatment outcomes.

Absolutely, understanding Knoxville's cultural diversity and socioeconomic factors is vital. Nurse Pract-Oncs must tailor communication and care plans to respect patients’ backgrounds, collaborating with social services and navigation teams to address barriers, ensuring equitable and sensitive oncology care within Covenant Health’s community-focused model.

Covenant Health emphasizes integrated oncology services through its Thompson Oncology Group, combining cutting-edge treatments with a strong focus on patient-centered care. Their network offers advanced clinical trials and multidisciplinary collaboration, empowering Nurse Pract-Oncs to deliver comprehensive, community-based cancer care unmatched by many regional competitors.

Covenant Health fosters ongoing development through participation in committees like the Commission on Cancer and quality improvement initiatives. Senior Nurse Pract-Oncs gain exposure to leadership in clinical protocol development, access to education resources, and mentorship, promoting career advancement within a robust, collaborative oncology network.

A senior oncology nurse practitioner in Knoxville typically earns between $95,000 and $120,000 annually, depending on years of oncology experience and certifications. Covenant Health’s sign-on bonuses further enhance compensation, reflecting competitive market rates for specialized oncology APRNs in Tennessee’s healthcare sector.

Daily duties include conducting comprehensive patient assessments, managing chemotherapy side effects, coordinating with physicians for treatment adjustments, and educating patients and families. The role balances outpatient consultations with inpatient rounds, requiring adaptability to urgent oncologic emergencies and collaborative care planning.

Covenant Health provides a focused breast cancer practice within an extensive oncology network, offering access to the latest drug therapies and clinical trials. Nurse Pract-Oncs benefit from multidisciplinary teams, advanced training opportunities, and the ability to impact patient outcomes deeply within a supportive regional system.

Knoxville shows moderate demand for oncology advanced practice nurses, with competition influenced by the area's growing cancer care facilities and Covenant Health’s reputation. Candidates with specialized certifications and several years of oncology experience, especially in breast cancer, have a distinct advantage in securing these coveted roles.

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