How to Become an Oncology Nurse

Oncology nurses care for people of all ages who are diagnosed with cancer. Oncology is a challenging field in which nurses support patients, families, and caregivers through the stress of diagnosis and treatment, and the anxiety of many uncertainties brought on by the disease, including facing mortality. 

As an oncology nurse, you’ll be on a path of career-long learning that offers challenges, financial rewards, and professional growth. If you have a desire to get to know patients and the nuances of their needs and care, oncology nursing may be a good career choice. You’ll often have the chance to develop deep relationships with people as you care for them throughout their cancer journey.

The oncology field today is different than in the early days of cancer treatment, with many more treatment options, better pain control, and reduced treatment side effects. The science is dynamic and continually evolving, with many new therapies on the horizon. Many people are making the transition from cancer patient to cancer survivor. In short, there is often hope for recovery, or for living with the disease. Oncology nurses have important roles to play all along the cancer care continuum.

Oncology nurses care for individuals, families, and communities dealing with cancer, and the role has expanded to include many aspects of care including cancer education and prevention, cancer screening, research and direct patient care.

More specifically, oncology nurses will have the following job responsibilities:

1. Administer medications including chemotherapy
2. Care for patients after surgical procedures
3. Coordinate with other healthcare providers
4. Develop and implement care plans
5. Educate patients and families
6. Perform assessments on cancer patients
7. Support patients during radiation
8. Take vital signs

Where Do Oncology Nurses Work?

Oncology nurses work in many healthcare settings: 

1. Academia
2. Cancer centers
3. Chemotherapy infusion center
4. Clinics
5. Extended care facilities
6. Home care agencies (including palliative and hospice care)
7. Hospice centers
8. Hospitals
9. Infusion centers
10. Physician offices
11. Research center

Oncology Focus Areas

In addition to variety in work locations, there are many areas of oncology in which to focus. These include:

1. Bone marrow transplantation
2. Breast Oncology
3. Chemotherapy/infusion
4. Genetic counseling
5. Gynecologic oncology
6. Hematology
7. Immunotherapy
8. Radiation oncology
9. Surgical oncology

In many work settings, oncology nurses will learn safety precautions regarding caring for patients undergoing procedures and treatments where there is potential exposure to radiation and toxic substances, including chemotherapy. 

As with nursing in general, your salary as an oncology nurse will depend on your level of education, years of experience, size of employer, and where you live and work. But many employers offer additional compensation for achieving certification in your nursing specialty.

In May 2022, the Bureau of Labor Statistics (BLS) reported the mean annual income for registered nurses as $81,220, with a range from $61,250 to $129,400 per year, though conditions vary based on area. Unfortunately, the BLS does not differentiate between different specialties within nursing. But, according to ZipRecruiter.com, the average annual salary for an oncology nurse is $90,088 or $43.00 per hour, and Payscale.com reports an Oncology Nurse makes $80,497 per year or $35.38 per hour.

Oncology Nurse Salary by Years of Experience

Specifically, Oncology nurses can earn a higher annual salary with increased years of experience.

1. Less than 1 year of experience earn an hourly wage of $29.67
2. 1 to 4 years of experience earn an hourly wage of $32.41 
3. 5 to 9 years of experience earn an hourly wage of $35.01
4. 10 to 19 years of experience earn an hourly wage of $38.59
5. Over 20 years of experience earn an hourly wage of $39.00

Oncology Nurse Practitioner Salary

Oncology Nurse Practitioners have the ability to earn more due to advanced responsibilities and degrees. According to Payscale.com, the average annual salary for an oncology NP is $101,280.

Specifically, Oncology NPs can earn a higher annual salary with increased years of experience. 

1. Less than 1 year of experience earn an average salary of $93,821
2. 1-4 years of experience earn an average salary of $97,544
3. 5-9 years of experience earns an average salary of $103,163
4. 20+ years of experience earns an average salary of $116,676

Oncology Nurse Benefits

Regardless of the workplace setting, full-time and part-time nurses enjoy similar benefits. While actual benefits may vary depending on the institution most include the following:

1. Health insurance
2. Certification Reimbursement      
3. Retirement Options
4. Family Leave of Absence
5. Maternity Leave
6. Dental Insurance
7. Dependent health insurance coverage
8. Life Insurance
9. Paid time off
10. Relocation assistance
11. Childcare
12. Bereavement leave       
13. Vision Insurance        
14. Discounts       
15. Education Reimbursement
16. Advanced certification reimbursement
17. Attendance at nursing conferences

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In order to become an oncology nurse, you'll need to complete the following steps:

1. Step 1: Graduate with either an ADN or a BSN from an accredited nursing program
2. Step 2: Become a Registered Nurse by passing the NCLEX examination
3. Step 3: Gain at least 2-3 years of relevant oncology nursing experience
4. Step 4: Get Certified

Oncology Nursing Certification

The Oncology Nursing Certification Corporation offers six different certifications. Certification in the field boosts your confidence, keeps your knowledge up to date, helps you provide the best possible patient care, is an advantage in the competition for jobs, and can enhance your annual salary. 

The following certifications are available, depending on your interests and experience:

1. Oncology Certified Nurse (ONC®)
2. Certified Pediatric Hematology Oncology Nurse (CPHON®)
3. Certified Breast Care Nurse (CBCN®)
4. Blood and Marrow Transplant Certified Nurse (BMTCN®)
5. Advanced Oncology Certified Nurse Practitioner (AOCNP®)
6. Advanced Oncology Certified Clinical Nurse Specialist (AOCNS®)

*Require a master’s degree in nursing. See 2017 Oncology Nursing Certification Test Candidate Handbook to review available pathways to certification.

The ONCC provides a handy online tool to help you calculate if you have enough oncology nursing experience to sit for a certification exam. You can also download content outlines for specific exams and take one cost-free sample test to help you prepare. 

Oncology nurses only require an active nursing license and experience. However, many nurses choose to earn post-graduate education in oncology nursing, whether that be a certificate or a graduate degree. Because of the range of programs and the fact that individual nursing pathways and careers take various forms, the top 10 oncology nurse programs are ranked in no particular order. 

1. Duke University

Annual Degree Cost: $22,056 (estimated)

Online: No

Program Length: 1 year

Duke University has some of the best graduate nursing programs available, and the MSN with a specialization in oncology is no exception. The program meets standards set by the Oncology Nursing Society Scope and Standards for Advanced Practice in Oncology Nursing and takes just one year or less to complete. During the program, nurses earn 224 clinical hours and nine credit hours on top of the regular MSN requirements. However, anyone who already has an MSN can enroll directly into the oncology specialization program. 

2. Loyola University Chicago

Certificate Cost: $11,300

Online: Yes

Program Length: 1 year

While some schools offer degrees with specializations in oncology, schools like Loyola University Chicago instead offer a certificate in oncology. The oncology nursing certificate program is intended for anyone with a BSN and is available entirely online. The program consists of just four courses, so even part-time students should have no trouble completing the certificate in one year or less. However, LUC does require all applicants to first gain some professional oncology nursing experience. 

3. The University of Alabama at Birmingham

Certificate Cost: $10,084

Online: Yes

Program Length: 1 year

Completed either as part of an MSN or as a post-MSN certificate, the University of Alabama at Birmingham's oncology specialization only accepts students during the summer. However, nurses complete their courses online, though UAB does require some on-campus intensives. Studying part-time and year-round, oncology students should be able to complete the certificate in just one year. 

4. University of Southern Florida

In-State Annual Cost: $6,410 Out-of-State Annual Cost: $17,324

Online: No

Program Length: 3 years

Perfect for nurses with little to no oncology experience, the University of Southern Florida's BSN-DNP with a focus in oncology/adult-gerontology primary care nurse practitioner comes in both a part-time and full-time format. The length and cost of this program vary based on how quickly students complete their courses and earn clinical experience. To qualify, applicants should become licensed RNs in Florida. 

5. Yale University

Annual Degree Cost: $47,114

Online: No

Program Length: 2 years

An Ivy League school with some of the most well-respected graduate nursing programs in the nation, Yale University's MSN with a concentration in oncology allows nurses to pair a nurse practitioner specialization with oncology. Because it's an NP program, students need to complete hundreds of clinical hours, all of which must be done in-person. Because different NP specializations set different credit and experience requirements, this program could be longer or shorter than two years. 

6. Columbia University

Annual Degree Cost: $69,246

Online: No

Program Length: 2-4 years

New York, New York-based Columbia University is definitely one of the more expensive options for nurses looking to complete an oncology program. However, Columbia provides students with flexibility, allowing them to choose a specialization in either adult or pediatric oncology. The program comes as a DNP, so both BSN and MSN holders can apply. Of course, those with an MSN and active NP license can complete this program quicker, reducing the total cost of the doctoral degree. 

7. University of Southern Indiana

Certificate Cost: $700

Online: Yes

Program Length: 10 weeks

The University of Southern Indiana offers one of the fastest, and most affordable, certificates in oncology. The 10-week program uses online courses, and students interact with each other via email and online boards. However, to become eligible for the Oncology Nursing Certification, students do need to complete 50 contact hours. The program is meant for current nurses and healthcare providers, but it doesn't require a BSN, MSN, or any specific degree. 

8. University of Pennsylvania 

Certificate Cost: $75,222

Online: Hybrid

Program Length: 1 year

The University of Pennsylvania's School of Nursing ranks among the best in the nation. However, studying at a quality institution comes at a price. The adult oncology specialty certificate is pricey, but it does include 250 hours of clinical experience. Upon completing the program, nurses qualify for both the Oncology Certified Nurse Practitioner or Advanced Oncology Certified Clinical Nurse Specialist certifications. UPenn accepts current graduate students and practicing nurses with a master's degree. 

9. Felician University

Certificate Cost: $10,020

Online: No

Program Length: 1 year

Created for anyone with an MSN and national certification, Felician University's adult oncology nurse practitioner post-master's certificate program prepares students for the Adult Oncology Nurse Practitioner exam. This 12-credit program requires at least 500 clinical hours completed at the Hackensack Meridian Health John Theurer Cancer Center in Hackensack, New Jersey. Anyone interested in the program must also have an active RN license in New Jersey. 

10. Azusa Pacific University

Certificate Cost: $36,960–$47,040 depending on full-time or part-time status 

Online: No

Program Length: 2 years

Great for anyone looking to become an oncology NP in California, Azusa Pacific University's oncology nurse practitioner certificate requires 24 units to complete. Nurses complete courses in the program in the evening and earn at least 12 clinical hours each week. While not required, students in the program can also count credits toward a DNP. The program also connects students with nurse oncology mentors, and that could help nurses find their next position. 

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Methodology

This list is based on a number of factors including:

• Reputation
• Tuition
• Acceptance rate, when available
• Only ACEN and CCNE-approved programs are eligible

Nurse Panel

Our selection panel is made up of 3 Registered Nurses with years of experience and multiple degrees:

• Tracy Everhart, MSN, RN, CNS
• Tyler Faust, MSN, RN
• Kathleen Gaines, MSN, BSN, RN, BA, CBC

The BLS predicts that nursing employment will grow at a rate of 6 percent through 2032 – faster than the average for all jobs. There is a shortage of nurses, with baby boomer nurses nearing retirement and the growing health demands of our aging population. 

To discover opportunities in oncology nursing, visit our Job Board.

In its report, Cancer Facts and Figures 2017, the American Cancer Society estimates that in 2017, over 1.6 million people in the U.S. will be diagnosed with cancer, which excludes noninvasive and several other cancers. The disease is the second leading cause of death next to heart disease, and about 1650 people die from it every day (a total of about 600,920 people each year). 

Cancer affects many body systems and all age, racial, and cultural groups. As the risk for many cancers increases with age, the demand for oncology nurses will likely increase in areas such as screening and prevention, health status monitoring, symptom management, direct nursing care, and patient/family/caregiver education. 

Methodology

This list is based on a number of factors, including:

• Reputation
• Tuition
• Acceptance rate, when available
• Only ACEN and CCNE-approved programs are eligible

Nurse Panel

Our selection panel is made up of 3 Registered Nurses with years of experience and multiple degrees:

• Tracy Everhart, MSN, RN, CNS
• Tyler Faust, MSN, RN
• Kathleen Gaines, MSN, BSN, RN, BA, CBC

>> Show Me Online Nursing Programs

Clinical practice and continuing education requirements for renewing a nursing license, certification, and advanced practice certification vary by state and credentialing agency. Check with your state board and professional organization for the rules on keeping your RN license and certification up to date. 

You can also visit our CE Guide for details.

Many sources can get you started in your search for oncology nursing positions. First, check the “Careers” pages of websites for hospitals and agencies that interest you. Many online resources are available for job searches, including nursing social media sites, career sites, and dedicated nursing career sites such as our job board. 

You can also check for opportunities with comprehensive cancer centers, so named by the National Cancer Institute (NCI), and members of the National Comprehensive Cancer Network. These organizations have a strong commitment to advancing cancer science and treatment as well as to providing leading-edge patient care. 

Oncology nursing is a rewarding field, with challenges on many levels: ever-changing knowledge and technology requirements in a continually evolving area of medicine, and having to face emotionally charged situations as part of one’s daily work. The oncology nurse has the opportunity to grow both professionally and personally, forming deep and trusting relationships with patients and families over time.

While self-care and maintaining personal/professional life balance are critical for all nurses, it is especially important for the oncology nurse to regularly practice self-care, incorporating activities that bring physical, emotional, and spiritual renewal. Oncology nurses make significant contributions to caring for the patients they serve, the healthcare system, and society as a whole.

Learn more about oncology nursing by searching the web and talking with nurses currently working in the field. Tap into social media, visit your local nursing school to chat with an advisor, and visit the websites of professional organizations for oncology nursing. Some of these organizations include:

1. Oncology Nursing Society
2. International Society of Nurses in Cancer Care
3. Society of Gynecologic Nurse Oncologists
4. Hospice and Palliative Nurses Association
5. Association of Pediatric Hematology-Oncology Nurses
6. National Association of Pediatric Nurse Practitioners
7. Academy of Oncology Nurse and Patient Navigators

$70,000 - $90,000 Associate Bachelors Oncology Bedside RN