Nurse Navigator - Breast Imaging

Job Title: Registered Nurse Navigator Breast Imaging
DEPARTENT: Imaging                     
Location: Rochester General Hospital Medical Office Building (1425 Portland
Avenue)                           
Hours Per Week: 0
Schedule:  Monday-Friday 8am-4:30pm                        

Summary

The Breast Imaging Navigator will work within a medical interdisciplinary team
to provide proactive case coordination, navigation, and education for patients
in need of breast care treatment, including case management, utilization
management and resource management for advanced imaging studies. The Breast
Imaging Navigator will work under the direction of the radiologist and
collaborate with the breast care center, oncology and referring providers to
provide comprehensive and multidisciplinary breast care for the patient and
family. The breast-imaging navigator follows health system policies and
procedures, and assists with continually improving the quality and effectiveness
of image case management and patient navigation.

Responsibilities

* Serve as patient navigator for breast imaging patients to include
mammography, breast MRI’s, breast ultrasounds, biopsies/procedures, and
follow up care. 
* Provides professional guidance to our patients in coordination with our
women’s breast center. 
* Main point of contact for referring provider or patient questions/scheduling
breast procedure add-ons.
* Assists with scheduling biopsies, reviewing consent for biopsy/procedures
with patient prior to procedure, assist with procedures as needed.
* Responsible for the communication to patients regarding follow up imaging
needed based on the radiologist request. 
* Schedules appointment for additional imaging based on radiologist
recommendation prior to patient being referred back to surgeon as
appropriate.  
* Maintains appropriate documentation through medical record entries, MQSA data
base and navigator dashboard, daily logs, computer entries and monthly
statistics in a timely manner.
* Revamp patient scheduling template to accommodate add on surgical procedures
from breast center and to validate open procedure spots not utilized are
filled with other exams.
* Provides High quality, patient centered clinical care.
* Performs initial and ongoing assessment of the patient, utilizing appropriate
data (i. e. physical, psychological, educational).
* Demonstrates clinical judgment in responding to priority patient needs.
* Communicates and documents assessment of patient with the interdisciplinary
team, utilizing all available resources in order to meet the needs of the
patient and family. 
* Demonstrates ability to manage job related stressors and constructive
feedback during intra/interdepartmental relations.
* Participates in problem solving activities in the breast imaging unit 
* Serve as a patient navigator for breast imaging patients to include
mammography, breast MRI’s, breast ultrasounds, biopsies/procedures and follow
up care.  
* Assist with scheduling biopsies, reviewing consent for biopsy/procedures with
patient prior to procedure, assist with procedures as needed.
* Contact patient pre-procedure to review medications, identify patient is able
to withstand prone procedure during stereotactic biopsy.
* Reviews and preps for interventional breast imaging procedures    Reviews
cases with the radiologists as needed. 
* Prepares and explains post procedure care with patients and their family.
* Maintains appropriate documentation through medical record entries in EPIC,
daily logs, computer entries and monthly statistics in a timely manner.
* Follow up on patients post procedure care, to include directive of
Radiologist on benign results. 
* Help to oversee pathology reports and follow up with radiologist on addendums
made within one week.
* Oversees weekly all BiRADS 4 & 5 validating follow up care is completed
within a timely manner.
* Initiates and documents education plan for the patient and family based on
identified learning.
* IV starts and contrast injection for Contrast Enhanced Mammography, monitor
patient during CEM procedure. 
* Medical support for vasovagal and emergency events.
* Supports and helps maintain our patient risk assessment program, assess to
identify high risk patients. 
* Create weekly procedure list and procedure reference sheet for Radiologist –
submitting in advance to them.
* Consistently upholds and promotes the mission of Rochester Regional Health
through living core values with the workplace. 
* May act as a liaison between Radiologist and staff Technologist. 
* Complies with organizational policies, procedures and protocols including
policies governing safety, medication administration and documentation
* Responsible for compliance of departmental safety procedures and assists in
training staff on new safety protocols as applicable.
* Provides feedback to breast imaging supervisor/manager concerning daily
issues and problems. 
* Demonstrates independence and strong clinical skills.
* Orders supplies and maintains par levels as assigned. 
* Assists in DNV and DOH inspection compliance and training.
* Performs or has extensive knowledge of the various Ultrasound, MRI and Mammo
procedures including stereotactic. 
Works with other departments to facilitate scheduling of procedures in a
timely manner. 
* Works closely with Breast Imaging Supervisor and Imaging Navigator  
* Requires a strong working relationship with breast radiologist and the breast
surgeon along with breast center staff. 
* Provides support, direction and assistance to the multiple ambulatory imaging
sites that perform mammography.
* Performs other duties as assigned.

Minimum Requirements

Diploma or Associates Degree in nursing required.
NYS Registered Nurse license
Basic Life Support (BLS) Certification

Education

Licenses / Certifications

Physical Requirements

M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to
25 pounds of force frequently, and/or greater than negligible up to 10 pounds of
force constantly to move objects; Requires frequent walking, standing or
squatting.

For disease specific care programs refer to the program specific requirements of
the department for further specifications on experience and educational
expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s
physician or delegate will be considered for accommodations.

Pay Range

$38.82 - $53.03

City

Rochester

Postal CODE

14621

The listed base pay range is a good faith representation of current potential
base pay for a successful full time applicant. It may be modified in the future
and eligible for additional pay components. Pay is determined by factors
including experience, relevant qualifications, specialty, internal equity,
location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified
applicants will receive consideration for employment without regard to race,
color, creed, religion, sex (including pregnancy, childbirth, and related
medical conditions), sexual orientation, gender identity or expression, national
origin, age, disability, predisposing genetic characteristics, marital or
familial status, military or veteran status, citizenship or immigration status,
or any other characteristic protected by federal, state, or local law.