A Bacholar's Degree is preferred. Two years of experience as a Registered Nurse or Registered Mammography Technologist is required. Must be a registered nurse in the State of North Carolina or registered by the American Registry of Radiology Technologist with certification is both Radiology and Mammography (meeting all MQSA/FDA requirements to perform Breast Imaging). Healthcare Provider BLS/CPR is required.
JOB SUMMARY: The Clinical Navigator position has responsibility for breast health. The Clinical Navigator will work closely with the mammography department to provide care coordination, case management, education, consultation, and referrals to patients with diagnostic mammo patients in need of further diagnostic procedures, biopsy, genetic testing, and education. The Clinical Navigator will manage the High Risk for Breast Cancer Assessment Program to ensure completion of family history questionnaires, analysis of data, patient education, and referrals to the High Risk Breast Clinic and/or Genetic Counselor.
EDUCATION/EXPERIENCE: Bachelor’s Degree preferred. Two years of experience as a Registered Nurse or Registered Mammography Technologist required. One year of Case Management or Navigation preferred.
LICENSURE, CERTIFICATION, and/or REGISTRATION: Registered Nurse (RN) in the State of North Carolina required OR Registration by the American Registry of Radiology Technologists with certification in both Radiology and Mammography (meeting all MQSA/FDA requirements to perform Breast Imaging). Healthcare Provider BLS/CPR required.
1. Patient Identification, Introduction, and Intake. Works with appropriate physician providers to identify patients in the assigned diagnostic group who meet criteria for navigation services. Initiate introductory visit following timeliness guidelines per the navigation pathway. Complete intake interview, working to build a relationship, providing education and resources, and facilitating answers to questions or immediate assistance in removing barriers to care.
2. Facilitate Patient Referrals. Reviews patient chart and discusses with providers to identify needs for additional diagnostic follow-up and provider consultation appointments. Coordinates scheduling of tests: labs, x-rays; coordinates consults and collaborates with patient to schedule and explain all needed appointments.
3. Documentation. On the day of each encounter, fully documents assessments, referrals, patient progress, and known barriers to care in the appropriate section of the Electronic Medical Record.
4. Education. Educates patients and families on their diagnosis, prognosis, treatment status, and symptom management. Actively participates in outreach/community education and/or early detection/screening events. Serves as a Subject Matter Expert on the diagnostic group to which they are assigned.
5. Interdisciplinary Conferences. Creates clinically appropriate synopses and patient treatment objectives when needed for their respective interdisciplinary conferences. Documents treatment plan/care path decisions in patient's EMR. Ensures that there is continuity of communication between a patient's various care providers (both within and outside the UNCHCS community) and that there is complete and accurate communication between care providers and patients.
6. Case Management. Reviews patient charts to identify needs, provides guidance in scheduling necessary diagnostic tests, and obtains the results of these tests. Interviews patients regarding their current health practices, identifies health problems, determines the degree of compliance and problems complying with the prescribed treatment plan, and documents this information in the patient's chart. Analyzes data from patient interviews, chart reviews, and physical assessments to determine patient's nursing care needs including direct care or referral to other departments. Appropriately triages telephone calls from the patient with problems or complaints. Maintains written and oral communication with statewide home health agencies, referring appropriate cancer patient to these agencies for emotional support, reinforcement of wound care instructions, and/or nutritional and physical assessment.
7. Genetic Screening. Stays current with NCCN guidelines for genetic testing for assigned diagnostic group, alerting providers to potential needs and opportunities for scheduling testing or referrals. Educates patient and family regarding molecular/genetic testing and refers to Certified Genetic Counselor and/or High Risk Program as appropriate.
8. Patient Advocacy and Support. Takes initiative in ensuring that needed patient services are available or by referral. Works with health system and community leaders to develop programs and resources as needed.
9. Programmatic Leadership. Provides programmatic and thought leadership regarding patients in assigned diagnostic specialty to all care management units (i.e. Scheduling and Registration, Clinical Research, Infusion Center, Radiation Oncology, Oncology Care Team, Hem/Onc Clinic). This duty would include assisting non-clinical staff understand better how various providers and treatments interact to facilitate efficient care. The Navigator may additionally provide some volunteer, resident and fellow teaching, as appropriate.
10. Care Path Development. Works with leadership, physicians, and clinical partners to develop and refine a clinical pathway that ensures complete and evidence-based care for patients in assigned diagnostic group. Champions compliance with the approved pathway by all providers, utilizing process improvement skills to refine the path when opportunities for improvement are identified. Educates new providers and their office staff on the pathway.
11. Navigator Continuing Education. In order to be effective, a Clinical Navigator must remain current in their field. To this end, each Navigator should avail themselves of continuing education opportunities. Further, the Navigator must maintain all required certifications. In addition, Navigators should, when appropriate, participate in grand rounds, cancer conferences, and other clinical learning opportunities
SKILLS & QUALIFICATIONS:
Problem solving/critical thinking skills:
Identifies and resolves problems in a timely manner and excels at locating, retrieving, evaluating, and using information skillfully.
Competence with computer systems, applications, and the electronic medical record.
Ability to develop trustful working relationships with others.
Maintains an open, approachable manner, and treats others fairly and respectfully.
Preserves others' self-confidence and dignity, and shows regard for their opinions.
Communication skills: Ability to communicate effectively by listening, speaking, and writing; demonstrates skill at group presentations, meeting facilitation, health interviews.
Data Analysis skills: Ability to identify key performance metrics, track and/or locate relative data, analyze and summarize in ways that contribute to process change and improvement.
LEAN or Six Sigma process improvement knowledge will be helpful in this position.
Organization: Prioritizes and plans work activities, uses time efficiently, develops realistic action plans.
Adaptability: Maintains regular and dependable work schedule, while being flexible enough to meet patient and program demands that fall outside traditional work hours.
Clean, well lit office environment
Moderate noise environment
Handles emergency or crisis situations
Subject to many interruptions
Amount of time spent performing the following activities:
0% 35% 65%
to to to
35% 65% 100% N/A Activity
X Reaching with arms
X Finger and hand dexterity
Lifting, carrying, pushing and or pulling:
X 20 lbs. maximum
X 50 lbs. maximum
X 100 lbs. maximum
To apply for this position, please click on the "Apply Now" button on this page. You must complete the application process and then submit your application by clicking on the "Submit" button located at the bottom of the page titled "Submit Online Application". You will receive the following message once you hit the submit button: "You have successfully submitted your job application".
Computers are available for applying within the lobby of the Human Resources Department located at 1920 West First Street, (on the corner of Miller and First Street) Winston-Salem, North Carolina 27104. You may also call our office for assistance at (336) 716-6464. Office hours are Monday-Friday, 8:00am-5:00pm.
If you are an individual with a disability and need reasonable accommodation to participate in the application process, please contact our Supervisor of Office Services by phone (336) 716-3367 or email at email@example.com.
It is the policy of Wake Forest Baptist Medical Center to administer all educational and employment activities without discrimination because of race, sex, age, religion, national origin, disability, sexual orientation, gender identity or veteran status (except where sex is a bona fide occupational qualification or a statutory requirement) in accordance with all local, state, national laws, executive orders, regulations, and guidelines.