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Patient Navigator, Breast Surgery - Main Campus at University Hospitals, United States-Ohio-Cleveland

Patient Navigator, Breast Surgery - Main Campus at University Hospitals in United States-Ohio-Cleveland. Est. up to $60k. Apply with swipeandhired.

A Brief Overview This position is responsible for advanced care coordination to ensure patients receive timely care for both preventative screenings and identified diagnostic concerns. Acts as a liaison between patients, providers and navigating referral services. The Patient Navigator, Breast Surgery role serves as a dedicated patient support and care coordination resource for patients navigating the surgical breast health care journey. The Patient Navigator works closely with breast surgeons, advanced practice providers, nurses, schedulers, diagnostic imaging teams, pathology, oncology, primary care providers, and other members of the multidisciplinary breast care team to facilitate timely access to care and promote a seamless patient experience.The Patient Navigator serves as a consistent point of contact for patients from the initial surgical referral through consultation, diagnostic evaluation, surgical planning, procedure scheduling, and transition to appropriate postoperative or oncology services. The role focuses on removing non-clinical barriers to care, coordinating appointments and services, communicating logistical information, reinforcing provider-directed education, and helping patients understand and successfully navigate the health system.The Patient Navigator contributes to the overall performance of the Surgical Breast Health program by improving patient access, reducing delays between diagnosis and treatment, supporting care coordination, enhancing patient satisfaction, and identifying operational barriers and opportunities for improvement.
What You Will Do

1. Patient Navigation and Care CoordinationServe as a primary non-clinical point of contact for patients referred to Surgical Breast Health.Assist patients in navigating the healthcare system from referral through surgical consultation and subsequent treatment or follow-up.Coordinate and facilitate appointments across surgical breast health, diagnostic imaging, pathology, oncology, genetics, radiation oncology, plastic surgery, rehabilitation, and other appropriate services.Assist in coordinating multiple appointments to minimize unnecessary patient visits and reduce delays in care.Track patient progression through defined stages of the surgical breast health pathway.Identify missing appointments, referrals, records, authorizations, or other prerequisites that may delay care.Follow up with appropriate departments to resolve non-clinical barriers.Monitor patients who have not completed recommended scheduling or follow-up activities and provide appropriate outreach.Escalate clinical or urgent concerns to the designated RN, APP, physician, or other licensed clinical professional.
2. Referral and Access ManagementReceive and review referrals for completeness from an administrative/navigation perspective.Assist with obtaining outside medical records, imaging, pathology reports, operative reports, and other documentation needed for the patient's surgical consultation.Coordinate transfer or receipt of outside breast imaging and pathology materials in accordance with established workflows.Communicate with referring providers' offices regarding scheduling requirements and outstanding information.Assist with prioritizing referrals according to established program protocols; clinical prioritization remains the responsibility of the licensed clinical team.Identify barriers that may prevent patients from obtaining timely appointments and communicate those barriers to appropriate leadership or clinical personnel.Assist in maintaining referral work queues and ensuring referrals progress through the appropriate workflow.
3. Patient Communication and EducationProvide patients with clear, compassionate, and timely non-clinical information regarding appointments, locations, preparation requirements, registration, transportation, and other logistical aspects of care.Explain the sequence of appointments and services within the Surgical Breast Health pathway.Reinforce education provided by physicians, nurses, APPs, or other qualified clinical staff using approved educational materials.Provide patients with appropriate program-approved educational resources.Help patients identify questions they may wish to discuss with their physician or clinical team.Communicate with patients by telephone, electronic messaging, and other approved communication methods.Conduct proactive outreach to patients when appointments, records, referrals, or other administrative requirements remain outstanding.Maintain a patient-centered, culturally responsive, and compassionate approach when communicating with patients and families.
4. Surgical CoordinationAssist patients in progressing from surgical consultation to the next appropriate step in their care plan.Coordinate non-clinical components of surgical scheduling in partnership with the surgical scheduling team.Assist with scheduling preoperative appointments and required testing according to established provider-directed workflows.Help patients understand where and when they need to report for scheduled services.Identify incomplete preoperative requirements and communicate them to the appropriate team.Assist with coordination among breast surgery, anesthesia, imaging, operating room, pathology, and other departments as appropriate.Facilitate communication of patient questions or concerns to the appropriate member of the surgical team.Support timely transition from surgical care to postoperative follow-up and other recommended services.
5. Multidisciplinary Breast Care CoordinationFacilitate communication among members of the multidisciplinary breast care team.Assist in coordinating referrals to medical oncology, radiation oncology, genetics, plastic surgery, rehabilitation, social work, nutrition, behavioral health, or other services when directed by the clinical team.Assist with multidisciplinary clinic workflows, breast conferences, or other program-specific processes.Help ensure patients receive appropriate information regarding upcoming appointments and care transitions.Identify gaps in coordination and escalate concerns to the appropriate clinical or administrative leader.
6. Patient Barrier Identification and Resource SupportIdentify non-clinical barriers that may interfere with a patient's ability to access or complete care.Assist patients with navigating transportation, appointment logistics, financial assistance resources, interpreter services, disability accommodations, and other available support resources.Connect patients with appropriate internal and community resources according to established protocols.Escalate complex psychosocial, financial, safety, or clinical concerns to the appropriate professional.Assist patients in understanding system requirements and available support services without providing financial, legal, or clinical advice.
7. Patient ExperienceServe as a patient advocate within the scope of a non-clinical navigation role.Promote a coordinated, compassionate, and patient-centered experience throughout the surgical breast health journey.Proactively communicate when delays or changes occur in the patient's care pathway.Assist patients in identifying the appropriate department or team member to address questions or concerns.Participate in service recovery activities within established organizational guidelines.Identify recurring patient experience concerns and communicate trends to leadership.
8. Documentation and TrackingAccurately document navigation activities, patient contacts, referrals, barriers, and follow-up activities in the electronic medical record or designated tracking systems.Maintain accurate navigation work queues and tracking databases.Document patient outreach attempts and outcomes according to established standards.Track key milestones within the surgical breast health pathway.Maintain confidentiality and comply with HIPAA and all applicable organizational policies.Ensure documentation is factual, objective, and within the scope of the navigator's responsibilities.
9. Program Development and Performance ImprovementParticipate in initiatives designed to improve access, patient flow, care coordination, and patient experience.Identify recurring operational barriers within the surgical breast health pathway.Track and report non-clinical navigation issues and trends to program leadership.Participate in process improvement projects related to breast surgery access and care coordination.Assist with development and maintenance of patient navigation workflows, standard operating procedures, and educational resources.Participate in efforts to reduce avoidable delays between referral, consultation, diagnosis, surgical planning, and treatment.Assist leadership with monitoring program performance metrics.Potential performance metrics may include:Referral-to-consultation timeReferral-to-surgery timePercentage of referrals successfully scheduledTime to completion of required records/imagingAppointment completion ratesNumber and type of patient barriers identified and resolvedPatient outreach completionPatient satisfactionPatient experience/service recovery metricsCare pathway delaysNo-show/cancellation ratesSuccessful transitions to downstream services
10. Team CollaborationDevelop effective working relationships with breast surgeons, APPs, RNs, schedulers, medical assistants, imaging personnel, pathology, oncology, social work, financial counseling, and other members of the multidisciplinary team.Participate in team huddles, operational meetings, and program meetings as appropriate.Communicate clearly and promptly regarding barriers that may affect patient progression through the care pathway.Maintain an understanding of the roles and responsibilities of the multidisciplinary breast care team.Promote a collaborative approach to patient care while maintaining appropriate professional boundaries.

Additional Responsibilities

Performs other duties as assigned.
Comply with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.