Endoscopy RN Navigator Gastroenterology 40 Hours Days

POSITION SUMMARY:

The RN Endoscopy Navigator is a vital member of the care team ensuring timely safe and patientcentered care for individuals undergoing endoscopic procedures. This role integrates advanced clinical knowledge critical thinking and compassionate communication to guide patients through the preprocedure procedure and postprocedure phases. The Navigator triages referrals to prioritize highurgency cases ensures preprocedure readiness and provides patient education tailored to their needs. Acting as a bridge between patients families and healthcare providers the RN Endoscopy Navigator contributes to optimal patient outcomes and a seamless care experience.

Position: Endoscopy RN Navigator

Department: Gastroenterology

Schedule: 40 Hours (Days)

ESSENTIAL RESPONSIBILITIES / DUTIES:

STANDARDS OF CARE

• Consistently applies the nursing process (assessment diagnosis planning implementation and evaluation) to deliver safe efficient and patientcentered care.

• Conducts thorough assessments prioritizes patient needs and communicates findings effectively.

• Identifies emergency situations communicates promptly and responds appropriately.

Referral Triage and PreScheduling

• Review referrals to prioritize highurgency cases based on diagnosis and clinical indicators such as bleeding cancer red flags or abnormal imaging.

• Identify routine surveillance colonoscopies suitable for deferment following current guidelines.

• Collaborate with scheduling teams to expedite appointments for urgent cases.

PreProcedure Readiness

• Identify patients requiring specialized care or preparation including:

  • Monitored Anesthesia Care (MAC):

    • Review prior endoscopic procedure reports in EPIC for tolerance issues or MAC recommendations.

    • Assess history of alcohol or substance use disorders; chronic opioid use; severe anxiety; or significant comorbidities (ASA III or higher).

  • PreProcedural Clinic (PPC) Visits:

    • Patients with severe COPD on home oxygen pulmonary hypertension or OSA.

    • History of decompensated CHF recent MI or stroke <6 months) or severe valvular heart disease.

    • Patients with implanted cardiac devices requiring cardiac device clinic appointments.

  • TwoDay Bowel Prep:

    • Patients with prior inadequate bowel preparation or risk factors such as constipation opioid/anticholinergic use or GLP1 use.

  • PreProcedural Antibiotics:

    • Patients on peritoneal dialysis with cirrhosis and ascites or undergoing PEG tube placement.

• Coordinate care plans and internal/external referrals as necessary.

Patient Education and Support

• Provide detailed preprocedure instructions including:

  • Medication management for antithrombotic anticoagulants diabetes medications or GLP1 medications.

  • Dietary instructions and other preprelated guidelines.

• Act as a consistent resource for patients ensuring understanding and addressing concerns.

• Educate patients and families on procedures expected outcomes and followup care.

Procedure and PostProcedure Coordination

• Ensure all necessary documentation and patient information are complete and accessible before procedures.

• Review procedure outcomes with patients and coordinate postprocedure care plans.

Continuous Evaluation and Improvement

• Conduct ongoing evaluations of patient progress and revise care plans based on outcomes.

• Participate in quality improvement initiatives to enhance care delivery and patient satisfaction.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Job Requirements:

EDUCATION:

• Nursing degree: Diploma ASN or BSN (preferred) Ability to obtain BSN within 4 years

CERTIFICATES LICENSES REGISTRATIONS REQUIRED:

• Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts.

• Requires current basic life support (BLS) certification

• Additional certifications may be required for certain practice areas.

EXPERIENCE:

• Experience: 35 years experience preferred

• Minimum of one year Ambulatory Care experience gastroenterology experience preferred.

• Telephone Triage experience

• Bilingual Candidates are highly encouraged to apply

• Software/Hardware: Must be proficient and have a strong working knowledge of Microsoft Office (Outlook Excel Word etc.

KNOWLEDGE SKILLS & ABILITIES (KSA):

• Basic computer proficiency inclusive of ability to access enters and interpret computerized data/information.

• Effective interpersonal skills to facilitate communication with various members of the health care team patients and families.

• Organizational skills to set priorities and efficiently complete assigned work.
  Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred.

• Relevant clinical experience in pulmonary or allergy preferred.

• Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects.

• Ability to effectively delegate appropriate patient care activities.

• Effective verbal and written communication skills appropriate to the patient populations served.

• Physical ability to meet the core job responsibilities in accordance with practice setting demands for the patient populations regularly served.

• Ability to effectively manage stress due to critical issues related to patient care changing organizational climate and personnel issues.

• Ability to effectively work as part of a team.

Equal Opportunity Employer/Disabled/Veterans