Certain embodiments of the present invention provide improved clinical workflow using a medical imaging and information management system and method with enhanced communication capabilities. Certain embodiments of the system include an information manager including clinical content, such as images and/or information, and a communication manager receiving an event notification from the information manager. The system may further include an interface capable of accessing the information manager. Additionally, the system may include a contact device capable of communicating via the communication manager. A modality may transmit examination data to the information manager and may receive instructions for the information manager. In an embodiment, the communications manager includes a contact information list with one or more contact devices associated with a user. The communications manager may be capable of detecting a presence of a user on a network.