GENERAL STATEMENT OF DUTIES: Provides professional nursing care under supervision for clinic patients.
ORGANIZATIONAL RELATIONSHIPS: Reports directly to the Practice Manager/Director of Practice Management.
ESSENTIAL JOB FUNCTIONS:
Duties performed in this position include but are not limited to the following:
Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards.Daily oversight of department and/or practice operations Staff oversight including, but not limited to hiring, training, scheduling, PTO maintenance, disciplinary action, assists in annual evaluations, ongoing staff development and education, and daily operational support and assistance.Ensure all OSHA and HIPAA requirements are being met and maintained.Timekeeper in KronosPerforms safety checks of the office and office equipment (reports all concerns) Implements and enforces AMG policies and procedures. Assists with the preparation of equipment, and aids physician/nurse practitioner during treatment, examination, and testing of patients.Prepares charts two days in advance gathering all outside consults/diagnostic testing/lab work ordered and performed since last visit.
Prints Enhanced Encounter FormsIdentifies Medicare Wellness patients.Observes, records, and reports patient’s condition and reaction to drugs and treatments to physicians. Administers prescribed medications as directed.Prepares charts two days in advance gathering all outside consults/diagnostic testing/lab work ordered and performed since last visit.
Prints Enhanced Encounter FormsIdentifies Medicare Wellness patients.Oversees appointment bookings and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients.Greets patients and prepares them for provider examination. Screens patients for appropriate information. Instruct patients in collection of samples and tests.Completes patient intake, reviews and updates medical history and medications.
Verifies patient pharmacy.Gives injections and applies dressings as required.
Obtains and runs testing as ordered (urine dip, urine micro, glucose, A1C, EKG, PT/INR, urine drug screening)Obtain pt consent for procedures. Performs nurse visits- including education of physician’s orders to patient and proper charting after visit. Arranges for patient testing and admissions.
Schedules STAT testing (if needed) Responds to and refers incoming telephone calls. Instructs patient and family regarding medication and treatment instructions. Formulates and updates patient care plans. Orders, prepares, and inspects patient’s charts. Posts test and examination results.Responsible for preparation of exam rooms including re-stocking of treatment areas.
Identifies clinical and office supplies and equipment needed and notifies lead and/or practice manager.Attends required meetings and participate in committees as requested.Participates in professional development activities and maintains professional affiliations.Maintains patient confidentiality.Performs related work as required per department. (See required duties specific to department.)Comply with all statutory and regulatory policies and procedures.Teaches patient education.Delegates job duties.Processes prior authorizations for testing and medications Updates health maintenanceDouble checks medications and immunizations.
Check to ensure CMA pts have a current med contract and appt scheduled. Once refill is completed, ensure note contains providers OARRS statement. If not, return to the provider to complete. Reviews CMA with patient and runs urine drug screening.Drops appropriate quality codes.Maintains patient files, records, and other information.Obtains information from paper charts or Allscripts (as needed)Requests records from outside officesPrints Primetime EE and Optum forms.Monitors Clinical Pool and personal inbox.Files incoming faxes, prints fax orders for physician signature, transcribes outside labs and INR results. Faxes signed orders and scans into workque to be filed. Uploads Primetime EE’s to Aultcare PortalWorks the outstanding order list (closes the loop)Cross trained to check in/check out patients, make appointments, work front desk. Maintains and orders office supplies.
Mindful of the departmental budgetImmunization supplies, testing supplies, office supplies, office medications and immunizations.Monitors for medication and supply recalls Maintains refrigeration and eye wash logs.Maintains A1C machine calibration testing.Maintains log on INR machine test strips.Reports concerns
Places appropriate help desk tickets Files AMB- occurrence reports, as needed.Works with ICH and Quality team
Performs random chart audits on pt charts to ensure staff is dropping correct quality codes.Attends finance and compliance meetings.Works with billing team to correct billing issues.Forwards Dr Hill’s hospital charges to Manager and billing teamAssist Dr Hill with PAP testing, joint injections, or I&D’s Stocks rooms weekly with supplies and proper formsNotifies Biohazard when sharps or red bags need changed.Communicates concerns to AMG LeadershipAttends SURF and employee engagement meetings.
Updates staff of SURF meeting updates and has them sign offWorks with care coordinator for TCM’s and pt concernsEnsures standing orders are signed and up to date with provider preferences.Maintains staff and provider compliance signature log.Keep a calendar of provider PTO and sick days taken.Maintains sample medication cabinet, sign in and sign out book.
Maintains patient assistance samples.Orders OTC samples as directed by provider.Reminds providers of upcoming meeting and appointmentsMaintain Physician and Nurse Practitioner SCA in office.Ensure Physician completes Nurse Practitioner chart audits each year. KNOW HOW: Knowledge of the principles and skills needed for practical nursing to provide patient care and treatment. Knowledge of examination, diagnostic, and treatment room procedures. Knowledge of medications and their effects on patients. Knowledge of patient education principles to develop a self-care program. Knowledge of common safety hazards and precautions to establish a safe work environment. Skill in administering a variety of treatments and medications as directed. Skill in using various types of equipment for examination and treatment procedures. Skill in taking vital signs. Skill in maintaining records and writing reports. Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public. Ability to maintain quality control standards. Ability to recognize problems and recommend solutions. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt, and applies guidelines and procedures. Ability to communicate clearly.
TYPICAL PHYSICAL DEMANDS: Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Requires sitting, standing, and walking for extensive periods of time. Requires occasional lifting and carrying of items weighing up to 100 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours. Requires exposure to communicable diseases or bodily fluids.
TYPICAL WORKING CONDITIONS: Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment. On feet most of the day, standing/walking for hours on end.
SPECIAL FACTORS: Some overtime hours may be required to accommodate patients.
PERFORMANCE REQUIREMENTS:
Must be a Licensed Practical Nurse. The LPN has a great deal of contact with patients and must be able to establish rapport with them if efficient and effective care is to be rendered. The position requires a person who is tactful, understanding, and sympathetic in his/her relationship with the patient. The candidate must have the ability to recognize serious problems when triaging calls and know how to get the patient serviced in a timely fashion using the resources available at the Foundation. The nurse must have working knowledge of record keeping requirements of the Foundation, both medical and administrative. A properly qualified individual will need approximately 3 months to become familiar with the duties and with individual physician preferences.
Problem Solving: Judgment is required when dealing with different personalities of both patients and the medical staff. The LPN’s duties are almost always performed within previously established AMG policies/guidelines and physician/nurse working relationships. The nurse may work independently at times or under the direct supervision of the physician/Nurse Practitioner. Depending upon their nature, difficult or unusual problems can be referred to the physician, nurse practitioner or practice manager.
Accountability: The LPN is accountable for all nursing care that he/she renders to the patient or should have rendered to the patient. The LPN must follow the physician’s/nurse practitioner’s instructions explicitly when providing care of any kind to patients. The nurse is responsible for dealing with patients in a friendly and cooperative manner. The LPN must make accurate decisions regarding the potential severity of problems telephoned to him/her by patients and must consult the physician/nurse practitioner in a timely fashion regarding those problems. The nurse is required to use supplies and materials only as needed to avoid wasting supplies and materials. The nurse is also required to see if other departments can use supplies not yet used that are close to expiration. The outpatient/ambulatory nurse is an integral part of patient care at the Foundation.
EDUCATION: Graduation from an accredited school of practical nursing.
EXPERIENCE: None.
CERTIFICATES/LICENSE: Valid LPN license and CPR certification
ALTERNATIVE TO MINIMUM QUALIFICATIONS: None.
HIPAA Compliance: Full access to patient health information is required in this position.
Must comply with all regulatory, compliance and safety regulations, policies, and procedures.
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