Community Based Clinical Support Specialist II- CNA or CMA

Job Description

Job Description

Community Based Clinical Support Specialist II- Certified Nursing Assistant or Certified Medical Assistant Kent County and Mobile Health Unit

Job Summary : The Community Based Clinical Support Specialist II is part of a cross-trained team providing support to Choptank Community Health (CCHS) Community Based program, including School Based Medical and Dental (SBHC), Migrant and Mobile Health Unit (MHU) programs. The Community Based Clinical Support Specialist II provides a range of clinical, administrative, and staff support to a school based medical operation. Duties may include the following: taking medical histories, taking vital signs, assisting during patient/procedures/examinations, collecting and preparing laboratory specimens, using various pain scales to screen for pain, EKGs, and nebulizer treatments, disinfection and stocking of exam rooms and clinical areas, as well as the administrative SBHC duties. Assists in the performance of medical and administrative procedures; prepares and maintains medical equipment and supplies in accordance with established protocol, procedures, policies, and standards, and assists in the coordination of day-to-day patient administration, records management, and medical support activities. This position requires traveling to various sites to function as support for the Community Based Medical & Dental providers including MHUs. This is a nonexempt, full-time position in pay grade 3 with the pay range of $19.14 - $24.88. The Community Based Clinical Support Specialist II reports directly to the Director of Community and School Based Programs.

Required Skills/Abilities: 

• CPR certified. If not certified, can complete the certification during orientation period. 
• A valid driver’s license, as travel to multiple sites is a requirement. 
• Drivers’ training for CCHS vehicles including MHU will be provided as driving CCHS vehicles (MHU) is a requirement of this position. 
• Bilingual language skills (Spanish/English) a plus
• Working knowledge of automated patient data systems. 
• Must demonstrate the ability to use medical equipment and materials safely. 
• Must be proficient in computer skills. 
• Must be proficient in venipuncture, calculating doses of medications, injections, EKG’s, nebulizer treatments, pain screening, collection and preparation of laboratory specimens and performing basic in-house laboratory tests.

Education and Experience:

• High School Diploma or equivalent
• Certificate of completion from an accredited medical assistant program. Certification must remain current during the entire course of employment.
• BLS certification required.
• Minimum six months’ experience preferred.
• Preferred experience in various medical settings to include family practice, pediatrics, and women’s health.  

Working Conditions and Physical Requirements:

• General office environment
• Occasional travel 
• Frequent exposure to workplace conditions includes bending, climbing stairs, walking, kneeling, and reaching. 
• Includes fine and gross motor skills, lifting less than 20 pounds, and vision.
• Occasional exposure to workplace conditions includes airborne pathogens, bloodborne pathogens and cleaning agents.

Standards of Behavior: 

• Commitment To Service 
• Respect 
• Quality 
• Teamwork 
• Patient Focus 
• Integrity 
• Accountability 
• Caring & Compassion 
• Professionalism 
• Listening & Responding 
• Safety 
• AIDET 

Job Related Competencies:

• Empathetic Outlook- The ability to perceive and understand the feelings and attitudes of others; the ability to place oneself “in the shoes” of another and to view a situation from their perspective. 
• Attention to Detail - The ability to process detailed information effectively and consistently.
• Problem Solving- Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions.
• Communicates Effectively- Developing and delivering multi-mode communication that convey a clear understanding of the unique needs of different audiences.
• Values And Ethics - Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair.
• Time Management- The ability to effectively manage one’s time and resources to ensure that work is completed efficiently.

Commitment to Community:

Choptank Community Health System (CCHS) is committed to creating a safe and open healthcare environment that improves health outcomes and values and respects the unique experiences and perspectives of both patients and staff by:

• Prioritizing access for all individuals;
• Offering ongoing training for staff to promote health awareness, preventive measures 
• and early detection for the varied patient population on the Eastern Shore;
• Actively engaging with patients, families and staff;
• Fostering a workplace culture in which everyone is treated with dignity. 

Duties/Responsibilities:

• • Verifies insurance information and assists with enrollment in sliding fee.
  • Completes pre-registration, registration, appointment confirmation, and scheduling.
  • Maintains and submits monthly forms and inventory and accurately documents and update logs according to SBHC policy and procedures.
  • Controls the patient flow for services, including set up and maintenance of all SB Program care spaces.
  • Restocks community-based sites with supplies and paperwork without prompting. 
  • Ensures the patient visit encounters and notes home are completed and routed as appropriate. 
  • Participates in school and community activities to promote the SBHC program.
  • Communicates with school personnel, Choptank Community Health System Administration, and co-workers for schedule changes, closings, etc.
  • Covers shortages within department including rotating to various school sites to complete scheduled services. 
  • Initial Patient Assessment and Health Data Collection 
    • Collects health status data relevant to the patient’s presenting problem in a continuous, systemic, and complete manner. 
    • Completes all components of a patient intake accurately, including but not limited to vital signs, chief complaint, medication reconciliation, allergies, surgical history, family history, quality measures, depression screening, alcohol/drug screening, and tobacco screening. 
  • Reconciles past medical information into current EHR system per protocol. 
    • Consistently documents in the Electronic Health Record according to established procedures. 
    • Properly prepares patient for Clinician by following established intake standards for all visit types including face-to-face and virtual visits. 
    • Assists in implementing the plan of care as requested by the Clinician including- medication reconciliation, venipuncture, injections, EKG’s, nebulizer treatments, ear lavage, pain screening, stock medication administration, collection and preparation of laboratory specimens and performs CLIA Waived testing. 
    • Assists clinician during patient procedures and/or examinations including pap smear, vaginal exams and swabs, colposcopy, incision and drainage, punch biopsies, ear lavage, nebulizers, Nexplanon insertion/removal, IUD insertion/removal, toenail evulsions, and mole/skin tag removals. 
    • Properly documents and completes ICD-10 and CPT coding for services administered during the patient visit. 
    • Assists patients with appointments and referrals as needed by researching chart to find answers to referral questions (when, where, why) and future appointments at CCHS. 
  • Maintains a safe and hygienic environment for patients 
    • Cleans and sterilizes exam room after each patient visit according to CCHS and CDC protocol. 
    • Properly dons and doffs PPE as required for each type of patient encounter. 
    • Removes and processes all patient specimens collected during visit. 
    • At the end of each day, ensures proper disinfection of every exam room and work area including lab. 
    • Adequately stocks exam rooms daily according to practice standards and provider requests. 
    • Follows CCHS and CDC protocol for distinction of clean and dirty areas within the lab. 
    • Effectively Communicates within the Center 
    • Communicates with members of the healthcare team to address patient’s questions and/or concerns to the appropriate team members. 
    • Consistently identifies patients at risk and communicates with providers and nurses on emergent patient needs. 
  • Performs Other Required Duties 
    • Answers telephones, greets patients, schedules appointments, enters refill requests, and maintains medical records. 
  • Prepares, distributes, and collects SBHC enrollment forms each school year, ensuring that enrollment forms are completed adequately by parents/guardian and takes steps to collect needed information including insurance coverage. 
  • Updates the Practice Management System to accurately reflect patient demographics and insurance information. 
  • Posts charges and payments to the practice management system. 
  • Completes nurse visits for pediatric, adult, and women’s health patients. These may include blood pressure checks, A1c, INR, vaccines, medication administration via injection (B12, testosterone, Depo Provera, Depo Medrol), PPD placement, weight check, urine dipstick, urine pregnancy test. 
  • Travels to other CCHS sites to cover shortages within the department. 
  • Attends monthly site meetings, department meetings and full staff meetings as required. 
  • Consistently displays professionalism and respect during interaction with CCHS patients, staff, clinicians, and guests. 
  • Reviews open radiology and lab orders for all providers. 
  • Review chart and call diagnostic centers to look for results, if no results, send missed lab/x-ray letter. 
  • Close orders or reset due date alarms accordingly. 
  • Pre-visit planning: coordinates with provider and updates patient chart alert prior to patient appointments per provider preferences and patient needs. 
  • List specific reason for visit, last A1c if applicable, screenings needed (A1c, colonoscopy, mammogram, pap, etc.), and vaccines due. 
  • Assists provider or nurse with procedures per provider or nurse request. 
• Regular, reliable attendance is a requirement of this job.

Benefits: 

• Tuition and education assistance
• Certification scholarships available 
• Paid holidays (9) 
• Flexible paid time off and vacation scheduling
• 403(b)
• 403(b) matching
• Employee assistance program
• Flexible spending account
• Health insurance
• Dental insurance
• Vision coverage
• Life insurance
• Referral program
• Employee wellness program
• Discretionary Bonuses

Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or  expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.