Clinic Nurse/Scribe

Description

Job Title: Clinic Nurse/Scribe
Job Type: Full-time, 40 hours per week required (hourly)
Travel: 25%

Qualifications:

• LPN or RN degree
• Current LPN or RN license in the state of practice.
• Strong communication skills and ability to connect with individuals of all ages.
• Punctuality and ability to stay on schedule.
• Previous medical office, nursing, or medical documentation experience preferred but not required.

Job Summary: Discover a rewarding career at Arcare. The Clinical Nurse/Scribe works as part of the clinic care team. This position combines direct patient care responsibilities with medical documentation and clerical support functions. The Clinical Nurse/Scribe assists providers with patient assessments, treatments, and coordination of care while accurately documenting patient encounters, medical histories, examinations, procedures, diagnoses, and treatment plans within the electronic medical record.

This role enhances patient flow and continuity of care by supporting both clinical operations and provider efficiency in a fast-paced medical office environment.

Essential Functions:

Clinical Nursing Duties

• Observe patients, chart, and report changes in patient conditions, including adverse reactions to medications or treatments.
• Administer prescribed medications and intravenous fluids and document appropriately.
• Measure and record vital signs including height, weight, temperature, blood pressure, pulse, and respiration.
• Provide basic patient care and treatments.
• Prepare patients for examinations, tests, and procedures and explain procedures to patients.
• Collect patient specimens such as blood, urine, and sputum and perform routine laboratory testing.
• Set up equipment and prepare treatment rooms.
• Inventory and requisition medical supplies and instruments.
• Participate in patient-centered care activities and interdisciplinary care team huddles.
• Educate patients regarding health maintenance, disease prevention, healthy behaviors, and community resources.
• Assist with coordinating seamless transitions of care across multiple settings.
• Utilize health information systems efficiently to support quality patient care and timely communication.
• Incorporate quality indicators and population health initiatives into patient care plans.

Medical Scribe Duties

• Perform medical documentation using individual login credentials only.
• Accompany providers into exam rooms to document patient encounters in real time.
• Accurately document:
• History of present illness
• Review of systems
• Past medical and surgical history
• Family and social history
• Medications and allergies
• Physical examination findings
• Procedures performed
• Laboratory and radiographic results
• Diagnoses, symptoms, treatment plans, and follow-up instructions
• Enter orders within the scope permitted by state law while the provider is available for review and approval.
• Maintain accurate and timely electronic medical records.
• Complete and present medical records collaboratively with supervising providers.
• Maintain confidentiality and comply with all documentation, safety, infection control, and information security policies.
• Does not accept or provide verbal orders.
• Perform additional duties as assigned to support clinic operations and patient care goals.

Company Paid Benefits:

• Health, dental, and vision insurance
• Paid time off (sick and vacation, up to 96 hours accrued annually)
• Eight (8) paid holidays
• One (1) floating holiday
• One (1) birthday holiday
• Life insurance
• Long-term disability
• Free Arcare clinic benefits for employees with Arcare health insurance
• Retirement plan (401(k) with company matching up to 200% of 4% after 1 year of employment)
• Additional supplemental and family coverage available

Application Assistance: If you need assistance with the application process, please email View email address on click.appcast.io.

Equal Opportunity Employer: Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.

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