CMA/LPN

CMA/LPN

Pleasant Hill, MO 64080

Overview

Position Type Full Time Job Shift Day

Description

Looking for a fun job? Join our dynamic team at the Pleasant Hill Medical Clinic!

We are looking for an outgoing, patient-centered Medical Assistant or LPN who thrives in a collaborative environment. Whether you are an experienced MA/LPN or looking to start your career in healthcare, we provide a supportive space where you go above and beyond for our patients.

Primary Purpose: To provide safe, quality patient care while following all standards of care, regulatory requirements and provider orders. Provide timely and accurate documentation to assist in billing of services to ensure a complete medical record. Provide patient and family education. Ensure patient satisfaction by assisting in identification and implementation of strategic initiatives in accordance with Cass Regional Medical Center's Mission, Vision and Values. Utilizes principles of AIDET and managing up.

Formal Policy-Setting Responsibilities: Formally responsible for making recommendations regarding policies associated with the job's purpose and essential responsibilities.

Routine Decision Making: Determine patient/physician needs and act accordingly. Decide appropriate scheduling while meeting the needs of emergent patients. Collaborates with receptionists regarding patient insurance information and coverage. Responsible for patient education and appropriate referrals.

Formal Supervisory Responsibility: No formal supervisory responsibility.

Unusual Working Conditions: Risk of blood and/or body fluid contamination. Potential exposure to hazardous drugs and chemicals.

Age Specific Competencies: Provides care for adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years and geriatric patients 65 years and older.

Essential Responsibilities and Tasks

• Sets up appropriate equipment and/or instruments for procedures as directed by provider. Cleans exam and procedure rooms between patients and at the end of each clinic day.
• Reviews and updates patient history and medications. Obtains test results and other documentation.
• Identifies the patient using the two approved patient identifiers prior to any patient care, including medication administration and specimen collections.
• Accompanies provider upon patient interview and examination. Utilizing AIDET, introduce self to patient and explain role.
• Documents vital signs to include weight, height, blood pressure, pulse, and temperature at each visit. Documents pain level and other required assessments/regulatory requirements at each visit including medication reconciliation.
• Documents and reports all critical vital signs and critical test results to the ordering provider per hospital policy and implements further orders immediately. Documents details in the patient record.
• Maintains patient care documentation logs as assigned per clinic/provider and regulatory agencies.
• Assists providers with documentation assistance as applicable. Notify the provider of any EHR alerts. Alerts must be addressed by the provider.
• Assists the provider in navigating the EHR, responding to messages as directed by the provider, locating information for review (previous notes, reports, test results).
• Ensure accuracy and completion of the medical record in collaboration with the provider; check medical record for inconsistencies, notify provider and check to ensure the inconsistencies are resolved.
• Performs ordered testing as required in the clinic; completes and documents required quality controls.
• Administers and documents medications.
• Reviews discharge instructions with patients.
• Completes documentation of referrals and pre-certs in a timely manner to maintain continuity of care.
• Schedules patient appointments utilizing provider template.
• Assists in obtaining specimen collections at the request of the provider.
• Authorizes prescription refills, completes dressing changes/removal and suture removal at provider's request.

Actively participates in clinic operations (20% of time)

• Orders supply and maintains appropriate levels of inventory for effective patient care.
• Responsible for care (cleaning and storage) of equipment and instruments prior to, during and after procedure, including appropriate transfer to the decontamination area. Follows all Manufacturer Instructions for Use (IFU) for pre-cleaning and cleaning instruments and equipment and High-Level Disinfection (HLD) as appropriate.
• Participates in process improvement activities.
• Reports all patient care problems/equipment issues to manager immediately. Tags and removes malfunctioning equipment and completes work requisition.
• Completes monthly quality and safety checks as directed, checking for expired medications and supplies.
• Assists in training of new employees.

Assists provider with all procedures and carries out orders (10% of time)

• Appropriately prepares rooms prior to each patient visit, obtaining equipment and instruments.
• Explains procedure to each patient prior to the procedure. Obtains consent or ABN if required prior to the procedure.
• All provider orders are carried out and appropriately documented in the medical record.
• Medications are administered per policy and provider order. For each medication administered, documents in the medical record: medication, dose, site, route, time and patient adverse reaction, if present.
• Effectively communicates discharge instructions to patient and responsible party at the time of discharge.
• Completes referrals and pre-authorizations as needed.
• Scans documents into the medical record as directed.
• Maintains confidentiality and privacy of information in accordance with HIPAA regulations and organizational policies.

Manages telephone calls, faxes, and messages (10% of time)

• All telephone calls are returned in a professional manner and documented by the end of the shift. All patient phone calls are documented in the medical record.
• All telephone calls, faxes, and messages are carried out per provider's instructions and documented in the medical record.

Essential Physical Requirements

• Medium Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#. Even though the weight lifted may be only a negligible amount, a job is in this category when it requires walking or standing to a significant degree or pushing and pulling of arm and/or leg controls.

Physical Demands

• Lifting: Raising or lowering an object from one level to another (includes upward pulling).
• Carrying: Transporting an object, usually holding it in hands or arms or on the shoulders.
• Pushing: Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions).
• Pulling: Exerting force upon an object so that the object moves toward the force (includes jerking).
• Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats.
• Hearing: Ability to determine audible communication.
• Stooping: Bending the body downward and forward by bending the spine at the waist.
• Kneeling: Bending the legs at the knees to come to rest on the knee or knees.
• Crouching: Bending the body downward and forward by bending the legs and spine.
• Reaching: Extending the hands and arms in any direction.
• Handling: Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved).
• Fingering: Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling).
• Repetitive Motions: Substantial movements (motions) of the wrist, hands, and/or fingers.
• Feeling: Perceiving such attributes of objects and materials as size, shape, temperature, or texture by means of receptors in the skin, particularly those of the fingertips.
• Speaking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
• Seeing: Obtaining impressions through the eyes of the shape, size, distance, motion, color or other characteristics of objects.
• Acuity, far - clarity of vision at 20 feet or more.
• Acuity, near - clarity