Medical / Healthcare CNA

Certified Medical Assistant - Float
Supervision Received: Assigned Medical Provider and Clinical Lead Nurse
Supervision Exercised: None
Member of CCHS Care Team responsible for assisting an assigned medical provider during clinical sessions, executing CCHS standing orders and medical provider orders, providing direct patient care and testing, and communicating with patients and caregivers by telephone and in writing. The Medical Assistant communicates with patient regarding preventive care recommendations, chronic care self management and healthy lifestyle choices utilizing advanced training in Motivational Interviewing and the Stanford Model for Self Management. The Medical Assistant "huddles" with the medical provider at the beginning of the day, planning chronic care visits or preventive care services. Participates actively in weekly Extended Team Huddles to discuss patients with complex needs and monthly Site Staff Meetings. Occasional Travel and being assigned to other sites may be required if the need should arise. The Medical Assistant Float employee will be assigned to a specific home site but will be required, depending on the needs of each Health Center, to travel to another Health Center in need due to a decreased staffing level. Travel to and from home site to the health center in need, would be reimbursed through CCHS Accounts Payable.

Meet with provider to plan the day in brief "huddle", planning chronic care visits such as diabetes or asthma care focused visits or preventive care visits such as Well Child or Well Woman exams. Communicates with front office regarding work flow, advance planning for patient surveys, etc. Participates in weekly "Extended Huddle" meetings with full Care Team to discuss patients with complex needs or barriers to care.

• Greet scheduled patients at beginning of all medical visits to obtain vital signs, update and document the problem list, allergies, obtain copies of any recent hospitalizations, surgeries or interventions and document in medical record, including any required ICD-10 coding in the electronic health record. MA performs a medication list reconcilement with documentation of all medications from all providers, and reinforces value of a complete "medical home record" with CCHS primary care providers. Prepare patient as appropriate for the examination and medical visit.
• Discuss preventive and chronic care registry measures with patients, executes standing orders for preventive care and chronic care interventions (e.g. performs foot exam, obtains HbA1c and Lipids, writes orders for mammogram for provider to sign).
• Discuss self management goals with patients with chronic disease, using Stanford model Self Management training and Motivational Interviewing training. Document patient's goal, confidence level and progress since goal set.
• Provides CCHS-adopted patient education and hand-outs such as "5-2-1-0" for all children and parents, "Rate Your Plate" for adults with abnormal BMI, "Live Well, Breathe Well" for patients with asthma, following standing orders for Diabetes, Obesity and Asthma.
• Assist medical provider during examination, treatment and minor surgeries.
• Administer immunizations and injections per orders and update in electronic health record.
• Coordinate laboratory specimen collection, perform in-house testing. Perform ECG's, spirometry or audiometry testing.
• Provide special instructions to patient on follow up care ordered by the medical providers (e.g. proper wound care or management of symptoms) instructions regarding referrals to specialists and testing facilities, or instructions for follow up visits.
• Review tasks in the electronic health record from medical providers, execute provider orders and communicate with patients by telephone or in writing.
• Review telephone tasks in electronic health record from Front Office Patient Service Representatives (PSR's), communicate with medical providers regarding patient needs, and communicate with patients regarding provider orders.
• Stock assigned exam rooms and maintain in clean, orderly fashion. Re-stock procedure room, laboratory and nursing station as necessary.
• Perform all assigned responsibilities for program requirements such as Family Planning, Breast and Cervical Cancer Screen Program, Health Check (well-child exam), etc.
• At CCHS, we are deeply committed to fostering a culture of community engagement and support, a principle that guides not only our patient care but also our team dynamics. Our dedication to community focus is reflected in our collaborative and educational initiatives, which are designed to enrich both the professional growth of our employees and the learning experiences of future healthcare professionals.

The employee is actively encouraged and expected to embrace opportunities to mentor and guide students from a diverse array of schools and programs in the forms of job shadowing and on-site instructional learning as part of a structured educational program.
To perform MA I position successfully, the Medical Assistant must demonstrate core competencies in the following areas:

• Basic Medical Assisting skills including performing vital signs, assisting providers during examinations and procedures, administering injections, sterile technique and basic wound care
• Assisting medical providers during procedures and minor surgeries
• Administering nebulizer treatments and walking O2 saturation testing
• Performing phlebotomy and basic "CLIA-waived" laboratory testing
• Performing ECG's, spirometry testing and audiometry
• Interpreting medical provider orders and instructions
• Basic knowledge of chronic diseases such as diabetes, asthma and depression
• Basic keyboarding and PC skills, Windows skills including WORD
• Use of printers, copiers and fax equipment
• Navigation of a Windows based electronic health record and/or practice management system
• Proper medical documentation skills including knowledge of ICD coding
• Good communication/teaching skills with patients and care-givers, including obtaining appropriate clinical information and symptoms and giving patients instructions and education as directed by the medical provider
• Good communication skills, confidence as member of CCHS Care Team, and active participation in Care Team Meetings and Trainings
• Stanford model Self Management Skills (training provided by CCHS)
• Motivational Interview Skills (training provided by CCHS)
• Ability to react calmly and effectively in emergency situations
• Ability to learn advanced training objectives such as CCHS adopted preventive care and chronic care guidelines

High School Graduate or GED
Graduate of Recognized Medical Assistant Program required
Certificates, License, Registration:
Environmental/Working Conditions:
Primary Care Health Center with combination of office and exam room settings. Frequent exposure to communicable diseases, body fluids, sharp instruments and needles, cleaning chemicals, medicinal preparations. May require working extended shifts and hours as necessary.