Medical Office Nurse LPN

Summary

This position is an integral part of the urgent care team and requires the ability to work effectively with Providers and ancillary staff to deliver high quality, compassionate patient care. Under direct supervision of the provider, will be responsible for assessment, care, and education of patients in the urgent care/occupational health setting. This position must have basic knowledge of specialty and/or primary care symptom management to be able to assess, plan, and deliver timely and appropriate care, especially in emergent situations. This position will assure compliance with all the policies/procedures of MyMichigan Health, Occupational Safety Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. The licensed practical nurse (LPN) may be required participate in the training of new employees, students and float staff. May also perform general office duties (keyboarding, filing, telephone, computer and office equipment) as required by the practice. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned.

Responsibilities

(50%)* Greets patients and/or family, takes vital signs, obtains/reviews medical, social, surgical and medication history, and allergy information. Prepares patient for examination, performs procedures (in office labs: urinalysis, pregnancy testing, strep screens; electrocardiogram (EKG’s), tuberculosis (TB) testing, etc.) and reports results to providers. Communicates information regarding testing, procedures and follow up care to patient in a clear, concise and professional manner.

(20%)* Accurately documents all patient information in the medical record according to current guidelines.

(10%*) Triages emergency patients, assessing condition and responding clinically as needed to stabilize the patient. According to protocols, administers immediate treatment when indicated and notifies physician of priority.

(10%)* Administers medications as prescribed by provider. Assists provider with examinations and procedures.

(10%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments.

OTHER DUTIES AND RESPONSIBILITIES:

Provides a complete patient assessment, as indicated within the scope of the practice.

Places and receives calls to previously seen patients to evaluate patient progress, gives results of laboratory or radiographic interpretations

Based on the practice, may be required to: demonstrate competency to assist with procedures such as, but not limited to venipuncture, OCL splinting, electrocardiogram (EKG), Pulmonary Function Test (PFT), audiometry, vision testing, dressing changes, respirator fit testing, drug and alcohol testing.

Respirator Fit testing requires the ability to learn and maintain knowledge of various mask types and proper mask fitting according to OSHA regulations.

Completes daily tasks as outlined by the practice, such as referrals to specialists and/or primary care, EMR tasks, patient result notification, prior authorizations and communication to companies and/or workers compensation as appropriate.

Complies with company protocols, organizational departmental policies and protocols, local, state Michigan Occupational Safety and Health Administration (MIOSHA), and federal (CLIA/JC-Joint Commission /FMCSA-Federal Motor Carrier Safety Administration) guidelines while conducting daily duites.

Performs CLIA testing and maintains quality control logs.

Performs autoclave procedures according to policy.

Participate as needed in continuous quality improvement projects and activities. This includes daily, weekly, monthly checks of equipment, supplies and medications. In addition, staff may be asked to participate in organizational performance improvement projects.

Maintaining a clean, sterile and safe environment. If applicable, maybe required to travel to satellite clinics.

Demonstrates critical thinking for patient management.

Maintains a high level of confidentiality and ensures patient’s rights in accordance with proper procedures and in compliance with HIPAA (Health Insurance Portability Accountability Act).

May be asked to perform clerical duties – filling out insurance forms, correspondence, arranging hospital admission, answering the telephone, updating/filing patient’s medical records. Orders supplies and medications.

This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care.

Ensures all EMR Tasks are completed in a timely manner.

Demonstrates a commitment to meet/exceed the needs of the customer, both internal and external. Demonstrates behavior consistent with the MidMichigan Health mission, vision and values.

Demonstrates willingness to work as a team member and assist others as needed.

Performs other duties as assigned.

MidMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MidMichigan Health

Certifications and Licensures

Credential:BLS: Basic Life Support

Equivalent Experience: Within 3 months of hire or transfer

Qualification Source: AHA

Essential: true

Credential:LPN: Licensed Practical Nurse

Equivalent Experience:

Qualification Source: MI

Essential: true

Required Education

Education: TECH

Equivalent Experience:

Education Specialization:

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS:

Must be able to successfully complete the course work and certification for drug and alcohol testing within 90 days of hire or transfer.

Excellent interpersonal skills needed to communicate successfully to internal and external customers.

Previous experience in an urgent care or occupational health setting and/or medical practice Working knowledge of Microsoft Office and the organization’s Infor Lawson, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Equivalent Experience and Other Comments (Education)

Education: TECH

Equivalent Experience:

Education Specialization:

Essential: true

Other Comments

Credential:BLS: Basic Life Support

Equivalent Experience: Within 3 months of hire or transfer

Qualification Source: AHA

Essential: true

Credential:LPN: Licensed Practical Nurse

Equivalent Experience:

Qualification Source: MI

Essential: true

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Supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (30%)* Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. (20%)* Assists provider with examinations and procedures. (20%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. OTHER DUTIES AND RESPONSIBILITIES: Provides complete patient assessment, as indicated within the scope of the practice. Performs patient care measures including injections, minor dressing changes, and obtaining blood specimens. Some departments may be required to demonstrate competency to assist with procedures such as, but not limited to electrocardiogram (EKG), Pulmonary Function Test (PFT), Ankle Brachial Pressure Index (ABI), and Non-stress Test (NST). Assists in maintaining a clean and safe environment for patients and co-workers. If applicable, maybe required to travel to satellite clinics. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR) Practice Management, Electronic Medical Records, Laboratory Information System (LIS) , Emageon, dictation systems, and any other necessary programs to assist providers and staff. Demonstrates critical thinking for patient management. Maintains a high level of confidentiality and ensures patient’s rights in accordance with proper procedures and in compliance with HIPAA (Health Insurance Portability Accountability Act). May be asked to perform clerical duties – filling out insurance forms, correspondence, arranging hospital admission, answering the telephone, updating/filing patient’s medical records. Orders supplies and medications. Maintains a system for accurately documenting and coding, patient conditions in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Performs other related duties as assigned. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MidMichigan Health. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 3 months of hire or transfer FINGERPRIN - Fingerprinting Required Equivalent Experience - LPN - Licensed Practical Nurse Required Equivalent Experience - Knowledge of nursing technique as normally acquired through the completion of an LPN program and hold licensure in the State of Michigan. Required Education Education: Technical Certificate Comments: Knowledge of nursing technique as normally acquired through the completion of an LPN program and hold licensure in the State of Michigan. Other Information EXPERIENCE, TRAINING AND SKILLS: Working knowledge of the organization’s Infor Lawson, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Mandatory Occupational Safety and Health Administration (OSHA) training must be done annually according to the Exposure Control Plan. PC software knowledge must include: Excel and Word. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.