Clinical Scribe - RN/LPN/CMA - ENT Clinic - Full-Time

Mercy Cedar Rapids•Baltimore, MD

About The Position

This position supports Mercy's patient-centered care philosophy by providing nursing support to a Mercy provider and helping facilitate positive patient outcomes. The Clinical Scribe prepares and documents patient encounters in EPIC, rooms and prepares patients for examination, and carries out clinical tasks under provider direction and established protocols. The role also supports patient education, diagnostic procedures, discharge, follow-up, and medication requests.

Requirements

  • Education sufficient to obtain RN licensure.
  • Current license to practice as a registered nurse in Iowa or a compact state.
  • Current Basic Life Support certification in accordance with the American Heart Association.
  • Complete Iowa Dependent Adult Abuse and Iowa Child Abuse Mandatory Reporter training and submit certification to Human Resources before the start or transfer date.
  • Excellent communication and customer service skills.
  • Computer skills, organization, time management, and attention to detail.
  • Ability to remain poised and efficient in a fast-paced environment.

Nice To Haves

  • Previous experience in a medical office setting.

Responsibilities

  • Prepare progress notes using provider-built EPIC documentation tools, including history of present illness, review of systems, physical exam, and assessment and plan; ensure health maintenance measures and immunizations are up to date.
  • Room and prepare patients for examination by reviewing histories, allergies, medications, and reason for visit, and taking vital signs.
  • Under provider standing orders, order or administer injections, order or collect laboratory specimens, perform phlebotomy as needed, and provide test results as directed.
  • Enter patient-reported information into provider-built EPIC tools for applicable disease states and preventive visits.
  • Communicate a summary of patient-reported information to the provider before or during the patient visit.
  • Thoroughly document patient encounters as performed by the provider, including relevant histories, examinations, assessments, procedures, treatments, education, orders, medications, referrals, risk-benefit explanations, and care instructions.
  • Identify documentation completed on behalf of the provider using the scribe signature in accordance with policy.
  • Provide patient instructions using approved educational materials as directed by the provider.
  • Print after-visit summaries and discharge patients from exam rooms, including arranging follow-up appointments, referrals, testing procedures, and related instructions.
  • Contact patients regarding test and laboratory results and provide treatment instructions as directed by the provider.
  • Process medication requests, changes, and refills under established written protocols, applying knowledge of medications, basic dosages, side effects, and interactions.
  • Assist with diagnostic procedures and treatments, including obtaining, labeling, and delivering specimens to the laboratory and explaining procedures to patients as needed.
  • Prepare examination and treatment rooms with instruments, supplies, and protective devices.
  • Perform other duties as assigned.
  • Follow Mercy safety guidelines, fulfill job-specific safety responsibilities, and promptly report unsafe conditions, situations, incidents, and injuries.

Benefits

  • External applicants may earn up to a $5,000 sign-on bonus.
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