CMA/LPN SEH Fairview Clinic (Floor Nurse)

Southeast Health

1d • Onsite

About The Position

Utilizing the skill and knowledge of a Certified Medical Assistant, this role renders direct and indirect patient care in support of medical care in accordance with established standards of care and policies and procedures of Southeast Health. The position also performs duties of a Scribe and is responsible for promoting positive relationships and teamwork among employees and between departments.

The Scribe responsibilities include documenting physician-dictated patient history, physical examinations, family, social, and past medical history, as well as documenting procedures, lab results, and dictated radiographic impressions made by the supervising physician. Scribes are the physician's representative and document findings and results as dictated by the provider. They also document the correct time of patient care related activities. The provider reviews and signs all documentation completed by the scribe, and is ultimately responsible for the patient's encounter documentation. The provider and scribe will make "chart rounds" as needed. The provider must communicate all orders for patient care unless the scope of the scribe allows for verbal order communication. The medical record is completed and presented in collaboration with the supervising physician.

Requirements

• High school graduate or equivalent
• Approved medical scribe application through Medical Staff Services prior to start date
• Certified Medical Assistant (CMA) – a graduate of a Medical Assistant program that awards certification and/or credentials by examination and program; clinical hours completed
• Must successfully complete Southeast Health pharmacology exam
• Maintain current, Medical Assistant certification
• Maintain current, BCLS certification, if attained
• Excellent typing skills
• Strong listening skills
• Computer literacy in Windows based programs preferred
• Effective telephone techniques
• Excellent attention to detail
• Ability to focus in a moderately active environment
• Ability to operate business machines to include fax and copier
• Manual dexterity
• Ability to effectively communicate in English both in writing and orally
• Ability to effectively communicate in an emergency situation
• Ability to perform patient assessment including, but not limited to: vital signs, history, medication reconciliation and administering meds.
• Ability to document in an electronic medical record.
• Demonstrates commitment to organizations five (5) priorities and Six Ground Rules
• Person in this position is required to understand, agree upon and follow our Six Ground Rules: No excuses. We are a team. Bring up your ideas. Poor performance will be addressed. ‘That’s not my job’ is not acceptable Manage Up.

Nice To Haves

• BCLS certification
• Medical office experience
• Computer literacy in Windows based programs

Responsibilities

• Performs clinical care activities for individuals in the clinics
• Actively accepts, understands, and practices appropriate standards of scope of practice.
• Contributes to triage, rooming, and direct care once ordered for patients.
• Participates in the implementation of patient care.
• Actively supports the mission, vision, and values of the clinics
• Performs various activities related to the needs of adult and geriatric clinic patients in accordance with established policies and procedures.
• Scribes accompany the provider upon patient interview and examination.
• Scribes document the provider dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies.
• Performs other duties as requested by primary manager that do not compromise moral code of conduct or protocols set in place for patient or employee safety
• Scribes document the physician dictated patient history, physical examination, family, social, and past medical history as well as document procedures, lab results, dictated radiographic impressions made by the supervising physician and any other information pertaining to the patient’s encounter in the Emergency Department or other clinical medical setting.
• Scribes document physical examination findings and procedures as performed by the provider.
• Scribes document the results of laboratory and radiographic studies as dictated by the provider.
• Scribes document the correct time of patient care related activities, including provider-to-provider communication, family communication and re-examination of the patient.
• The provider will review all documentation completed by the scribe, make any necessary amendments and sign the chart.
• The provider and the scribe will make "chart rounds" to review patient status, delays and any other care-related issues on an as needed basis.
• Complete and present the medical record in collaboration with the supervising physician.

Benefits

• Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees