The Spanish interpreter provides interpreting services for all clinical and professional University of Rochester Medical Center staff, patients and family members/significant others who are with the patient. All Interpreters on staff generally provide these services at the Medical Center, Outpatient Clinics, and Hospital Affiliates. The interpreter manages the flow of communication autonomously and efficiently between source and target language during medical and non-medical healthcare encounters across URMC’s diverse and numerous clinical specialties in inpatient and ambulatory settings. The interpreter carries a pager assigned by the hospital responding to all pages established in NYS Code of Rules and Regulations 405.7 (20 minutes for outpatient/inpatient, 10 minutes for Emergency Department). Services are provided 24 hours a day, 7 days a week over varied shifts. On-call interpreters are minimally expected to work two weekend coverage shifts of four hours apiece, or one shift of eight hours. Interprets all assignments, whether prescheduled or received via pager, in a timely and professional manner in accordance with hospital policy. The interpreter weighs the goals of each encounter in collaboration with clinical healthcare providers and non-clinical hospital staff to determine the situational context of the patient interaction. They choose appropriate communication ground rules and methods, inform all parties of the role of the interpreter, and brief healthcare professionals on any knowledge possessed by the interpreter regarding the patient or encounter. The interpreter assesses and recommends the most effective communication method for patients with barriers to communication, altered mental status, or other special communication needs. They verify patient’s preferred language is correctly identified and select the appropriate mode for optimal flow of communication (consecutive, simultaneous, sight-translation). The interpreter proposes the most suitable service delivery modality (in-person, video, telephone) based on the needs of the patient, and in the event of unforeseen communication barriers. They debrief with healthcare professionals after the encounter, as necessary, to optimize the understanding of the conversational content and provide linguistic and cultural insights. The interpreter monitors for linguistic misunderstandings where they exist and recommends adjustments to level of formality and style as needed. They prioritize, triage, and respond in a timely and appropriate manner to multiple service requests in order of critical urgency and patient acuity. The interpreter supports cultural responsiveness by assessing for cross-cultural impact on communication (verbal and nonverbal) between patients and healthcare providers during highly complex interpersonal encounters. They monitor for cultural misunderstandings where they exist and devise appropriate intervention as needed to empower the patient to participate in decisions related to their care. The interpreter intervenes by confirming with all parties if a possible cultural misunderstanding has occurred by culturally mediating in order to avoid assumptions, disrespect, or immediate harm. They facilitate the understanding of cultural differences and promote direct communication to build trust and enhance patient satisfaction. The interpreter informs patients of available supports as appropriate (Social Worker, Case Manager, Care Coordinator, Financial Coordinator, Chaplain, etc.). They promote inclusive and equitable communication during interactions with all parties. The interpreter contributes as an integral member of clinical and non-clinical healthcare teams, twenty-four hours a day, seven days a week as the specialist in language and culture. They provide interdisciplinary education to all team members for effective communication, as needed, during encounters, patient trainings and teachings. The interpreter facilitates meaningful access to URMC health programs for patients with limited English proficiency to remain compliant with Title VI of the Civil Rights Act of 1964, Executive Order 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 C.F.R. 438.10), The US Department of Health and Human Services National Culturally and Linguistically Appropriate Service (CLAS) Standards, The Patient Protection and Affordable Care Act Section 1557, The NYS Code of Rules and Regulations 405.7, NYS Executive Order 26, and The Joint Commission. The interpreter identifies interpreting service needs based on patient/provider dynamics, best practices, and effective communication, and informs program leadership of recommendations for service enhancements. They apply established national healthcare interpreter code of ethics and standards of practice. The interpreter adheres to Joint Commission Standards, department policies, safety protocols and infection control standards, and completes service provision documentation in electronic medical record. They disclose and justify any potential limitations, conflicts or need for recusal appropriately and timely. The interpreter supports and upholds patient confidentiality in accordance with HIPAA. They intervene impartially and transparently, when necessary, acting within appropriate professional boundaries to protect the autonomy, dignity, and safety of all parties. The interpreter maintains interpreter performance-based skills assessed either at time of hire or through direct observation. They enhance skills by participating in activities for professional growth and development through interpreter webinars, conferences, annual trainings, and self-directed learning. The interpreter completes scheduled training and other required staff activities, including yearly mandatory online policy and procedure training, yearly health updates, and attends staff meetings. Other training/activities as necessary. Completes all documentation, paperwork and administrative duties, including eRecord completion at the end of each patient interaction, database entries based on completed schedules and requests, yearly certification updates if applicable, professional development transcripts, and other paperwork and assignments as necessary. Other duties as assigned.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree