Responsible for the management of the daily departmental operations and functions under the direction of a clinician or Registered Nurse of a given patient care area; the direct supervision of Medical Assistants, clerical teammates or teammates LVN, and providing direct patient care daily. Responsible for performing operational duties as required under the direction of the site administrator or designee.
- Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
- Closely monitors patient safety at all times; i.e. does not leave patient on an exam table unattended and participates in fall prevention program.
- Complies with sharps safety program at all times, i.e. only using devices with safety features and employing safe work practices.
- Supervises clinical operations of a given patient care area.
- Anticipates the needs of the Primary Care Physician (PCP) and carries out orders.
- Performs simple to moderately complex nursing procedures within the scope of practice of an LVN.
- Obtains, interprets, records and reports vital signs (temperature, pulse, respiration, blood pressure, and pain scale), height, weight and other pertinent patient information to the clinician.
- Under the direction of a clinician or Registered Nurse implements a plan of care by performing nursing interventions and assisting with procedures.
- Performs various patient tests and procedures within the scope of practice of an LVN.
- Administers medications and other therapeutic modalities within the scope of practice of an LVN.
- Maintains clinical standards outlined in the clinical operations policies and procedures manual. Identifies deficiencies and makes recommendations for change.
- Documents and maintains records of medical and nursing procedures.
- Coordinates with clinicians and ancillary departments to plan daily work assignments according to teammate’s abilities, patient and clinician schedules, patient flow and procedures.
- Ensures that all equipment is maintained.
- Performs telephone screening under the direction of clinician.
- Manages ordering and maintaining of all supplies.
- Notifies pharmacies of new prescriptions and authorizations of refills as ordered by clinician.
- Participates in educational programs to enhance nursing knowledge.
- Adheres to Standard Precautions at all times.
- Adheres to safety policies and procedures at all times.
- Assists the Site Administrator/Manager in ensuring compliance with certification, competencies and compliance measures.
- Evaluates Care Team Member 1 and 2 (CTM 1 & 2) competencies.
- Participates in Care Team member hiring and termination.
- Backs-up Care Team Member 1 and care Team Member 2 as needed.
- Coordinates teammate coverage and ensure proper staffing/scheduling/CTM rotations.
- Performs teammate evaluations.
- Assists with Quality Metrics, Comprehensive Health Assessment Programs (CHAPS) formally HCC research, telephone call procedures, and patient follow up procedures.
- Identifies and participates in quality improvement projects.
- Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Ensures monthly expiration logs for medications and sample medications (refrigerated and non-refrigerated) are maintained.
- Ensures yearly expiration logs for Preventative Maintenance (PM) are performed as needed.
- Ensures EKG reconciliation is performed and confirmed EKG’s are seen by clinician before patient is discharged.
- Ensures referral tickler file / log are maintained.
- Ensures immunization records and updating EHR (including California Immunization Registry (CAIR)) are performed.
- Frequently monitors overdue orders and follows approved process to address the orders.
- Assists with Meaningful Use (MU) initiative by encouraging patients to sign up for Follow My Health (FMH), obtaining patient’s email addresses, updating smoking status, and other initiatives.
- Assists clinicians with medication reconciliation per guidelines.
- Uses approved standing orders to perform, order test and update referrals.
- Assists with entering referrals in electronic health records EHR for clinician to authorize.
- Enters medical billing charges for services rendered in EHR.
- Participates in all mandatory training including those that could be held after working hours including the weekend
- Attends mandatory annual skills validation and Annual Clinical Updates that may take place during evening hours and or weekends (selected Saturdays only).
- Participates in facilitation of annual skills validation for Medical Assistants take place during evening hours and or weekends (selected Saturdays only).
- Participates in all Nursing Leadership regional meetings and Nurse Peer Review as needed.
- Ensures all Patient Intervention Reports (PIR) have been reviewed and actions taken.
- Assists clinician and licensed nursing teammates in responding to patient emergency situations as per Emergency Response Protocols.
- Participates in teammates / clinician “huddles”.
- Conducts pre and post-operative teaching for the patient, taking into account all psychological, physiological and religious aspects.
- Works in collaboration with a clinician to prepare, monitor and discharge patients after a procedure.
- Cleans and stocks exam and procedure/surgery rooms.
- Serves as a relief for the teammates.
- Assists with all departments specific functions within the LVN scope of practice.
- Verifies that the informed consents for procedures have been signed, dated and witnessed.
- Prepares labels, collects and transports various specimens to appropriate destinations.
- Cross trainings to work in other departments or other duties as assigned by supervisor /management.
- 1 or 2 years of post-high school education or a degree from a two-year college.
- Graduate of an accredited LVN program.
- Current California LVN license.
- I.V. therapy and phlebotomy certification.
- Current Basic Life Support for Providers, by American Heart Association (AHA) - (100% online certification is not acceptable).
- Over 1 year and up to and including 3 years of experience.
- Previous work as LVN in an outpatient setting such as internal medicine, family practice or urgent care setting.
- Prior supervisory experience.
KNOWLEDGE, SKILLS, ABILITIES
Manual dexterity to use/handle equipment and instruments.
- Excellent verbal and written communication skills.
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