Medical Office Nurse LPN

Under direct supervision of the provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have basic knowledge of specialty and/or primary care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MidMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you.

ESSENTIAL DUTIES AND RESPONSIBILITIES

(30%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results. 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.

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.

REQUIRED CERTIFICATIONS AND LICENSURES

BLS - Basic Life Support Essential - Y Equivalent Experience - BLS certification is required within 90 days of hire or transfer date.

LPN - Licensed Practical Nurse Essential - Y 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

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 MidMichigan 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