GENERAL DESCRIPTION OF POSITION:
Responsible for performing a variety of duties working collaboratively with all Clinical and Administrative staff. Duties will involve both Adult and Pediatric clinical and clerical in order to deliver optimal patient care services within the maximum scope of the LVN's professional expertise. Will perform duties to ensure the patient has a pleasant and satisfactory experience in the way their health care is delivered, managed, coordinated with both internal and external entities and in which the patient participates in decision-making. Will assist operational duties of the walk-in coordinator, nurse on call, and nurse office visits. As a member of the clinical team, this position requires total support to the PCMH principles, policies, and procedures. Assists with patient preparation according to the protocols established for particular providers, or required by special circumstances. When assessing the patient, the age of the patient is taken into consideration. May assist with charge duties on occasion. Provides assistance and guidance to clinical staff as needed. LVN will work on the floor in absence of a CMA or as needed. May assist in other clinic sites as needed.
ESSENTIAL JOB FUNCTIONS: (with or without accommodations)
Actively and accurately records in the medical record patient information collected to include updates on medications or summaries from the patient pre-visit summary. PCMH 2C, 3C
Actively participates in a multidisciplinary team, huddles to coordinate care, scheduling and follow up along with the provider and front desk clerks to prepare for the patients scheduled, reviews opportunities for same day access, and alerts other disciplines for patients and families with and without special needs. PCMH 1A, 1B, 1G
Performs and monitors staff administering medication and vaccines orally, rectally, internally or by injections and monitor patient for drug reaction.
Attends and completes required in-service training such as Compliatrics, Su Clinica trainings, and other web-based courses and educational programs. Responsible for their own safety as well as the safety of others. Submits required documentation in a timely manner (credentialing requirements, license renewals, certifications, CNE attendance, etc.). Attends work on a regular and predictable schedule in accordance with clinic leave policy and performs other duties as assigned.
Prepares and provides instructions to patients when collecting and processing specimens for laboratory testing and alerts providers of any patient concerns or abnormal results. PCMH 5A.
Completes required electronic documents to coordinate refills, and orders diagnostic studies/exam through internal or external referral process (outside lab orders). PCMH 2C, 3D.
Conducts appropriate screening tests (i.e. glucometers, spirometery) and follows up with provider on tests results. PCMH 5A
Engages patients and their care givers in understanding their care in a culturally and linguistically appropriate manner. PCMH 1F
Observes patients for changes in condition and promptly informs providers of any urgent situations needing immediate action.
Participate in quality improvement projects aimed at improving patient care outcomes for patients. PCMH 6A
Participates in providing training/education to SC employees or students when requested.
Performs patient call backs and documents in a timely manner PCMH 1.2
Perform duties within the scope of practice as delegated by provider using approved standing orders and protocols. PCMH 2C
Prepares exam rooms, prepares the patients for examinations, treatment, and procedures and assists the provider.
Takes vital signs, medical history and accurately enters information into electronic medical record, and prepares
patients for examinations, procedures and treatments. PCMH 2B
1.Teaches method of health promotion and disease prevention in accordance to individualized needs. Refers patient to appropriate resources \ referrals, social services, pharmacy, laboratory, etc. PCMH 3C
2.Verifies that patient's and family members' discharge and follow up questions have been addressed and appropriate educational materials provided and documented in the electronic medical records. PCMH 3C
3.Works jointly with provider to maximize disease prevention and reinforce patient follow through with provider's orders and instructions. PCMH 3C
Nurse coordinator duties: assess the patient's needs, reports to provider if needed, check availability of provider's schedule, and scheduling accordingly. PCMH 1A
Nurse On Call Role: Answer incoming phone calls from the nurse line. Listen to and return voice messages from the nurse line. Return patient phone calls from patient cases. Assists with filling out forms (Title 19s, FMLA, etc) and prior authorizations.
Nurse office visit Role: Assists patients who arrive for nurse only visits (vitals, glucose checks, injections, forms)
KNOWLEDGE, SKILLS, AND ABILITIES: (use of equipment, job related knowledge, language, etc.)
Knowledge of practice level procedures, techniques, and practice of patient care.
Knowledge and skilled in use of computer and computer software (EMR, Microsoft Word, Excel, etc.) programs as
needed and telephone system.
Knowledge of regulatory requirement, health plan contracts, governmental benefits and community resources.
Knowledge of SC policies and procedures.
Knowledge of the Chronic Care Model and Patient-Centered Medical Home Model (PCMH).
Skilled in excellent customer service and makes customer service a top priority.
Ability to complete basic/intermediate math computations and medical math conversions.
Ability to examine documents for accuracy and completeness.
Ability to maintain a flexible work schedule, take call, work evenings and weekends and float as needed.
Ability to maintain an effective and professional working relationship with the public and co-workers.
Ability to maintain client, office confidentiality and abides by confidentiality expectations and HIPAA guidelines.
Ability to prepare records in accordance to detailed instructions.
Ability to read, write and speak in a clear, accurate and professional manner; includes active listening skills and
understanding medical terminology.
Ability to recognize, evaluates, solve problems, correct errors and report to supervisors of issues.
Ability to resolve patient service issues and exercise independent judgment .
Ability to speak, understand and write Spanish and English.
Ability to work in a fast-paced environment.
Ability to work with medical equipment to include but not limited to: electronic and manual vital signs measurement,
auditory and visual examinations, oxygen and suction apparatus, electrocardiogram and respiratory exams.
Able to bend, stretch, stoop, stand, sit, and lift 20 lbs.
Able to insert urine catheters into specific patient population. Supervises new staff in performance of procedure.
Able to show excellent interpersonal skills reflecting clarity, diplomacy and communicates accurately and effectively
with all levels of staff and management.
Ability to communicate concerns to appropriate personnel using fact and diplomacy.
Ability to demonstrates role in safety rules and emergency preparedness
Does not abuse sick leave or other periods allowed away from the job.
Ability to initiate prompt and accurate treatment, diagnostic screenings, and medications as ordered.
Ability to interpret and translate for the provider when necessary.
Ability to present a positive image for Su Clinica.
Must be able to apply critical thinking skills, multi-tasking, prioritization, and attention to detail and make sound
judgment at all levels throughout the patient's continuum of care and make necessary referrals on behalf of patient,
Provider, or Caregiver as instructed by provider
Ability to promote teamwork, offering to help other personnel including orientees, students, float staff or agency personnel.
EXPERIENCE DESIRED/CERTIFICATION REQUIRED: High School or GED. Must be a licensed vocational nurse in the State of Texas. Experience in working with patient care. Must be computer literate. Must be current with BLS/CPR. Bilingual (English/Spanish) a must.
SPECIAL INSTRUCTIONS: This position requires travel. Employee must provide transportation. If employee operates a personal motor vehicle in the performance of their official duties, the employee must possess a current valid Texas driver's license for the appropriate type of vehicle and Texas Liability insurance. This position requires that an employee's driving record be verified with law enforcement to ensure compliance with SCF's driving policy.
Due to the nature of SCF Services, it may be necessary for employees to work extended hours or other variations of the usual shift to ensure adequate care to patients and to maintain service to the community.