CMA, RMA, CCMA, or NCMA, certification through an NCCA accredited program (see approved provider list below); or LPN (Licensed Practical Nurse) or RN (Registered Nurse) through the State of Michigan; or is eligible to register to take the exam through one of the approved providers prior to date of hire, and successfully attains CMA, RMA, CCMA or NCMA certification within 6 months from date of hire. Under physician direction and supervision, prepares patients for office visit, takes vital signs and records in medical record, obtains patient chief complaint, escorts patient to exam room, and prepares patient for physician visit.