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Registered Nurse/ Practice Manager
2 months ago
SUMMARY OF RESPONSIBILITIES
The position of Registered Nurse (RN) is responsible for assisting the Provider with patient visits during clinic, as well as administering moderate sedation during procedures. The Practice Manager provides key supervision for all clinic functions in his or her location and serves as the central administrator of its daily operations. The Practice Manager is responsible for all aspects of the relationship between patients and the Clinic; provides multi-disciplinary training for new hires and current employees; and monitors, implements, and enforces policies and standards relating to PTCOA’s unique employment setting to maximize the delivery of exceptional patient care. The Practice Manager additionally exercises significant discretion in hiring support staff, ordering supplies, and coordinating clinic scheduling.
ESSENTIAL FUNCTIONS
Registered Nurse
During clinic, the essential functions of the Registered Nurse position can be divided into two categories – Scribe duties and Circulator duties. During any particular patient visit, the RN may be responsible for performing some or all of these functions, depending on the nature of the visit, the direction of the Provider and the presence or absence of a second assistant during the particular patient visit.
The Scribe duties that may be assigned to the RN include, but are not limited to, the following:
(1) Accompanying Provider into the patient examination room and accurately documenting the Provider’s encounter with the patient, including HIP, ROS, Physical Assessment, Education, Lab Orders, Radiology Orders, Assessment/Plan, Billing, and Meaningful Use. The position does not complete charting documentation for prescriptions.
(2) Ensuring that the Provider reviews and signs off on the patient’s chart.
(3) Regularly monitoring voicemails and promptly returning phone calls from patients.
(4) Regularly monitoring EMR messages and responding in a timely manner.
(5) Performing other related duties as assigned.
The Circulator duties that may be assigned to the RN include, but are not limited to, the following:
(1) After each patient visit, updating Face Sheet Plan with all pertinent information including but not limited to UDS/PMP/Pill Count Consistent/Inconsistent, Repeat UDS, Procedures/Imaging/PT, and Medication Refills/Changes/Weaning Plan.
(2) Documenting Warnings/Violations/Inappropriate Behavior in “Alerts” or in the personal notes section of the Face Sheet.
(3) Updating Past Medical History ICD codes, reconciling current medication list, performing pill counts, and entering PQRS codes.
(4) Obtaining and recording patients’ vital signs in the medical health records software.
(5) Completing letter out referrals for orders.
(6) Sending messages for prior authorizations for back braces.
(7) Scheduling patients’ next appointments.
(8) Regularly monitoring voicemails and promptly returning phone calls to patients.
(9) Regularly monitoring EMR messages and responding in a timely manner.
(10) Performing other related duties as assigned.
In addition, during procedures, the RN is responsible for administering moderate sedation to patients. The essential functions relative to this aspect of the RN position are as follows:
(1) Demonstrating knowledge of anatomy, physiology, pharmacology, cardiac arrhythmia recognition and complications related to sedation/analgesia medications.
(2) Assessing total patient care requirements before, during and after administration of sedation/analgesic medication.
(3) Understanding principles of oxygen delivery, respiratory physiology, transport/uptake. And demonstrating the ability to use oxygen delivery devices.
(4) Recognizing potential complications of sedation/analgesia for each type of agent being administered.
(5) Possessing the required knowledge and skills to assess, diagnose and intervene in the event of complications or undesired outcomes to institute nursing interventions in compliance with orders (including standing orders) and institutional protocols.
Practice Management Responsibilities
(1) Daily Operations. Ensures smooth daily operation of the practice; appropriately troubleshoots problems and proactively identifies issues and develops recommendations for resolving issues. Manages daily staffing to ensure optimal operation of the Clinic. Provides effective guidance and feedback to all operational areas while developing a thorough knowledge of all departments and functions. Creates a respectful workplace and is accessible, open to new ideas, and respectful of the opinions of others, fostering a cooperative and collaborative environment. Responsible for all aspects of providers’ schedules and scheduling templates.
(2) Patient Service. Provides superior patient service and an exceptional patient experience, demonstrating responsiveness and sensitivity to patient needs with urgency to resolve any patient dissatisfaction in accordance with patient needs, company policies and procedures, government regulations and other applicable standards. Receives and assesses complaints and questions from patients of the Clinic and determines, based on guidance provided, the appropriate action to take in order to achieve resolution. Oversees the patient feedback program.
(3) People Management. Supervises all non-provider staff within the Clinic. Leads by example and always motivates diverse teams with self-confidence by exemplifying the company mission, values, and culture. Adapts leadership style to effectively deal with different situations and people, responding professionally when confronted with changes, adversity, and other work-related pressures. Ensures employee compliance with all applicable policies and procedures. Counsels and, in collaboration with the Human Resources Department, disciplines employees when necessary. Performs all supervisory timekeeping tasks in HRIS system and manages time off calendar for all Clinic staff. Conducts performance evaluations for new hires at the end of their introductory period, as well as on an annual basis for all staff. Leads regular staff meetings. Assists with recruiting tasks and hiring decisions.
(4) Coordination with Administration. Works closely and regularly with members of various departments (Human Resources, Finance, IT, Patient Support, etc.) to ensure that Clinic is following all appropriate policies, procedures, etc. with respect to that subject area. Serves as resource for all administrative departments for anything needed from Clinic.
(5) Training, Education and Policy Enforcement. Ensures that new hires are properly trained on all applicable policies, procedures, regulations, etc. needed to successfully perform their jobs. Monitors employee performance as necessary to identify the need for additional training and ensures that such training is provided. Regularly audits patient charts to confirm that providers and staff are complying with internal policies, as well as applicable federal and state regulations. Ensures that providers and staff are using appropriate versions of policies, forms, procedures, EMR updates, etc. Maintains copies of all applicable PTCOA policies, including the Employee Handbook and the Policies and Procedures Manual, among others, and ensures that employees are familiar with and following such policies.
(6) Compliance. Ensures Clinic’s compliance with all applicable regulations, statutes and laws, including, but not limited to, the following: HIPAA, worker’s compensation, MIPS/MACRA, FMLA, FLSA, ADA, Stark Law, False Claims Act (and any state equivalent), Medicare and Medicaid fraud and abuse regulations, etc. Additionally, the Practice Manager is responsible for ensuring Clinic compliance with internal processes and policies, including those regarding the urine drug testing program, compliant charting, etc. The Practice Manager also serves as the OSHA Safety Coordinator for the Clinic.
(7) Procurement and Supply Management. Oversees ordering, stocking and management of all supplies at your location.
(8) Facility Management. Manages and oversees facility issues at your location. This includes, but is not limited to, resolving issues involving utilities, plumbing, phones, computers, printers, fax machines, alarms, etc. and/or calling the appropriate individuals (whether internal or external) to resolve these issues.
(9) Marketing and Referral Development. Schedule in-person visits with referring physicians on a regular basis. Engage in community activities designed to enhance the company’s reputation and name awareness in the community. Conduct appropriate follow up with referral sources including visits, e-mails or written correspondence.
(10) Other duties as assigned
Requirements:CORE COMPETENCIES
· Exceptional written communication, verbal communication, and interpersonal skills, someone who can maintain a healthy and positive atmosphere for employees.
· Strong management and leadership skills, particularly mentoring, coaching, and conflict management.
· Knowledge of current medical terminology to communicate with physician, staff, and patients
· Ability to effectively present information and respond to questions from employees, patients, and the general public
· Ability to define problems, collect data, establish facts, and suggest logical and valid conclusions
· Ability to logically troubleshoot, analyze situations, and make appropriate decisions within the scope and authority of the position
· Ability to analyze and interpret complex data
· Knowledge of regulatory and compliance best practices in the healthcare setting
· Knowledge of health care environment, medical office policies and procedures, general accounting procedures, and human resource management practices.
· Excellent listening and follow-through abilities and a willingness to accept constructive criticism.
· Multi-tasking abilities, along with ability to work well under pressure, prioritize and meet tight deadlines.
· Must be able to work independently in a fast-paced environment and exhibit strong written and verbal communication skills.
· Strong customer service and prompt problem-solving skills including the ability to provide diligent, prompt, and courteous responses to user questions or computer/network issues.
· Consistently evaluate work completed and determine if further steps are needed to meet client expectations.
· Take initiative to do to redo inadequate or incomplete work, even if it is not yours.
· Ensure compliance with regulatory standards.
· Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
· Minimize non-productive time and fill slow periods with activities that will enable you to prepare to meet the future needs of the company (education, organizing, housekeeping, assisting others).
· Organize job functions and work area to be able to effectively complete varied assignments within established time frames.
· Consistently demonstrate ability to take the initiative to make decisions/choices without direct supervision.
· Adhere to administrative and departmental policies.
· Demonstrate regular attendance and timeliness.
· Do not incur excessive overtime.
· Remain conscientious in regard to personal hygiene.
· Demonstrate knowledge and understanding of all policies and procedures and ability to reference them from appropriate sources.
· Demonstrate adherence and support of company-wide service standards as evidenced by observation and feedback from patients, family members, and other clients.
REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS
The position requires a valid, unrestricted Arkansas Registered Nurse license, ACLS and BLS certification, current influenza vaccination, current TB skin test. One (1) year of prior relevant experience is preferred.
WORKING ENVIRONMENT AND PHYSICAL DEMANDS
This is a full-time position. Days and hours of work are expected to include 7:00 a.m. to 5:00 p.m. Occasional overtime may be required. The position operates in a professional office environment and the incumbent, in the course of performing this position, spends time writing, typing, speaking, listening, driving, seeing (such as close, color and peripheral vision, depth perception and adjusted focus), sitting, walking, standing, and reaching. The incumbent may operate any or all of the following standard office equipment including but not limited to multi-line telephone system, postage mater, facsimile machines, calculator, photocopy machine, computer/printer, and coffee maker. The incumbent may operate medical equipment. The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job.
OTHER
Employee performance, in part, is evaluated based upon completion of the tasks listed herein. PTCOA/ISI reserves the right to change this job description at any time according to business needs and/or assign tasks that it may deem appropriate. This document does not represent a contract of employment, and employment with PTCOA/ISI may be terminated by the employee or employer at any time, for any reason.
