CMA/LPN/RN (Full-time/Miles City)
Billings Clinic

Under general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Non-Physician Provider, RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.

Essential Job Functions

CMA

• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements.
• Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.
• Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.
• Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider.
• Orders and maintains clinical and office supplies and equipment as directed.
• Maintains patient files, records and other information. Adheres to confidentiality requirements.
• Compiles statistical data for reports as directed.
• Attends required meetings and participates in committees as requested.
• Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record.

Additional essential Functions for Level II
• Administers medications same as previous levels specific to department grid and guidelines and additional injections as indicated on department specific grid. (Patient Care; Patient Care, Injections)
• Health coaching , Clinic Float, Training Lead, Yellow Belt
• Participates in maintaining and/or building training modules using evidence based best practice for medical assistants
• Assisting with process improvements as related to the clinical setting.
• Proficient in basic patient care and treatment, planning and evaluating according to job description and MA level
• Competent to perform routine, non-complex aspects of patient care, treatments and procedures
• Safe pharmaceutical handling requirements and guidelines
• Application of personal protective equipment (PPE) for patient and staff safety
• Computer applications
• Refer to Department Grid specific to Level I
• Analytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient care
• Refers more difficult problems to higher level medical assistant, nurse, supervisor or appropriate health care provider
• Practices according to Billings Clinic MA job description, guidelines and physician judgment
• Work is performed under the direct supervision of a physician
• Work is performed independently in accordance with assigned schedules and operating procedures
• Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with other MA, LPN, RN, physician and/or non-physician provider Collects laboratory specimens as needed.
• Cleans and disinfects equipment per Billings Clinic sterile processing guidelines.
• Administers influenza vaccine, pneumococcal vaccines, and Td/TDAP to patients age 18 or older.
• Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.
• Assists physicians and non-physician providers in preparing for minor procedures and physical exams.
• Performs minor procedures to include but not limited to stitch and staple removal, application of dressings, ear lavage, splints and casts, etc.
• Administers medications and immunizations according to department approved grid and guidelines; once department requirements and required training have been met.

Additional Essential Functions for Level III
• Administers medications and immunizations according to department approved grid and guidelines, which may include pediatric patients; once department requirements have been met.
• Required to assist in 3 medical assistant training events per year (could be less if organizational needs change and also depends on amount of medical assistants in department).*
• Required to precept with a minimum of 5 externs per year (could be less if organizational needs change and also depends on amount of medical assistants in department).*
• May perform advanced skills for department if all training has been completed and competency achieved (please refer to department specific grid).
• Point of Care Testing Trainer or Specialized Training specific to department; i.e. Wound Vac, Vein
• Expected to prioritize all aspects of job performance
• Demonstrates personal accountability in all facets of role responsibilities
• Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patient
• Ability to utilize and apply PSE skills
• Service Recovery
• Communication with patient on expectations, e.g. being late for scheduled appointment, wait times
• Able to assist with patient service assistance needs as necessary and provide service recovery, e.g. coffee cards, lunch, gas cards
• Work with leadership on service recovery as needed
• Medical Terminology (available through LMS)
• Process Improvement / Quality Assurance /Risk Management
• Adheres to patient safety goals and standards
• Participates in Process Improvement or Risk related activities within the department
• Participates in the financial viability of Billings Clinic by ensuring appropriate ensuring appropriate utilization of supplies and equipment and maximizing the flow of patients to maximize effective utilization of the physician's/non-physician provider's time
• On-Call Responsibility
• Basic laboratory specimen handling and processing (urinalysis, blood sugars, etc.)
• Safe pharmaceutical handling requirements and guidelines
• Demonstrate phlebotomy skills if relevant to area. Cross-trained to assist physician and/or non-physician provider with procedures
• Administer Level I approved medications after completion of appropriate pharmaceutical courses, along with Billings Clinic injection class for Influenza, Pneumococcal, Td/TDAP

LPN

• Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching.
• Implements and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies & procedures and according to scope of license.
• Adheres to Billings Clinic and departmental safety standards, policies, and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.
• Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status.
• Utilizes performance improvement principles and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.
• Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team.
• Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

RN

• Utilizing a holistic approach and evidence-based nursing practices, incorporates the nursing process into the goal directed plan of care for the patient. Plan of care should include planning and scheduling of intervention/care and collaboration with other services/departments.
• Prepares and administers various medications and injections; collects and analyzes specimens as directed.
• Provides and/or assists with patient care, minor procedures, and treatments within the scope of practice.
• Communicates appointments, specialty procedures, and instructions by phone, in writing, and in person, coordinates patient information with other facilities, departments, and staff as appropriate.
• Provides education, instructions, and advice to patients as directed by physician with consideration to age-appropriate care.
• Responsible for documentation within clinical records (both electronic or written) of all patient care or treatments provided
• Enters physician orders into clinical information systems.
• Evaluates patient status via phone and in office setting. Advises patient appropriately (i.e., wound status, post-operative, etc.).
• Plans and organizes the work day to meet the need of the designated area.
Provides office clerical and administrative services as directed or as needed to maximize workflow, patient through put and to maximize provider resources.
Assists with provider documentation, charge capture and billing code capture.
Delegates work assignments within the scope of practice to other team members (LPN, Medical Assistant or Patient Service Representative) to meet the needs of the facility.
• Plans, organizes, implements, evaluates and documents safe patient care consistent with organizational values/goals, policies and procedures.
• Adheres to patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action.
• Maintains appropriate skill/knowledge in specialty area with application and patient relevance of commonly used equipment specific to area; pharmacological application; application of laboratory values with disease process and physiological status.
• Analyzes and shares the practice implications of nursing research in specialty area.
• Performs or assists with various procedures as competency and training permit (e.g., dobutamine stress tests, conscious sedation, spirometry, IVs, and patient recovery, etc.)
• Utilizes performance improvement principles to assess, enhance, and/or improve the quality of care. Participates in the incorporation of evidence-based outcomes and core principles, state survey/accreditation readiness activities, quality audits, quality improvement and patient safety teams, peer review processes, etc.
• Develops collaborative relationships with physicians and other health care providers to enhance quality practice.
• Takes responsibility for identification of own professional growth and developmental needs; meets all system/departmental educational requirements.
• Demonstrates positive, supportive, and caring behaviors in communication with patients, families, visitors, physicians, staff, and others.
• Consideration is given to the appropriateness of care based on the population specific needs of the patient. Nursing practice is delivered with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes or the nature of health problems
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Minimum Qualifications for CMA

Education

• High school diploma or equivalent

Certifications and Licensure

• Healthcare Provider CPR Certification

Minimum Qualifications for LPN

Education

• High school diploma or equivalent
• Graduate of an approved licensed practical nursing program

Certifications and Licensure

• Healthcare Provider CPR Certification
• Current Montana or Wyoming state license as a registered nurse required

Minimum Qualifications for RN

Education

• Graduate of an accredited school of nursing

Certification and Licensures

•CPR
•Current Montana or Wyoming state license as a registered nurse required

POSITIONS ARE SIGN-ON INCENTIVE ELIGIGBLE!