Description
Description
Job Summary
Assists physicians and clinical staff with clerical/clinical functions for patients requiring chronic disease coordination. Works closely with the Physicians as well as the Practice manager or Chair of the site Quality Council. Utilizes the nursing process to assess patient's condition and direct to the appropriate level of care using internal and external resources. Carries out quality improvement activities and performance improvement initiatives in support of the physician practice.
Essential Job Functions
Delivers direct and indirect patient care in accordance with the RN Practice Act, hospital and/or physician practice policies, procedures, protocols and other professional standards of care.
Collects patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient.
Completes an initial assessment of the patient's health history, learning needs and barriers, physical, psychosocial, cultural and spiritual needs and reassesses annually.
Involves the patient/ family and other health care professionals when appropriate.
Completes patient care treatments/testing as ordered by the physician.
Administers medications/immunizations using appropriate routes and techniques specific to age of the patient.
Complies with completeness, accuracy and timeliness of documentation.
Provides education and instruction, within their scope of practice, to patients and families.
Assesses the patient's readiness to learn, educational needs and educational barriers.
Provides educational material and/or instruction based on assessed needs.
Documents all education/instruction provided including topic, individual provided to and understanding.
Maintains collaborative relationship with physicians to achieve desired patient outcomes.
Prepares patients for examinations, treatments, and procedures.
Assists the physician with treatments and procedures as requested.
Provides for patient safety in compliance with hospital and physician practices policies.
Utilizes two forms of patient identification before implementing any form of patient care.
Labels all patient specimens with identifiers per policy.
Uses patient identifiers on all written documentation, including notes and point of care testing results.
Assists in compliance with all regulatory agency requirements.
Adheres to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections.
Participates in non-punitive medication reporting.
Demonstrates leadership by utilizing the concepts inherent to the practice of professional nursing.
Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate.
Maintains accountability for actions taken.
Delegates patient care appropriately.
Effectively functions as a resource person.
Acts as a patient advocate.
Performs effectively in the role of preceptor/mentor to new hires and/or students.
Assists in maintaining/decreasing organizational/departmental costs
Answers and routes multiple telephone calls and faxes, takes and directs messages and information pertinent to chronic disease management. Receives and arranges appointments for providers and patients for patient meetings, procedures, and appointments and sends correspondence as designated.
Miscellaneous office duties such as greeting patients, answering phone, filing and/or retrieving medical records, and scheduling patient appointments.
Assists with the clerical operation of office equipment (PC, CRT, printer, copy machine and fax) to effectively and efficiently perform secretarial duties for management purposes.
Inventories, orders, and receives office supplies and printed materials. Maintains general files and supplies.
Other duties as assigned.
Specialty Job Functions
Conducts pre-visit chart review.
Identifies all needed preventive health maintenance, immunizations, prescriptions and chronic disease interventions.
Insures Problem lists and medication reconciliation is complete and accurate for all patient visits
Insures PMFSH is accurate and current for all patient visits
Assists and coordinates various functionality and utilization of disease registry database including the data entry; assuring database is kept up to date and patient gaps in care are met.
Identifying patients overdue for visits, labs, referrals, immunizations etc. and follows up to insure gaps in care are closed.
Identifying patients not meeting clinical and self-management goals and provides guidance to assist with meeting established goals.
Communicates information to patients and families regarding lab/diagnostic tests.
Assist patients and families to understand purpose and results of tests.
Documents information related to tests and results and patient and family understanding.
Proactively contacts patients to arrange follow-up on process or outcome goals that registry queries show are not being met.
Document calls, issues and general information in computer database for tracking patient information.
Assist patients with medication compliance by providing education about the purpose of the medication, directions for use and identification of and /or lessen potential side effects.
Educate patients about the Excela Health's chronic care program and the importance of meeting their goals and assists with goal setting and plans for behavior change.
Proactively manages registries and data bases for 100% of patients identified.
Reinforces physician recommendations and orders as discussed during patient office visits/phone appointments.
Assists patients schedule referrals as ordered by providers or by protocol.
Provides education and support to patient and family regarding therapeutic and self-management per patient needs and physician direction.
Provides follow up support and information to the patient as identified by patients assessed needs or physician instruction.
Actively participates in practice team and Excela Health communication and performance improvement structure
Participate in Daily meetings, Team meeting, and interpractice meetings to improve performance.
Assist in the development of goals and identification of outcomes for continuous quality improvement.
Supports performance improvement initiatives implemented.
Maintains complete patient records while keeping complete patient confidentialit
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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