Essential Functions:
- Records details of chief complaint, history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies as directed by physician.
- Record details of physical exam, including pertinent positives and negatives, noted abnormalities and patient general condition as directed by physician.
- Submit orders as desired by physician and check constantly for results of those orders.
- Responsible for troubleshooting for causes and solutions to any delays regarding the aforementioned orders.
- Must be knowledgeable of EMR.
- Assist in disposition of patient including prescriptions.
- Responsible for other nursing job duties as assigned.
- Attends meetings as required.
Skills/Abilities:
- Working knowledge of medical terminology and accepted abbreviations.
- Recognition of physical exam process and ability to record exam details.
- Must be proficient on the computer and have ability to ACCURATELY record information.
- Knowledge of all aspects of medication names and prescribing.
- Knowledge of policies and procedures related to infection control, environmental safety and patient confidentiality as directed by HIPAA standards.
- Knowledge of medical chart reporting and records.
- Knowledge of clinic/medical practice procedures related to all medical operations.
- Must have good computer skills.
- Must be skilled in customer service and have a pleasant and courteous demeanor while dealing with patients.
- Must have skills in critical thinking, communication, influence and decision making.
- Must have the ability to work cooperatively as a member of office staff and team.
Mental/Physical Requirements:
- Some lifting and carrying up to 10 pounds.
- Sedentary 6-7 hours/day.
- Can suffer wrist, back, neck, or eye problems due to strain and risk repetitive motion injuries such as carpal tunnel syndrome.
- Constant pressure to be accurate and productive can be stressful.
Qualifications:
Education:
High School Diploma or equivalent
Licenses and Certifications
Certified Medical Assistant Certification or LPN License
