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