Position Title: Apprentice Licensed Practical Nurse (LPN)

Department: Medical – Clinical Education

Supervisor: Apprentice Supervisor

Supervisory Responsibilities: None 

FLSA Status: Non-Exempt

Summary:

The Apprentice Licensed Practical Nurse (LPN) will start in the role of Certified Medical Assistant (CMA). A clearly defined progressive course of education and learning will move the apprentice into the role of LPN during the apprenticeship. See the Apprentice schedule for timing and competency schedules.

The Certified Medical Assistant (MA) performs routine administrative and clinical tasks to assist in the delivering primary health care to Alluvion Health patients. The Medical Assistant performs clinical support staff procedures along with providing preventive health care education to patients of Alluvion Health, including working with patients of all socioeconomic backgrounds in an effective, culturally, and linguistically sensitive manner. Additionally, Medical Assistants will be responsible for making referrals to community services, providing program outreach, and performing other duties as assigned. If the apprentice is not certified at the time of hire, certification will be obtained before the LPN courses can be started. 

At the end of the 2000 hours of work and training the LPN Apprentice will be qualified to sit for the NCLEX- PN licensing exam. 

All employees will exhibit the following behavioral traits:

Integrity and Trust

Individual is widely trusted and can present information and discuss situations in an appropriate and helpful manner, keeps confidence, admits mistakes, doesn't misrepresent him/herself for personal gain. Is respectful in action and communication with clients, patients, and staff.

Mission Integration

Adheres to the organization's mission during times of ease or challenge, is dedicated to the expectations and requirements of the mission and vision, acts in line with the values identified by Alluvion Health.

Team Relations

Understands and supports the team approach and integrated model of Alluvion Health. Is seen as a team player, cooperative and supportive of his/her coworkers, practices what he/she preaches. Can be candid with peers and foster open dialogue. Creates a feeling of belonging on the team and holds self and team accountable to those behaviors.

Essential Job Responsibilities:

Certified Medical Assistant

1. Creates and maintains respectful rapport with participants and co-workers;
2. Provides excellent customer service;
3. Provide direct patient care in a clinical setting;
4. Answers incoming calls and retrieves phone messages, responding in a timely fashion;
5. Documents demographic and clinical information within the electronic medical record system;
6. Gathers height, weight, and other vitals;
7. Must carefully follow appropriate and established medical assistant protocols;
8. Assists with daily setting up and cleaning of exam rooms;
9. Assists in ordering, stocking clinic supplies and educational materials;
10. Completes all required documentation and establishes or updates client information in the electronic medical record;
11. Assists and supports families in locating community resources;
12. Assists with program outreach;
13. Maintains confidentiality according to HIPAA;
14. Works as a team player with staff, patients, and other community organizations to ensure quality services and program requirements are met to carry out the goals and objectives of Alluvion Health;
15. Performs duties efficiently and effectively;
16. Follows Alluvion Health’s policies and procedures;
17. Establishes and maintains productive working relationships with fellow employees, supervisors, and the public;
18. Maintains required agency/program immunizations.
19. Responsible for completing various special projects/events, which may require reviewing and analyzing information, identifying problems, recommending solutions, and writing reports;
20. Performs a variety of other duties as assigned; which may include but are not limited to directing or participating in special projects and events, conducting research, representing Alluvion Health at meetings and conferences, and attending continuing education and training events.

Licensed Practical Nurse

1. Support and closely coordinate primary health care with the patient’s primary care provider and, when appropriate, other health center providers;
2. Review patient medical records for completeness and updates prior to the patient’s visit; 
3. Screen and gather information from patients; 
4. Assist in routine physical examinations by preparing the patient, the equipment and supplies and assists the Provider as needed; 
5. Execute medical orders for specific drugs, treatments, medications, injections and performs testing or procedures per Provider orders; 
6. Assess the immunization status of patients, administers immunizations and documents immunization records according to written protocol; 
7. Facilitate in-clinic or outside referrals to other community providers and organizations; 
8. Participate in care team huddles; 
9. Coordinate patient flow to assure patients are seen in a timely manner; 
10. Facilitate communication regarding treatment recommendations between specialists or other health providers and the primary care provider; 
11. Support patient engagement and follow-up in care; 
12. Evaluate patient care plans with care team; 
13. Document patient encounters, patient progress, treatment and follow-up care in the electronic medical record system ensuring proper documentation of clinic visits, diagnosis, treatments, and medications within the scope of nursing practice; 
14. Track and document referrals for clinically indicated services outside Alluvion Health (mental health specialty care, substance abuse treatment, surgical, diagnostic imaging, hospitalizations, housing assistance, etc.); 
15. Attend and participate in meetings and Quality Improvement activities as required; 
16. Serve as a member of committees as requested;
17. Participate in peer review as part of Quality Improvement activities and in compliance with health center policies;
18. Maintain confidentiality according to HIPAA and the HITECH Security Act; 
19. Work as a team player with staff and other community organizations to ensure quality services and program requirements are met to carry out the goals and objectives of Alluvion Health program; 
20. Follow Alluvion Health policies and procedures; 
21. Establish and maintain positive and productive working relationships with fellow employees, supervisors, and the public; 
22. Perform duties efficiently and effectively; 
23. Responsible for completing various special projects/events, which may require reviewing and analyzing information, identifying problems, recommending solutions, and writing reports;
24. Performs a variety of other duties as assigned; which may include but are not limited to directing or participating in special projects and events, conducting research, representing Alluvion Health at meetings and conferences, and attending continuing education and training events. 

Knowledge,Skills,andAbilities:

Knowledge and understanding of:

• Primary health care and nursing activities as described in the Montana Nurse Practice Act; 
• General medical office/clinic practices; 
• Community resources; 
• Cultural and linguistic sensitivity; 
• Basic computer data entry; 
• HIPAA Privacy and Security Rules; 
• Safety policies and procedures. 

Skills in:

• Excellent customer service; 
• Time management and organization; 
• Strong written and verbal communication; 
• Microsoft Excel, Word, Outlook, Windows, Internet, electronic medical record systems. 

Ability to:

• Gain acceptance into a Montana State Board of Nursing recognized practical nursing program;
• Maintain a passing GPA in required nursing courses;
• Receive passing grade in all clinical assignments;
• Demonstrate good nursing care; 
• Collaborate effectively in a team setting; 
• Maintain effective and professional relationships with patients and other members of the care team; 
• Assess patients as appropriate to current licensure; 
• Respond appropriately to an emergency or crisis situation; 
• Adapt to changes in the work environment; 
• Manage competing demands and changes in approach or method to best fit the situation; 
• Deal with frequent change, delays and/or unexpected events; 
• Adhere to a high degree of confidentiality and sensitivity towards the families involved; 
• Maintain confidentiality and compliance with HIPAA privacy and security rules; 
• Work with patients with diverse social, economic, and cultural backgrounds in an empathic, non-judgmental, respectful, and professional manner; 
• Work with people from all walks of life, such as individuals with various social and emotional histories, high risk, unemployed, homeless, abused and people with mental health conditions; 
• Work independently with little direction but also with a team; 
• Read and comprehend materials; 
• Analyze and compile information; 
• Pass a criminal background check; 
• Observe required work hours and demonstrate punctuality; 
• Meet established timelines and/or deadlines; 
• Observe established lines of authority; 
• Identify problems that adversely affect the organization and its functions and offer positive suggestions for improvements. 

Education/Training/Qualifications:

Education/Training:

Certifications:

• Nationally recognized Medical Assistant Certification; 
• Other certifications may qualify at the discretion of the apprenticeship sponsors. 

Language Skills:

• Fluent in the English language. Ability to read, analyze, and interpret the most complex documents;
• Ability to respond effectively to the most sensitive inquiries or complaints. 

PhysicalRequirements:

Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The employee is regularly required to sit and use hands and fingers to provide care to patients and operate computer; 
• Frequently is required to reach with hands and arms; 
• Must occasionally lift and/or move up to 40 pounds while transporting equipment and supplies; 
• Specific vision abilities required by this job include close vision and looking into monitors for extended periods of time and ability to adjust focus which permits the employee to perform computer procedures, and to produce and review a wide variety of documents, correspondence, reports, and related materials in both electronic and printed form; 
• Clarity of speech and hearing that permits the employee to communicate well with others; 
• Mobility that permits the employee to move about in a variety of building settings; 
• Personal mobility that permits the employee to enter, operate and exit motor vehicles and travel to other clinic sites. 

WorkingConditions:

• Work indoors in a climate-controlled environment 95% of the time. 
• OSHA Exposure Category #1. (The normal work routine involves exposure to blood, body fluids, or tissues, but exposure or potential exposure may be required as a condition of employment.) 

Work Hours:

Comments:

Thisdescriptionisintended to describe theessential jobfunctionsandtheessential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.