Provide in-patient and out-patient comprehensive primary care services including preventive and health maintenance services, acute and chronic care, clinical evaluation, diagnosis, and treatment as well as primary care consultation services to Cempa Community Care (Cempa) clinical staff and outside specialists who see Cempa patients.
JOB RESPONSIBILITIES AND PERFORMANCE EXPECTATIONS:
- Be familiar with Cempa’s program philosophies, goals, and objectives.
- Be cognizant of and comply with all Cempa’s policies and procedures, as well as state and federal regulations.
- Adhere to disease management protocols, and key clinical pathways, and use them to improve clinical performance.
- Participate in Collaboratives and health care programs of federal and state governments approved by the Senior Management.
- Work with CQI Coordinator to ensure compliance with clinical measures.
- Complete all required paperwork on time. (Payroll sheets, encounter sheets, evaluations, EHR system processes, etc.)
- Understand the requirements of Cempa’s Exposure Control Plan and assure compliance with this plan by support staff assigned to assist you.
- Personally, utilize universal precautions when practicing in the clinical setting.
- Advise and assist NP’s as needed in accordance with approved protocols and procedures.
- Complete all duties, responsibilities, and competencies in a manner that is appropriate to the age groups to whom care / services are being provided.
- Assist in the review of primary care protocols and patient education materials in collaboration with CMO and Director of Clinical Services.
- Provide necessary information and signatures for participation in reimbursement arrangements, such as Medicare, Medicaid, and other plans.
- Review incoming reports (lab, x-ray, EKG, etc), sign-off, and follow up when indicated.
- Maintain and enter patient records within EHR in a timely manner keeping most current data entered/updated in notes.
- Maintain up to date knowledge of coding and billing requirements. Provide accurate coding information in EHR that corresponds to care given and documented in progress notes.
- Rotate to other Cempa centers as needed to provide coverage.
- Participate in determining after-hours clinic coverage for primary care patients and agree to certain call coverage thereto.
- Report as needed to CMO any pertinent information or situations that impact on patient care or Cempa liability.
- Provide support and encouragement to Nurse Care Manager.
- Attend and participate in mandatory Cempa meetings (clinic meetings, executive meetings, and other meetings as designated by the CMO or CEO).
- Make recommendations to the CMO regarding the purchase of clinical supplies, instruments, equipment, and repair and/or maintenance of these.
- Demonstrate ability to work cooperatively with other members of the clinical team.
- Be supportive of coworkers.
- Participate in performance improvement, peer review, and credentialing evaluation, in accordance with applicable policies, as amended from time to time.
- Always maintain neat and professional appearance.
- Carry out any other activities deemed appropriate by the CMO or CEO.
- Requires 80% or more time spent standing/walking.
- Independently mobile.
- Ability to lift weight equivalents to that would be required when occasionally assisting and positioning patients, repositioning equipment and lifting supplies.
- Ability to adapt and function in varying environments of workload, patient acuity, worksites and work shifts.
JOB QUALIFICATIONS AND SKILLS
- HIPAA compliance – Responsible for compliance with all HIPAA regulations and requirements. Treats all member information confidential.
- Compliance – Ensure compliance with all local, state and federal regulations.
- QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
- IT – Required to learn and use the EMR and state reporting databases and its components as required by the job functions.
- Demonstrate multi-cultural sensitivity and experience or interest in working with underserved communities.
- Demonstrated ability to manage databases and spreadsheets.
- Demonstrated ability to work effectively with government and community partners.
- Experienced in the use of protected health information (PHI) to comply with HIPAA rules
- Skilled in the use of personal computers and related software applications (MS Word, Excel, and EMR.
- Able to interact with a variety of people, with a wide understanding of culture, beliefs and economic levels.
- Able to handle several responsibilities at once.
- Complete special projects upon request and other duties as assigned.
- Able to handle confidential and proprietary information appropriately, high level of integrity.
- Able to listen, communicate (written and verbal), excellent grammar, spelling and proofreading skills, and follow up effectively with all staffing levels.
- Strong customer service skills.
- Bilingual Spanish/English a plus.
- Demonstrates flexibility and enthusiasm for the services provided by the organization
EDUCATION AND EXPERIENCE
- Licensure: Tennessee License
- DEA Certificate
- Insurability (malpractice)
- Medical staff privileges at appropriate hospital if designated by health center.
- BLS certification
- Computer literacy
- Bilingual Preferred
- Demonstrated organizational, work management, and group process skills, ability to take initiative to identify and propose new tasks and procedures
- Demonstrated knowledge and competence in the use of software applications: word processing, spreadsheet, presentation, email applications (Microsoft Office preferred)