Medical Scribe/LPN or RN - Western Colorado Physicians Group

                                                                                                                                                              Medical Scribe  LPN/RN

Job Summary:

Provide basic and expanded patient care roles, nursing tasks, and education under the direction of the physician.

Assume independent responsibility for patient immunizations, ordering preventive and chronic disease tests or procedures by protocol, take an active role throughout the patient visit, scribing entirety of the encounter into the patient record; enacting patient care needs or diagnostics during the course of the visit, and summarizing the encounter for the patient in appropriate manner - verbal /written format.

Duties/Responsibilities:

            Insurance Auditing

• Work with management to understand the metrics and gap closures needed for each insurance
• Work together with Care Coordinators and Management to determine work flow and to develop solutions to new problems that arise
• Work independently on gap closures

Metric Management

• Call and schedule patients that are due for specific appointments (i.e., DM or HTN appointments)
• Send letters to patients that are due for Px’s, WCC’s and/or AWV’s weekly.
• Ensure that patients who have been sent letters are actually scheduled in a timely manner, utilizing spreadsheet and ticklers when required.

Patient Care

• Obtain and chart vital statistics
• Provide patient instruction and education materials
• Make and chart appointments for out-of-office exams as well as in office appointments
• Prepare, administer and chart medications and injections
• Perform skills from checklist
• Point of Contact tests:  EKG’s, PFT’s, A1c’s, swabs, pelvic assists, vision screens, injections as needed
• Fill in when MA is out.
• Order various procedures and labs as directed by physician or practice protocols.
• Call test results to patients

             Assisting Physician

• Chart Maintenance - Review /reconcile medications, resolve acute meds and problems, expired/overdue orders
• Review patient specific alerts/reminders, and act on them per protocol or in communication with physician
• Assist physicians with specialized minor procedures
• Keep  physician informed on his daily schedule
• Perform functions according to physician orders
• Dispense medications at physician direction

            Expanded MA/nurse/scribe role

• Gather CC: and goals for the visit
• Paraphrase/Document patient's pertinent history, and treatment plans in the EMR  - Scribing  the narrative HX, ROS, PE and PLAN 
• Document the PLAN section of encounter , so it is available to patient summary upon completion of visit, and opportunity to print and review with patient
• Enter Orders, Meds, Refills, Referrals as discussed during the encounter
• Where workflow permits, print and review patient education, clinical summary, and relevant printed/on screen material with the patient
• Facilitate follow up/continu