§ Receives, collects key data and answers based on clinical protocol guidelines and triages patient telephone calls as per approved clinical protocol guidelines. Consults with RN or provider for areas of question or lack of clarity
§ Identifies emergent medical and/or related patient situations and assists patients by assessing appropriate level of care required. If in question, errs on side of higher level of care if unable to clarify with RN or provider at point of service.
§ Serves as a medical care information resource for patients.
§ Serves as a resource to clinical office staff within scope of their nursing role - either RN or LPN.
§ Consults with physicians, providers, and other team members as appropriate to ensure quality patient care that is consistent with and pertinent to the patient.
§ Documents complete and accurate patient records related to calls received, data collected, services rendered, follow-up provided, and/or outcomes as described by the patient or family.
§ Performs nursing protocols (First OB, Medication Refill as applicable and approved) to organizational procedures.
§ Serves as a resource to clinical office staff within scope of LPN role.
§ Facilitates office quality/performance incentive initiatives.
§ Coordinates care with external/payer case managers.
§ Performs the essential functions of a Care Team Coordinator (see Care Team Coordinator Job Description).
§ Performs other duties as assigned.
For those trained as scribes, the following essential functions apply:
§ Meets all information management, HIPAA, HITECH, confidentiality and patient rights standards
§ Enters the room with the physician, identifying the patient with two patient identifiers
§ As the physician moves forward with the appointment, documents only information cited by the physician, refraining from obtaining any information from the patient directly without the direct supervision of the physician
§ Remains in compliance with the Record of Care and Provision of Care Standards Provides statement
o Identifying the scriber of the service
o Statement attesting that the notes are written/recorded contemporaneously in the presence of the physician performing the service
o Physician Name
o Signature (including name and title), dating and timing of all entries into the medical record
o Example: Scribed for Dr. X. in their presence by Susie Scriber, MA, 1/1/11, 11:15 AM
Ensures authentication by the physician is complete prior to acting on orders entered into the medical record