Job Description

POSITION DESCRIPTION:

Provides professional surgical care for patients following established standards and practices. Duties include, but are not limited to, pre-op, intra-op, and post-op care, and assists as directed by provider in Mohs surgery and other Dermatologic procedures. Duties are performed under the oversight and direction of Mohs surgeon and office leadership as outlined in the Clinical Support Staff Scope of Practice document.

ESSENTIAL JOB FUNCTIONS:

1. Greets and courteously escorts patient and other guests to examination room.
2. Determines and documents reason for visit; obtains information from patient to complete appropriate EMR template(s) to update patient history.
3. Obtains patient vital signs and accurately documents information in patient EMR file; including vital signs, such as pulse rate, temperature, blood pressure, height and weight; calculates and documents BMI.
4. Carefully reviews and ensures patient understanding of pre and postoperative expectations.
5. Prepares patient for surgery by completing the following:
   1. Cleans and drapes surgical site.
   2. Under physician supervision, completes time out procedure prior to surgery; confirms patient identity and surgical site(s).
   3. Observes surgeon while surgical site is marked.
   4. Per clinical procedure, administers injections prior to beginning procedure.
6. Assists surgeon throughout procedure by administering additional anesthetic as directed by surgeon, helping to control bleeding, assisting while physician is suturing, and performing wound care during the process.
7. Maintains sterile environment and precautions.
8. Reviews Pre- and Post-operative education for patients.
9. Removes sutures at post-operative appointments.
10. Wound care and suture removal. Reviews wound care instructions with patients and family.
11. Directly enters medication, laboratory and radiology orders into the electronic medical record per state, local and professional guidelines.
12. Performs general specimen collection duties or other office procedures as required; during the performance of these duties adheres to all IHA specified policies, procedures and safety precautions.
13. Enters biopsy locations, clinical diagnosis and prepares pathology reports for physician review; makes corrections as needed.
14. Tracks and informs patient of laboratory/diagnostic test results as directed by physician and according to IHA/office protocols; communicates with patient regarding physician instructions based on test results received.
15. Surgical suite and instrument set up to include: adherence to department protocols, cleaning rooms, instruments and equipment between patient visits (according to infection control standards); cleaning sterilizer per scheduled maintenance program requirements and ensuring proper documentation is recorded; supply maintenance (ordering, storage and restocking rooms).
16. Administers prescribed medications and facilitates prescription requests as directed by physician.
17. Assists provider with more complex patient care issues.
18. Participates in disease management programs under supervision of Mohs surgeon and office leadership.
19. Provides patient/family education as directed by physician.
20. Serves as liaison between patient and physician when necessary. Ensures timely and courteous follow-up regarding patient questions.
21. Performs other duties as assigned and works within the scope of MA certification.

ORGANIZATIONAL EXPECTATIONS:

1. Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of both IHA and Trinity Health.
2. Must be able to work effectively as a member of the clinical care team.
3. Successfully completes IHA's "The Customer" training and adheres to IHA's standard of promptly providing a high level of service and respect to internal or external customers.
4. Maintains knowledge of and complies with IHA standards, policies and procedures.
5. Maintains complete knowledge of office services and in the use of all relevant office equipment, computer and manual systems.
6. Maintains strict patient and employee confidentiality in compliance with IHA and HIPAA guidelines.
7. Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences.
8. Uses resources efficiently.
9. If applicable, responsible for ongoing professional development - maintains appropriate licensure and continuing education credentials, participates in available learning opportunities.

MEASURED BY:

Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.

ESSENTIAL QUALIFICATIONS:

EDUCATION: High School Diploma or GED

CREDENTIALS/LICENSURE: Valid CPR certification.

Certification as a Medical Assistant through one of the following certifying agencies:

• American Association of Medical Assistants (CMA)
• American Medical Technologists (RMA)
• National Center for Competency Testing (NCMA)
• National Healthcareer Association (CCMA)
• National Association of Health Professionals (NRCMA)
• Nurses must have valid, unrestricted LPN or RN license in the State of Michigan.

MINIMUM EXPERIENCE: 1 year previous clinical experience or demonstrated competency in key Medical Assistant responsibilities in Dermatology-specific duties.

POSITION REQUIREMENTS (ABILITIES & SKILLS):

1. Demonstrated competency in obtaining accurate patient vital statistics (height, weight, blood pressure, temperature, etc.); obtaining patient health history; pre-, intra-, and post-operative assessment of patients.
2. Proficient/knowledgeable in medical terminology.
3. Proficiency in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records, email, e-learning, intranet and computer navigation. Ability to use other software as required while performing the essential functions of the job.
4. Excellent communication skills in both written and verbal forms, including proper phone etiquette.
5. Ability to work collaboratively in a team-oriented environment; courteous and friendly demeanor.
6. Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, providers, patients, vendors, family members, outside customers and community groups.
7. Ability to cross-train in other areas of practice in order to achieve smooth flow of all operations.
8. Good organizational and time management skills to effectively juggle multiple priorities, time constraints and ever-changing medical situations.
9. Ability to exercise sound judgement and problem-solving skills.
10. Ability to perform mathematical calculations needed during the course of performing basic job duties.
11. Knowledge of the compliance aspects of clinical care and patient privacy and best practices in medical office operations.
12. Knowledge of more complex patient care issues.
13. Ability to handle patient and organizational information in a confidential manner.
14. Ability to monitor, organize, stock, prepare and keep exam rooms clean; maintain medical supply inventory in clinical areas.
15. Ability to travel to other training locations.
16. Successful completion of IHA competency-based program within introductory and training period.

MINIMUM PHYSICAL EXPECTATIONS:

1. Physical activity that often requires keyboarding, phone work and charting.
2. Physical activity that often requires time working on a computer.
3. Physical activity that often requires lifting over 50 lbs.
4. Physical activity that often requires handling and lifting patients, walking, bending, stooping, reaching, climbing, kneeling and/or twisting.
5. Physical activity that sometimes requires lifting, pushing and/or pulling up to 100 lbs.
6. Specific vision abilities required include close vision, depth perception, color vision, peripheral vision and the ability to adjust and focus.
7. Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
8. Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.

MINIMUM ENVIRONMENTAL EXPECTATIONS :

This job operates in a medical facility and requires regular walking to various locations around the hospital/clinic. Employees will be working where there is patient care equipment. Hazardous materials, including bloodborne pathogens and bodily fluids are also present. Exposure to sharps, x-rays, patients' conditions and some unpleasant sights, smells and contagious diseases are possible. This position requires significant interaction with people (many of whom are scared, hurt and/or ill) which can be stressful and result in competing priorities.

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