FHC LVN or CMA- Referrals & Prior Authorizations Job at Muenster Memorial Hospital, Muenster, TX

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  • Muenster Memorial Hospital
  • Muenster, TX

Job Description

Job Description

Job Description

Salary:

JOB SUMMARY: To provide support to our team. This position will focus on referrals, prior Auths, Annual wellness visit documentation and provide backup nursing support for when a team member is out on PTO or sick.

JOB QUALIFICATIONS:

  • Education: Graduate of an accredited School of Professional nursing
  • Personal Job-Related Skills: Effective oral and written communication skills.
  • Strong attention to detail.
  • Licensure, Registry or Certification: Registered Nurse, Vocational Nurse currently licensed or Certified Medical assistant by the State of Texas. Current BLS certification required.

PRIOR WORK EXPERIENCE:

  • One year experience as a professional RN, LVN or CMA preferred.

TECHNICAL TRAINING:

  • Working knowledge and competent capabilities in computer technology preferred.

PHYSICAL AND MENTAL REQUIREMENTS: Duties of this position require:

  • Extended periods of standing and walking.
  • Bending stooping, twisting, reaching, and lifting up to 50 pounds.
  • Occasional heavy lifting when moving or supporting patients who may suddenly become weak or helpless.
  • The ability to comprehend and follow routine written or verbal instructions or directions.

BEHAVIOR STANDARDS:

  • Attendance: Reports for work regularly with a minimum number of absences and tardiness. Gives notice and submitting justifications when absence or tardiness is unavoidable. Receive authorization when time off is needed. Observes
    appropriate lunch and break schedules.
  • Productivity and Use of Time: Manages own time and uses appropriate work methods, techniques, and equipment to achieve the most effective and efficient result in the time available. Is mutually respectful of time and schedule of others. Balances multiple priorities and focuses on desired outcome(s).
  • Teamwork and Collaboration: Projects a positive work attitude; relates effectively with coworkers, supervisors, and others; always uses tact and diplomacy/acts professional.
  • Customer Service: Treats patients, visitors and fellow employees with compassion, dignity and respect.
  • Quality and Accountability: Produces work that is complete, neat, accurate, and timely. Demonstrates self-responsibility and accountability.
  • Adaptability, Initiative and Problem-Solving: Adapts to organizational changes (e.g., technology, resources, and personnel). Takes initiative in identifying any problems and takes appropriate steps to resolve them.
  • Dress Code: Presents neat and clean appearance; adheres to the appropriate departmental dress code policy; wears I.D. badge with name visible (on upper body) for easy identification.
  • Communications: Makes sure tone and word selection match the intended message and audience; uses language and terminology listeners can understand; shows compassion and understanding in words; understands the tone of voice directly impacts the way a message is received; listens carefully to others; keeps conversations positive and constructive; focuses on potential solutions when discussing problems or issues; avoids gossiping, complaining and the use of profanity.
  • Safety: Maintains a neat, organized and safe work area; follows safety policies; makes an effort to maintain the facility; uses proper lifting techniques (e.g. utilize appropriate transfer devices, lift equipment and body mechanics); reports all accidents and safety hazards promptly; takes appropriate actions to correct or prevent recurrence.
  • Timekeeping: Uses time clock consistently when coming to work, leaving work, lunch breaks, and anytime leaving the facility grounds for personal reasons; turns in adjustments, leave requests, etc. timely.

TASKS

  • Promote Organizational Values: Actively uphold and promote the mission, vision, and values of Muenster Hospital District in all interactions with patients and staff.
  • Maintain Confidentiality: Ensure compliance with HIPAA regulations and maintain confidentiality when handling sensitive patient information on a daily basis.
  • Follow Safety Guidelines: Adhere to all safety guidelines and policies and procedures of Muenster Hospital District to ensure a safe working environment.
  • Conduct Patient Assessments: Interview patients to determine medical problems or conditions and perform physical examinations, documenting findings in patient charts for physician review.
  • Gather prior Authorizations, Referrals and send to the appropriate locations with supporting documents as needed.
  • Assist in clinical laboratory audit monthly.
  • Enter AWV information on websites for Medicare patients.
  • Assist in scheduling patients for well visits when needed.
  • Obtain and Record Vital Signs: Accurately obtain and record patients' vital signs and weight as part of routine assessments.
  • Assist with Patient Examinations: Provide assistance to physicians during patient examinations, facilitating a smooth and efficient process.
  • Review and Communicate Physician Orders: Review physician orders, lab requests, and follow-up needs with patients, ensuring clear communication and understanding.
  • Document Services for Billing: Document all services performed for billing purposes to ensure accurate patient records and billing processes.
  • Perform Basic Wound Care: Provide basic wound care, applying dressings and managing minor injuries as required.
  • Apply Therapeutic Compresses: Apply compresses, ice bags, and hot water bottles as part of treatment plans.
  • Provide Health Education: Educate patients and their families on health-related topics, including preventative care and management of medical conditions.
  • Engage in Continuing Education: Pursue continuing education opportunities in specialty areas to enhance knowledge and skills.
  • Maintain Licensure and Certifications: Ensure current licensure and certifications are maintained in compliance with regulatory requirements.
  • Monitor and Report Patient Observations: Observe patients closely and report any adverse reactions to medication or treatment to the medical personnel in charge.
  • Deliver Primary Care Services: Provide primary care services for clinic patients, including obtaining medical histories and performing well-child, including screenings and immunizations.
  • Administer Medications: Administer specified medications, whether orally or by subcutaneous or intramuscular injection, and accurately document time and dosage in patients charts.
  • Utilize Medical Equipment: Assemble and use medical equipment such as audiometers, pulse oximetry, nebulizers, and supplemental oxygen.
  • Collect and Test Samples: Collect samples (e.g., urine, blood, sputum) for laboratory testing and perform routine tests on these samples.
  • Sterilize Equipment and Supplies: Ensure all equipment and supplies are properly sterilized and maintained according to safety standards.
  • Clean Exam Rooms: Clean and prepare exam rooms between patient visits to maintain a hygienic environment.
  • Manage Inventory Supplies: Maintain medical supplies, including stocking, ordering new supplies, and disposing of expired or damaged items.
  • Respond to Patient Inquiries: Address patient telephone inquiries by evaluating and responding to their problems and questions.
  • Follow Up on Lab Results: Follow up with patients on lab results and schedule any additional tests as needed.
  • Coordinate Patient Referrals: Coordinate referrals for patients through insurance and other physician offices to facilitate their care.
  • Maintain Personal Time Records: Enter and maintain personal time in the time clock system, including time off requests.
  • Perform Additional Duties: Carry out all other duties as assigned to support clinic operations effectively.

Job Tags

Work experience placement,

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