Nurse Clinician Salary in Billings, MT

This position may be eligible for employment incentives The Licensed Clinical Therapist is responsible for the full range of functions typically performed by a licensed counselor in a private practice out-patient setting. Functions include evaluation, psychotherapy, and consultation. Therapy may be with individuals, families, couples, and groups. Position is one of several clinical professionals in a multi-disciplinary setting. Essential Job Functions • Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Thoroughly evaluates the clinical needs of each patient. Arrives at diagnostic impressions utilizing the current DSM Codes. • Engages in thorough age-appropriate treatment planning process for each client and discusses those plans with the client/guardian as clinically indicated. • Makes use of referrals and consultations appropriately and has a strong knowledge of community resources. • Performs all related administrative functions necessary for effective, ethical, efficient clinical practice including those standards as required by Billings Clinic. • Performs age-appropriate clinical therapies and techniques skillfully, using sound personal and clinical judgment. • Maintains client records clearly and in a timely and confidential manner, reflecting dates of appointments, evaluations, therapy efforts and goals, referrals, and correspondence. • Provides all necessary information for accurate and timely billing and collection. • Utilizes performance improvement principles to assess and improve quality. Participates appropriately in quality improvement efforts. • Functions as an involved team member with the department staff, ensuring a smooth flow of clinical and support staff needs, as well as for high quality care. • Identifies needs and sets goals for own growth and development; meets all mandatory organization and departmental requirements. Participates in all department staff meetings as required. • Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Performs other duties as assigned or needed to meet the needs of the department/organization.

Responsible for applying in-depth knowledge, competencies, and skills in a clinical specialty. Assesses, plans, researches, develops, conducts, and evaluates services and continuing education programs in collaboration with management. Expertise is utilized in all settings for the organization. Establishes goals and priorities in accordance with patient care, staff needs and organizational objectives and in accordance with age appropriate care criteria for services ranging from infant to geriatric.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Evaluates nursing practice and identifies opportunities for modification that would enhance professional practice, maintain/improve patient care while remaining fiscally sound.• Develops educational programs and collaborates with other health care providers to assure appropriateness of educational offerings for staff members and patients; maintenance of continuity of care; coordination of resources to facilitate patient's plan of care; and may provide direct and/or indirect patient care.• Serves as a resource and role model in implementation of professional nursing practice in the clinical setting.• Facilitates empowered environment that recognizes and responds to staff's developmental and professional practice issues through mentoring, team building, resource identification and networking.• Participates in the development or revision of policies and procedures and incorporates current research findings.• Demonstrates positive, supportive, and caring behaviors in communication with patients, families, visitors, physicians, staff and others.• Consideration will be given to the appropriateness of care based on the age of the patient.• Utilizes performance improvement principles to assess and improve quality.• Identifies need and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate action.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.Knowledge, Skills, and Abilities• Nursing theory, nursing practice and educational theory• Demonstrated leadership skills and use of empowerment principles• Professional communication skills, both verbal and written• Application of leadership principles• Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric• Communicate clearly and effectively, both verbal and written• Establish and maintain collaborative relationships• Maintain flexibility to adapt to a variety of workload assignments• Interpret policies and procedures, identify non-compliance and take appropriate action• Utilize time management concepts or maximize time effectively• Work independently• Serves as a resource for patient care. Accountable to provide clinically sound information. Must develop and maintain good working relationships with other departments, physicians, patients, families, outside agencies, and other professionals.Minimum QualificationsEducation• 4 Year / Bachelors Degree - Bachelor's degree in nursing required but application may be considered if currently enrolled in a BSN program with a defined date of completion within 18 months of application. Experience • Five years of experience in area of expertise Certifications and Licenses• Healthcare Provider CPR certification required, job scope may require ACLS or levels of CPR certification• Current Montana and/or Wyoming license as a Registered Nurse

Under general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Non-Physician Provider, RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.• Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.• Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider.• Orders and maintains clinical and office supplies and equipment as directed.• Maintains patient files, records and other information. Adheres to confidentiality requirements.• Compiles statistical data for reports as directed.• Attends required meetings and participates in committees as requested.• Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Collects laboratory specimens as needed.• Cleans and disinfects equipment per Billings Clinic sterile processing guidelines.• Administers influenza vaccine, pneumococcal vaccines, and Td/TDAP to patients age 18 or older.• Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Cross-Training on Information/ SPECIFIC Systems• Proficient in basic patient care and treatment, planning and evaluating according to job description and MA level• Competent to perform routine, non-complex aspects of patient care, treatments and procedures• Safe pharmaceutical handling requirements and guidelines• Application of personal protective equipment (PPE) for patient and staff safety• Computer applications• Analytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient care• Refers more difficult problems to higher level medical assistant, nurse, supervisor or appropriate health care provider• Practices according to Billings Clinic MA job description, guidelines and physician judgment• Work is performed under the direct supervision of a physician• Work is performed independently in accordance with assigned schedules and operating procedures• Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with other MA, LPN, RN, physician and/or non-physician provider• Expected to prioritize all aspects of job performance• Demonstrates personal accountability in all facets of role responsibilities• Interpersonal Skills• Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patient• Ability to utilize and apply PSE skills• Communication with patient on expectations, e.g. being late for scheduled appointment, wait times• Able to assist with patient service assistance needs as necessary and provide service recovery, e.g. coffee cards, lunch, gas cards• Work with leadership on service recovery as needed• Medical Terminology (available through LMS)• Process Improvement / Quality Assurance /Risk Management• Adheres to patient safety goals and standards• Participates in Process Improvement or Risk related activities within the department• Fiscal Responsibility• Participates in the financial viability of Billings Clinic by ensuring appropriate ensuring appropriate utilization of supplies and equipment and maximizing the flow of patients to maximize effective utilization of the physician's/non-physician provider's time• On-Call Responsibility• Basic laboratory specimen handling and processing (urinalysis, blood sugars, etc.)• Safe pharmaceutical handling requirements and guidelines• Demonstrate phlebotomy skills if relevant to area. Cross-trained to assist physician and/or non-physician provider with procedures• Administer Level I approved medications after completion of appropriate pharmaceutical courses, along with Billings Clinic injection class for Influenza, Pneumococcal, Td/TDAPMinimum QualificationsEducation• High School or GEDExperience• Six (6) months related work experience in a health care environment required to develop proficiency in basic Medical Assistant procedures and processes encompassing all age groups, preferred.Certifications and Licenses• CPR• Required to obtain certification or registration within fifteen (15) months of hire through organizations approved by Billings Clinic. If coming from a medical assisting program; must be obtained within 6 months of program completion.

May be eligible for $2,000 sign on incentiveUnder general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Advanced Practice Providers (APPs), RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.• Assists with patient scheduling of appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.• Screens incoming telephone calls for appropriate referrals to nurse, physician and/or APP.• Orders and maintains clinical and office supplies and equipment as directed.• Maintains patient files, records and other information. Adheres to confidentiality requirements.• Compiles statistical data for reports as directed.• Attends required meetings and participates in committees as requested.• Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Collects and appropriately labels laboratory specimens as needed per organization and department standards.• Cleans and disinfects equipment per Billings Clinic infection control guidelines.• May administer various vaccines per department standards/needs and individual employee leveling grid.• Provides instruction to patients as directed by physician, APP or as documented in department policies and procedures.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• May assist physicians and APPs in preparing for minor procedures and physical exams.• Administers medications according to department approved grid and guidelines; once department requirements and required training have been met.• May perform patient care tasks to include but not limited to stitch and staple removal, application of dressings, ear lavage, splints and casts, etc. after demonstrated competency.

May be eligible for $2,000 sign on incentiveUnder general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Advanced Practice Providers (APPs), RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.• Assists with patient scheduling of appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.• Screens incoming telephone calls for appropriate referrals to nurse, physician and/or APP.• Orders and maintains clinical and office supplies and equipment as directed.• Maintains patient files, records and other information. Adheres to confidentiality requirements.• Compiles statistical data for reports as directed.• Attends required meetings and participates in committees as requested.• Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Collects and appropriately labels laboratory specimens as needed per organization and department standards.• Cleans and disinfects equipment per Billings Clinic infection control guidelines.• May administer various vaccines per department standards/needs and individual employee leveling grid.• Provides instruction to patients as directed by physician, APP or as documented in department policies and procedures.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• May assist physicians and APPs in preparing for minor procedures and physical exams.• Administers medications according to department approved grid and guidelines; once department requirements and required training have been met.• May perform patient care tasks to include but not limited to stitch and staple removal, application of dressings, ear lavage, splints and casts, etc. after demonstrated competency.

Under the direction and supervision of the physician and in accordance with the authorized scope of practice for the level, assists in the delivery of patient care. Works collaboratively with the health care team including nursing staff and other health care providers to meet the physical, psychosocial, educational and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with the mission, vision, values and philosophy of Billings Clinic and the Emergency Department. Functions within the core competencies and "Minimum Specifications" set forth by the organization. • Responds in a timely, pleasant, efficient manner to the ED phone lines, using PSE guidelines; able to transfer calls. Adheres to confidentiality (HIPPA) and patient right requirements. • Pleasantly greets patient upon entering ED (waiting room) and directs to next available triage room, if Chief complaint is emergent will immediately notify Triage Nurse. Obtains and/or records vital signs, including height and weight and places on white board for RN charts and documents in patients record according to documentation guidelines. Collects laboratory specimens as needed. Performs Point of Care (POC) laboratory testing (glucometer) as listed in the job description. • Performs basic patient care, treatments, and documentation approved by the Physician or delegated by RN. • Assists patient's activities during ED care, such as showers, ambulating and turning, crutches, walkers, wheelchair or stretchers, transfers and assists with patient transports within the ED & facility. • Obtains and records vital signs including blood pressure, pulse, respiration, temperature, and pulse oximetry using manual & automatic technology. Additionally performs postural vital signs, obtains weights & heights, visual acuities, and specific POC testing (i.e. precision Glucometer). • Measures, records, and provides, for patient: intake of food and fluid which includes partial and total assistance with feedings; output from bodily functions/specified drainage devices and collects specimens as directed by the physician. Works collaboratively within the ED patient care team • Reports changes in patient condition, patient needs, and patient/visitor problems to the ED Physician AND Primary Nurse/or ED Charge Nurse. • Documents all care provided utilizing appropriate ED documentation-CERNER FirstNet and/or ED paper chart guidelines. • Assists in preparing wounds for suturing, i.e., cleansing and irrigation of the wound and setting up of all equipment (including sterile supplies) for suture procedure. • Performs EKGs as required and places patients on cardiac monitors. • Assists in preparing patient for MD exam, Patients need to be changed into a gown for assessment (i.e., assisting patient to undress, providing warm blankets, ice, extremity elevations, etc.) • Assists Diagnostic Imaging Tech with X-ray procedures as needed, as well as assisting in transfer of patients to CT or US. • Assists in the safety search of designated patient(s) as needed. (Following safety search policy) • Institutes seizure precautions when applicable • Assists MD/RN with gastric lavage as directed (ED only). • Assists ED physician/RN as needed with tasks such as providing supplies and equipment. • Responds to patient call lights and reports patient requests to MD/RN caring for patient. • Completes documentation following patient disposition, i.e. admission and discharge and transfer. • Sets up initial IV fluid bag including priming tubing adhering to aseptic technique at the specific request of the MD/RN • Establishes peripheral IV line upon MD's request. Applicable to PCT II (with EMT) & III only. Discontinues peripheral IV lines upon MD request per education requirements Applicable to PCT II (with EMT) & III. • May establish ultrasound IV's after class/competency completion (level II (with EMT) & Level III only.) • If trained/competent in I/O may insert under request/supervision of ED physician. (level II (with EMT) & Level III only.) • Maintains clean patient environment by assisting in the cleaning and maintenance of the waiting room, patient rooms and the ED unit. Performs linen changes for occupied beds while maintaining proper patient body alignment and comfort. • Knowledge and competence in all equipment cleaning • Utilizes appropriate personal protective equipment • Is versed in aseptic and sterile technique • Visual acuity's • Performs phlebotomy procedures per established ED and laboratory guidelines for collection and processing of specimens. • Applies and removes restraints according to Billings Clinic policy. • Assists with ambulance/helicopter/flight transfers into the ED. Is knowledgeable in admission, transfer and discharge of patient (including equipment) intra-facility and EMTALA/HIPPA regulations. • Understands system for disaster callbacks of ED staff and Emergency/Kardex notebook. Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains a safe, clean, and orderly environment for patient and visitors. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate action • Has well developed computer skills with ability to document in The FirstNet CERNER program. Able to use Outlook for sending and receiving E-mail communication. ~it is the employees responsibility to document all cares (i.e. IVs, ambulation, vitals, etc) and patient contact they perform. As well as checking organizational email. • Utilizes performance improvement principles to assess and improve the quality of patient care. • Takes responsibility for identifying own development needs; meets all system and departmental educational requirements. Attends required meetings and participates in committees as requested. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Refers more difficult problems to the MD, RN, , PCT II and/or III• Active participant in keeping a safe work environment. • Able to perform all basic CNA and/or/EMT patient care requirements Competency in: • Performing basic phlebotomy procedures to include a variety of draw sites, specimen preparation • EKGs. • Wound care/dressings. • Splinting. • Vital signs • Patient safety search • Understanding and compliance of 1:1 policy • May be cross-trained to Unit Clerk job role Knowledge, Skills and Abilities • General knowledge of Billings Clinic policy and procedures, both departmental and organizational • Regulatory standards and requirements • Billings Clinic Corporate Compliance • Billings Clinic Code of Business Conduct • Customer service techniques and Personal Service Excellence (PSE) skills • Patient care treatment, planning and assessment within scope of practice • Interpersonal (PSE)skills necessary in order to interact with patients, families, and physicians • Demonstrates empathy and sensitivity necessary to elicit patient's cooperation and allay apprehensions • Phlebotomy techniques and utilization of vacutainer and other phlebotomy equipment • Performing EKG's • Performing basic patient care and treatments within scope of certification/license • Performing a safety search • Performing computerized documentation according to unit guidelines. • Critical thinking • Patient Care II (with EMT or CMA) & III • IV techniques • I/O insertion• Incorporate population specific needs into all aspects of patient care and communications; scope of services will encompass age groups ranging from infant through geriatric • Utilize time management concepts or maximize time effectively • Communicate clearly and effectively both verbally and in writing • Utilize critical thinking skills • Respond calmly and professionally in difficult situations and when dealing with difficult patients and/or family members • Lift a minimum of 50 pounds• Professional conduct when dealing with co-workers, patients, and visitors. Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel. • Practices within the scope and level of certification/licensure Minimum QualificationsEducation• High school graduate or equivalent • Medical training as a Certified Nursing Assistant, Medical Assistant, Certified Assistant (MA), EMT, AEMT, or Paramedic Experience• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Certifications and Licenses• Current Montana license as Certified Nurse Assistant and/or EMT certification (or) • College training in a health-related field. • CPR Certification BLS for infant, child and adult upon hire (ACLS for Level III)• Must successfully pass Billings Clinic phlebotomy training upon of hire. Other Qualifications• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Required to

The incumbent in this position acts as an advocate for patients serving as the primary point of contact and is responsible for coordinating the care and services of the identified patient populations for an extended period of time across the continuum of care for outpatient services; promoting effective resource utilization; assuming a leadership role with the multidisciplinary team to achieve an optimal clinical outcome.Operational aspects include but are not limited to schedule coordination, follow-up communication with patients, outside care facilities, and referring providers, documentation and record maintenance for necessary records for accreditation and continued care needs.Supply an exceptional patient and family entry and journey through the healthcare system. Help providers by coordinating patient visits, provision of proper records as applicable, and aid in coordinating proper supplementary service visits as applicable. Navigation will ideally begin before the patient comes for their first visit, continue during the first phases of consultation and care plan generation, and often during a course of therapy. Navigation will often be a 'go to' when patients or family have question, concerns, or confusion. They will supply skills and knowledge to effectively arrange patient centered cancer care through leadership of the interdepartmental team.The oncology nurse navigator will provide effective communication to patient and families regarding disease process, treatment plan review, next steps in care. ONN will translate medical terminology into information that patients can use to improve their understanding of their cancer journey. Ancillary services offered in the cancer center -Social work, palliative care team, financial counseling, dietician, support groups will be discussed and encouraged with the patient and family. Coordination of care provides timely access to cancer care by addressing patient barriers and providing interventions.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Facilitates the coordination of patient care services to assure excellence in patient care and patient flow; includes coordinating care, treatment and communication among the medical team• Follows patient through the care continuum/experience, eliminating operational (such as scheduling, test results, etc.) barriers to services.• Works closely with other healthcare disciplines to ensure timely appointments, results reporting, financial need referrals, communication, patient care and follow-up• Coordination of care: The oncology nurse navigator will receive referral for cancer patients from outside providers, departments in the Billings Clinic and faxed referrals.• The nurse navigator will then start the process of obtaining records if applicable. This includes but not limited to provider notes, labs, pathology report, imaging report and imaging.• After patient records are obtained in a prompt matter; the nurse will start the process of scheduling the patient with proper provider and multidisciplinary team in the clinic. The nurse will notify cancer research team of patient.• The nurse navigator will contact the patient/caregiver within one business day of scheduling patient. • The navigator will supply education on the rationale of the multidisciplinary team/appointments and need for further imaging or testing. Location, date, and time will be provided to the patient. • Appointment notification will be mailed to home address, along with navigator business card. The navigator will explain the role and supply contact information to the patient/caregivers.• The nurse navigators will attend patient first consult in medical and radiation oncology. Navigation may be present in multidisciplinary appointments inside the Billings Clinic.• Nurse navigation schedule further appointments, imaging, lab draw, etc. as directed by providers. • These appointments will be communicated to the patient/caregiver's day of and or within one business day.• Nurse navigation will notify/schedule patient with supplementary appointments, such as symptom management team, oncology social workers, physical therapists, dietician, breast boutique, financial counselors, oral oncology pharmacist, site specific and/or general tumor board.• When patient presents for the first consults the nurse navigator will provide patient/family with Billings Clinic Cancer Center resources, contact numbers for staff, education resources on cancer, staging, treatment from reputable sources. (NCCN, ACOS, ACS)• The nurse navigator will supply education to the patient. Navigation will assess patient education needs by assessing barriers to care (literacy, language, cultural influences, and comorbidities). Resources will be offered such as web, printed materials, and verbal education.• The nurse navigator will supply and reinforce education to the patient, families, and caregivers about diagnosis, treatment, post treatment care and survivorship. (Treatment summary when applicable.)• The nurse navigator will schedule patient for their first treatment, they will provide calendars to the patient and review times, dates, and providers with them to expedite the plan of care and continuity of care.• The nurse navigator will schedule patients for follow up in the cancer center when actively navigating patient.• The nurse navigator will provide anticipatory guidance and manage expectations to aid patient/caregivers/families in coping with cancer diagnosis, potential or expected outcomes.• The nurse navigator will support a smooth transition of patients from active/initial treatment into survivorship, chronic cancer management or end of life care.• Facilitates the development, implementation and adherence to clinical and evidenced based guidelines, as appropriate, to ensure optimal clinical outcomes• Ensures follow-up on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.) Ensures follow up has occurred regarding patient clinical and non clinical care to include adherence to plans of care, resource utilization, and general progress utilizing care conferences as necessary.• Works in collaboration with the medical team to develop and implement clinical guidelines. Facilitates the adherence of the guidelines through regular evaluation and auditing of clinical practice.• Ensures follow-up in the outpatient setting on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.)• Demonstrates expertise in educational and resourcing services• Participates in educational activities related to patient/community, clinical operation and process issues on an ongoing basis• Collaborates with other health care providers in developing, implementing and evaluating educational materials for patients and their families• Facilitates intra-departmental relationships in an effort to provide necessary resources to and for the patient.• Interfaces with other members/disciplines within the healthcare teams for appropriate referrals/services• Aware of and assists with financial needs of the patients.• Identify and access appropriate social services, including resources to assist caregivers to support treatment• Contributes to an environment of quality and process improvement• Ensures accurate and timely data collection and entry into patient database as indicated by department guidelines• Directs and coordinates identified quality assessment and improvement activities to assure quality patient services are monthly provided through audits and reviews other identified evaluation tools• Ensures patient care activities for the department services are monitored monthly through audits and reviews• Ensures and enhances facility, safety, and regulatory outcomes• Complies with all applicable laws, regulations and accrediting agencies• Complies with all Billings Clinic policies• Works in collaboration with Leadership team to ensure departmental goals and objectives are met.• Contributes to community activities sponsored by the Cancer Center• Develops patient referral services by relationship-building strategies with physicians not related to the department.• Performs other duties as assigned or needed to meet the needs of the department/organization.• Works as an active team member and effective communicator• Demonstrates effective internal and external communication strategies, written and verbal, to assure a collaborative environment• Ensures appropriate and timely documentation in the EHR• Demonstrates a productive work ethic• Works consistently as an active team player, inter-and intra-departmentally• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Assists Mammography provider throughout imaging guidance breast biopsy procedures.Remove this line.• Identification and assistance for patients in potential benefit for genetic testing evaluation.• Organization and record maintenance of appropriate record needs required for accreditation purposes.• Performs other duties as assigned or needed to meet the needs of the department/organization.• Additional Duties for Breast Diagnostics• Facilitates the coordination of patient care services to assure excellence in patient care and patient flow.• Follows patient from abnormal mammogram through diagnosis.• Provides seamless patient flow from abnormal mammogram to diagnosis and referral to breast Patient Care Navigator• Facilitates breast biopsy scheduling• Facilitates breast biopsy education• Facilitates the development, implementation and adherence to clinical and research guidelines, as appropriate, to ensure optimal clinical outcomes• Ensures that each patient scheduled for a screening mammogram has had a clinical breast exam within acceptable time frame.• Demonstrates expertise in educational and resourcing services• Facilitates relationship between physicians, vendors, departments and the breast multidisciplinary program• Interfaces with finance and breast imaging services to meet the financial needs of the patients• Additional Duties for Regional Navigator• Collaborate with local individuals, agencies and organizations to facilitate the increased availability of community-based care services.• Facilitates research participation opportunities.• Facilitates increased utilization of telemedicine in connecting rural patients and providers to Billings Clinic resources.• Coordinate opportunities to increase prevention awareness and offer early-detection screening programs in outreach areas.• Develop and implement regional care protocols, resulting in reduced time to problem resolution and improved quality of care.• Interfaces with local and outreach providers in addressing care navigation concerns.• Identifies community support services in underserved and frontier areas and facilitates utilization of these services.• Advocates for the individual and collective needs of patients in rural and frontier areas.• Facilitates relationship-building between physicians, agencies, and organizations.• Interfaces with physicians, agencies, and organizations to meet the medical, social, and financial needs of patients.

Under general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Non-Physician Provider, RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.Essential Job FunctionsSupports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider.Orders and maintains clinical and office supplies and equipment as directed.Maintains patient files, records and other information. Adheres to confidentiality requirements.Compiles statistical data for reports as directed.Attends required meetings and participates in committees as requested.Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Collects laboratory specimens as needed.Cleans and disinfects equipment per Billings Clinic sterile processing guidelines.Administers influenza vaccine, pneumococcal vaccines, and Td/TDAP to patients age 18 or older.Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures.Performs all other duties as assigned or as needed to meet the needs of the department/organization.Cross-Training on Information/ SPECIFIC SystemsProficient in basic patient care and treatment, planning and evaluating according to job description and MA levelCompetent to perform routine, non-complex aspects of patient care, treatments and proceduresSafe pharmaceutical handling requirements and guidelinesApplication of personal protective equipment (PPE) for patient and staff safetyComputer applicationsAnalytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient careRefers more difficult problems to higher level medical assistant, nurse, supervisor or appropriate health care providerPractices according to Billings Clinic MA job description, guidelines and physician judgmentWork is performed under the direct supervision of a physicianWork is performed independently in accordance with assigned schedules and operating proceduresAssumes responsibility for the follow-up of problem scenarios and coordinates appropriately with other MA, LPN, RN, physician and/or non-physician providerExpected to prioritize all aspects of job performanceDemonstrates personal accountability in all facets of role responsibilitiesInterpersonal SkillsInterpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patientAbility to utilize and apply PSE skillsCommunication with patient on expectations, e.g. being late for scheduled appointment, wait timesAble to assist with patient service assistance needs as necessary and provide service recovery, e.g. coffee cards, lunch, gas cardsWork with leadership on service recovery as neededMedical Terminology (available through LMS)Process Improvement / Quality Assurance /Risk ManagementAdheres to patient safety goals and standardsParticipates in Process Improvement or Risk related activities within the departmentFiscal ResponsibilityParticipates in the financial viability of Billings Clinic by ensuring appropriate ensuring appropriate utilization of supplies and equipment and maximizing the flow of patients to maximize effective utilization of the physician's/non-physician provider's timeOn-Call ResponsibilityBasic laboratory specimen handling and processing (urinalysis, blood sugars, etc.)Safe pharmaceutical handling requirements and guidelinesDemonstrate phlebotomy skills if relevant to area. Cross-trained to assist physician and/or non-physician provider with proceduresAdminister Level I approved medications after completion of appropriate pharmaceutical courses, along with Billings Clinic injection class for Influenza, Pneumococcal, Td/TDAP

Under general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Non-Physician Provider, RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.• Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.• Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider.• Orders and maintains clinical and office supplies and equipment as directed.• Maintains patient files, records and other information. Adheres to confidentiality requirements.• Compiles statistical data for reports as directed.• Attends required meetings and participates in committees as requested.• Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Collects laboratory specimens as needed.• Cleans and disinfects equipment per Billings Clinic sterile processing guidelines.• Administers influenza vaccine, pneumococcal vaccines, and Td/TDAP to patients age 18 or older.• Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Cross-Training on Information/ SPECIFIC Systems• Proficient in basic patient care and treatment, planning and evaluating according to job description and MA level• Competent to perform routine, non-complex aspects of patient care, treatments and procedures• Safe pharmaceutical handling requirements and guidelines• Application of personal protective equipment (PPE) for patient and staff safetyComputer Applications• Analytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient care• Refers more difficult problems to higher level medical assistant, nurse, supervisor or appropriate health care provider• Practices according to Billings Clinic MA job description, guidelines and physician judgment• Work is performed under the direct supervision of a physician• Work is performed independently in accordance with assigned schedules and operating procedures• Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with other MA, LPN, RN, physician and/or non-physician provider• Expected to prioritize all aspects of job performance• Demonstrates personal accountability in all facets of role responsibilitiesInterpersonal Skills• Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patient• Ability to utilize and apply PSE skills• Communication with patient on expectations, e.g. being late for scheduled appointment, wait times• Able to assist with patient service assistance needs as necessary and provide service recovery, e.g. coffee cards, lunch, gas cards• Work with leadership on service recovery as needed• Medical Terminology (available through LMS)• Process Improvement / Quality Assurance /Risk Management• Adheres to patient safety goals and standards• Participates in Process Improvement or Risk related activities within the departmentFiscal Responsibility• Participates in the financial viability of Billings Clinic by ensuring appropriate ensuring appropriate utilization of supplies and • equipment and maximizing the flow of patients to maximize effective utilization of the physician's/non-physician provider's time• On-Call Responsibility• Basic laboratory specimen handling and processing (urinalysis, blood sugars, etc.)• Safe pharmaceutical handling requirements and guidelines• Demonstrate phlebotomy skills if relevant to area. Cross-trained to assist physician and/or non-physician provider with procedures• Administer Level I approved medications after completion of appropriate pharmaceutical courses, along with Billings Clinic injection class for Influenza, Pneumococcal, Td/TDAPMinimum QualificationsEducation• High School or GED/equivalentExperience• Six (6) months related work experience in a health care environment required to develop proficiency in basic Medical Assistant procedures and processes encompassing all age groups, preferredCertifications and Licenses• CPR - At hire

Medical Assistant may be eligible for a $2000 sign-on incentiveLPN may be eligible for a $3000 sign-on incentive, tuition loan repayment and relocation assistanceUnder general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Non-Physician Provider, RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.Medical Assistant Essential Job FunctionsNo experience required for Level I Medical Assistant. Applicants with current Medical Assistant certification will be considered for Level II Medical Assistant•Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements.• Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.• Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.• Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider.• Orders and maintains clinical and office supplies and equipment as directed.• Maintains patient files, records and other information. Adheres to confidentiality requirements.• Compiles statistical data for reports as directed.• Attends required meetings and participates in committees as requested.• Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Collects laboratory specimens as needed.• Cleans and disinfects equipment per Billings Clinic sterile processing guidelines.• Administers influenza vaccine, pneumococcal vaccines, and Td/TDAP to patients age 18 or older.• Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Additional Essential Functions for Level II and III - Refer to Department Grid• Assists physicians and non-physician providers in preparing for minor procedures and physical exams.• Performs minor procedures to include but not limited to stitch and staple removal, application of dressings, ear lavage, splints and casts, etc.• Administers medications and immunizations according to department approved grid and guidelines; once department requirements and required training have been met.• Additional Essential Functions for Level III - Refer to Department Grid• Administers medications and immunizations according to department approved grid and guidelines, which may include pediatric patients, once department requirements have been met.• Required to assist in 3 medical assistant training events per year (could be less if organizational needs change and also depends on amount of medical assistants in department).*• Required to precept with a minimum of 5 externs per year (could be less if organizational needs change and also depends on amount of medical assistants in department).*• May perform advanced skills for department if all training has been completed and competency achieved (please refer to department specific grid).• Point of Care Testing Trainer or Specialized Training specific to department, i.e. Wound Vac, Vein Procedures• Additional essential Functions for Level IV - Refer to Department Grid• Administers medications same as previous levels specific to department grid and guidelines and additional injections as indicated on department specific grid. (Patient Care; Patient Care, Injections)• Health coaching, Clinic Float, Training Lead, Yellow Belt• Participates in maintaining and/or building training modules using evidence based best practice for medical assistants• Assisting with process improvements as related to the clinical setting.• Proficient in basic patient care and treatment, planning and evaluating according to job description and MA level• Competent to perform routine, non-complex aspects of patient care, treatments and procedures• Safe pharmaceutical handling requirements and guidelines• Application of personal protective equipment (PPE) for patient and staff safety• Computer applications• Refer to Department Grid specific to Level I• Analytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient care• Refers more difficult problems to higher level medical assistant, nurse, supervisor or appropriate health care provider• Practices according to Billings Clinic MA job description, guidelines and physician judgment• Work is performed under the direct supervision of a physician• Work is performed independently in accordance with assigned schedules and operating procedures• Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with other MA, LPN, RN, physician and/or non-physician provider• Expected to prioritize all aspects of job performance• Demonstrates personal accountability in all facets of role responsibilities• Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patient• Ability to utilize and apply PSE skills• Service Recovery• Communication with patient on expectations, e.g. being late for scheduled appointment, wait times• Able to assist with patient service assistance needs as necessary and provide service recovery, e.g. coffee cards, lunch, gas cards• Work with leadership on service recovery as needed• Medical Terminology (available through LMS)• Process Improvement / Quality Assurance /Risk Management• Adheres to patient safety goals and standards• Participates in Process Improvement or Risk related activities within the department• Participates in the financial viability of Billings Clinic by ensuring appropriate ensuring appropriate utilization of supplies and equipment and maximizing the flow of patients to maximize effective utilization of the physician's/non-physician provider's time• On-Call Responsibility• Basic laboratory specimen handling and processing (urinalysis, blood sugars, etc.• Safe pharmaceutical handling requirements and guidelines• Demonstrate phlebotomy skills if relevant to area. Cross-trained to assist physician and/or non-physician provider with procedures• Administer Level I approved medications after completion of appropriate pharmaceutical courses, along with Billings Clinic injection class for Influenza, Pneumococcal, Td/TDAPLPN Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching.• Implements and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies & procedures and according to scope of license.• Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.• Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status.• Utilizes performance improvement principles and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.• Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team.•Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.• Performs other duties as assigned or needed to meet the needs of the department/organization.Medical Assistant Minimum QualificationsEducation• High school diploma or GED/equivalentExperience• Six (6) months related work experience in a health care environment required to develop proficiency in basic Medical Assistant procedures and processes encompassing all age groups, preferred.Certifications and Licenses• For Level II Medical Assistant: Certified/Registered Medical Assistant requiredLPN Minimum QualificationsEducation• Graduate of an approved licensed practical nursing programCertifications and Licenses• Current state license as a practical nurse requiredOr an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.