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Office Nurse Salary in Billings, MT

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Medical Assistant (1.0 FTE) - Cardiology
Billings Clinic, Billings
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.
Medical Assistant - Neurology
Billings Clinic, Billings
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.
LPN, Medical Assistant, or Medical Assistant in training - Urology (Full-time/Billings)
Billings Clinic, Billings
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.Medical Assistant 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.• 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• CPR - at hireLPN Minimum QualificationsEducation• Graduate of an approved licensed practical nursing programCertifications and Licenses• Current state license as a practical nurse requiredThese positions are sign-on incentive eligible!!
Medical Assistant I (per diem) -Behavioral Health Clinic
Billings Clinic, Billings
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
Derm TECH
Billings Clinic, Billings
Under general supervision, assists in the delivery of patient care/treatment within the Dermatology department. Works collaboratively with the Physician, Non-Physician Provider, 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 appointments, diagnostic tests, treatments, procedures, and surgery.•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 records and other information. Adheres to confidentiality requirements.•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.•Assist in preparing for procedures and exams. Charts and documents in medical record. Collects laboratory specimens as needed.•Cleans and disinfects equipment per Billings Clinic sterile processing guidelines.•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.•Proficient in basic patient care and treatment, planning and evaluating according to job description.•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•Practices according to job description, guidelines and physician judgment•Work is performed under supervision of a physician•Assumes responsibility for follow-up, and coordinates appropriately with the 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•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)•Adheres to patient safety goals and standards•Participates in Process Improvement or Risk related activities within the department֩•Participates in the financial viability of Billings Clinic by 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•Basic laboratory specimen handling and processing•Performs minor procedures to include but not limited to stitch and staple removal, application of dressings, etc.•Prepares medications per physician orders and guidelines.•Required to assist in onboarding and job training for medical assistants.
MOHS TECH
Billings Clinic, Billings
Under the clinical supervision of the Physician and general supervision by the Manager, the MOHS Technician assists in the delivery of patient care/treatment, performing laboratory/histology duties, and assisting with surgical procedures. Works collaboratively with the Physician and Dermatology staff to meet the physical, psychosocial, educational, and spiritual needs of the patient and family. Assists in the care of the surgical patient by performing the scrub role of handling instruments, equipment and supplies. The Mohs Technician has an understanding of the procedure being performed, anticipates the needs of the surgeon, maintains a sterile field and is responsible pre- and post-operatively for technical components of surgery. Follows established procedures for preparation of surgical specimens. Prepares mounts on slides and stains or treats tissue with chemicals so as to reveal specific structural details under microscopic analysis. Perform histology duties to prepare material for pathologic evaluation.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.•Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. Charts and documents in medical record according to protocol. Collects laboratory specimens as needed. Assists physician in the care of patients/families by contributing information in order to aid in planning and evaluating patient care, with consideration for emotional, social and physical needs. (Patient Care, Assessment, Patient Examination Prep)•Cleans and maintains exam and treatment rooms to include ordering and maintaining adequate inventory of clinical and office supplies, instruments, and equipment as needed, daily decontamination of work area and sterilizing of instruments, and appropriate disposal of residual surgical pathology specimens and lab chemicals. (Environment of Care, Maintenance, Room Supplies & Equipment Prep)•Assists physicians and non-physician providers in preparing for procedures and physical exams. Demonstrates proper handling of instruments and equipment. Anticipates, plans for and responds to the needs of the surgeon and other members of the team by constantly watching the sterile field. (Patient Care, Procedures, Assist Providers - Derm)•Observes patients for physical and emotional reactions to medications and treatments, reporting any irregularities to appropriate medical and/or other nursing personnel. Identifies potential complications and responds appropriately to identified needs. (Patient Care, Patient Observation, patient obs for reactions)•Performs minor procedures to include but not limited to stitch and staple removal, wound and ulcer care, application of dressings, and phototherapy adhering to policy and procedure; documentation is concise and thorough. (Patient Care, Procedures, Perform Minor Procedures)•Reviews clerical information including the labeling of the specimen and requisition, reconciling any discrepancies detected in labeling. Prepare specimens for accessioning and gross evaluation. ((Patient Care, Procedures, Mohs Tissue Processing)Assigns accession numbers to cases as they arrive in the Mohs lab.Processes selected tissue as directed by the Mohs surgeon.Embeds, cuts, stains and coverslips slides efficiently.Catalogs and files all slides•Prepares laboratory solutions and reagents according to established procedures and exact formula in order to maintain adequate quantities for daily work assignments. Change and filter stainer chemicals per protocols. (Environment of Care, Inventory, Laboratory Prep)•Records and reviews quality control data and case logs. Utilizes performance improvement principles to assess and improve quality. (Quality/Regulatory, Quality Review, QC Data)•Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider. (Patient Services, Scheduling, Patient Scheduling)•Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures. (Education, Patient, Educates Patient, Provider)•Maintains patient files, records and other information. Adheres to HIPAA and confidentiality requirements. (HIM, Patient Chart, Documents in Patient Record)Compiles statistical data for reports as directed. (with 9)•Performs all other duties as assigned or as needed to meet the needs of the department/organization. May assist in the training/orientation of new staff and act as a resource to staff in resolving problems or questions.Additional Essential Functions for level 2•Assists with orientation and training of staff and/or students and residents as applicable. This may include assisting with competency assessment, updating training materials and identifying additional education needs. (Education, Staff, Orientation & Training)
RN Care Manager - Inpatient
Billings Clinic, Billings
May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.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.• Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.Proactively screens and assesses the acuity and transitional needs of each assigned patient.Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.• Interventions and Care Coordination• Demonstrates the ability to interpret clinical information and understand health care treatment and systems.• Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.• Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.• Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.• Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.• Coordinates care conferences to support effective communication as needed.• Helps navigate the patient throughout the continuum of care.• Effectively collaborates and coordinates care with the Social Services Care Manager.• Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.• Provides information about available resources to patients and their support systems.• Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.• Acts as a clinical resource to the Social Services Care Manager.• Understands consultative disciplines and their role in patient care.• Maintains respectful and professional communication skills.• Insurance and Utilization Management • Maintains working knowledge of CMS requirements and readmission penalties. • Maintains working knowledge of insurance/payer benefits.• Evaluation• Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs.• Monitors, evaluates and documents patient progress related to plan of care.• Documentation• Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines.• Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines.• Safety/Quality Assurance/Risk Management• Identifies service gaps and participates in hospital and department programs to address and improve quality of care.• Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies.• Professional Accountabilities• Participates in continuing education, department planning, work teams and process improvement activities.• Maintains current Licensure.• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.• Demonstrates the ability to be flexible, open minded and adaptable to change.• Maintains competency in organizational and departmental policies/processes relevant to job performance.• Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Inpatient Care Management Specific• Collaborates with post-acute services, Ambulatory Care Managers and PCP's to ensure successful transition back to the home environment. Makes appropriate Ambulatory Care Management referrals. Anticipates those patients who may require more support after hospital discharge and communicates these concerns.• Utilizes length of hospital stay, past utilization of resources and risk stratification to identify patients at high risk for readmission.• Interfaces effectively with the Utilization Review department to stay current on patient's eligibility for admission, continuing stay, or readiness for discharge.• Communicates with medical staff, coordination team and nursing staff regarding appropriateness of admission, need for continued stay and discharge plans.• Identifies and records episodes of avoidable days.• Evaluates the appropriateness of care delivery in the inpatient setting and communicates any discrepancies with the medical team.• In addition to the above Care Managers in the Emergency Department will also be responsible for the following duties:• Screens ED admissions using established criteria for specific payer populations• Understands insurance/payer policy language, benefits and authorization requirements for admission• Discuss payor criteria and issues on a case-by-case basis with clinical staffEnsures that the patient is in the appropriate "status" and level of care for the clinical condition. Utilizing screening criteria and physician advisor, per department standards• Outpatient Care Management Specific• Receives referrals on patients being seen in the clinic (Primary Care, SDC, specialty office, ancillary departments). Coordinates services for medical and non-medical care coordination needs that are episodic or longitudinal.• Receives referrals for elective procedure patients who would benefit from pre-discharge planning assessments and resource coordination.• Assists patients through care transitions from hospital to home, SNF to home/assisted living, or alternate setting per program guidelines.• Manages a panel of high-risk patients that require longitudinal education and support.• Effectively collaborates with Inpatient Care Managers and Social Service Care Managers to address the needs of shared patients.• Able to function effectively as a part of a team. Utilizing shared knowledge to address complex patient needs.• Supports Billings Clinic and community-based programs to advance the role of Outpatient Care Management, strengthen partnerships and meet department and patient needs.
Medical Assistant - General Surgery (Full-time/Billings)
Billings Clinic, Billings
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
MA General Pediatrics
Billings Clinic, Billings
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.This position may be eligible for a sign on incentive.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/TDAP
LPN or Medical Assistant - Wound Care (1.0 FTE)
Billings Clinic, Billings
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.