PAY TRANSPARENCY STATEMENT:

In accordance with The Massachusetts Pay Transparency Act, BNHC provides reasonable pay range for each posted position. Actual compensation will be based on multiple factors such as relevant experience, education and training to determine offered rates. This range represents the organization's good faith estimate of the possible compensation at the time of posting.

POSITION SUMMARY:

• Works with patients in the Office-Based Addiction Treatment program (Harm Reduction Clinic) and as needed, in BNHC’s shelter-based clinic at Father Bill’s Manley St. shelter and other programs in BNHC’s Substance Use Services Department
• Maintains a professional environment in a multi-provider, multidisciplinary organization.
• Maintains a patient-centered environment, including but not limited to:
  • Provision of care and advocacy for patients of all ages and their families based on prudent nursing judgement and acceptable standards of practice.
  • Efficient patient flow, assisting nurses, providers, and other staff.
• Performs tasks and procedures within the scope of a medical assistant (M.A.).

QUALIFICATIONS:

• Graduate of a medical assistant program.
• Cardio-pulmonary resuscitation (C.P.R.) certified.
• Bilingual preferred

MINIMAL KNOWLEDGE BASE:

• Demonstrates knowledge of:
  • Medical terminology.
  • Substance use and harm reduction concepts
  • Customer service and friendly atmosphere
  • Commonly encountered medications
  • Commonly encountered tests and procedures.
  • Basic Clinical Procedures.
  • OSHA Guidelines.
  • First Aid.
  • Moderate computer skills.

PROFESSIONAL BEHAVIOR:

• Demonstrates characteristics of accountability and responsibility as evidenced by completion of daily tasks, adherence to job description, and compliance with policies and procedures.
• Maintains patient confidentiality at all times as evidenced by discussing patient care only with staff who need the patient information. Maintains HIPAA and 42 CFR Part 2 confidentiality t all times.
• Maintains discretion of conversation in work areas.
• Maintains a professional mannerism. Is pleasant, courteous, and considerate of patients and co-workers.
• Demonstrates ability to prioritize demands, work with distractions, adapt to change, exercise efficient time management, and work independently.
• Demonstrates initiative by accomplishing tasks with minimal prompting.
• Is dependable and reliable as evidenced by attendance of work schedule, trustworthy, and performance of job description with minimal correction of assigned tasks.
• Maintains appropriate chain of command.
• Attends meetings.

TASKS – including but not limited to:

• Patient preparation for visit.
  • Appropriately prepare patient for either intake appointment or follow up visit with nurse.
  • Vital Signs: blood pressure, temperature, pulse (all points), and pulse.
  • Obtain interpretation when needed.
  • Chart documentation in EHR. Documentation vitals and POCT results for UDS and pregnancy test results.
  • Communicate efficiently and effectively though EHR, E-mail or in person regarding patient needs in a timely manner
  • Check MassPAT prescription drug monitorigas needed and communicate results to nurse.
  • Contact pharmacy as needed to troubleshoot patient request.
  • Document other pertinent information as needed.
  • Complete LMS courses in a timely manner
• Patient tests/treatments.
  • Oxygen saturation
  • Laboratory Tests
    1. CLIA Waived Tests (UDS, Urinalysis and Pregnancy Test.
    2. Blood draw as needed (after being certified and trained)

POSITION CHAIN OF COMMAND:

• Reports to Harm Reduction Clinic Nursing Manager.
• Is under the Direction of the Director of Nursing

PRINCIPAL DUTIES AND RESPONSIBILITIES:

PROFESSIONAL BEHAVIOR:

• Demonstrates characteristics of accountability and responsibility as evidenced by completion of daily tasks, adherence to job description, and compliance with policies and procedures.
• Maintains patient confidentiality at all times as evidenced by discussing patient care only with staff who need the patient information. Maintains HIPAA and 42 CFR Part 2 at all times.
• Maintains discretion of conversation in work areas.
• Maintains a professional mannerism. Is pleasant, courteous, and considerate of patients and co-workers.
• Demonstrates ability to prioritize demands, work with distractions, adapt to change, exercise efficient time management, and work independently.
• Demonstrates initiative by accomplishing tasks with minimal prompting.
• Is dependable and reliable as evidenced by attendance of work schedule, trustworthy, and performance of job description with minimal correction of assigned tasks.
• Maintains appropriate chain of command.
• Attends meetings, including Nursing Department, HRC, and others as needed.

TASKS – including but not limited to:

• Patient preparation for visit.
  • Appropriately prepare patient for applicable visit type, including nursing visit, complete physical, sick visit, follow-up visit; or a gynecological exam.
  • Vital Signs: blood pressure, temperature, pulse (all points), orthostatic blood pressure and pulse.
  • Obtain interpretation when needed.
  • Chart documentation in EHR. Documentation of progress note including reason for visit, review of medication, allergies, smoking status, and pain status.

Completes information on physical form of tasks done/reviewed by the Medical Assistant. Documents other pertinent information as needed.

• • Measurements: Height, Weight, and (other measurements as needed).
  • Documentation of reason for visit, medication review, allergy review.
  • Assist with office-based addiction treatment enrollment, quarterly assessment, and discharge paperwork.
• Patient tests/treatments.
  • Audio acuity testing.
  • Ear irrigation.
  • Electrocardiogram (EKG).
  • Visual acuity testing.
  • Peak flow meter.
  • Oxygen saturation.
  • Assists with Nebulizer treatment.
  • Oxygen administration.
  • Laboratory Tests
    • CLIA Waived Tests

• • • Pap Smear Handling
    • Venipuncture – collect and process specimens.
    • Maintains specimen refrigerator: temperature, cleaning, defrosting.
• Patient Procedures – Assists with:
  • Wound care.
  • Assisting providers.
  • Maintaining sterile field and sterile technique.
  • Ace wraps/splints/slings/braces.
  • Colposcopy.
  • Biopsies.
• As part of the patient care team under the Patient centered Medical Home Structure:
  • Review of patient care at each visit.
  • Review and update preventative care measures such as Diabetic Preventative Measures, Pap Tests, Mammograms, Complete Physicals, Colonoscopies, and any other age appropriate preventative testing.
  • Participate in Patient Self-Management Goals.
  • Assess patients for depression using the appropriate screening tool.
  • Assist nurses with patient hospital discharge issues, as needed.
  • Appropriately document all of the above in the Electronic Medical Record (EMR).
  • Pre planning preparation for each daily session and daily huddle.
• Other Patient Services.
  • Patient education.
  • Prescription refill.
  • Related phone calls.
  • Referrals.
  • Appointments.
  • Documentation.
  • Interprets as needed.
  • Serves as chaperone as needed.
• Care of Environment.
  • Proper handling, cleaning, and storage of all equipment.
  • Maintains exam rooms and utility rooms in proper working condition. Assures proper functioning of equipment, adequate medical supplies, and adequate paperwork.
  • Care of equipment- proper handling, cleaning and storage of all equipment, sterilization of equipment as instructed.
• Other tasks as needed.

QUALITY ASSURANCE/IMPROVEMENT: