General Description of Duties and Responsibilities: The LVN works as part of the clinic care team and assists the clinical team in the provision of primary health care. He or she will act as a member of the Care Team and work collaboratively with clinical and non-clinical staff to assist in the promotion of the health and well-being of a panel of patients. The LVN provides direct patient care services and performs specifically designated independent procedures. Patient Relationships:

• Prepare patients for examination including the identification of the chief complaint, vital signs, height, weight, etc. The LVN obtains a medical, social and family history and documents in the electronic medical record.
• Keeps ill patients comfortable until seen by a provider.

Employee Relations/Team Support:

• Assists providers in health care activities performance of diagnostic and/or therapeutic procedures and the administration of medications as necessary.
• The LVN acts as a member of the Care Team and works collaboratively with clinical and non-clinical staff and is responsible for providing the health and well-being for a panel of patients.
• Actively participates in clinic staff meetings and other committees when designated.

Clinical Duties:

• Conducts patient screenings for preventative and specific disease processes.
• Collects specimen (blood, urine, sputum, feces) and prepares them for transfer to reference lab.
• Does simple waived in-house lab procedures.
• Assists with history, health risk assessments, and counsels for risks.
• Assists referral specialist , needed, with diagnostic imaging and referrals.
• Assists in providing education to the patient and assisting patients with self-management goals when indicated.
• Assists with notifying patients of lab results after they have been reviewed by the provider, completes follow-up as directed by the provider, and documents this information.
• Assists in maintaining supplies and equipment and notifies clinic manager before supplies are needed.
• Reviews charts for allergies, medication changes, education requirements, standing orders, and current phone numbers when patient is being roomed.
• Answers messages and phone calls efficiently and properly documents this.
• Notifies clinic manager of abnormal pap smears, STDs, and mammograms.
• Responsible for stocking exam rooms and properly cleaning exam rooms and equipment after each patient use.
• Gives injections, vaccines, and wound dressings when ordered by provider or by standing orders and documents these appropriately.
• Cleans instruments, repackages, and autoclaves when necessary.
• Audits charts after visits to insure all required paperwork has been completed, such as medication changes, updating flow sheets, and referrals.
• Assists the Clinic Manager with clinical audits and other duties as assigned.
• May maintain lab control logs and refrigeration logs.
• May perform as Charge Nurse in the absence of Clinic Manager, when necessary.
• Provides support for Class D pharmacy and maintains sample inventory.

Expectations:

• All patients will be treated with dignity and compassion.
• Employee will assist in providing care to patients without creating additional barriers for them.
• Employee will promote a positive attitude.
• Employee will maintain a professional atmosphere in the clinic and promote this Agency in a positive manner to the community.
• Ensure a safe environment of care for patients and staff.
• Employee is to be punctual and aware of excessive absenteeism.
• Treat co-workers and patients with respect.
• Maintain a clean and organized workplace including exam rooms, office areas, and break room.
• Must be a team player with a commitment to patient centered care.
• Employee is expected to adhere to the Agency dress code and report to work in a professional manner.
• Employee assures the provider is aware of the cycle times per patient appointment and follows clinic procedures to alert the provider of this.
• Employees should interact well with patients to assure patient satisfaction has been provided during their visit.
• Will notify clinic manager immediately when problems or incidents occur in the clinic.

Performance Improvement:

• Participates in the community health center’s performance improvement activities and performs duties in accordance with applicable standards.

Safety/Infection Control Activities:

• Ensures an appropriate environment for the administration of health care by keeping exam rooms, nurses’ station, all equipment, and other work areas in a clean, safe, and orderly fashion.

Reporting Relationships:

• The LVN reports to and is supervised by the Clinic Manager.

Evaluation: The evaluation of work performance will be on-going and will be carried out by the Clinic Manager, and will include the specific duties and responsibilities of this position description plus employee attitudes and general working behavior. Formal evaluation will normally be performed annually, but may be initiated at other times by the Clinic Manager. Qualifications:

• Graduated from an accredited LVN school.
• Must be licensed by Texas State Board of Nurse Examiners.
• Must work as a care team member to promote quality care and excellence at each patient visit.
• Sufficient experience to carry out the duties of this position.
• Must be qualified in Basic Life Support techniques.
• Ability to relate with warmth and effectiveness to the patients and to the providers or the community health center.

General description of duties and responsibilities: Under the direct supervision of the Women’s Health Business Manager and indirect supervision of the Director of Nursing, the Women’s Health Clinical Lead is responsible for assisting in the planning, organizing, provision of and supervision of operational and clinical duties in the health center related to patient centered care, high patient satisfaction, patient flow, efficiencies and provider productivity. The Clinical Lead will be responsible for monitoring the day to day activities of the clinical operations and is responsible for the direct supervision, actions and needs of the medical assistants and LVNs. The Clinical Lead is responsible for assuring a patient centered home is provided to patients and they receive exemplary health care. Expectations: It is the expectation that the Clinical Lead will work diligently to meet goals and achieve success in regard to the Center with emphasis on provider productivity, patient centered satisfaction and adequate patient work flow and to efficiently meet the performance measures of benchmarks, targets time expectations and error tolerances. The Clinical Lead will be a member of the care team and will work collaboratively with clinical and non-clinical staff, and is responsible for assisting in the promotion of the health and well-being of the panel of patients. Qualifications: Required qualifications of the Clinical Lead will be: willingness to learn, attentive to detail, respectful, cooperative, possess good listening and communication skills, initiative, punctual, dependable and be receptive to new ideas. Responsibilities and Expectations: Role with staff:

• Responsible for the direct supervision of the LVNs and MAs.
• Responsible for effectively managing overtime to minimize Agency cost.
• Responsible for the daily, morning team huddle providing clear expectations and instructions to efficiently lead the day’s operations.
• Collaborates with Business Manager and Lead Provider to identify operational problems and strives to resolve these in a professional and timely manner.

Role with Admin:

• Works collaboratively with the Business Manager and Lead Provider to coordinate and supervise monthly Leadership and staff meetings to develop agenda items and/or training information for scheduled team meetings.
• Provides an objective and honest evaluation of staff at 30, 60, 90 days employment and annually as required by Human Resources.
• Responsible for making direct contact with the Business Manager when calling in due to illness or emergencies.
• Will participate in Committees as requested by Administrative leadership, Infection Control, CPI/RM, P&T, EMR and Safety.

Role with Environment of Care/Safety:

• Responsible for monitoring, inspecting and reporting safety hazards, facility needs and recommended improvements.
• Works with Carevide’s Compliance Officer as necessary.
• Responsible for monthly and quarterly site inspections and conducts all required drills and inspections as requested by Business Manager.
• Assures new MAs and LVNs are trained on OHSA regulations, environment of care and infection control policies and conducts the safety walk through for new employees.
• Ensures an appropriate environment for the administration of health care by assuring that exam rooms, nursing station, all equipment, and other work areas are kelp in a clean, safe, orderly fashion.

Role with Reporting:

• Responsible for reviewing weekly operational reports regarding productivity, no show and cancellation percentages, 3rd next available appointments, patient cycle times, payer mix and patient age trends.
• Responsible for researching, analyzing, planning, implementing and monitoring procedures and processes.

Daily/Routine Task:

• Responsible for the consistent monitoring of patient flow between front office, providers and other clinical staff to assure efficient use of staff time and exam room capacity.
• Responsible for monitoring patient cycle times on a daily, consistent basis and identifies potential inefficiencies requiring analysis. Discusses inefficiencies with appropriate staff and/or leadership team members to determine and implement resolutions.
• Responsible for interacting with patients assuring patient centered care is provided.
• Responsible for adhering and enforcing Agency policies to staff regarding appropriate dress code, professionalism, courtesy and punctuality.
• Responsible for assuring staff are not involved in “social networking” such as texting, cell phones, twitter, Facebook, internet usage, etc. during work hours.
• Responsible for timely approval of directly supervised staff payroll using ADP system. Responsible for determining proper daily staffing and schedules staff according to budget and needs.
• Responsible for planning and organizing nursing staff coverage during position vacancies and staff shortages and informing Business Manager or Director of Nurses for guidance as necessary.
• Responsible for clinical ordering of supplies/equipment according to purchasing policies, monitors utilization of supplies and oversees spending to assure budgets within limits.
• Expected to maintain a working relationship with supervised staff and have the ability to discuss employee behaviors and performance in a professional and supportive manner and to follow Agency discipline procedures as necessary.
• Works collaboratively with Business Manager in regards to interviewing, hiring, evaluating performance and implementing disciplinary actions to staff.
• Responsible for participating in interviewing, hiring, evaluating performance and implementing disciplinary actions regarding MAs and LVNs along with the Business Manager and the Director of Nurses as necessary.
• Other duties as assigned by Business Manager and/or Director of Nursing.

Clinical Tasks/Management Duties:

• Understanding, promoting and educating clinical staff on all Carevide policies and clinical protocols.
• Collaborates with Clinical Trainer to coordinate training for clinical staff as necessary, based on needs and established protocols.
• Responds to all emergency situations.
• Responds appropriately to patient calls per Carevide protocol.
• Prepares clinical audits according to Agency protocols and guidelines.
• Submits reports for child or elderly abuse incidents through established protocols.
• Identifies and reports concerns regarding provider performance directly to Medical Director.
• Works with Vaccine Coordinator to assure VFC and safety net vaccine standards are in place.
• Provides support for Class D Pharmacy and maintains compliance based on recommendations from the Pharmacist in Charge.
• Oversees clinical tracking logs for: laboratory, close follow-ups, STD’s, colposcopy and referrals.
• Oversees lab at clinic site to insure all controls and regulations are met according to CLIA standards and polices for this agency and works with Laboratory Coordinator to maintain compliance.
• Ability to perform all nursing tasks and CLIA-waived labs.
• Identifies incidents, sentinel events and patient complaints and reports these according to the established protocols within the time defined by policy, providing supporting documentation.
• Works with Patient Care Coordinators to ensure patient screenings, follow-ups, education and referrals are done according to Carevide policies and protocols.

Reporting Relationship: Directly supervised by the Business Manager; Indirectly supervised by the Director of Nursing Requirements:

• Graduated from an accredited LVN or RN program.
• Currently licensed by the Nursing Board in the State of Texas.
• Sufficient experience to carry out the duties of this position.
• Ability to relate with warmth to the patients and provider of the center.
• Ability to perform with limited supervision and direction.
• Must be certified in Basic Life Support.

Job Description The Practice Manager is responsible for the oversight of the health center and is responsible for the direct supervision, actions and needs of the health center staff. The Practice Manager is responsible for the planning, organization and supervision of clinical operations supporting quality outcomes and the delivery of patient-centered care. The Practice Manager assists in the development of departmental goals and objectives, directs operational activities and supports and upholds a professional model. The Practice Manager directly supervises the clinical staff, Pharmacy LVN and Front Office Manager and is responsible for establishing high quality standards through visionary leadership, strategic planning and innovation. The Practice Manager will work in collaboration with other health team members and is responsible for assisting in the promotion of the health and well-being of a panel of patients. Expectations: It is the expectation that the Practice Manager will work diligently to meet goals and achieve success in regard to the health center, with emphasis on provider productivity, patient-centered access and care, workflow efficiencies and to meet the performance measures of benchmarks, targets, time expectations and error tolerances. Responsibilities:

• Direct, supervise and coordinate daily operations in the health center, ensuring adequate support is provided to maintain provider productivity expectations, access and patient satisfaction.
• Responsible for review of operational reports regarding productivity, no show and cancellation percentages, 3rd next available appointments, patient cycle times, payer mix and patient age trends. Discusses inefficiencies with appropriate staff and/or leadership team members to determine and implement resolutions.
• Responsible for the oversight of health center operational goals, financial sustainability, training and education programs; development and implementation of reporting mechanisms and compliance in meeting established guidelines.
• Responsible for interacting with patients, assuring patient centered care and satisfaction is provided.
• Responsible for adhering and enforcing Agency policies to staff regarding appropriate dress code, professionalism, courtesy and punctuality.
• Responsible for timely approval of directly supervised staff payroll using ADP system. Responsible for determining adequate daily staffing and schedules staff according to budget and needs.
• Supervises employee performance and behaviors, counsels and reprimands as necessary, according to Community Health Service Agency policies and procedures.
• Coaches, mentors and trains employees for growth and development opportunities in skills, knowledge and empowerment.
• Collaborates with leaders to efficiently develop the health center and promote growth within the community.
• Responsible for conducting and supervising staff meetings, while maintaining open communication and encouragement of teamwork and morale.
• Ensures site is in compliance with data entry for Immtrac vaccine registry, HIPAA, OSHA, CLIA, state and federal regulations, collaborative agreements with other organizations as well as company policies & procedures.
• Management of supplies, ordering and storage, communication with vendors, maintenance/annual inspection of equipment.
• Oversees the coordination with Pharmacy staff to maintain compliance and documentation for formulary; sample inventory and prescription assistance programs.
• Responsible for monitoring, inspecting and reporting safety hazards, facility needs and recommended improvements. Responsible for monthly and annual site inspections and conducts all required drills and inspections
• Works with CHSA Compliance Officer and serves as the direct site safety coordinator.
• Assures new employees are trained on OHSA regulations, environment of care and infection control policies and conducts the safety walk through for new employees.
• Ensures an appropriate environment for the administration of health care by assuring that exam rooms, nursing station, all equipment, and other work areas are kept in a clean, safe, orderly fashion.
• Other duties as assigned by the supervisor and/or administrative team members.

Knowledge, Skills and Abilities: Required

• Knowledge of protocols and has the ability to quickly gain specific knowledge of the Center’s current operational protocols.
• Knowledge of medical terminology and appropriate abbreviations.
• Ability to effectively present information in verbal and written formats.
• Ability to prepare statistical and administrative reports.
• Ability to work cooperatively with community agency personnel to coordinate services for patients.
• Ability to work effectively and in a collaborative manner with outside organizations as necessary
• Ability to use office equipment including but not limited to computers, fax machines, telephones and copiers.
• Ability to prioritize and allocate resources.
• Ability to use Microsoft Outlook, Word, PowerPoint and Excel at a high level.

Credentials and Experience: Required

• Three (3) years of LVN experience in a medical clinic setting.
• Three (3) years of experience in a supervisory or management role.
• Requires strong analytical, organizational and problem-solving skills and excellent written and verbal communication skills.
• Ability to work in a fast-paced, multi-provider practice environment.
• Ability to develop and maintain effective working relationships with providers, staff and patients

Purpose of Position: Responsible for greeting and assisting patients in a patient-centered manner at time of check-in and checkout. Assures all necessary forms have been scanned in medical record chart and updates patient demographics and insurance information in EPM. Responsible for scheduling patient appointments, according to required provider targets and appointment templates. Employee is responsible for performing financial screens according to Agency policy to determine patient eligibility for programs and is responsible for discussing patient balances and non-complainant issues with patients in a professional manner. Reviewing charges brought over from EHR and keying any charges not brought over electronically. Reviewing adjustments and payment for all programs at the time the patient is checking out. Run and review all end of day reports. Acts as a member of the Care Team, who works collaboratively with clinical and non-clinical staff and is responsible for providing the health and well-being of a panel of patients. Essential Functions: Receptionist

• Responsible for greeting patients arriving for medical or work-in appointments in a patient-centered manner and assisting them with questions and concerns.
• Responsible for asking patients for identifying information to assure that the correct account and chart are being accessed and reviewing the chart review sheet and completing areas that are marked for attention.
• Responsible for collecting and copying patient’s valid id and any insurance card as needed and scanning the copies in patient’s chart.
• Responsible for verifying Medicaid PCP information and directing patient if PCP change is needed.
• Responsible for handing patients an Advance Directive packet.
• Responsible for printing the encounter form, and reviewing the information and attaching the encounter form to the chart. If needed, marking the front of the Family Planning encounter with Encounter Specific information.
• Responsible for collecting any co-pays or co-insurances due from patient and rescheduling patient if they are unable to pay on date of service.
• Responsible for advising patients when they have a balance on their account or an alert in the computer system.
• Responsible for performing lobby checks once in the morning and once in the afternoon and informing patients of extended wait times or delays in the provider’s schedule.
• Responsible for handing patient a Lobby Assistance slip to fill out when a requesting to speak with a nurse.
• Responsible for contacting supervisor when a potentially infectious patient presents at check in or of any potential patient conflicts or lobby disturbances.

Eligibility

• Responsible for reviewing daily schedule to assure any medical records for patient from other sites, ER visits or hospital follow ups are in the chart. If not in chart, make sure they are retrieved before patient arrives for appointment.
• Responsible for daily retrieval of new patient insurance information and verifying insurance and contacting patient to explain benefits.
• Responsible for reviewing that all patient paperwork including demographics, consents and rights are correct, current and in the patient’s language of choice.
• Responsible for assuring financial screening form is current and correct and Proof of Income is current or the warning letters are documented.
• Responsible for assuring that all State and Federal Grants /Programs screening forms, applications and financials are current and complete.
• Responsible for reviewing that a current copy of insurance card, Medicare card or current MSP letter is in chart.
• Responsible for assuring any new patient insurance information already on file is in chart.
• Responsible for verifying with patient, address, phone number and date of birth prior to discussing appointment information.
• Responsible for confirming appointments 1 – 2 days prior to scheduled appointment date and reviewing the following with the patient and clearly inform of financial responsibilities.

* Co-Pays due * Past Due Balances * Payment Plan Arrangements * Any information needed to complete financial process such as POI * If paperwork is due to be filled out/updated to arrive 10 minutes early * To bring all prescription bottles

• Responsible for making multiple attempts to contact patient for appointment confirmation.
• Responsible for performing financial screening in a confidential location, to determine any and all Agency programs or Medicaid/CHIP patient may be eligible to receive.
• Responsible for clearly explaining any and all Agency programs or Medicaid/CHIP eligibility to patient and assures that patient fully understands.
• Responsible for printing encounter and placing it on the chart.

Check-Out/Billing

• Responsible for reviewing charges brought over from EHR and hand- keying charges that do not come over from EHR. Reviewing adjustments and payments for all medical and pharmacy programs from the medical encounter sheet as marked by provider while patient is physically at the billing desk.
• Responsible for informing the patient of the total amount of charges, the total amount of the sliding fee that is applied and what their financial responsibility is.
• Responsible for collecting patient’s remaining co-payment due at time of service. Responsible for logging monies collected into the computer system.
• Responsible for handing the patient a receipt for monies collected.
• Responsible for collecting, logging and giving receipt for patient’s that walk in to pay on previous balances and past due payment plans prior to the patient being seen.
• Responsible for scheduling return appointments as noted on the encounter sheet for patients at time of check out and handing patient a detailed appointment card.
• Responsible for telling the patient “Thank you for choosing us as your healthcare provider.”
• Responsible for working in conjunction with the providers regarding correct encounter sheet coding and making sure all encounters are accounted for and billed for the date of service rendered.
• Responsible for balancing the cash drawer, batch report, and encounters twice a day.
• Responsible for running, reviewing and correcting all Daily Reports found in the Clinics Daily Report folder in the Practice Management Folder.
• Responsible for reviewing the open encounter report on a daily basis prior to posting the daily batch.
• Responsible for balancing the change fund twice daily.

General Qualifications and Requirements: Knowledge and Skills: Ability to understand written and verbal instruction, neatness and efficiency, must be able to communicate well and work effectively with patients and staff. Education: Graduation from an accredited High School or equivalent Qualifications: Computer skills are necessary and a minimum one year Medical billing experience is required.

The Assistant Director of Nursing (ADON) is responsible for assisting with the oversight of nursing operations. The ADON supports the Director of Nursing (DON), Chief Operations Officer (COO), Chief Medical Officer (CMO) and Quality Coordinator to achieve quality outcomes and the delivery of patient-centered care. The ADON supports and upholds a professional nursing model and functions in a supportive role with nurse managers. They are responsible for establishing high quality nursing standards through visionary leadership, strategic planning and innovation. Essential Functions

• Provides and assists in ensuring care is adequately provided for clinical services by clinical support staff.
• Maintains clinical expertise and competency as well as demonstrates thorough knowledge of procedures to deliver quality primary health care.
• Documents delivery of health care and nursing processes in accordance with center policy and procedures in a timely, accurate, and consistent manner.
• Leads clinical support staff in the education of patients and family members and significant others about the patients’ diagnosis and their plans of care. Acts as a resource for facilitating communication when necessary.
• Assists to coordinate the delivery of patient care provided by the health care team.
• Interacts with health center personnel and assists providers to ensure optimal patient care and to obtain optimum patient flow and increased patient satisfaction.
• Identifies and responds promptly to changes in patient’s condition and/or clinic event.
• Coordinates and delegates the timely processing of prescribed medications, and other identified needs of the patient.
• Assists DON with providing oversight for the nursing department and health center clinical operations.
• Leads and advises all clinical support staff under the direction of the DON and in conjunction with the CMO, COO, and QA Coordinator.
• Assists DON with responsibility and accountability for delegating, directing and supervising patient care activities.
• Remains knowledgeable regarding health center operations and programs including Texas Vaccines for Children, Adult Safety Net, and all grants.
• Remains knowledgeable about and assists with tracking metrics for all health centers. Works with administrative and health center team members to work towards improving metrics where needed.
• Serves as Primary or Backup Vaccine Coordinator as needed for the Texas Vaccine for Children and Adult Safety Net programs.
• Serves as interim Practice Manager in health centers when vacancies occur.
• Collaborates with the training department to enhance workflow processes and provides workflow designs.
• Assists the Training and Development Coordinator and IT as requested with Electronic Health Record systems upgrades or modifications.
• Serves as a resource and as a positive, proactive leader for the nursing department.
• Accepts responsibility for remaining current with nursing and health care trends and information that impact nursing practice.
• Participates in collaboration with the health care team in identifying, evaluating, and prioritizing patient and family needs to develop a plan of care.
• Participates in the evaluation of products, procedures, and patient care standards.
• Participates in the evaluation of health care and in monitoring health outcomes of patients.
• Collaborates with Patient Centered Medical Home and Meaningful Use initiatives.
• Is responsible for assisting with monitoring of appropriate infection control and employee health programs to include collaboration in training staff and compliance monitoring.
• Collaborates with Quality Assurance Coordinator regarding nursing documentation audits and implements system changes for the nursing staff as necessary.
• Travels when necessary to fulfill the center’s needs and attends meeting as necessary to represent Carevide.
• Assists in the provision of technical assistance and health education in the community as requested.
• Assists in the development of new clinical sites and corresponding clinical programs.
• Actively participates in quarterly Practice Manager and Provider meetings as requested.
• Performs all other duties as assigned.

Knowledge, Skills and Abilities Required

• Knowledge of advanced principles of health promotion, prevention and motivation
• Knowledge of protocols and has the ability to quickly gain specific knowledge of the Center’s current operational protocols
• Knowledge of medical terminology and appropriate abbreviations
• Thorough knowledge of the Texas Nursing Practice Act
• Ability to read and comprehend medical instructions, short correspondence, and memos
• Ability to document, with clarity, all information relevant to a patient’s needs
• Ability to effectively present information in small group situations to patients, Center staff, and the general public
• Ability to prepare statistical and administrative reports
• Ability to work cooperatively with community agency personnel to coordinate services for patients
• Ability to use office equipment including but not limited to computers, fax machines, telephones and copiers
• Ability to prioritize and allocate resources
• Ability to use Microsoft Outlook, Word, PowerPoint and Excel at a high level.
• Ability to type at least 50 words per minute.

Credentials and Experience Required

• Current unrestricted license to practice as a Licensed Vocational Nurse (LVN) in the State of Texas
• Current Cardiopulmonary Resuscitation (CPR) for Healthcare Professionals Certification
• Five (5) years of practice experience as an LVN giving direct patient care
• Three (3) years of experience in a supervisory or management role
• Experience in a primary care setting required.

Purpose of Position: To provide eligibility and enrollment assistance for the Medicaid, CHIP, and Federal Marketplace health insurance programs to uninsured patients of the health center and community residents. The Outreach and Enrollment Assistant will conduct in-reach, outreach and education activities to existing health center patients and non-health center patients about affordable insurance options and help them enroll. Required to complete up to 7 hours of federal training to obtain Certified Application Counselor (CAC) certification and up to 4 hours of state training to obtain Your Texas Benefits Navigator certification. The CAC certification must be renewed annually. Essential Functions:

• Provide application and renewal assistance and facilitate enrollment or re-enrollment in a health insurance program by providing fair, impartial, and accurate information.
• Maintain knowledge and expertise in eligibility, enrollment, and program specifications of the Medicaid and CHIP programs and have some basic knowledge of the Qualified Health Plans (QHP)
• Provide assistance with updates to Marketplace and/or Your Texas Benefits online accounts.
• Help determine if a patient/consumer qualifies for a special enrollment period and assist in the request if found eligible.
• Provide assistance with the explanation of the various exemptions from the tax penalty and help patient/consumer with the application process if eligible.
• Track on a daily basis all activities using the TACHC online CAC reporting tool or other effective method to accurately report O&E efforts to HRSA through quarterly progress reports.
• Conduct in-reach to existing health center patients and outreach to consumers within the health center service delivery area all year round to promote awareness about coverage options under the Marketplace, Medicaid and CHIP and to promote the health center as a resource for enrollment services.
• Assist with the development of marketing and promotional materials for outreach, application assistance and education activities.
• Provide culturally and linguistically appropriate services and ensure physical and other accessibility for people with disabilities.
• Provide information and assistance in the applicants preferred language and or provide limited-English proficiency applicants with oral and written notices of their rights to receive language assistance services and how to obtain such services.
• Provide referrals for people with questions, complaints, or grievances to any applicable office of health insurance consumer assistance or health insurance ombudsman, or any other appropriate state agency or agencies.
• Ensure the protection and security of personal, confidential and identifiable information in a professional and responsible manner and carry out all measures to prevent from unauthorized disclosures.
• Demonstrate and maintain the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA).
• Meet all applicable federal and state training requirements for certification and Participate in professional development training offered by TACHC, CMS, HRSA and other non-profit organizations to acquire knowledge and up-to-date information necessary to perform job functions.

Knowledge and Skills: Strong oral and written communication skills. Ability to work effectively and professionally in a fast-paced environment. Knowledge of and ability to work and engage with the uninsured, under-served and under-represented populations. Must have intermediate computer skills and be able to type at least 40 wpm. Spanish and English bilingual preferred. Education and Experience: Must have at least two years’ experience in Public Health, Outreach, Social Work or related field. Working knowledge of the Texas Medicaid Program, CHIP, and the public assistance benefit application is preferred. Degree in Social Work, Public Health, Public Administration, or similar field from an accredited college or university preferred. Excellent Benefits Included! Medical and Dental Insurance Retirement Plan with Company Match Life Insurance Long Term Disability Aflac Vacation & Sick Leave 8+ Paid Holidays

Kaufman, TX

Full-time

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Purpose of Position: Responsible for greeting and assisting patients in a patient-centered manner at time of check-in and checkout. Assures all necessary forms have been scanned in medical record chart and updates patient demographics and insurance information in EPM. Responsible for scheduling patient appointments, according to required provider targets and appointment templates. Employee is responsible for performing financial screens according to Agency policy to determine patient eligibility for programs and is responsible for discussing patient balances and non-complainant issues with patients in a professional manner. Reviewing charges brought over from EHR and keying any charges not brought over electronically. Reviewing adjustments and payment for all programs at the time the patient is checking out. Run and review all end of day reports. Acts as a member of the Care Team, who works collaboratively with clinical and non-clinical staff and is responsible for providing the health and well-being of a panel of patients. Essential Functions: Receptionist

• Responsible for greeting patients arriving for medical or work-in appointments in a patient-centered manner and assisting them with questions and concerns.
• Responsible for asking patients for identifying information to assure that the correct account and chart are being accessed and reviewing the chart review sheet and completing areas that are marked for attention.
• Responsible for collecting and copying patient’s valid id and any insurance card as needed and scanning the copies in patient’s chart.
• Responsible for verifying Medicaid PCP information and directing patient if PCP change is needed.
• Responsible for handing patients an Advance Directive packet.
• Responsible for printing the encounter form, and reviewing the information and attaching the encounter form to the chart. If needed, marking the front of the Family Planning encounter with Encounter Specific information.
• Responsible for collecting any co-pays or co-insurances due from patient and rescheduling patient if they are unable to pay on date of service.
• Responsible for advising patients when they have a balance on their account or an alert in the computer system.
• Responsible for performing lobby checks once in the morning and once in the afternoon and informing patients of extended wait times or delays in the provider’s schedule.
• Responsible for handing patient a Lobby Assistance slip to fill out when a requesting to speak with a nurse.
• Responsible for contacting supervisor when a potentially infectious patient presents at check in or of any potential patient conflicts or lobby disturbances.

Eligibility

• Responsible for reviewing daily schedule to assure any medical records for patient from other sites, ER visits or hospital follow ups are in the chart. If not in chart, make sure they are retrieved before patient arrives for appointment.
• Responsible for daily retrieval of new patient insurance information and verifying insurance and contacting patient to explain benefits.
• Responsible for reviewing that all patient paperwork including demographics, consents and rights are correct, current and in the patient’s language of choice.
• Responsible for assuring financial screening form is current and correct and Proof of Income is current or the warning letters are documented.
• Responsible for assuring that all State and Federal Grants /Programs screening forms, applications and financials are current and complete.
• Responsible for reviewing that a current copy of insurance card, Medicare card or current MSP letter is in chart.
• Responsible for assuring any new patient insurance information already on file is in chart.
• Responsible for verifying with patient, address, phone number and date of birth prior to discussing appointment information.
• Responsible for confirming appointments 1 – 2 days prior to scheduled appointment date and reviewing the following with the patient and clearly inform of financial responsibilities.

* Co-Pays due * Past Due Balances * Payment Plan Arrangements * Any information needed to complete financial process such as POI * If paperwork is due to be filled out/updated to arrive 10 minutes early * To bring all prescription bottles

• Responsible for making multiple attempts to contact patient for appointment confirmation.
• Responsible for performing financial screening in a confidential location, to determine any and all Agency programs or Medicaid/CHIP patient may be eligible to receive.
• Responsible for clearly explaining any and all Agency programs or Medicaid/CHIP eligibility to patient and assures that patient fully understands.
• Responsible for printing encounter and placing it on the chart.

Check-Out/Billing

• Responsible for reviewing charges brought over from EHR and hand- keying charges that do not come over from EHR. Reviewing adjustments and payments for all medical and pharmacy programs from the medical encounter sheet as marked by provider while patient is physically at the billing desk.
• Responsible for informing the patient of the total amount of charges, the total amount of the sliding fee that is applied and what their financial responsibility is.
• Responsible for collecting patient’s remaining co-payment due at time of service. Responsible for logging monies collected into the computer system.
• Responsible for handing the patient a receipt for monies collected.
• Responsible for collecting, logging and giving receipt for patient’s that walk in to pay on previous balances and past due payment plans prior to the patient being seen.
• Responsible for scheduling return appointments as noted on the encounter sheet for patients at time of check out and handing patient a detailed appointment card.
• Responsible for telling the patient “Thank you for choosing us as your healthcare provider.”
• Responsible for working in conjunction with the providers regarding correct encounter sheet coding and making sure all encounters are accounted for and billed for the date of service rendered.
• Responsible for balancing the cash drawer, batch report, and encounters twice a day.
• Responsible for running, reviewing and correcting all Daily Reports found in the Clinics Daily Report folder in the Practice Management Folder.
• Responsible for reviewing the open encounter report on a daily basis prior to posting the daily batch.
• Responsible for balancing the change fund twice daily.

General Qualifications and Requirements: Knowledge and Skills: Ability to understand written and verbal instruction, neatness and efficiency, must be able to communicate well and work effectively with patients and staff. Education:Graduation from an accredited High School or equivalent Qualifications: Computer skills are necessary and a minimum one year Medical billing experience is required. Excellent Benefits Included!

• Medical and Dental Insurance
• Retirement Plan with Company Match
• Life Insurance Policy
• Paid Holidays
• Paid Vacation and Sick Leave

Purpose of Position: The Lab Medical Assistant works as part of the clinic care team and assists the clinical team in the provision of primary health care. They will act as a member of the Care Team and work collaboratively with clinical and non-clinical staff to provide for the health and well-being of the patients. The Medical Assistant provides direct patient services and performs specifically designated independent procedures. Clinical Duties:

• May conduct patient screening for hearing, sight, BP and other simple routine procedures.
• Collects specimens (blood, urine, sputum, feces) and prepares them for transfer to reference lab.
• Does simple waived in house lab procedures.
• Must maintain laboratory logs and do controls according to laboratory procedures.
• May assist with history, health risk assessments and counsels for risks.
• Assists in providing education to the patient and documents.
• Posts incoming lab results after it has been reviewed by the provider and completes follow-up as directed by the provider and documents this information. Assists with notification to patients of lab results after they have been reviewed by a provider, completes follow-ups as directed by the provider, and documents this information.
• Assists in maintaining supplies and equipment and notifies clinic manager before supplies are needed.
• Records temperatures daily in the lab.
• May give injections, vaccines, and wound dressings, when ordered by provider and documents these appropriately.
• Newborn screens and immunizations.

Qualifications:

• Graduated from an accredited high school or hold a GED.
• Must have graduated from an approved Medical Assistant program.
• Must work as a care team member to promote quality care and excellence at every patient visit.
• Must be qualified in Basic Life Support techniques.
• Ability to relate with warmth and effectiveness to the patients and to the providers of the community health center.