Licensed Vocational Nurse, Lead

DaVita Medical Group - Glendale, CA

Full-time
OVERVIEW OF POSITION:
Under the supervision of a clinician or a Registered Nurse, the position is responsible for ensuring that all the aspects of the patient’s care are in order and meets all criteria to process the patient safely through the clinical experience or procedure. Oversees the operational flow of the specialty or other departments to include patient flow, nursing flow, and assistance with clinical procedures. Responsible for performing operational duties as required under the supervision of the supervisor / manager / lead clinician.

ESSENTIAL FUNCTIONS:
Consistently exhibits behavior and communication skills that demonstrate DaVita Medical Group (DMG) commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Closely monitors patient safety at all times (i.e. does not leave patient on an exam table unattended) and participates in DMG fall prevention program.
Complies with DMG sharps safety program at all times (i.e. only using devices with safety features and employing safe work practices).
Directs patient to proper exam/treatment area and prepares patient for examinations and other procedures.
Assists in the transportation of patient and patient flow.
Obtains records and reports vital signs and any other pertinent patient information to the RN or clinician.
Administers medication, performs various patient tests, and instructs patients on procedural preparations under the supervision of the clinician or RN within their scope of practice.
Notifies pharmacies of new prescriptions and authorizations of new refills as ordered by the clinician.
Prepares labels, collects and transports various specimens to appropriate destinations.
Maintains and cleans exam/treatment areas and medical equipment.
Maintains logs, records of medical procedures and inventories of supplies.
Performs telephone screening / intake.
Adheres to Standard Precautions and safety policy and procedures at all times.
Uses, protects, and discloses DMG patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Anticipates the needs of the Primary Care Physician (PCP) and carries out orders.
Checks Electronic Health Records (EHR) for patients' arrival status and escorts patients from waiting area to exam rooms.
Assists clinician and teammates in responding to patient emergency situations as per Emergency Response Protocols.
Transports dirty equipment, performs appropriate cleaning, disinfecting, autoclaving, cold sterilization, maintains autoclave, Cidex and A-test logs.
Maintains monthly expiration logs for medications and sample medications (refrigerated and non-refrigerated).
Maintains yearly expiration logs for Preventative Maintenance (PM) and as needed.
Performs EKG reconciliation and ensures confirmed EKG’s are seen by clinician.
Instructs patient on lab, radiology, and other procedure / testing preparations.
Participates in visit closure with patient and clinician by explaining next steps for lab, X-ray, referrals, Durable Medical Equipment (DME), etc.
Escorts patients to ancillary services when needed.
Facilitates the transfer of pertinent patient information between site and referred Specialists, Hospitals, Urgent Care Centers, Ancillary Testing Facilities, etc.
Forwards all pre-op information to hospital surgeon.
Maintains referral tickler file / log as appropriate.
Schedules appointments.
Registers new patients and refers them to the Eligibility department as needed.
Conducts New Patient Orientation Phase II.
Enters "No shows" into IDX, and performs "No Show" follow up process.
Works bump list.
Maintains immunization records and updates EHR (including California Immunization Registry (CAIR)).
Assists with the completion of appropriate forms (DMV, disability, etc.).
Updates patient demographic information in IDX.
Performs patient record audits.
Answers, directs, and follows up on incoming calls.
Calls patients as requested by clinician.
Distributes incoming correspondence (faxes, consult notes, test results, etc.).
Participates in handling patient concerns, forwards form to the Patient Liaison or supervisor and responds to patient complaints if appropriate.
Completes Care Team compliance measures on a daily basis (department specific).
Assists with Quality Metrics, Comprehensive Health Assessment Programs (CHAPS) formally HCC research, telephone call procedures, and patient follow up procedures.
Participates in Quality Improvement projects.
Participates in preparing department for internal and external site audits (facility site reviews) from SCAN, DHS, etc.
Interacts with the Patient Support Center, Eligibility department and Pharmacy Support Center.
Participates in teammates / clinician “huddles”.
Participates regularly in site teammates and department meetings.
May assists with site marketing activities (i.e. health fairs, senior Olympics, flu clinics and other events).
Frequently monitors overdue orders and follows approved process to address the orders.
Assists with Meaningful Use (MU) initiative by encouraging patients to sign up for Follow My Health (FMH), obtaining patient’s email addresses, updating smoking status, and other initiatives.
Assists clinicians with medication reconciliation per guidelines.
Uses approved standing orders to perform, order test and update referrals.
Assists with entering referrals in electronic health records EHR for clinician to authorize.
Enters medical billing charges for services rendered in EHR.
Participates in verifying medications and vaccine doses for non-licensed teammates.
Provides direct patient care as needed.
Mentors and trains teammates in collaboration with the Site Administrator, lead clinician and people services department
Attends in all mandatory Clinical Teammate Orientation (CTO) (both instructor led and online courses), Annual Clinical Updates, and Skills validation including those that could be held after working hours including the weekend.
Participates in facilitation of annual skills validation for Medical Assistants take place during evening hours and or weekends (selected Saturdays only).
Ensures all Patient Intervention Reports (PIR) have been reviewed and actions taken.
Assists clinician and licensed nursing teammates in responding to patient emergency situations as per Emergency Response Protocols.
Conducts pre and post-operative teaching for the patient, taking into account all psychological, physiological and religious aspects.
Works in collaboration with a clinician to prepare, monitor and discharge patients after a procedure.
Cleans and stocks exam and procedure/surgery rooms.
Serves as a relief for the teammates.
Assists with all departments specific functions within the LVN scope of practice.
Verifies that the informed consents for procedures have been signed, dated and witnessed.
Manages ordering and maintaining of all supplies.
Evaluates teammate’s competencies.
Participates in teammate interviewing if requested.
Backs-up teammates as needed.
Coordinates teammate coverage.
Assists with proper staffing/scheduling teammates rotations.
Provides input regarding teammate annual evaluations.
Ensures the compliance of all Federal & State Drug Screen & EBT processing.
Cross trainings to work in other departments or other duties as assigned by supervisor /management.
Performs additional duties as assigned.

EDUCATION:
One or two years of post-high school education or a degree from a two-year college.
Graduate of an accredited Licensed Vocational Nursing program.
Current California LVN license.
Current Basic Life Support for Providers, by American Heart Association (AHA) - (100% online certification is not acceptable).
ACLS and/or PALS certification (100% certification is not acceptable).
EKG recognition and continuing education to update recognition skills.
I.V. therapy and phlebotomy certification.

EXPERIENCE:
Minimum:
Over 3 years and up to and including 5 years of experience.
Up to and including 2 years of experience in an acute care hospital recovery room or Urgent Care setting.

Preferred:
Pre-operative nursing experience.
Experience with pediatric patients.
IDX.
Touchworks.
Knowledge of Specialty procedures and / or prep instructions.
Knowledge of emergency & Code Blue procedures.
Drug Screen & EBT Certification for UCC.

KNOWLEDGE, SKILLS, ABILITIES:
Computer literate.
Ability to type 25 wpm.
Manual dexterity to use / handle equipment and instruments.
Advanced Cardiac Life Support.
Ability to maintain composure during critical situations and initiate emergency care.
Broad knowledge of the care of surgical patient and accepted policies and procedures.
Ability to plan, implement and evaluate patient care.
Knowledge of health and safety policies and procedures, regulatory agency requirements, quality improvement processes, facility and departmental policies, procedures and protocols.
Knowledge of all monitoring and emergency equipment in the Pre-Op / Recovery Room areas.
Knowledge of electrical and power equipment and the potential dangers to the patient and / or personnel of defective or improperly used equipment.
Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
Demonstrated ability to calculate basic drug dosages and related problem solving.
Ability to collaborate with peers, subordinates and superiors in an effective manner, seeking consultation when necessary.
Communicates effectively verbally and in written form and uses available resources for translation, etc.
Ability to work independently and in a flexible manner.
Awareness of abuse policies.
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Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.