Duties and Responsibilities:

Health Care Services:

• Chart documentation according to clinic standards using SOAP charting, specific forms documentation, referrals and ordering specific tests. Documentation of acute and chronic problems with medication.
• Follow-up on specific disease categories and no show evaluations.
• Review laboratory, x-ray and referral documents prior to filing.
• Health Education coordination for patient follow-up for specific health education issues.
• Refer to approved medical protocols and/or guidelines for treatment.
• Participates in on-call schedules.
• Will provide phone triage on rotational basis approximately once every 3-5 months on weekends or during evening hours.

Medical Records:

• Record/dictate, in timely fashion, notes for each patient visit using SOAP format.
• Will follow Medical Records guidelines for chart maintenance.
• Provide accurate date on encounter form. Read and sign off on all medical records, lab results, and other patient data, prior to being filed in patient chart.

Consultation and Referrals:

• Consultations with Medical Director for problems beyond standardized procedures. Consult physicians as needed.
• Consultation with Medical Director for referrals.
• Referrals to other providers as indicated with Health Education referrals as indicated per protocols.

Teamwork Expectations:

• Participate in clinician peer review process.
• Participate in CQI: Quality Improvement Meetings and discussions as requested.
• Interact with and maintain referral resources.
• Will refer to support services (when appropriate) for counseling and education.
• Is responsible for providing in-put to Chief Medical Officer for resource development, staff, facility, equipment, supplies, etc.
• Meeting attendance at monthly General Staff Meeting and Monthly Departmental Clinician Meeting.
• Efficient productivity levels according to health center standards.
• Participates in daily huddles with care team, consisting of Medical Assistant, Front Support staff member and Clinician. In conjunction with daily huddles, schedules and pre-visit planning are discussed to provide individual patient care.