Duties and Responsibilities:

DUTIES and RESPONSIBILITIES

1. Health Care Services:

• 1. 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.
• 2. Follow-up on specific disease categories and no show evaluations.
• 3. Review laboratory, x-ray and referral documents prior to filing.
• 4. Health Education coordination for patient follow-up for specific health education issues.
• 5. Refer to approved medical protocols and/or guidelines for treatment.
• 6. Participates in on-call schedules.
• 7. Will provide phone triage on rotational basis approximately once every 3-5 months on weekends or during evening hours.

1. Medical Records:

• 1. Record/dictate, in timely fashion, notes for each patient visit using SOAP format.
• 2. Will follow Medical Records guidelines for chart maintenance.
• 3. 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.

1. Consultation and Referrals:

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

1. Teamwork Expectations:

• 1. Participate in clinician peer review process.
• 2. Participate in CQI: Quality Improvement Meetings and discussions as requested.
• 3. Interact with and maintain referral resources.
• 4. Will refer to support services (when appropriate) for counseling and education.
• 5. Is responsible for providing in-put to Chief Medical Officer for resource development, staff, facility, equipment, supplies, etc.
• 6. Meeting attendance at monthly General Staff Meeting and Monthly Departmental Clinician Meeting.
• 7. Efficient productivity levels according to health center standards.
• 8. 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.