**Description** Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Job Description **LOCATION** : Lancaster, PA **HOURS** : Monday-Friday schedule from 8am-5pm. No weekends, holidays, on-call required. **POSITION SUMMARY:** Plans, organizes and supervises all clinical staff functions on a daily basis to ensure quality patient care is provided in a physician office setting. Performs all nursing duties as needed. Patient care includes care to patients in the following age groups: pediatric (infant to 12 years), adolescent (13 to 17 years), adult (18 to 64 years), and geriatric (over 64 years). **ESSENTIAL FUNCTIONS:** Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties: + Supervises and coordinates functions of the Lead Office Nurses and clinical staff , providing guidance and assistance as necessary. + Review schedules for teamlets’ staff and makes recommendations as needed while effectively managing overtime. Ensures timely and accurate approval of all clinical staff time cards as assigned. + Develop orientation, education and training for new employees. Provides and implements on-going continuing education and training for existing staff as needed and is responsible for ensuring all staff complete annual competencies within the designated timeframe. Plays an active role in the growth and development of staff. + In collaboration with Managing Physician, Practice Manager and/or Nurse Manager, interviews and selects candidates for vacant positions. + Serves as a patient experience advocate and leader by being a positive influence at all times in the handling of patient and employee issues. Communicates all LG Health policies, values, mission and vision with clarity and completeness. Communicates with all customers including providers, office staff, patients and fellow employees in a professional manner while keeping customer service a top priority. + In collaboration with management, oversees all care coordination activities performed by the clinical staff in the team based care model. Assist in implementing, monitoring and actively participating in performance improvement initiatives to improve overall patient experience and quality of care. + Effectively manages patient complaints in collaboration with the Practice Manager or Nurse Manager. + In collaboration with Practice Manager or Nurse Manager, completes annual performance evaluations for assigned staff. Coordinates coaching and/or disciplinary action in accordance with LG Health and practice policies. + Conducts routine clinical staff meetings. Communicates with staff on a regular basis to keep them informed of any new information, processes or procedures. Meets one on one with Lead Office Nursesat a minimum of once a quarter. + Attends and actively participates in a variety of meetings including but not limited to practice staff meetings and Nurse Supervisor meetings. **Clinical:** + Provides clinical advice by phone/electronic correspondence based on clinical judgments and/or triage protocols in accordance with regulatory requirements and standards of practice. Consults with provider as necessary. + Provides patient specific education including but not limited to preventive care, chronic disease management, acute diagnosis, medications and other areas pertinent to patient outcomes. + Greets and shows patients to exam room and prepares patient for visit with provider. + Following established rooming standards, verifies patient information by interviewing the patient to obtain pertinent medical information per department protocol. Accurately documents medical and social history and purpose of visit in the patient chart. + Prepares patients for exam by measuring vital signs, such as pulse rate, temperature, blood pressure, weight and height and accurately records information in patient chart. + Reviews and updates current medication list making changes as needed. Addresses medication concerns with patient and provides education on possible side effects. + Administers injections and medications as prescribed by the provider and in accordance with department protocol, regulatory requirements and standards of practice. + Prepares and assists providers with various procedures, minor surgeries and other exams as designated by the provider. + Implements standing orders as established by the medical group. + Performs various tests upon the request of the provider including but not limited to hearing tests, EKGs, breathing treatments and vision tests. + Collects blood or other laboratory specimens and prepares them for further testing. + Authorizes prescription refills as instructed by the provider + Assists with test tracking and monitoring overdue results. + Removes sutures and changes dressings on wounds as necessary. + Assures exam rooms are adequately supplied and cleaned after each patient visit. Maintains and cleans medical instruments and equipment after each procedure. + Assists with reviewing and revising patient care plans in collaboration with provider and patient and assesses patient progress. Follows up with patient between visits as necessary. + Assists with proactive outreach for patients requiring preventive and chronic disease services. + Performs care coordination activities among specialists and transitions of care to obtain all necessary patient information. + Assists in coordination of referrals, education and community resources. + Participates in daily huddles with the provider when needed. + Handles all patient information in a confidential manner according to Lancaster General Health privacy and confidentiality policies and procedures. **SECONDARY FUNCTIONS:** The following duties are considered secondary to the primary duties listed above: + Lead, promotes and actively participates in new practice initiatives and projects as outlined by practice leadership. + Assists practice leadership in managing expenses within budgetary constraints. Orders medical and/or pharmaceutical supplies within budgetary allowances and inventory control + Other duties as assigned by management. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** + High School Diploma or equivalent is required. + Current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN), issued by the PA State Board of Nursing is required. + Three (3) to five (5) years of nursing experience in a primary or specialty care physician’s office. + For Urgent Care, three (3) years of nursing experience in an Emergency Department may also qualify. **PREFERRED QUALIFICATIONS:** + Prior supervisory experience in a physician office setting. **COGNITIVE REQUIREMENTS** **ATTENTION/CONCENTRATION –** The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others: + The position requires the ability to attend to more than one aspect of a situation simultaneously. It is highly likely that multiple task demands are going to be required of the individual at the same time. **NEW LEARNING AND MEMORY –** The following level of ability is essential for the jobholder to learn and retain material: + A large portion of this position required reliance on verbal memory and new learning. Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job. The individual must be able to attend to and process multiple bits of information simultaneously. The individual must be able to organize and categorize this information effectively so that later recall is feasible. **PROBLEM SOLVING, REASONING AND CREATIVE THINKING –** The following level of ability that is essential for the jobholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought: + The position required much autonomy of thought and problem solving. The individual must be able to apply principles of logical or scientific thinking to define problems. The individual must be able to think abstractly, which is manifested in the ability to form concepts, use categories, generalize from single instances, apply procedural rules and general principles, and be aware of subtle or intrinsic aspects of a problem. The development of hypothesis and potential solutions to problems involves careful interpretation, analysis and diagnosis. The individual must be able to collect data, establish facts, and draw valid conclusions. The individual must be able to think creatively with a degree of inventiveness, experimentation and intuition. They must be able to deal with a variety of concrete and abstract variables. **TEMPERAMENTS:** The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act: **Leadership, control and planning:** Ability to accept responsibility for leadership, direction, control, planning, negotiating, organizing, directing, supervising, formulating practices, or making final decisions. **Creativity, feelings or ideas:** Ability to adapt to situations involving the interpretation of feelings, ideas, or facts in terms of personal viewpoint; to use creativity, self-expression, or imagination. **Influencing others:** Ability to influence people in their opinions, attitudes or judgments about ideas or things; to motivate, convince or negotiate. **Working within tolerances, set limits or standards:** Ability to adapt to situations requiring the precise attainment of set limits, tolerances, or standards; to be precise, thorough, exacting, or meticulous in regard to material worked; or in activities such as numerical determinations, record preparation, or inspecting. **Performing under stressful conditions:** Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job. **Variety and change:** Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations. **Communication:** Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information. **Planning and control:** Ability to identify task requirements and monitor progress toward accomplishment. **Interpersonal relations:** Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others. **EQUIPMENT USAGE REQUIREMENTS** **Equipment/Tools:** Telephone, photocopier, fax, computer, General clinical/clerical supplies **Software:** EPIC, Microsoft Office applications, Internet. **PHYSICAL REQUIREMENTS** **Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%** **Body Position/Movement:** + Sit: Occasionally + Stand: Frequently + Walk: Frequently + Bend: Occasionally + Push: Rarely + Pull: Rarely + Kneel/Squat: Rarely + Reach: Occasionally + Twist: Rarely + Balance: Rarely + Climb: Occasionally **Lifting:** Degree of physical exertion is **:** **Light** , exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects. **Sensory Abilities specifically required:** + Vision + Hearing **PHYSICAL ENVIRONMENT** **WORKING CONDITIONS:** Position involves exposure to the following harmful elements: + Bio hazardous Waste + Blood borne Pathogens + Chemicals **_Disclaimer:_** This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely. + Additional Job Description Additional Job Description **Attachments** **Business Process History** We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 250069