Medical Scribe / EMR Data Entry / Floor Nurse

Essential Functions: • Records details of chief complaint, history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies as directed by physician. • Record details of physical exam, including pertinent positives and negatives, noted abnormalities and patient general condition as directed by physician. • Submit orders as desired by physician and check constantly for results of those orders. • Responsible for troubleshooting for causes and solutions to any delays regarding the aforementioned orders. • Must be knowledgeable of EMR. • Assist in disposition of patient including prescriptions. • Responsible for other nursing job duties as assigned. • Attends meetings as required. Skills/Abilities: • Working knowledge of medical terminology and accepted abbreviations. • Recognition of physical exam process and ability to record exam details. • Must be proficient on the computer and have ability to ACCURATELY record information. • Knowledge of all aspects of medication names and prescribing. • Knowledge of policies and procedures related to infection control, environmental safety and patient confidentiality as directed by HIPAA standards. • Knowledge of medical chart reporting and records. • Knowledge of clinic/medical practice procedures related to all medical operations. • Must have good computer skills. • Must be skilled in customer service and have a pleasant and courteous demeanor while dealing with patients. • Must have skills in critical thinking, communication, influence and decision making. • Must have the ability to work cooperatively as a member of office staff and team. Mental/Physical Requirements: • Some lifting and carrying up to 10 pounds. • Sedentary 6-7 hours/day. • Can suffer wrist, back, neck, or eye problems due to strain and risk repetitive motion injuries such as carpal tunnel syndrome. • Constant pressure to be accurate and productive can be stressful. Qualifications: Education: High School Diploma or equivalent Licenses and Certifications Certified Medical Assistant Certification or LPN License