RN, Operating Room ASC- Skyline (on call, day)

Description Job Summary: Participates with the Health Care Team in delivering quality and customer focused health care to patients in a manner that reflects Kaiser Permanentes mission, vision and values. Provides clinical and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex clinical knowledge and skills. As appropriate to the positions scope of authorized duties, the MA is expected to have competent observational, clinical, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Works under the clinical supervision of the clinician for patient care activities, and under the general direction of the designated manager/supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside records, etc.) and order entries are ready for clinician review prior to appointment time. Collects pertinent subjective (e.g. signs & symptoms, allergies, current medication, tobacco use, etc.) and objective (e.g. vital signs, height, weight, etc.) data related to patients reason for visit (i.e. chief complaint, presenting symptoms or procedure). Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common medical illnesses, abnormal versus new/existing and reports to clinician. Alerts clinician on signs and symptoms requiring immediate attention and respond to directions per clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides patient with after-visit, follow-up, self-care or procedural instructions and/or educational materials as directed by clinician. Use KP HealthConnect and other information systems to document all pertinent data and outcomes of patient care according to standardized procedures and policies such as and not limited to the use of SBAR, KP HealthConnect smarttools, etc. Updates demographic or historical clinical data gathered in the electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of authorized duties competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); application of knowledge and skills appropriate to developmental age of patient; and established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are as follows: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips, spirometry/peak flow, bladder scan, finger sticks for glucose, O2 saturation rate, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, ophthalmic, inhalation and nasal routes. Wound care - e.g. routine dressing changes, staple/suture removal, cleansing/flushing of wounds. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D & C, etc. Medical procedures assist - e,g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, etc. Lab specimens collection and labeling - e.g. nose, throat, wound, application of U-bag, etc. Irrigations - e.g. eye, ear. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient flow that facilitates appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Act as the clinicians agent to communicate back to patient or department his/her response/instructions in a timely manner. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Assists with on-boarding of new hires/transfers and/or validating peers clinical skills. Reports errors, near misses or other hazards in a timely manner per established procedures. Seeks assistance with duties when unable to perform safely, lacks training or outside scope of authorized duties. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description. Qualifications Basic Qualifications: Experience N/A Education N/A License, Certification, Registration Basic Life Support within 1 months of hire Additional Requirements: Graduate of accredited Medical Assistant program. Employees must be able to successfully obtain Kaiser Permanentes Medication Administration Competency Certification within ninty (90) days of employment as a Medical Assistant. Demonstrated interpersonal and customer service skills (Assessment required for external candidates). Demonstrated communication (written and oral) skills. Demonstrated literacy in using computers and keyboarding. Skills in problem-solving, setting priorities and using good judgment for decisions. Ability to work independently and efficiently under pressure. Preferred Qualifications: One (1) - two (2) + years in a medical assistant position to assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Dermatology, Neurology, Cardiology, etc.) within an ambulatory care setting. Demonstrated clinical knowledge and procedural skills and/or documented trainings in assigned departments clinical area within the last one (1) - three (3) years. Current National Medical Assistant Certification. Familiarity in documenting in an electronic medical record system. Notes: This is a FLOAT MA position - will float between North Lancaster, Keizer Station, West Salem and Skyline offices

Description Job Summary: Provide high quality health care to Kaiser Permanente members in a cost-effective manner and in accordance with accepted professional practice standards. Essential Responsibilities: Provide high-quality health care through direct assessment, diagnosis, and formulation/implementation of treatment plan for patients with common acute chronic illnesses and injuries (may include performing histories and physicals; ordering, interpreting, and following up on diagnostic studies; ordering medications; assisting with surgery; performing minor surgery; rounding on patients; and assuming on-call responsibilities). Perform health maintenance services, including patient education, for well members. Refer patients for specialty consultation or difficult problems. Document in writing all care in patients permanent medical record in accordance with accepted medical/legal standards. Provide all medical care in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician), and state licensing guidelines. Coordinate, develop or organize patient or department services or programs. Examples include, but are not limited to: Assist in developing department/hospital protocols. Screen incoming department referrals. Coordinate CME activities for department. Develop written patient education materials. Provide in-service training Proctor NP/PA students. Chair or participate on committees such as Breastfeeding Task Force, Regional Controlled Substance Abuse Committee, etc. Perform other duties as requested. Qualifications Basic Qualifications: Experience Education Graduate of ANA-approved NP or AMA-approved PA or Child Health Associate training program (both provide masters or equivalent degrees) or equivalent requirements to meet State licensure. License, Certification, Registration This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire. Registered Nurse License (Oregon) within 6 months of hire AND Nurse Practitioner National Certificate AND Nurse Practitioner License (Oregon) within 6 months of hire AND Advanced Registered Nurse Practitioner License (Washington) within 6 months of hire AND Registered Nurse License (Washington) within 6 months of hire OR Physician Assistant License (Oregon) within 6 months of hire AND Physician Assistant National Certificate AND Physician Assistant License (Washington) within 6 months of hire National Provider Identifier required at hire Drug Enforcement Administration Registration Additional Requirements: Thorough and working knowledge of all common diseases in specialty field; familiarity with less common diseases. Working knowledge of state health care laws, licensing board regulations and controlled substance regulations. Important to know limitations and when to refer patients. Ability to assess, diagnose and effectively treat common medical diseases and injuries. Ability to use appropriate procedural/testing equipment, to see large volume of patients, and to interface with large provider and support staff. Minor surgery or surgical assist skills. Demonstrate customer-focused service skills. Compact License is acceptable in lieu of a Washington RN license. Preferred Qualifications: Two (2) years clinical experience. Notes: This position will float to Skyline, West Salem, Keizer Station and North Lancaster Medical Offices

Description Job Summary: Plan, direct, and supervise services of phlebotomy and other pre-analytical functions. Provide technical expertise and training in assigned areas of responsibility and support overall operations management of the Laboratory. Essential Responsibilities: Plan, administer, organize and provide direct supervision for areas of responsibility. Direct department workflow. Monitor and maintain compliance with policies and procedures. Participate in Labor Management Partnership activities. Perform pre-analytical processes as needed to ensure timely and appropriate patient care. Provide support and direction to other Laboratory areas as needed to maintain quality of care and service. Serve as liaison between Laboratory and inpatient and/or outpatient clinical departments, acting as resource to provide information, resolve service problems, address questions or concerns from patients, clinicians, and staff. Maintain open communication lines between pre-analytical team and other Laboratory staff and management. Promote and maintain awareness of organizational business strategies and participate in achieving goals and organizational initiatives. Interview, select, orient, and train Laboratory staff. Coach, evaluate performance and recognize achievements. Initiate, implement, and document required training and continuing education. Counsel, initiate corrective action, and terminate staff in accordance with State and Federal law, EEO guidelines and organizational policies. Schedule staff to meet service needs. Provide development opportunities to staff by delegating responsibilities, assigning projects, and providing educational opportunities. ASSIST staff in team building. Develop and coordinate on-site pre-analytical training and orientation program for new employees, phlebotomy program students, and MLT/MT program students in collaboration with Pre-analytical Technical Specialist and Phlebotomy Trainer(s). Oversee training of new and current employees in Laboratory and other Regional computer/information systems. Maintain compliance with all Laboratory licensing and regulatory requirements pertaining to assigned areas of responsibility (e.g. CAP, CLIA, and JCAHO). Maintain current procedure manuals. Review and update policy and procedure manuals on a regular basis and as changes occur. In-service employees on all new procedures and policies. Monitor workload and adjust staffing and workflow patterns to effectively meet service needs for areas of responsibility. Assure equipment is maintained and serviced appropriately and that back-up systems are in place. Participate in development and administration of department budget. Monitor financial reports and act to correct or justify variances. Oversee ordering of materials and supplies to assure adequate inventory of supplies necessary for uninterrupted service for areas of responsibility. Performs other duties as requested. Qualifications Basic Qualifications: Experience Minimum two (2) years of phlebotomy or LTA experience in multi-patient setting. Minimum two (2) years in supervisory or leadership role in laboratory or other applicable healthcare setting OR four (4) years direct management or supervisory role in a non-health care setting. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Driver's License (Oregon) within 1 months of hire OR Driver's License (Washington) within 1 months of hire Driver's License (from any state) required at hire Additional Requirements: Working knowledge of phlebotomy principles/practice lab specimen collection, processing and handling requirements.- Basic knowledge of computer operation.- Demonstrated customer service skills.- Verbal and written command of the English language.- Proven skills in multi-techniques in phlebotomy.- Demonstrated effective interpersonal skills.- Demonstrated ability to organize, prioritize, and to work independently. Preferred Qualifications: Minimum three (3) years of phlebotomy experience in busy multi-patient setting including use of multi-techniques and experience with patients of all ages.- Minimum one (1) year of supervisory and/or teaching experience.- Medical Terminology.- Training in basic principles of supervision.- Thorough knowledge of phlebotomy and pre-analytical specimen preparation principles.- General knowledge of Kaiser Permanentes Human Resource policies.- Proven expert skills in phlebotomy practices.- Computer skills.

Description Job Summary: Participates with the Health Care Team in delivering quality and customer focused health care to patients in a manner that reflects Kaiser Permanentes mission, vision and values. Provides clinical and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex clinical knowledge and skills. As appropriate to the positions scope of authorized duties, the MA is expected to have competent observational, clinical, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Works under the clinical supervision of the clinician for patient care activities, and under the general direction of the designated manager/supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside records, etc.) and order entries are ready for clinician review prior to appointment time. Collects pertinent subjective (e.g. signs & symptoms, allergies, current medication, tobacco use, etc.) and objective (e.g. vital signs, height, weight, etc.) data related to patients reason for visit (i.e. chief complaint, presenting symptoms or procedure). Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common medical illnesses, abnormal versus new/existing and reports to clinician. Alerts clinician on signs and symptoms requiring immediate attention and respond to directions per clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides patient with after-visit, follow-up, self-care or procedural instructions and/or educational materials as directed by clinician. Use KP HealthConnect and other information systems to document all pertinent data and outcomes of patient care according to standardized procedures and policies such as and not limited to the use of SBAR, KP HealthConnect smarttools, etc. Updates demographic or historical clinical data gathered in the electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of authorized duties competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); application of knowledge and skills appropriate to developmental age of patient; and established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are as follows: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips, spirometry/peak flow, bladder scan, finger sticks for glucose, O2 saturation rate, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, ophthalmic, inhalation and nasal routes. Wound care - e.g. routine dressing changes, staple/suture removal, cleansing/flushing of wounds. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D & C, etc. Medical procedures assist - e,g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, etc. Lab specimens collection and labeling - e.g. nose, throat, wound, application of U-bag, etc. Irrigations - e.g. eye, ear. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient flow that facilitates appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Act as the clinicians agent to communicate back to patient or department his/her response/instructions in a timely manner. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Assists with on-boarding of new hires/transfers and/or validating peers clinical skills. Reports errors, near misses or other hazards in a timely manner per established procedures. Seeks assistance with duties when unable to perform safely, lacks training or outside scope of authorized duties. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description. Qualifications Basic Qualifications: Experience N/A Education N/A License, Certification, Registration Basic Life Support within 1 months of hire Additional Requirements: Graduate of accredited Medical Assistant program.- Employees must be able to successfully obtain Kaiser Permanentes Medication Administration Competency Certification within ninty (90) days of employment as a Medical Assistant.- Demonstrated interpersonal and customer service skills (Assessment required for external candidates).- Demonstrated communication (written and oral) skills.- Demonstrated literacy in using computers and keyboarding.- Skills in problem-solving, setting priorities and using good judgment for decisions.- Ability to work independently and efficiently under pressure. Preferred Qualifications: One (1) - two (2) + years in a medical assistant position to assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Dermatology, Neurology, Cardiology, etc.) within an ambulatory care setting.- Demonstrated clinical knowledge and procedural skills and/or documented trainings in assigned departments clinical area within the last one (1) - three (3) years.- Current National Medical Assistant Certification.- Familiarity in documenting in an electronic medical record system.