This position provides ophthalmic assistance to comprehensive eye division residents and faculty as they see patients, and provides ancillary screening and testing as necessary.
Screen patients for and obtain/record patients chief complaint, take accurate history of illnesses/surgeries (Ophthalmic and General), past ocular history, family history, drug allergies, and medications. Assist physician with completing/transferring patient information to the patient problem list as required per JCAHO, transcribing appointment notes for physician into patient chart, and perform ophthalmic testing as appropriate per patient. This includes but is not limited to checking/documenting distance and near vision in adults and children with and without correction, clearly determining from patient history if the patient is needing new glasses on any given visit. Pupillary assessment to rule out afferent defect and to check pupil size (rule out asymmetry), corneal curvature, corneal pachymetry, corneal topography, color vision testing, must be proficient in performing lensometry including reading lenses with multifocal and progressive adds, power of sphere, axis of cylinder and cylinder power, and orientation of prism and measurement of interpupillary distance. Perform applanation tonometry, and utilize Tonopen (noncontact tonometry) to check intraocular pressure. Perform confrontation visual fields. Must be proficient in refractometry and auto refraction, fogging with astigmatic dials, cross cylinder refinement and measurement of accommodation. Must be able to perform cover/uncover test, alternate cover test and quantify strabismus. Must be able to document ocular motility, presence of strabismus or nystagmus. Must be able to perform Worth 4-dot test and Stereopsis test. Must be able to test near point of convergence, ductions, versions and vergences. Must be able to perform Potential Acuity Meter testing, Glare Testing. Instill dilating and other ophthalmic drops per physicians instructions.
Perform calibration of automated and non-automated perimeters. Maintain a working knowledge of computerized visual field programs, and be able to perform Amsler Grid testing. Maintain a working knowledge of disease processes that may affect the visual pathway and resultant changes in the visual field due to these disease processes in order to adequately perform Goldmann (non-automated) perimetry (central and peripheral). Perform SITA and Standard Humphrey (automated) (central and peripheral).
Assist doctors during examination as needed. Apply eye dressings, protective shields and dispense medications as directed by the physician. Provide patient instruction, education and assistance as required. Always be willing to assist patients in clinic areas. Per standard guidelines, clean exam lanes and minor surgical instruments. Prepare for the sterilization process, either sterilizing instruments utilizing the sterilizer in the Minor Surgery Room per guidelines or preparing instruments to be sent for sterilization. Responsible for room maintenance including periodic cleaning of exam lanes. Keep rooms stocked with appropriate instruments, as well as necessary ophthalmic drops, per physicians direction.
Other duties: Take tech calls as needed to assist front desk scheduling team, refill pharmacy requests as per physician guidelines; fax/send glasses prescriptions as indicated. Set up ophthalmic examination rooms, stock supplies as necessary, perform minor repairs and triage to Clinical Engineering or outside vendors as necessary. Maintain instruments and be able to clean and properly sterilize items. Maintain ophthalmic exam rooms and ensure rooms are stocked, and have appropriate paperwork, and are orderly and clean. This includes periodic cleaning of trial lenses and examining lenses, ordering of linens and medications from pharmacy. Open examination rooms in the AM and close in the PM (if clinic completed). Provide administrative assistance and support as required, assist in pulling patient charts and making appointment reminder phone calls as necessary. Duties include enlisting translators when necessary, procuring presurgery history and physicals from primary care physicians offices, verifying patient insurance information, obtaining insurance authorizations/referrals where indicated, and handling faxes/calls for pharmacy requests. Being aware of patients financial/insurance status (pay scale if patient is self insured, and insurance coverage where valid) in the OHSU demographic database. Assisting physician in filling out forms such as Commission for the Blind forms and forms regarding the visual impairment of patients, and other such forms. Learn computer applications (scheduling, order entry, etc.) used in the clinic and achieve understanding of insurance authorization process. Assist in other clinic functions as necessary, including making appointments, preparing charts, answering phones or any other general duty as needed. Exhibit initiative and teamwork in performing all daily tasks.
Skills Maintenance: Participate in continuing education courses and activities. Have knowledge of and be able to practice JCAHO clinical guidelines. Demonstrate competence in all required skills during yearly skills evaluation.
Certification: Participate in continuing education courses and activities, maintain current JCAHPO certification. Have knowledge of and be able to practice JCAHO clinical guidelines. Demonstrate competence in all required skills during yearly skills evaluation.
Customer Service: Provides high quality customer service to patients, OHSU faculty and referring providers, to include PCPs and their office staff, insurance providers in requesting referrals, and co-workers and staff as well as setting an example in training new employees. Maintains a high standard of patient interactions skills and is exemplary in addressing patient complaints when necessary.
Participation in the Cash Handling Process: On an as needed basis, be able to perform routine front/back office duties to include billing, quoting of deposits, co-payments and payments per all CEI and OHSU guidelines and processes.
Qualified Ophthalmic Technician
Completion of two year training program in Ophthalmic Technology from an AMA and JCAHPO approved school AND two years of clinical and /or laboratory experience conducting preliminary screening and vision testing including specialized tests such as refractometry and visual fields OR an equivalent combination of training and experience
Able to perform ophthalmic tests and exams as specified above
Excellent communication and organizational skills
Proficiency with computer applications such as Microsoft Windows, Office, Word, Excel, Power Point and related computer applications
Computer keyboard skills include typing of at least 30-45 WPM
Strong relationship building skills with patients, health plans, providers, staff, management
Exceptional customer service skills - both in person and on the phone
Exceptional interpersonal skills and professional demeanor
Patient advocacy skills - evaluate patient concerns for timely resolution, sensitivity to patient needs
Ability to meet deadlines and urgent patient and system needs
Ability to work independently; willingness to serve as a positive and professional role model
Demonstrated record of reliable attendance, punctuality and proven successful performance in past and present
BLS certification at provider level through the American Heart Association
Able to perform the essential functions of the position with or without accommodation
This position will primarily float between Casey Eye Institute on Marquam Hill and Southwest waterfront. It may include travel to satellite clinics. Must be able to travel between clinic locations using stairs, elevators and tram. OHSU encourages use of public transportation for commuting to and from work due to limited staff parking.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and r...esearch. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm