This position provides ophthalmic patient care assistance to faculty, fellows and residents in the Retina division at Casey Eye Institute, providing ancillary screening and testing as necessary.
Screen patients for and obtain/record patient's 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. 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 physician's 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 physician's 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 physician's offices, verifying patient insurance information, obtaining insurance authorizations/referrals where indicated, and handling faxes/calls for pharmacy requests. Being aware of patient's 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 primary care providers 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 Casey Eye Institute and OHSU guidelines and processes.
Must be a 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
Two years of clinical and /or laboratory experience conducting preliminary screening and vision testing including specialized tests such as refractometry
Able to perform ophthalmic tests and exams as specified above
Ability to perform Goldmann Visual fields
Demonstrated ability to use clinical diagnostic equipment
Must be detail oriented and possess excellent interpersonal and patient relations skills
Ability to multi-task and delegate workload is essential
Strong skills and background with clinic operations including scheduling systems, and inventory control
Proficiency with computer applications such as Microsoft Office, Word, Excel, and related computer applications
Excellent communication skills, professional demeanor, excellent organizational skills
Ability to work independently as well as in a team-work model
Willingness to serve as a positive and professional role model
Must have demonstrated record of reliable attendance, punctuality and proven successful performance in past and present
BLS certification through American Heart Association (AHA), provider level (Initial certification is the responsibility of the employee - renewal certification classes/cost provided by OHSU if job required)
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