EHR Informatics Specialist

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer.

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works.

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT2.

Job Description

Job Summary

AbsoluteCare is seeking an experienced Registered Nurse with experience in health informatics and a dynamic passion for clinical practice as well as commitment to EHR optimization and education and training of patient-facing staff members. This role exists to (1) optimize how ABC’s electronic health record (EHR) works for clinical services staff including health care providers, nurses, and medical assistants and (2) to support the training of clinical services staff on EHR workflows at orientation and when workflows change/the EHR is optimized. This role will work closely with Directors of Informatics and the Senior Director of Clinical Services to implement, maintain, update, troubleshoot and resolve EHR processes related to Clinical Services.

The EHR Informatics Specialist is a split role with 20% being direct patient care (Avg. 1 day/week) and 80% dedicated to the improvement and optimization of the EHR. Direct patient care can involve supporting needs of the immediate care area and as needed coverage of the primary care Team Nurses. Clinical care will be provided at the center in closest proximity to staff’s residence.

Duties and Responsibilities

Nursing Practice:

• The Immediate Care Area (ICA) offers patients an alternative to the Emergency Room (ER) by performing telephonic and in-person triage, IV therapy, medication administration, wound care, focused nursing assessments and other point of care nursing interventions. Treatment and Triage is an access point to the medical center, accepting all walk-ins and fielding the day-to-day clinical needs of our patient population in collaboration with the entire integrated care team.
• Perform clinical nursing care, including, but not limited to telephone and in-person triage, central and peripheral line care, infusions, wound care, medication and oxygen administration, inhalation therapy, and medical emergency management.
• Participate in quality assurance for point of care CLIA waived laboratory.
• Ensure accessibility to medical and nursing services provided by AbsoluteCare by adhering to policy and procedure.
• Respond to medical emergencies.
• Proactively engage with the entire integrated care team and assist with resolving barriers to care and clinical nursing services.
• Coach and educate patients on disease self-management and appropriate utilization of healthcare services.
• Take part in innovative problem solving to decrease unnecessary emergency room utilization.
• Other duties as assigned

EHR Optimization:

• Work closely with Director of Informatics and the Senior Director of Clinical Services on optimizing the EHR for clinical services staff.
• Collaborate with ABC stakeholders/teams to build or optimize workflows in ECW, then teach new ECW workflows to clinical services staff and/or other ABC stakeholders
• Work with the ECW Team to develop and keep job aids updated to reflect ABC workflows
• In collaboration with Director of Informatics – Clinical Services build and maintain evidence-based decision support tools into the EHR including but not limited to ordersets, macros, and CDSS items
• Assist in resolving any EHR identified issues (Example/s: oversights in previous EHR build, unexpected changes related to an upgrade)
• Quickly answer provider workflow questions via email, call ring messages, in person
• Assist in the maintenance and standardization of procedures, diagnostic imaging, labs, immunizations and therapeutic injections
• Support eCW helpdesk on questions they cannot answer or issues related to clinical services beyond their scope of expertise
• Collaborate with the Clinical Applications Team to keep training materials updated, participate in eCW upgrades, identify areas of optimization, and troubleshoot eCW issues
• Active member of ECW Core Team (meets weekly)
• Preview/test any enhancements to EHR that will affect provider, nursing or medical assistant workflows
• Will be expected to perform at least two half day or one whole day clinical session a month at the AbsoluteCare site closest to their location.
• Communicate with ECW directly via MyEclinicalworks tickets about glitches in the system or about improvements that would improve provider satisfaction and patient safety (ECW Enhancement tickets)

EHR Orientation and Training for Clinical Services:

• Work closely with the Clinical Services Clinical Trainer, Director of Informatics – Clinical Services and the Senior Director of Clinical Services on orientation and training on the EHR for clinical services staff.
• Assisting in building and maintain eCW orientation for clinical services: Bridge videos, learner/preceptors guides, competency checklists.
• Be available to meet with new clinical services staff during or immediately after their orientation period to answer questions/review any gaps in learning during orientation
• Ensure new clinical services staff have the appropriate EHR set up for items that need to be set manually and at the user level (Example: eprescribing, diagnostic imaging and referral assistants)
• Support offboarding of clinical services staff ensuring EHR tasks are reallocated, and deactivation occurs promptly.
• Support providers, nurses and medical assistants struggling with optimal/fast EHR use via one-on-one meetings
• Participate in ongoing group teaching to clinical services staff during ABC Wednesday morning meetings
• Prepare clinical services staff for upgrades to the EHR by reviewing changes in advance and training before and at the time of upgrades

Minimum Qualifications

• Active, unrestricted medical license in the state of employment.
• 3-5 years of experience with building within EHRs and/or EHR optimization work
• Subject matter expertise level of experience in eClinicalWorks
• Demonstrated ability to problem solve and find solutions to EHR issues.
• Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access.
• Effective customer service delivery, with strong verbal and written communications skills.
• Strong organizational skills and attention to detail.
• Ability to work East Coast business hours and available to travel up to 35%.

Working conditions

This job operates in a remote location from your home location that is within travel range to an AbsoluteCare center location. This role requires a dedicated, quiet workspace with the ability to adhere to HIPPA and other privacy policies. A reliable and high-speed Wi-Fi connection or home internet is required to perform the essential functions of this role.

Physical requirements

• Ability to communicate clearly and exchange accurate information constantly.
• Ability to remain stationary for long periods of time.
• Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.
• Job may be physically demanding at times.
• Repetitious Movements.

• Ability to occasionally move objects up to 20 lbs.

Direct reports

None at this time, though in the future this role could grow to include oversight of a team of providers and nurses who work on building and maintaining training guides, courses, and integrated clinical support tools.