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Palms Medical Group
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  • DENTAL ASSISTANT  

    - Trenton
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    Competitive Wages

    Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    Professional Development Opportunities

    Employee Assistance Programs

    Company Paid Life Insurance

    401k with 5% Match

    11 Paid Holidays

    20 Days PTO

    Recognition and Rewards

    Community Impact .

    Position Summary

    The Dental Assistant supports the delivery of high-quality dental care by assisting dentists and clinical staff with patient care, office procedures, and laboratory tasks. This role ensures efficient patient flow, maintains accurate records, and upholds infection control standards. Responsibilities include preparing patients and instruments, assisting during procedures, and providing patient education and post-operative instructions.


    Description of Primary Responsibilities


    1) Patient Care Support

    a) Provide dental services within the scope of practice and in accordance with Palms Medical Group policies, procedures and protocols

    b) Review patient health histories, dental charts and oral histories prior to treatment.

    c) Prepare instrument trays and dental materials for procedures.

    d) Assist the dentist during routine and emergency procedures.

    e) Record dental treatment details in the patient’s dental chart.

    f) Communicate postoperative instructions as prescribed by the dentist.

    g) Educate patients on oral hygiene and plaque control techniques.


    2) Inventory & Infection Control

    a) Monitors inventory levels and submit supply requests through appropriate channels.

    b) Clean, disinfect and sterilize dental instruments and equipment.

    c) Maintain a clean, organized and professional clinical environment.


    3) Administrative Support

    a) Record and review patient medical histories accurately.

    b) Assist with internal audits, surveys and quality improvement initiatives.

    c) Perform any other duty assigned to support the efficiency and effectiveness of PMG operations.


    Requirements:

    Description of Primary Attributes


    General Development:

    1) Must be organized, a self-starter and detail oriented

    2) Job duties require the ability to work independently and as part of a team

    3) Expected to travel and cover other sites during dental assistant absences

    4) Assist in the training and mentoring of coworkers by sharing knowledge, providing guidance, and supporting skill development.


    Professional & Technical Knowledge:

    1) Employee shall be able to read and interpret written dental instructions

    2) Employee will know how to process radiographs

    3) Employee will know how to expose dental radiographs

    4) Employee will know how to efficiently operate NextGen EDR

    5) Employee will be expected to navigate and operate Microsoft Office suite products, including Word, Excel and Teams


    Licenses & Certifications:

    1) High School Diploma or Equivalent

    2) Certificate of completion from an accredited Dental Assistant program with Expanded Functions

    3) Current BLS (basic life support) Certification


    Physical/Mental/Emotional Demands:

    Standing for long periods of timeSitting for long periods of timeViewing a computer monitor for long periods of timeBendingStretching / ReachingWalking short distancesLifting up to 50 poundsOperating office equipment (computer, fax machines, telephones and copy machines)Reading forms / Instructions / Patients Charts Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephoneExposure to potentially violent / irate patientsHealth / Safety Consideration of PositionExposure to chemical infectious / contagious illnessExposure to chemical and inhalation of antibiotics during reconstitutionExposure to X-Ray radiation Exposure to a variety of scents and odorsMust utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws



    Read Less
  • APRN/PA-C  

    - Trenton
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    · Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    · Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    · Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    · Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    · Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    · Competitive Wages

    · Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    · Professional Development Opportunities

    · Employee Assistance Programs

    · Company Paid Life Insurance

    · 401k with 5% Match

    · 11 Paid Holidays

    · 20 Days PTO

    · Recognition and Rewards

    · Community Impact


    Position Summary

    The Advanced Practice Registered Nurse (APRN)/Physician Assistant (PA-C) works independently or in collaboration with other healthcare professionals to deliver services specified by their specialty. Palms Medical Group (PMG) APRN duties are tailored to the family unit in which direct care, health promotion, disease prevention and counseling are offered across the patient’s lifespan.

    Requirements:

    Description of Primary Responsibilities

    1) Responsible for patient care

    a) Provide necessary medical services to patients of PMG within his/her field of training in accordance with stated policies, procedures and protocols of PMG.

    b) Identify him/herself as an APRN and wear identification badge at all times.

    c) Exhibit professionalism when greeting and treating patients in the clinic.

    d) Educate, counsel and guide patients on disease prevention and healthy lifestyle habits.

    e) Prescribe medication as defined by State and Federal laws within their scope of practice.

    f) Develop treatment plans for acute and chronic diseases.

    g) Preform diagnostic tests, screening evaluations and conduct patient exams.

    h) Provide other services as granted by delineation of privileges.

    2) Responsible for coverage

    a) Be available for contact after hours to treat or triage medical conditions.

    b) Share in providing coverage for extended office hours of PMG as approved by the Board of Directors.

    3) Responsible for administrative duties

    a) Read and adhere to the Provider Policy Manual

    b) Assist in medical data collection for UDS and grant applications.

    c) Participate in QA/QI activities as directed by the CMO.

    d) Agree to carry out all required responsibilities of the corporation relative to patient charges, third party reimbursement, etc.

    e) Maintain the electronic health record (EHR) as per current PMG policies and procedures.

    f) Advise the appropriate member of management as defined by the institution’s organizational chart, of any problems you perceive with PMG operations.

    g) Participate in community service and health promotion programs.

    h) Participate in the review of all medical policies, procedures and protocols.

    i) Perform any other duty assigned by CMO or CEO to improve the efficiency of PMG.


    Description of Primary Attributes

    General Development:

    1) Must be organized, a self-starter and detailed oriented

    2) Job duties require the ability to work independently and as part of a team

    3) Expected to travel and cover other sites during provider absences

    4) Expected to coach, mentor and train clinical staff.

    5) Assist in the training and mentoring of coworkers by sharing knowledge, providing guidance, and supporting skill development.

    Professional & Technical Knowledge:

    1) Follow Safety and OSHA requirements

    2) Maintain appropriate certifications

    3) Undergo credentialing, utilization and peer reviews

    4) Employee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel

    Licenses & Certifications:

    1) Graduate of an accredited Nurse Practitioner Program

    2) Current and Valid APRN license in the State of Florida

    3) Graduate of an accredited 2 year Physician Assistant Program

    4) Current and Valid Physician Assistant license in the State of Florida

    5) Prefer all Physician Assistant’s to have PA-C status

    6) Current BLS (basic life support) Certification

    Communications Skills:

    1) Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors

    Physical/Mental/Emotional Demands:

    · Standing for long periods of time

    · Sitting for long periods of time

    · Viewing a computer monitor for long periods of time

    · Bending

    · Stretching / Reaching

    · Walking short distances

    · Lifting up to 50 pounds

    · Operating office equipment (computer, fax machines, telephones and copy machines)

    · Reading forms / Instructions / Patients Charts

    · Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephone

    · Exposure to potentially violent / irate patients

    · Making decisions with little guidance

    · Health / Safety Consideration of Position

    o Exposure to chemical infectious / contagious illness

    o Exposure to chemical and inhalation of antibiotics during reconstitution

    o Exposure to X-Ray radiation

    o Exposure to a variety of scents and odors

    o Must utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws

    Read Less
  • Advance Practice Registered Nurse  

    - Branford
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    Competitive Wages

    Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    Professional Development Opportunities

    Employee Assistance Programs

    Company Paid Life Insurance

    401k with 5% Match

    11 Paid Holidays

    20 Days PTO

    Recognition and Rewards

    Community Impact

    Position Summary

    The Advanced Practice Registered Nurse (APRN) works independently or in collaboration with other healthcare professionals to deliver services specified by their specialty. Palms Medical Group (PMG) APRN duties are tailored to the family unit in which direct care, health promotion, disease prevention and counseling are offered across the patient’s lifespan.


    Description of Primary Responsibilities

    Responsible for patient care Provide necessary medical services to patients of PMG within his/her field of training in accordance with stated policies, procedures and protocols of PMG.Identify him/herself as an APRN and wear identification badge at all times.Exhibit professionalism when greeting and treating patients in the clinic.Educate, counsel and guide patients on disease prevention and healthy lifestyle habits.Prescribe medication under as defined by State and Federal laws within their scope of practice.Develop treatment plans for acute and chronic diseases.Preform diagnostic tests, screening evaluations and conduct patient exams.Provide other services as granted by delineation of privileges. Responsible for coverageBe available for contact after hours to treat or triage medical conditions. Share in providing coverage for extended office hours of PMG as approved by the Board of Directors.Responsible for administrative duties Read and adhere to the Provider Policy ManualAssist in medical data collection for UDS and grant applications. Participate in QA/QI activities as directed by the CMO.Agree to carry out all required responsibilities of the corporation relative to patient charges, third party reimbursement, etc.Maintain the electronic health record (EHR) as per current PMG policies and procedures. Advise the appropriate member of management as defined by the institutions organizational chart, of any problems you perceive with PMG operations. Participate in community service and health promotion programs.Participate in the review of all medical policies, procedures and protocols. Perform any other duty assigned by CMO or CEO to improve the efficiency of PMG.


    Requirements:

    Description of Primary Attributes


    General Development:

    Must be organized, a self-starter and detailed orientedJob duties require the ability to work independently and as part of a teamExpected to travel and cover other sites during provider absencesExpected to coach, mentor and train clinical staff


    Professional & Technical Knowledge:

    Follow Safety and OSHA requirementsMaintain appropriate certificationsUndergo credentialing, utilization and peer reviewsEmployee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel


    Licenses & Certifications:

    Graduate of an accredited Nurse Practitioner ProgramCurrent and Valid APRN license in the State of FloridaCurrent BLS (basic life support) Certification


    Communications Skills:

    Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors


    Physical/Mental/Emotional Demands:

    Standing for long periods of timeSitting for long periods of timeViewing a computer monitor for long periods of timeBendingStretching / ReachingWalking short distancesLifting up to 50 poundsOperating office equipment (computer, fax machines, telephones and copy machines)Reading forms / Instructions / Patients Charts Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephoneExposure to potentially violent / irate patientsMaking decisions with little guidanceHealth / Safety Consideration of PositionExposure to chemical infectious / contagious illnessExposure to chemical and inhalation of antibiotics during reconstitutionExposure to X-Ray radiation Exposure to a variety of scents and odorsMust utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws


    Read Less
  • CMA/LPN  

    - Branford
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    · Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    · Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    · Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    · Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    · Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    · Competitive Wages

    · Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    · Professional Development Opportunities

    · Employee Assistance Programs

    · Company Paid Life Insurance

    · 401k with 5% Match

    · 11 Paid Holidays

    · 20 Days PTO

    · Recognition and Rewards

    · Community Impact


    Position Summary

    The Certified Medical Assistant (CMA) is a multi-skilled health professional who works in cooperation with other health care professionals to provide quality health care to patients. The Licensed Practical Nurse (LPN) is a multi-skilled health professional who works in cooperation with other health care professionals to provide quality health care to patients.

    Requirements:

    Description of Primary Responsibilities

    1) Responsible for patient care

    a) Provide necessary medical services to patients of Palms Medical Group (PMG) within his/her scope of practice in accordance with stated policies, procedures and protocols of PMG.

    b) Maintain the Electronic Health Record with up-to-date documentation of services provided.

    c) Provide patient educational materials as directed by PMG providers.

    d) Exhibit professionalism with patients and coworkers.

    e) Work up, obtain vitals and assist provider with examination procedures as needed.

    f) Return phone calls to patients and vendors maintaining communication within scope of practice.

    g) Carry out nurse visits within his/her scope of practice.

    h) Participate in training programs, educational sessions, etc. as directed by the Clinical Nurse Educator.

    2) Responsible for inventory management

    a) Maintain knowledge of inventory procedures and submit any order requests to the VP of Business Continuity & Client Relations and designated Clinical Care Coordinator.

    b) Restock examination rooms, lab and clinical supplies as needed.

    c) Maintain orderly and professional work areas.

    d) Maintain knowledge of Vaccines for Children processes.

    3) Responsible for administrative duties

    a) Read and adhere to the Clinical Policy Manual.

    b) Participate in QA, QI and other meetings and/or activities as directed by the Clinical Care Coordinator or VP of Practice Management.

    c) Assist the VP of Practice Management with data collection as necessary.

    d) Assist with audits, administer and collect surveys, and follow up with red charts as directed by the Clinic Care Coordinator.

    e) Perform any other duty assigned by the Clinical Care Coordinator, Clinical Nurse Educator, VP of Practice Management, or CEO to improve the efficiency of PMG.


    Description of Primary Attributes

    General Development:

    1) Must be organized, self-motivated, and detail oriented.

    2) Job duties require the ability to work both independently and as part of a team.

    3) Exhibit competence in working with both pediatric and adult patients.

    4) May be expected to travel to and provide coverage for other PMG clinics during nursing staff absences.

    5) Assist in the training and mentoring of coworkers by sharing knowledge, providing guidance, and supporting skill development.

    Professional & Technical Knowledge:

    1) Employee will exhibit competency when utilizing the following equipment:

    · ECG

    · PFT

    · In-house hemoglobin

    · Lab centrifuge

    · AED

    · Autoclave

    · Vital Sign Machine

    · Nebulizer and accessories

    · Blood Glucose

    · INR

    · In-house hemoglobin A1c

    · Any other equipment listed on job competencies

    2) Employees will comply with job competencies and skill checkoffs as part of the annual evaluation.

    3) Employees will be expected to navigate and operate Microsoft Office suite of products, including Word, Excel, and PowerPoint.

    Licenses & Certifications:

    1) High School Diploma or Equivalent

    2) National certification of CMA is required

    3) Minimum of one (1) year of CMA experience preferred

    4) Graduate of an accredited LPN program

    5) Current LPN license in the State of Florida

    6) Minimum of one (1) year LPN experience in Primary Care settings preferred

    7) Current BLS (basic life support) Certification

    Communications Skills:

    1) Effectively communicates complex and/or technical information to co-workers, patients and/or vendors

    Physical/Mental/Emotional Demands:

    · Standing for long periods of time

    · Sitting for long periods of time

    · Viewing a computer monitor for long periods of time

    · Bending

    · Stretching / Reaching

    · Walking short distances

    · Lifting up to 50 pounds

    · Operating office equipment (computer, fax machines, telephones and copy machines)

    · Reading forms / Instructions / Patients Charts

    · Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephone

    · Exposure to potentially violent / irate patients

    · Health / Safety Consideration of Position

    o Exposure to chemical infectious / contagious illness

    o Exposure to chemical and inhalation of antibiotics during reconstitution

    o Exposure to X-Ray radiation

    o Exposure to a variety of scents and odors

    Must utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or law

    Read Less
  • Advance Practice Registered Nurse (APRN)  

    - Fleming Island
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    Competitive Wages

    Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    Professional Development Opportunities

    Employee Assistance Programs

    Company Paid Life Insurance

    401k with 5% Match

    11 Paid Holidays

    20 Days PTO

    Recognition and Rewards

    Community Impact

    Position Summary

    The Advanced Practice Registered Nurse (APRN) works independently or in collaboration with other healthcare professionals to deliver services specified by their specialty. Palms Medical Group (PMG) APRN duties are tailored to the family unit in which direct care, health promotion, disease prevention and counseling are offered across the patient’s lifespan.


    Description of Primary Responsibilities

    Responsible for patient care Provide necessary medical services to patients of PMG within his/her field of training in accordance with stated policies, procedures and protocols of PMG.Identify him/herself as an APRN and wear identification badge at all times.Exhibit professionalism when greeting and treating patients in the clinic.Educate, counsel and guide patients on disease prevention and healthy lifestyle habits.Prescribe medication under as defined by State and Federal laws within their scope of practice.Develop treatment plans for acute and chronic diseases.Preform diagnostic tests, screening evaluations and conduct patient exams.Provide other services as granted by delineation of privileges. Responsible for coverageBe available for contact after hours to treat or triage medical conditions. Share in providing coverage for extended office hours of PMG as approved by the Board of Directors.Responsible for administrative duties Read and adhere to the Provider Policy ManualAssist in medical data collection for UDS and grant applications. Participate in QA/QI activities as directed by the CMO.Agree to carry out all required responsibilities of the corporation relative to patient charges, third party reimbursement, etc.Maintain the electronic health record (EHR) as per current PMG policies and procedures. Advise the appropriate member of management as defined by the institutions organizational chart, of any problems you perceive with PMG operations. Participate in community service and health promotion programs.Participate in the review of all medical policies, procedures and protocols. Perform any other duty assigned by CMO or CEO to improve the efficiency of PMG.


    Requirements:

    Description of Primary Attributes


    General Development:

    Must be organized, a self-starter and detailed orientedJob duties require the ability to work independently and as part of a teamExpected to travel and cover other sites during provider absencesExpected to coach, mentor and train clinical staff


    Professional & Technical Knowledge:

    Follow Safety and OSHA requirementsMaintain appropriate certificationsUndergo credentialing, utilization and peer reviewsEmployee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel


    Licenses & Certifications:

    Graduate of an accredited Nurse Practitioner ProgramCurrent and Valid APRN license in the State of FloridaCurrent BLS (basic life support) Certification


    Communications Skills:

    Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors


    Physical/Mental/Emotional Demands:

    Standing for long periods of timeSitting for long periods of timeViewing a computer monitor for long periods of timeBendingStretching / ReachingWalking short distancesLifting up to 50 poundsOperating office equipment (computer, fax machines, telephones and copy machines)Reading forms / Instructions / Patients Charts Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephoneExposure to potentially violent / irate patientsMaking decisions with little guidanceHealth / Safety Consideration of PositionExposure to chemical infectious / contagious illnessExposure to chemical and inhalation of antibiotics during reconstitutionExposure to X-Ray radiation Exposure to a variety of scents and odorsMust utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws


    Read Less
  • CMA/LPN  

    - Williston
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    · Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    · Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    · Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    · Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    · Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    · Competitive Wages

    · Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    · Professional Development Opportunities

    · Employee Assistance Programs

    · Company Paid Life Insurance

    · 401k with 5% Match

    · 11 Paid Holidays

    · 20 Days PTO

    · Recognition and Rewards

    · Community Impact


    Position Summary

    The Certified Medical Assistant (CMA) is a multi-skilled health professional who works in cooperation with other health care professionals to provide quality health care to patients. The Licensed Practical Nurse (LPN) is a multi-skilled health professional who works in cooperation with other health care professionals to provide quality health care to patients.

    Requirements:

    Description of Primary Responsibilities

    1) Responsible for patient care

    a) Provide necessary medical services to patients of Palms Medical Group (PMG) within his/her scope of practice in accordance with stated policies, procedures and protocols of PMG.

    b) Maintain the Electronic Health Record with up-to-date documentation of services provided.

    c) Provide patient educational materials as directed by PMG providers.

    d) Exhibit professionalism with patients and coworkers.

    e) Work up, obtain vitals and assist provider with examination procedures as needed.

    f) Return phone calls to patients and vendors maintaining communication within scope of practice.

    g) Carry out nurse visits within his/her scope of practice.

    h) Participate in training programs, educational sessions, etc. as directed by the Clinical Nurse Educator.

    2) Responsible for inventory management

    a) Maintain knowledge of inventory procedures and submit any order requests to the VP of Business Continuity & Client Relations and designated Clinical Care Coordinator.

    b) Restock examination rooms, lab and clinical supplies as needed.

    c) Maintain orderly and professional work areas.

    d) Maintain knowledge of Vaccines for Children processes.

    3) Responsible for administrative duties

    a) Read and adhere to the Clinical Policy Manual.

    b) Participate in QA, QI and other meetings and/or activities as directed by the Clinical Care Coordinator or VP of Practice Management.

    c) Assist the VP of Practice Management with data collection as necessary.

    d) Assist with audits, administer and collect surveys, and follow up with red charts as directed by the Clinic Care Coordinator.

    e) Perform any other duty assigned by the Clinical Care Coordinator, Clinical Nurse Educator, VP of Practice Management, or CEO to improve the efficiency of PMG.


    Description of Primary Attributes

    General Development:

    1) Must be organized, self-motivated, and detail oriented.

    2) Job duties require the ability to work both independently and as part of a team.

    3) Exhibit competence in working with both pediatric and adult patients.

    4) May be expected to travel to and provide coverage for other PMG clinics during nursing staff absences.

    5) Assist in the training and mentoring of coworkers by sharing knowledge, providing guidance, and supporting skill development.

    Professional & Technical Knowledge:

    1) Employee will exhibit competency when utilizing the following equipment:

    · ECG

    · PFT

    · In-house hemoglobin

    · Lab centrifuge

    · AED

    · Autoclave

    · Vital Sign Machine

    · Nebulizer and accessories

    · Blood Glucose

    · INR

    · In-house hemoglobin A1c

    · Any other equipment listed on job competencies

    2) Employees will comply with job competencies and skill checkoffs as part of the annual evaluation.

    3) Employees will be expected to navigate and operate Microsoft Office suite of products, including Word, Excel, and PowerPoint.

    Licenses & Certifications:

    1) High School Diploma or Equivalent

    2) National certification of CMA is required

    3) Minimum of one (1) year of CMA experience preferred

    4) Graduate of an accredited LPN program

    5) Current LPN license in the State of Florida

    6) Minimum of one (1) year LPN experience in Primary Care settings preferred

    7) Current BLS (basic life support) Certification

    Communications Skills:

    1) Effectively communicates complex and/or technical information to co-workers, patients and/or vendors

    Physical/Mental/Emotional Demands:

    · Standing for long periods of time

    · Sitting for long periods of time

    · Viewing a computer monitor for long periods of time

    · Bending

    · Stretching / Reaching

    · Walking short distances

    · Lifting up to 50 pounds

    · Operating office equipment (computer, fax machines, telephones and copy machines)

    · Reading forms / Instructions / Patients Charts

    · Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephone

    · Exposure to potentially violent / irate patients

    · Health / Safety Consideration of Position

    o Exposure to chemical infectious / contagious illness

    o Exposure to chemical and inhalation of antibiotics during reconstitution

    o Exposure to X-Ray radiation

    o Exposure to a variety of scents and odors

    Must utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or law

    Read Less
  • APRN/PA-C  

    - Live Oak
    Job DescriptionJob DescriptionDescription:APRN/PA-CLocations Needed: L... Read More
    Job DescriptionJob DescriptionDescription:

    APRN/PA-C

    Locations Needed:

    Live Oak, FL

    Lake City, FL

    High Springs, FL


    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    · Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    · Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    · Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    · Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    · Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    · Competitive Wages

    · Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    · Professional Development Opportunities

    · Employee Assistance Programs

    · Company Paid Life Insurance

    · 401k with 5% Match

    · 11 Paid Holidays

    · 20 Days PTO

    · Recognition and Rewards

    · Community Impact


    Position Summary

    The Advanced Practice Registered Nurse (APRN)/Physician Assistant (PA-C) works independently or in collaboration with other healthcare professionals to deliver services specified by their specialty. Palms Medical Group (PMG) APRN duties are tailored to the family unit in which direct care, health promotion, disease prevention and counseling are offered across the patient’s lifespan.

    Requirements:

    Description of Primary Responsibilities

    1) Responsible for patient care

    a) Provide necessary medical services to patients of PMG within his/her field of training in accordance with stated policies, procedures and protocols of PMG.

    b) Identify him/herself as an APRN and wear identification badge at all times.

    c) Exhibit professionalism when greeting and treating patients in the clinic.

    d) Educate, counsel and guide patients on disease prevention and healthy lifestyle habits.

    e) Prescribe medication as defined by State and Federal laws within their scope of practice.

    f) Develop treatment plans for acute and chronic diseases.

    g) Preform diagnostic tests, screening evaluations and conduct patient exams.

    h) Provide other services as granted by delineation of privileges.

    2) Responsible for coverage

    a) Be available for contact after hours to treat or triage medical conditions.

    b) Share in providing coverage for extended office hours of PMG as approved by the Board of Directors.

    3) Responsible for administrative duties

    a) Read and adhere to the Provider Policy Manual

    b) Assist in medical data collection for UDS and grant applications.

    c) Participate in QA/QI activities as directed by the CMO.

    d) Agree to carry out all required responsibilities of the corporation relative to patient charges, third party reimbursement, etc.

    e) Maintain the electronic health record (EHR) as per current PMG policies and procedures.

    f) Advise the appropriate member of management as defined by the institution’s organizational chart, of any problems you perceive with PMG operations.

    g) Participate in community service and health promotion programs.

    h) Participate in the review of all medical policies, procedures and protocols.

    i) Perform any other duty assigned by CMO or CEO to improve the efficiency of PMG.


    Description of Primary Attributes

    General Development:

    1) Must be organized, a self-starter and detailed oriented

    2) Job duties require the ability to work independently and as part of a team

    3) Expected to travel and cover other sites during provider absences

    4) Expected to coach, mentor and train clinical staff.

    5) Assist in the training and mentoring of coworkers by sharing knowledge, providing guidance, and supporting skill development.

    Professional & Technical Knowledge:

    1) Follow Safety and OSHA requirements

    2) Maintain appropriate certifications

    3) Undergo credentialing, utilization and peer reviews

    4) Employee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel

    Licenses & Certifications:

    1) Graduate of an accredited Nurse Practitioner Program

    2) Current and Valid APRN license in the State of Florida

    3) Graduate of an accredited 2 year Physician Assistant Program

    4) Current and Valid Physician Assistant license in the State of Florida

    5) Prefer all Physician Assistant’s to have PA-C status

    6) Current BLS (basic life support) Certification

    Communications Skills:

    1) Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors

    Physical/Mental/Emotional Demands:

    · Standing for long periods of time

    · Sitting for long periods of time

    · Viewing a computer monitor for long periods of time

    · Bending

    · Stretching / Reaching

    · Walking short distances

    · Lifting up to 50 pounds

    · Operating office equipment (computer, fax machines, telephones and copy machines)

    · Reading forms / Instructions / Patients Charts

    · Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephone

    · Exposure to potentially violent / irate patients

    · Making decisions with little guidance

    · Health / Safety Consideration of Position

    o Exposure to chemical infectious / contagious illness

    o Exposure to chemical and inhalation of antibiotics during reconstitution

    o Exposure to X-Ray radiation

    o Exposure to a variety of scents and odors

    o Must utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws

    Read Less
  • Advance Practice Registered Nurse (APRN)  

    - Live Oak
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    Competitive Wages

    Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    Professional Development Opportunities

    Employee Assistance Programs

    Company Paid Life Insurance

    401k with 5% Match

    11 Paid Holidays

    20 Days PTO

    Recognition and Rewards

    Community Impact

    Position Summary

    The Advanced Practice Registered Nurse (APRN) works independently or in collaboration with other healthcare professionals to deliver services specified by their specialty. Palms Medical Group (PMG) APRN duties are tailored to the family unit in which direct care, health promotion, disease prevention and counseling are offered across the patient’s lifespan.


    Description of Primary Responsibilities

    Responsible for patient care Provide necessary medical services to patients of PMG within his/her field of training in accordance with stated policies, procedures and protocols of PMG.Identify him/herself as an APRN and wear identification badge at all times.Exhibit professionalism when greeting and treating patients in the clinic.Educate, counsel and guide patients on disease prevention and healthy lifestyle habits.Prescribe medication under as defined by State and Federal laws within their scope of practice.Develop treatment plans for acute and chronic diseases.Preform diagnostic tests, screening evaluations and conduct patient exams.Provide other services as granted by delineation of privileges. Responsible for coverageBe available for contact after hours to treat or triage medical conditions. Share in providing coverage for extended office hours of PMG as approved by the Board of Directors.Responsible for administrative duties Read and adhere to the Provider Policy ManualAssist in medical data collection for UDS and grant applications. Participate in QA/QI activities as directed by the CMO.Agree to carry out all required responsibilities of the corporation relative to patient charges, third party reimbursement, etc.Maintain the electronic health record (EHR) as per current PMG policies and procedures. Advise the appropriate member of management as defined by the institutions organizational chart, of any problems you perceive with PMG operations. Participate in community service and health promotion programs.Participate in the review of all medical policies, procedures and protocols. Perform any other duty assigned by CMO or CEO to improve the efficiency of PMG.


    Requirements:

    Description of Primary Attributes


    General Development:

    Must be organized, a self-starter and detailed orientedJob duties require the ability to work independently and as part of a teamExpected to travel and cover other sites during provider absencesExpected to coach, mentor and train clinical staff


    Professional & Technical Knowledge:

    Follow Safety and OSHA requirementsMaintain appropriate certificationsUndergo credentialing, utilization and peer reviewsEmployee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel


    Licenses & Certifications:

    Graduate of an accredited Nurse Practitioner ProgramCurrent and Valid APRN license in the State of FloridaCurrent BLS (basic life support) Certification


    Communications Skills:

    Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors


    Physical/Mental/Emotional Demands:

    Standing for long periods of timeSitting for long periods of timeViewing a computer monitor for long periods of timeBendingStretching / ReachingWalking short distancesLifting up to 50 poundsOperating office equipment (computer, fax machines, telephones and copy machines)Reading forms / Instructions / Patients Charts Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephoneExposure to potentially violent / irate patientsMaking decisions with little guidanceHealth / Safety Consideration of PositionExposure to chemical infectious / contagious illnessExposure to chemical and inhalation of antibiotics during reconstitutionExposure to X-Ray radiation Exposure to a variety of scents and odorsMust utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws


    Read Less
  • Advance Practice Registered Nurse - Weekend  

    - High Springs
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!

    What Life Working at Palms Looks Like:

    Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.

    Perks:

    Competitive Wages

    Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    Professional Development Opportunities

    Employee Assistance Programs

    Company Paid Life Insurance

    401k with 5% Match

    11 Paid Holidays

    20 Days PTO

    Recognition and Rewards

    Community Impact

    Position Summary

    The Advanced Practice Registered Nurse (APRN) works independently or in collaboration with other healthcare professionals to deliver services specified by their specialty. Palms Medical Group (PMG) APRN duties are tailored to the family unit in which direct care, health promotion, disease prevention and counseling are offered across the patient’s lifespan.


    Description of Primary Responsibilities

    Responsible for patient care Provide necessary medical services to patients of PMG within his/her field of training in accordance with stated policies, procedures and protocols of PMG.Identify him/herself as an APRN and wear identification badge at all times.Exhibit professionalism when greeting and treating patients in the clinic.Educate, counsel and guide patients on disease prevention and healthy lifestyle habits.Prescribe medication under as defined by State and Federal laws within their scope of practice.Develop treatment plans for acute and chronic diseases.Preform diagnostic tests, screening evaluations and conduct patient exams.Provide other services as granted by delineation of privileges. Responsible for coverageBe available for contact after hours to treat or triage medical conditions. Share in providing coverage for extended office hours of PMG as approved by the Board of Directors.Responsible for administrative duties Read and adhere to the Provider Policy ManualAssist in medical data collection for UDS and grant applications. Participate in QA/QI activities as directed by the CMO.Agree to carry out all required responsibilities of the corporation relative to patient charges, third party reimbursement, etc.Maintain the electronic health record (EHR) as per current PMG policies and procedures. Advise the appropriate member of management as defined by the institutions organizational chart, of any problems you perceive with PMG operations. Participate in community service and health promotion programs.Participate in the review of all medical policies, procedures and protocols. Perform any other duty assigned by CMO or CEO to improve the efficiency of PMG.


    Requirements:

    Description of Primary Attributes


    General Development:

    Must be organized, a self-starter and detailed orientedJob duties require the ability to work independently and as part of a teamExpected to travel and cover other sites during provider absencesExpected to coach, mentor and train clinical staff


    Professional & Technical Knowledge:

    Follow Safety and OSHA requirementsMaintain appropriate certificationsUndergo credentialing, utilization and peer reviewsEmployee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel


    Licenses & Certifications:

    Graduate of an accredited Nurse Practitioner ProgramCurrent and Valid APRN license in the State of FloridaCurrent BLS (basic life support) Certification


    Communications Skills:

    Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors


    Physical/Mental/Emotional Demands:

    Standing for long periods of timeSitting for long periods of timeViewing a computer monitor for long periods of timeBendingStretching / ReachingWalking short distancesLifting up to 50 poundsOperating office equipment (computer, fax machines, telephones and copy machines)Reading forms / Instructions / Patients Charts Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephoneExposure to potentially violent / irate patientsMaking decisions with little guidanceHealth / Safety Consideration of PositionExposure to chemical infectious / contagious illnessExposure to chemical and inhalation of antibiotics during reconstitutionExposure to X-Ray radiation Exposure to a variety of scents and odorsMust utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws


    Read Less
  • Advance Practice Registered Nurse  

    - Trenton
    Job DescriptionJob DescriptionDescription:Shape Your Future. Serve You... Read More
    Job DescriptionJob DescriptionDescription:

    Shape Your Future. Serve Your Community. Build Your Career with Palms!


    What Life Working at Palms Looks Like:

    · Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful.

    · Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding!

    · Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings.

    · Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc.

    · Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community.


    Perks:

    · Competitive Wages

    · Comprehensive Health Coverage: Medical, Dental and Vision Insurance

    · Professional Development Opportunities

    · Employee Assistance Programs

    · Company Paid Life Insurance

    · 401k with 5% Match

    · 11 Paid Holidays

    · 20 Days PTO

    · Recognition and Rewards

    · Community Impact


    Position Summary

    The Advanced Practice Registered Nurse (APRN) works independently or in collaboration with other healthcare professionals to deliver services specified by their specialty. Palms Medical Group (PMG) APRN duties are tailored to the family unit in which direct care, health promotion, disease prevention and counseling are offered across the patient’s lifespan.


    Description of Primary Responsibilities

    Responsible for patient care Provide necessary medical services to patients of PMG within his/her field of training in accordance with stated policies, procedures and protocols of PMG.Identify him/herself as an APRN and wear identification badge at all times.Exhibit professionalism when greeting and treating patients in the clinic.Educate, counsel and guide patients on disease prevention and healthy lifestyle habits.Prescribe medication under as defined by State and Federal laws within their scope of practice.Develop treatment plans for acute and chronic diseases.Preform diagnostic tests, screening evaluations and conduct patient exams.Provide other services as granted by delineation of privileges. Responsible for coverageBe available for contact after hours to treat or triage medical conditions. Share in providing coverage for extended office hours of PMG as approved by the Board of Directors.Responsible for administrative duties Read and adhere to the Provider Policy ManualAssist in medical data collection for UDS and grant applications. Participate in QA/QI activities as directed by the CMO.Agree to carry out all required responsibilities of the corporation relative to patient charges, third party reimbursement, etc.Maintain the electronic health record (EHR) as per current PMG policies and procedures. Advise the appropriate member of management as defined by the institutions organizational chart, of any problems you perceive with PMG operations. Participate in community service and health promotion programs.Participate in the review of all medical policies, procedures and protocols. Perform any other duty assigned by CMO or CEO to improve the efficiency of PMG.


    Requirements:

    Description of Primary Attributes


    General Development:

    Must be organized, a self-starter and detailed orientedJob duties require the ability to work independently and as part of a teamExpected to travel and cover other sites during provider absencesExpected to coach, mentor and train clinical staff


    Professional & Technical Knowledge:

    Follow Safety and OSHA requirementsMaintain appropriate certificationsUndergo credentialing, utilization and peer reviewsEmployee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel


    Licenses & Certifications:

    Graduate of an accredited Nurse Practitioner ProgramCurrent and Valid APRN license in the State of FloridaCurrent BLS (basic life support) Certification


    Communications Skills:

    Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors


    Physical/Mental/Emotional Demands:

    Standing for long periods of timeSitting for long periods of timeViewing a computer monitor for long periods of timeBendingStretching / ReachingWalking short distancesLifting up to 50 poundsOperating office equipment (computer, fax machines, telephones and copy machines)Reading forms / Instructions / Patients Charts Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephoneExposure to potentially violent / irate patientsMaking decisions with little guidanceHealth / Safety Consideration of PositionExposure to chemical infectious / contagious illnessExposure to chemical and inhalation of antibiotics during reconstitutionExposure to X-Ray radiation Exposure to a variety of scents and odorsMust utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws


    Read Less

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