Decatur
Job Description Position Summary The Lead LPN is Dr. Armstrong’s primary clinical partner and the engine of exam-room efficiency. This role exists for one core reason: to ensure the physician has everything she needs — patient history, current data, supplies, results, prepared orders — before she enters the room, and to keep her in the room from the start of the visit to the end. Every step out of the room is a step toward lost productivity, lost revenue, and a slower patient experience. This is not a passive support role. The Lead LPN runs the clinical floor with confidence, anticipates needs before they are spoken, and protects the physician’s focus the way a senior chief-of-staff protects an executive’s calendar. The right person is clinically sharp, organizationally relentless, and warm enough to be loved by a 60+ predominantly African American patient panel that has trusted this practice for two decades. Why This Role Matters CBA Clinic is in the middle of a deliberate transition from a traditional, insurance-dependent family medicine practice to a hybrid medical business: family medicine, Advanced Primary Care Management (APCM), Remote Patient Monitoring (RPM), Physiologic Insulin Resensitization® (PIR), functional wellness, and cash-based services (laser hair removal, EMSELLA, EMSCULPT NEO, IV therapy). The Lead LPN is central to making that transition work clinically. Patients meet you before they meet the doctor; how you handle them sets the tone for the entire encounter and for every adjacent service we can offer them. Essential Duties and Responsibilities 1. Pre-Visit Preparation and Physician Briefing Owns chart prep and the daily huddle. Every patient on the schedule receives a structured briefing before the physician walks in: • Reviews the next day’s schedule each afternoon and again at start-of-day; flags patients requiring extended time, complex management, or specialty follow-up., • Pulls and reviews each chart in AthenaOne: active problems, current medications, recent labs, imaging, specialist notes, hospital discharges, and outstanding orders., • Identifies open care gaps: Annual Wellness Visit due, screening overdue (mammogram, colonoscopy, A1C, lipid panel), immunizations, and chronic condition monitoring intervals., • Reconciles medications and prepares refill requests for physician sign-off in advance of the visit., • Notes APCM, RPM, and PIR enrollment status; flags eligibility for cash-based service consultations (incontinence, body composition, hair removal, IV therapy)., • Delivers a concise verbal briefing to Dr. Armstrong before each room entry: chief complaint, what changed since last visit, what the chart shows, and what decisions are queued up. 2. In-Room Clinical Support — Keep the Physician in the Room During the visit, the Lead LPN remains available to the physician and patient. The standard is simple: the doctor should not leave the room for anything the LPN can retrieve, prepare, or document. • Rooms the patient, obtains vital signs, documents chief complaint and HPI updates, performs medication reconciliation, and updates problem and allergy lists in AthenaOne., • Performs point-of-care testing (rapid strep, flu, COVID, urinalysis, A1C, glucose, urine pregnancy, INR as indicated)., • Draws blood and prepares specimens for send-out; performs EKGs as ordered., • Administers injections (IM, SQ, intradermal), vaccines, and IV therapy under physician orders; starts and maintains peripheral IVs., • Acts as scribe (if needed) during the visit when documentation load is heavy; enters orders, queues prescriptions, and stages referrals so Dr. Armstrong can sign and move., • Anticipates supplies, tools, and medications before they are requested; keeps exam rooms stocked and turn-ready. 3. Post-Visit Closeout • Completes encounter documentation, places ordered tests and referrals, and confirms patient understanding of follow-up plans., • Verifies follow-up appointments and care management touchpoints are documented before the patient leaves the building., • Provides patient education on diagnoses, medications, lifestyle interventions, and cash-based service options when clinically appropriate., • Confirms billing-relevant documentation is complete and supports coding accuracy (e.g., chronic condition capture, AWV components). 4. Care Management and Cash-Based Service Integration • Identifies patients eligible for APCM tiers (G0556/G0557/G0558) and RPM; coordinates warm hand-offs to the Patient Care Coordinator (Mary) for enrollment., • Supports the PIR program clinically: patient prep, IV access, monitoring during infusion, and post-treatment documentation., • Identifies patients who would benefit from EMSELLA (incontinence), EMSCULPT NEO (rehab/body composition), laser hair removal, or wellness IV therapy; introduces these services in clinical context, not sales context., • Assists with consults and treatments for wellness services as cross-trained. 5. Clinic Operations and Team Leadership • Sets the clinical tempo for the floor; serves as the senior clinical voice in Dr. Armstrong’s absence., • Maintains exam room readiness, sterilization standards, and PPE inventory., • Ensures compliance with HIPAA, OSHA, CLIA-waived testing standards, and Georgia LPN scope of practice., • Participates in quality improvement initiatives, including chronic disease management metrics and patient satisfaction. Required Qualifications • Current, unrestricted Georgia LPN license in good standing., • Minimum 3 years of clinical experience, with at least 2 years in a primary care, family medicine, or internal medicine outpatient setting., • Current BLS (CPR) certification; ACLS preferred or willingness to obtain within 90 days., • Demonstrated proficiency in venipuncture, IV insertion and maintenance, injections, EKG, and point-of-care testing., • Working knowledge of Medicare-covered preventive services, chronic condition management, and AWV components., • Comfortable using an EMR; AthenaOne experience strongly preferred. Candidates without Athena experience must demonstrate ability to learn it quickly., • HIPAA and OSHA training current. Preferred Qualifications • Experience with care management programs (CCM, PCM, APCM, or RPM)., • Experience with IV therapy, hydration infusions, or wellness/aesthetic clinical settings., • Familiarity with PIR®, Wells Cell protocols, or insulin management programs., • Bilingual capability is a plus but not required. Personal Attributes — What We Are Really Hiring For This role lives or dies on personality and discipline. A technically excellent LPN who cannot project warmth, command a room, or anticipate the physician’s needs will not succeed here. We are specifically looking for: • Big presence, warm delivery. Patients should feel reassured the moment you walk in. Especially important with our predominantly African American senior panel — trust is built on connection, not credentials., • Self-starter and anticipator. You see what needs to happen three steps ahead and you act without being asked., • Disciplined under pressure. On a heavy clinic day, you do not get rattled. You re-prioritize, you communicate, and you keep the schedule moving., • Protective of the physician’s time. You understand that every minute Dr. Armstrong spends out of the exam room is a minute the practice cannot recover., • High verbal acuity. You can deliver a 60-second clinical briefing that includes everything the physician needs and nothing she does not., • Comfortable being the face of the practice. You will own first impressions in the exam room for thousands of visits a year., • Coachable and team-oriented. You take feedback, you give it well, and you make everyone around you better. Physical Requirements • Ability to stand, walk, and move throughout the clinic for extended periods., • Ability to lift and move up to 35 pounds occasionally., • Manual dexterity sufficient for venipuncture, injections, and instrument handling., • Visual and auditory acuity sufficient for accurate vital sign measurement, documentation, and patient communication. Compensation and Benefits • Competitive base salary commensurate with experience., • Performance incentive structure tied to cash-based service conversion and care management program engagement., • Paid time off; holiday pay., • Opportunities for cross-training in functional wellness, aesthetic, and infusion services.
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