Margarette Wrenn

Responsibilities:

• Helped to develop a new program consisting of centralized prescription refills (fax, phone, and electronic), and medication clarification requests for a 37-practice department.
• Incorporated centralized medication prior authorization for five practices.
• Helped to develop and implement nursing standing orders for medication approvals
• Created and implemented standard work, policies, and procedures to ensure staff had the necessary guidelines to safely care for patients.
• Collaborated with other centralized leaders across Duke Health and within Duke Primary Care to evolve our processes and advance the centralized model.
• Being familiar with outpatient medication requests, understanding what is needed to meet the patient's needs, and knowing who to reach out to if a problem exists (example- Does Epic have the correct medication and dose orderable?).
• Participated in quality improvement initiatives to ensure best practices were followed.
• Coordinated timely refills for patients' prescriptions by obtaining authorizations and transmitting paperwork.
• Educated staff on new clinical protocols or procedures as needed.
• Complete audits on each staff member and compile the data collected into a Quality Assurance report.
• Maintain daily communication with staff in order to answer questions or to problem-solve.
• Assisting with scheduling and backfilling coverage, if needed.
• Maintain employee files
• Meeting with staff to review their mid-year and end-of-year evaluations.
• Maintaining records of absences and implementing corrective actions.
• Ensure that staff annual requirements are met (trainings, BLS, licensure)
• Organize and lead monthly staff meetings and weekly huddles
• Teach new hires and new Duke Primary Care leadership/providers on Duke Primary Care refill standards and expectations.

Clinical Responsibilities:

• Answering live incoming triage calls
• Responding to patient initiated online questions, calling patients with lab results, and relaying provider responses to patients
• Care management- performing transitional care management for recently hospitalized patients (ensuring they have a follow up appointment, understand any discharge instructions, and that have picked up any prescribed medications)
• Triage walk-in patients and determine the appropriate level of care
• Prescription Refills
• Served as the infection control liaison

Administrative Responsibilities:

• Day to day management of the float pool staff
• Responding to emails
• Scheduling float staff assignments (both clerical and clinical staff)
• Re-assigning staff as needed
• Maintaining active licensures and BLS for clinical float staff
• Managing employee files
• Interviewing and hiring new staff
• Onboarding new staff
• Facilitating 30-60-90 day reviews for new hires
• Collecting information for mid-year and end-of-year evaluations and participating in the evaluations
• Maintaining attendance records for staff
• Facilitating corrective action discussion
• Organizing, planning, and assisting with facilitating staff meetings
• Teaching nursing and clinical orientation
• Training newly hired medical assistants and nurses on prescription refills
• Assisting with developing new policies and procedures around prescription refills
• Assisting with developing new policies and procedures for nurse driven anticoagulation clinics
• Assist with skills day check off for all clinical staff within the Duke Primary Care network
• Training and process observation of triage nurses within the practices.

Clinical Responsibilities:

• Answering live incoming triage calls
• Returning patient phone calls and relaying provider information
• Responding to patient initiated online messages
• Prescription Refills
• Medication Prior Authorizations
• Assist with managing patient assistance applications and medications
• Triage walk-in patients and determine the appropriate level of care
• Care management- performing transitional care management for recently hospitalized patients (ensuring they have a follow up appointment, understand any discharge instructions, and have picked up any prescribed medications)
• Administered medications and immunizations
• Roomed patients and collected vital signs
• Assisted with point of care testing (collected hemoglobin A1C, urinary pregnancy test, strep test, INRs, and urinalysis and urine culture)
• Ran the PT/INR clinic by collecting PT/INRs, reviewing pre-determined questions, and relaying results and concerning information to the provider
• Served as the infection prevention liaison for the practice

Administrative responsibilities:

• Ordering immunizations and medications needed to maintain an adequate supply for the clinic.
• Managing Medicaid supplied vaccines to ensure that each vaccine was accounted for and administered to patients that met the requirement to receive the vaccines
• Assisted with staff scheduling
• Assisted in facilitating daily huddles
• Met with staff to review concerns and to assist with conflicts as they arose
• Served as the chair of the work culture committee
• Assisted with mid-year and end-of-year evaluations

• Responsibilities:
• Receiving and giving report.
• Patient assessments
• Develop treatment plans
• Administering medications and chemotherapy
• Patient Education
• Wound management
• Assist providers
• Assisting with activities of daily living
• Collecting stat labs
• Charting
• Discharge planning