Apply for Part Time Medical Assistant - Oneonta

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Summary
Title:Part Time Medical Assistant - Oneonta
ID:1148
Department:Client Services
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
* Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
*Application for Employment
PERSONAL INFORMATION
* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):
Yes   No
* Are you at least 18 years or older? (If no, you may be required to provide authorization to work):
Yes   No
* Have you ever worked for this Company before?:
Yes   No
If Yes, please provide details (Where/When/Job Title):
* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:
Yes   No
If no, please explain:
* How did you hear about this position?:
Indeed
Linked In
Facebook
Newspaper
Employee Referral
Job Fair
School
Other
If Employee Referral or Other please provide detail:

EMPLOYMENT DESIRED
* When would you be available to begin work?:
* Type of employment desired:
Full-Time
Part Time
Seasonal
* Hourly rate/salary desired:
* Are you currently employed?:
Yes   No
If so may we inquire of your present employer?:
Yes   No
If presently employed, why are you considering leaving?:

EDUCATION
Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location Did you Graduate? Degree Received Subjects Studied/Major
Yes   No
Yes   No
Yes   No

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

EMPLOYMENT HISTORY
Give your full employment record, starting with your current or most recent employment

EMPLOYER 1

Dates Employed Employer Name & Address Employer Phone
From:
*

To:
*
*

*
*
Job Title Supervisor Name & Title May we Contact?
*
*

*
*
Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
*
*
Start:
*

End:
*

EMPLOYER 2

Dates Employed Employer Name & Address Employer Phone
From:

To:

Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMPLOYER 3

Dates Employed Employer Name & Address Employer Phone
From:

To:

Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

REFERENCES Please provide three professional references

Name Relationship Phone Number Email
*
*
*
*
*
*
*
*
*
*
*
*

AUTHORIZATION
The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):
* Date:
MA Eligibility (38 Max)
* What are you looking for in a new position?
* Why are you considering leaving your current position?
* What is most important to you?
Family
Having Fun
Faith
Helping Someone
Money
Health
Being Happy
* Select the statement that best describes you:
I prefer a fast paced working environment. It makes the day go by much faster.
I do my best work at a slow and steady pace. I don't like being rushed.
* Which term describes you best?
Self-Starter
Implementer
Problem Solver
Skeptic
Diplomat
Visionary
* From the following list, please select your two greatest strengths.
Organized
Assertive
Adaptable
Authoritative
Frank
Numerical
Proactive
Impulsive
Persistent
Self-assessing
Certain
Eagerness
People Pleasing
Intelligent
Calm
Confident
* When I do not know what to do, I ...
Make a decision and try to find a solution
Analyze the source of the problem
Ask someone for help
Proceed as if I know what I am doing
* In certain situations, it is acceptable to bend the rules.
Always
Usually
Often
Sometimes
Rarely
Almost Never
* I feel intimidated or resentful when I talk to someone who knows more about a topic than I do.
Always
Usually
Often
Sometimes
Rarely
Almost Never
* I find it easy to talk to complete strangers.
Always
Usually
Often
Sometimes
Rarely
Almost Never
* I am most efficient when I operate on a schedule or follow a checklist.
Always
Usually
Often
Sometimes
Rarely
Almost Never
* At work ...
I feel uneasy when someone tells me what to do even if its just a general suggestion.
I feel uneasy when someone tells me exactly what to do but being pointed in the right direction is fine.
I feel uneasy when I have to make major decisions, but I work out the details just fine
I feel uneasy when I have to work on my own, without anybody making sure I am doing alright.
I feel uneasy working for someone else.
* Are you comfortable around blood?
Yes
No
* At work...
I prefer to work in a team.
I prefer to work alone.
* When it comes to using technology (computers and laptops) and software (EMR/EHR, Microsoft Office, e-mail programs, etc.), I feel ...
Extremely comfortable
Very comfortable
Comfortable
Neutral
Uncomfortable
Very Uncomfortable
* A friend of yours asks if you will call in a refill on his pain medication. What do you do?
Ask the doctor if this is okay to do.
Tell them no.
Inform them medications can only be prescribed if the patient was evaluated by the doctor.
Call the medication in.
* It is 30 minutes before closing, a patient comes in and needs IV fluids that will take longer than 30 minutes. What do you do?
Have the patient go to the ER.
Treat the person as nice a possible and send them home on clear liquids.
Treat the person like family and keep them here as long as needed.
Tell the patient that we can't start an IV this late.
* Select the statement that best describes you:
I am outgoing and enjoy meeting new people.
I tend to be shy and am sometimes uncomfortable around new people.
* Advil is an example of:
A prescription medication.
An antihistamine.
A brand drug.
A narcotic.
* The difference between rocephin and dexamethazone is:
A shot versus a breathing treatment.
An antibiotic versus a steroid.
Generic vs branded
A pain killer versus an antihistamine.
* On a slow day at work, I:
Feel restless and look for things to do.
Surf the internet.
Enjoy the slower pace.
Socialize with my co-workers.
MA Suitability (110 Max)
* How many years of experience do you have in a medical office or clinic setting?
0
< 1 year
1-3 years
> 3 years
* Are you a certified or registered MA?
Yes
No
If no please explain::
* How many times have you drawn blood?
0
1-5
5-20
20-50
50+
* Select the statement that most accurately describes you:
I am inexperienced with shots and it seems intimidating!
I have very limited experience with shots but am eager to learn.
I have some experience with shots but could always get better.
I am totally comfortable with shots.
* How much x-ray experience do you have?
None
1-3 months
3-12 months
More than 12 months
* How many times have you started an IV?
0
1-5
5-20
20-50
50+
* Do you have front desk experience?
Yes
No
* You are instructed to give a shot that has a total of 2mLs where do you give the shot?
Deltoid
Gluteus maximus
Gluteus minimus
Vastus lateralis
* The lab calls to inform you that the D-dimer that was collected and sent to them was not properly handled due to you not freezing the specimen within 8 hours. What is the first and most important thing to do?
Ask the provider to review the encounter and provide instructions. Then act accordingly.
Call the patient to let them know that their test was not processed and ask them to come back in for an additional blood draw
File the lab to deal with later.
Have the lab explain to you the correct way to collect and process the test and cover the procedure with your teammates.
* In regards to the D-dimer collection in the previous question, what is the second most important thing to do?
Ask the provider to review the encounter and provide instructions. Then act accordingly.
Call the patient to let them know that their test was not processed and ask them to come back in for an additional blood draw
File the lab to deal with later.
Have the lab explain to you the correct way to collect and process the test and cover the procedure with your teammates.
* From the following place each task in order of first to last: 

Triage the patient.
Complete the orders from the physician.
Discharge patient.
Call the patient to a room.
Notify the physician that the patient is ready for exam.
Check for additional orders.
Notify the physician that the orders are complete.
* A patient calls to get his or her lab results. What do you do first?
Look the patient's labs up and give the results to them.
Ask another staff member to take care of the patient.
Ask another staff member to pull Mrs. Smith's file.
Verify the patient
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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