Yale New Haven Health

Integrated hospital system with academic affiliations

Float Outpatient Draw Station Phlebotomist

Diagnostics & Laboratory ProfessionalsUpdated on Nov 10

Full-timeGreenwich, CT, USANo salary listedIn-person

About the Job

Requirements

A high school diploma or GED is required.
Completion of an approved phlebotomy certification course or equivalent experience with on-the-job training is required.
At least six months of current phlebotomy experience, or successful completion of an accredited phlebotomy program and internship, is required.
Two to three years of work experience in a customer-service environment, preferably in a hospital or physician office with patient interaction, is specified.
Phlebotomy certification or equivalent is required.
Candidates must be self-directed, well organized, and team oriented, with the ability and desire to educate patients and their families and convey instructions.
Candidates must be able to multitask and reprioritize in response to fluctuations in volume.
Candidates must have strong interpersonal skills and be able to build rapport with a wide variety of individuals, including clinical staff, to meet patient needs.
Candidates must have a basic understanding of phlebotomy and medical terminology.
Candidates must have investigative, critical-thinking, and problem-solving skills.
Candidates must have intermediate computer skills and the ability to adapt to various programs and systems.
Candidates must demonstrate proficiency in phlebotomy and patient registration processes that affect workflow.
Candidates must be able to provide training or in-service instruction to other staff, students, and other departmental and hospital areas.
Candidates must demonstrate effective written and oral communication skills and be able to communicate complex requirements across clinical and financial disciplines.

Responsibilities

Obtain required information from referring physicians and clinical providers and provide it to third-party payers to support reimbursement for outpatient laboratory blood-draw services.
Review patients’ insurance information accurately and ensure it is recorded in the electronic medical record.
Create medical record numbers for new patients in the hospital electronic medical record and complete their registration using hospital-wide standards.
Update established patient records in the hospital information system and create hospital account and contact serial number components for Laboratory Medicine dates of service as needed.
Prepare Laboratory Medicine advance beneficiary notices as needed, explain the forms’ financial implications to patients, obtain signatures, and scan signed forms into the hospital information system.
Clearly communicate laboratory blood-draw instructions, dates, times, and locations to each patient.
Enter appropriate comments and notes on electronic medical record orders to document issue resolution.
Ensure advance beneficiary notices, pre-authorizations, and pre-certifications are received before specimen collection.
Inform patients of financial responsibility related to billing and non-covered balances, attempt to obtain required information at the time of service, explain the hospital self-pay policy when applicable, and determine whether to initiate financial reimbursement documentation.
Communicate authorization issues or questions to the supervisor and provide patient information needed to obtain approvals.
Follow state and federal guidelines relating to HIPAA, Joint Commission requirements, and federal mandates.
Verify the accuracy of ordered laboratory tests and answer patient questions about collection.
Gather test-order requisitions from patients or providers when necessary and transcribe them accurately.
Confirm test orders using chart notes and specimen comments before collection.
Review requisitions for complete diagnosis information, physician signature, and special specimen instructions, and contact physician offices to obtain missing information before the blood draw.
Coordinate specimen collection timing with stability requirements and transport logistics, working with the Laboratory Reference Department to maintain required transport conditions, including ice or dry ice.
Maintain test-order paperwork and documentation, file and track orders for regulatory audits, and document when patients refuse testing or collection cannot be performed during the visit.
Manage preadmission laboratory testing by reviewing ordered tests and ensuring collection dates meet limits set by preoperative physicians.
Add the appropriate physician or provider and patient to test orders when they request that final results be sent to them.
Ensure all tests are collected before surgery and coordinate with physicians and patients when results will not be ready before the scheduled procedure or surgery.
Collect laboratory samples and perform electrocardiograms safely and efficiently in accordance with department standards for quality patient care.
Maintain annual technical competencies in venipuncture, electrocardiograms, and nasal-swab collection as observed by a coordinator.
Follow specimen-handling guidelines and precautions in the Laboratory Policy and Procedures Manual without deviation.
Review the Laboratory Policy and Procedure Manual annually and complete its associated competencies.
Verify patient identity and perform positive patient identification accurately to support patient safety and accurate laboratory results.
Label specimens legibly and accurately at the time of collection with all information required by hospital and departmental standards.
Attend required compliance continuing-education lectures and staff meetings, maintain specimen-collection proficiency, and seek assistance when unable to collect a specimen or perform an electrocardiogram within laboratory standards.
Collect specimens in the appropriate vacuum tubes, follow the order of draw, and collect samples in the correct order for testing.
Perform blood-culture venipuncture using aseptic technique to minimize contamination of blood-culture bottles and unnecessary antibiotic use.
Explain urine and stool sample-collection procedures to patients and emphasize the importance of proper collection for accurate laboratory results.
Follow universal precautions during every venipuncture, electrocardiogram, and nasal-swab collection.
Disinfect and maintain the draw room, patient waiting area, and staff lounges in accordance with Clinical Laboratory Improvement Amendments, Centers for Medicare & Medicaid Services, College of American Pathologists, Joint Commission, and Centers for Disease Control and Prevention regulations.
Recognize symptoms of adverse reactions to venipuncture, follow patient-safety protocols, document reactions, and submit incident documentation for supervisory review.
Process specimens collected at the station and specimens dropped off by patients or other healthcare workers, and package specimens appropriately for transport to the testing laboratory.
Centrifuge specimens at the correct speed and for the appropriate duration based on the collection tube used.
Perform weekly centrifuge maintenance and cleaning according to procedure and update the maintenance log.
Document refrigerator, freezer, and room temperatures daily; correct deviations from reference ranges and document and sign records of resolutions and adjustments.
Notify Phlebotomist III immediately when recurring issues are not resolved through troubleshooting, to protect specimen integrity.
Separate specimens and place them on packing lists according to temperature requirements, laboratory, and stability; scan each specimen individually onto the packing list with a barcode scanner to ensure specimens are accounted for and tracked in the electronic medical record.
Investigate the blood-draw room and surrounding areas when specimens are unaccounted for and ensure they were sent by courier.
Place specimens in locked pickup boxes when blood-draw stations are closed and couriers cannot enter the facilities.
Maintain specimen integrity from collection at the blood-draw station through courier pickup.
Recognize courier pickup times and prepare specimens in advance for prompt transport to the destination laboratory.
Follow up with couriers promptly when they miss scheduled pickup times and communicate courier issues to Phlebotomist III.
Maintain inventory and supplies required for specimen collection and blood-draw station operations, and support regulatory inspections and quality assurance with the coordinator and Outreach Senior Manager.
Assess the blood-draw station independently for regulatory compliance and submit Sentact audits weekly.
Keep the blood-draw station inspection-ready and notify coordinators when inspectors arrive on site.
Participate in unannounced inspections by the College of American Pathologists, Connecticut Department of Public Health, Joint Commission, or other regulatory agencies and answer regulatory questions accurately to the best of one's knowledge.
Review laboratory orders, histories and physicals, cardiology tests, and related records, and alert clinical staff to inconsistencies.
Review supplies weekly, record supplies used, and order enough for a week without excess or shortages that require emergency deliveries.
Assess supplies weekly, discard expired or outdated inventory including collection materials, personal protective equipment, and disinfectants, remove recalled materials, and inspect collection devices for integrity before patient use.
Use applicable computer systems, including Epic, to complete tasks and specimen collections, adapt to process changes, and maintain high productivity.
Maintain working knowledge of Epic to order and collect complex and time-sensitive laboratory tests.
Switch between systems and resources as needed to determine advance beneficiary notice and authorization status, collect and process specimens, and resolve patient, provider, and insurer issues.
Identify system discrepancies, reconcile them when appropriate, and report them to designated information-technology resources or escalate them as appropriate.
Implement downtime procedures as required.
Provide service in accordance with Health System Standards of Professional Behavior.
Acknowledge and receive patients and visitors according to Health System standards and maintain smooth processes that support a positive patient experience.
Promptly and courteously advise clinical staff of patient arrivals, support timely patient throughput, notify the team of delays, and keep patients informed when delays occur.
Answer telephone calls no later than the third ring and follow appropriate telephone etiquette.
Recognize when service excellence has been compromised and initiate the Service Recovery Process as appropriate.
Follow the department uniform policy and professional business-attire guidelines.
Use effective communication when coordinating work, training, and proposing workflow adjustments and processes.
Perform other duties assigned by management as needed.

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Under the general supervision of the Lab Blood Draw Station Supervisor within Laboratory Medicine, performs phlebotomy for patients seen at draw station locations. Also performs various office duties as necessary to support the draw station operations. Consistently interacts with patients and clients in a positive manner

EEO/AA/Disability/Veteran

Responsibilities

1. Ensures all required information is obtained from referring physicians and providers in clinical areas and provided to the third party payers to ensure reimbursement for services delivered within the outpatient lab blood draw setting
2. Accurately reviews insurance information with patients to ensure all of the information is recorded in the EMR
3. Using hospital wide standards, creates MR numbers for new patients in the YNHH EMR and creates a complete registration
4. Updates established patient records in the YNHH HIS and creates HAR and CSN components for Laboratory Medicine date of service as needed
5. As needed, produces Laboratory Medicine ABN's, provides financial consultation regarding these forms to patients, obtains patient signature, and scans signed form into YNHH HIS
6. Clearly identifies and communicates instructions, dates, times and locations of Lab Blood Draw with each patient
7. Enters appropriate comments and notes on the orders in the EMR identifying the resolution of issues
8. Ensures all ABNs, pre-authorizations and pre-certifications are received prior to specimen collection
9. Informs patients of their financial responsibility as it relates to billing requirements and non-covered balances. Makes all attempts to obtain information at the time of service. When applicable, explains the hospitals self-pay policy and determines the need to initiate financial document for reimbursement
10. Communicates with Supervisor regarding any issues or questions regarding authorizations for lab testing. Provides patient information as needed in order for approvals to be obtained
11. Adheres to state and federal guidelines as it pertains to HIPAA and JCAHO requirements and all federal mandates
12. Verifies the accuracy of laboratory tests ordered and has knowledge to answer collection inquiries from patients
13. Gathers test order requisitions from patients or physicians/providers, when necessary, and transcribes them accurately
14. Confirms test orders using chart notes and specimen comments prior to collection
15. Reviews requisitions for completeness of information to include diagnosis information, physician signature and any special specimen instructions. If incomplete, follows through with a contact to physician office(s) for correct information prior to the blood draw
16. Coordinates the time of specimen collection with stability requirements and the logistics of specimen transport to the appropriate testing facility. Works closely with Lab Reference Department to ensure proper specimen transport conditions requiring ice or dry ice
17. Maintains paperwork and documentation regarding test orders. Properly filing and tracking orders in the event of a regulatory audit. Adds comments to test orders when patients refuse testing or if the specimen collection cannot be performed during the patients visit
18. Manages the preadmission laboratory testing process by reviewing tests ordered and ensuring the collection date is within the proper limits as determined by the pre-op physicians
19. Adds the proper physician/provider and patients to the test order if they request that the final results be sent to them
20. Ensures all tests are collected prior to surgery. Coordinates with physician and patient if test results will not be completed prior to the scheduled procedure or surgery
21. Responsible for collecting laboratory samples and performing electrocardiograms on patients in a safe and efficient manner, following department standards to support quality patient care
22. Maintains annual updates to technical competency on venipuncture technique, performing EKGs, and nasal swab collections as observed by coordinator
23. Follows established specimen handling guidelines and precautions as described in the Laboratory Policy and Procedures Manual without deviation from these established guidelines
24. Annually reviews the Laboratory Policy and Procedure Manual and completes the associated competencies
25. Verifies patient identity and performs positive patient identification accurately and without error to ensure the safety of patients and the accuracy of the lab test results
26. Responsible for labeling all specimens legibly and accurately without error at time of draw, with all pertinent information as required by hospital and departmental standards
27. Attends continuing education lectures and staff meetings relating to compliance as required. Maintains proficiency in specimen collection and seeks assistance when unable to perform a specimen collection or EKG within the established limits set by the Lab
28. Properly collects specimen in the appropriate vacutainers to ensure the testing can be performed. Understands the order of draw and recognizes the importance of collecting samples in the correct order
29. Performs venipuncture for blood cultures using an aseptic technique to minimize the contamination of blood culture bottles which may lead to the unnecessary use of antibiotics
30. Accurately explains urine and stool sample collection to patients and emphasizes the importance that proper collection plays in the accuracy of lab test results
31. Follows universal precaution standards for each venipuncture, EKG or nasal swab collection 100% of the time
32. Properly disinfects and maintains the draw room area for specimen collections, patient waiting area and staff lounges to ensure a clean and safe environment as per established CLIA, CMS, CAP, JCAHO, and CDC regulations
33. Recognizes the signs and symptoms associated with an adverse reaction to a venipuncture and follows the proper protocols to maintain patient safety. Documents the adverse reaction and submits documentation for review of the incident by supervisory staff
34. Responsible for the processing of collected specimen and drop-off specimen by patients or other healthcare workers. Packages specimen appropriately for transport to testing laboratory
35. Once specimen are obtained, they are properly centrifuged at the correct speed and for the appropriate duration depending on the vacutainer used for collection
36. Performs weekly maintenance and cleaning of centrifuge as outlined in centrifuge maintenance procedure. Updates maintenance log as required
37. Temperature of the refrigerators, freezers and room are documented daily and with accuracy. Any deviation from the established temperature reference ranges are corrected. Documentation of the resolution and adjustments are documented and signed
38. If issues arise repeatedly, and troubleshooting doesn?t resolve the issue, Phleb III is to be notified immediately to ensure the integrity of the collected samples
39. Specimen and separated and placed on the appropriate packing list based on their temperature requirements, performing laboratory and stability. Each specimen is scanned onto the packing list individually with a barcode scanner ensuring that all specimen are accounted for and are tracked in the EMR
40. When specimen are unaccounted for, the blood draw room and surrounding areas are examined to ensure that they were sent via courier
41. Specimen are placed in the locked specimen pick-up boxes at times when Blood Draw Stations are closed and couriers cannot enter the facilities for pick-up
42. Responsible for assuring specimen integrity from the point of obtaining the specimen at the Blood Draw Station through courier pick up
43. Courier pick-up times are recognized and the specimen are prepared in advance of the courier?s arrival ensuring swift transport to the destination performing laboratory
44. If couriers fail to arrive at the predetermined time, phlebotomists follow-up with courier to guarantee specimen are picked up immediately. Issues with couriers are communicated to Phleb III
45. Responsible for the inventory and supplies necessary for specimen collection and overall operation of the Lab Blood Draw Station. In collaboration with coordinator and Outreach Senior Manager, provides support in department for regulatory inspections and QA
46. Independently assess the Blood Draw Station for regulatory compliance and submits Sentact audits weekly
47. Ensures that the Blood Draw Station is compliant and ready for regulatory inspections at all times and notifies coordinators if inspectors arrives on-site
48. Participates in unannounced regulatory inspection by CAP, CT DPH JCAHO or any other regulatory agency. Answers regulatory questions accurately and to the best of their knowledge
49. Reviews lab orders, history and physicals, cardiology tests, etc. and alerts clinical staff of any inconsistencies
50. Maintains weekly supply inventory and records the supplies used. Orders enough supplies for a week without excess leading to expired supplies or shortage resulting in an emergency delivery of supplies
51. Assess supplies weekly and discards expired or outdated inventory including collection materials, PPE, and disinfecting materials. Removes recalled materials and inspects collection devices for integrity before using on patients
52. Utilizes all applicable computer systems such as but not limited to Epic, to accomplish tasks and appropriate specimen collections. Manages changes in process in order to service our patients and clinicians and always maintains high productivity standards
53. Maintains a strong working knowledge of the Epic system with the ability to order and collect complex and time sensitive lab tests
54. Ability to multitask and toggle between systems and resources as necessary to determine status of ABNs, pre-authorizations, collect specimen, process specimen and answer/resolve problems for patients, providers and insurers
55. Identifies discrepancies within the systems and reconciles if appropriate and/ or reports to the defined IT resources or escalates appropriately
56. Ability to operationalize downtime procedures as required
57. Provides service excellence as outlined in the Health System Standards of Professional Behavior
58. Ensures smooth functioning of all processes in order to guarantee a positive patient experience by acknowledging and receiving patients and visitors to the department following the YNHHS Standards of Professional Behavior
59. Is prompt, courteous and accurate in advising clinical staff of the patient?s arrival working closely to ensure timely patient throughput. Notifies team of experienced delays and keeps patients informed when delays occur
60. Answers telephone by responding no later by the third ring, demonstrating appropriate telephone etiquette guidelines
61. Recognizes when Service Excellence has been compromised and appropriately initiates the Service Recovery Process
62. Follows Department Uniform Policy and Dress code Guidelines related to professional, business attire at all times
63. Utilizes effective communication skills when coordinating work efforts, training, and proposing work flow adjustments and processes
64. Performs other duties as assigned by management as needed

Qualifications

EDUCATION

High school diploma or GED required. Completion of an approved Phlebotomy certification course or equivalent experience with on the job training

EXPERIENCE

A minimum of six (6) months of current phlebotomy experience OR successful completion of an accredited phlebotomy program and internship. Two (2) to three (3) years' work experience in a customer service environment preferably in hospital /physician office with patient interaction

LICENSURE

Phlebotomy Certification or equivalent

SPECIAL SKILLS

Self-directed, well organized and exhibiting team oriented skills with the ability and desire to educate and convey instructions to patients and their families. Must be able to multitask and reprioritize in response to fluctuations in volume. Strong interpersonal skills and ability to build rapport with a wide variety of individuals including clinical staff in order to meet the patient's needs. Basic understanding of phlebotomy and medical terminology. Excellent investigative, critical thinking and problem solving skills. Intermediate computer skills and the ability to adapt to various programs/systems. Demonstrated proficiency in understanding phlebotomy and patient registration that affect workflow. Must be able to provide training or in-service to other staff, students and other areas within the department and Hospital. Consistently demonstrates effective written and oral communication skills in coordination with the Standards of Professional Behavior with the ability to communicate complex requirements across clinical and financial disciplines

YNHHS Requisition ID

186827

About the Company

Yale New Haven Health

Integrated hospital system with academic affiliations

Yale New Haven Health is a health system that operates five hospitals (Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial, Westerly) and provides access to a wide network of primary care physicians and specialists through Northeast Medical Group and Yale Medicine. Through its affiliation with Yale University and Yale School of Medicine, it connects patients to the latest medical treatments and research. Its facilities and outpatient locations enable coordinated care across a single organization that aims to be more patient-focused, more accessible, and more cost-effective. The system delivers care by combining hospital services, primary and specialty care, and advanced clinical relationships to integrate treatment with ongoing research and clinical trials, offering patients access to innovative therapies and personalized treatment options.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: Not listed
Headquarters: New Haven, CT
Founded: 1996

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