Medical Assistant

apartment Exer Urgent Care location_onCosta Mesa, CA 92627, US

Apply Now

$22 - $23 / HOUR

Apply Now

Job Title: Medical Assistant

Reports To: Center Manager

Summary:

The Medical Assistant will be responsible for assisting in examination and treatment of patients under direction of the Physician.

Exer Core Responsibilities:

Has a positive work ethic and inspires others; genuine, caring, and friendly behaviors
Demonstrates effective verbal and written communication that is clear, well-organized, and understanding of audience needs
Through a genuinely positive style of communication, makes each patient feel informed, understood, and special.
Is an effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
Is able to keep up with the workflow of the Exer environment; faces tasks and challenges with energy and passion
Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals
Adherence to standards of business conduct and compliance

Major Responsibilities:

Interviews patients and measures vital signs, including pulse rate, temperature, blood pressure, weight, and height; records information on patients' charts
Prepares treatment rooms for patient examinations
Drapes patient with coverings and positions instruments and equipment
Hands instruments and materials to doctor, as directed
Cleans and sterilizes instruments
Inventories and orders medical supplies and materials
Gives injections or treatments and performs routine laboratory tests
Inputs data into computer to maintain office and patient records
Assists doctor with charting
Conducts hart auditing, CPT, and ICD-9 reviews
Performs venipunctures, EKG's, vital signs, blood draws, and injections
Preps patient for examination and treatment, and assists during minor office procedures
Prepares exam and treatment rooms (instrument preparation and sterilization, prescription refills, faxing, and filing)

Requirements:

Must hold a Medical Assistant Diploma
Must have experience performing EKGs, blood draws, vital signs, and IM injections
Ability to work well under pressure and in a fast-paced work environment
Must have a neat and professional appearance
Must possess effective written and verbal communication skills

Working Conditions:

Center-Based. Requires working in a clinical setting. The noise level is moderate and there is a potential for exposure to infectious diseases and blood-borne pathogens. The ability to stand and sit for hours at a time, (with some bending and stooping), ability to use manual dexterity in relation to clinical requirements, and ability to lift 50 lbs.
Travel – up to 5%

Exer is an Equal Opportunity employer to all, regardless of age (40 and over), ancestry, association with a member of a protected class, bereavement leave, cannabis use, color, disability (physical, intellectual/developmental, or mental health/psychiatric.), Family Care and Medical Leave (CFRA) related to serious health condition of employee or family member, child bonding, or military exigencies, gender identity or expression, genetic information or characteristic, marital status, medical condition (cancer or genetic characteristic), military and veteran status, national origin (includes language restrictions), participation in an EEO protected activity, pregnancy, childbirth, breastfeeding, or related medical conditions, Pregnancy Disability Leave (PDL), race (includes hairstyle and hair texture), religious creed (includes dress and grooming practices), reproductive health decision making, reproductive loss leave, sex/gender, and sexual orientation.

Share this job

Related Jobs

CMA

Full-time

Medical Assistant I - Carson, CA

apartment Planned Parenthood of Los Angeles location_onCarson, CA

Planned Parenthood Los Angeles is seeking an experienced and caring Medical Assistant with excellent clinical and customer service skills to work full-time at our Carson Health Center . An intermediate level position responsible for all supporting functions in the delivery of reproductive health care services. Performs all Medical Assistant front and back office functions. Assist patients by providing testing, screening, and education required for the provision of medical reproductive health care and to provide non-judgmental, empathetic education and communication on options for patients, as required. Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission. \n Our Ideal Candidate will have the following qualifications: High school diploma or GED required Medical Assistant Diploma/Certificate required American Heart Association Basic Life Support (BLS) Certification required or willingness to obtain within 30 days of hire At least one (1) to two (2) years experience in a clinical setting Availability to work flexible hours including Saturdays Venipuncture and Injection training (to be completed within one (1) year of employment) Reproductive health care experience desirable Knowledge of surgical services preferred Keep current on relevant anatomy and physiology, methods of contraception, STIs, pregnancy, adoption, early prenatal care, education techniques, community resources, agency protocols, referral procedures, all Planned Parenthood programs initiatives and communications General Back Office Duties: Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPLA locations and by all PPLA employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees and contractors. Obtain medical history, interview and educate clients ensuring informed consent Assist with the Patient Portal Enrollment process Obtain vital signs (blood pressure, height, weight, etc.) Accompany clients during procedures, as necessary Assist nurses and clinicians Pregnancy testing and options counseling Provide abortion education per agency protocols, make appointments and complete pre-screening form Complete daily quality control log Clean and stock exam and interview rooms Comply with infection control, safety, and emergency guidelines Sharp handling Ability to clean Autoclave and monitor Attest system Dipstick urinalysis Phlebotomy/Injection Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Generous salary and benefits package includes: Medical, dental, and vision coverage options for you and eligible dependents Free basic life/AD&D policy with additional voluntary coverage options Short Term Disability, Critical Illness and Accident policies 403(b) Retirement plan with up to 3% employer match Medical and Dependent Flexible Spending Account plans Public Transportation and Commuter Pre-Tax Reimbursements Generous vacation, sick, and holiday benefits Hiring Range: $25.00 per hour (Non-Exempt) \n Compensation Philosophy and Position Hiring Range: At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.

CMA

Full-time

Float Medical Assistant I - Compton, CA

apartment Planned Parenthood of Los Angeles location_onCompton, CA

Planned Parenthood Los Angeles is seeking an experienced and caring Medical Assistant (Float) with excellent clinical and customer service skills to work full-time at our Compton Healt h Center --and will also travel to Dorothy Hecht , and Inglewood locations as needed. This is an intermediate level position responsible for all supporting functions in the delivery of reproductive health care service and performs all Medical Assistant front and back office functions. Assist patients by providing testing, screening, and education required for the provision of medical reproductive health care and to provide non-judgmental, empathetic education and communication on options for patients, as required. Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission. \n Our Ideal Candidate will have the following qualifications: High school diploma or GED required Medical Assistant Diploma/Certificate required American Heart Association Basic Life Support (BLS) Certification required or willingness to obtain within 30 days of hire At least one (1) to two (2) years experience in a clinical setting Availability to work flexible hours including Saturdays Venipuncture and Injection training (to be completed within one (1) year of employment) Reproductive health care experience desirable Knowledge of surgical services preferred Keep current on relevant anatomy and physiology, methods of contraception, STIs, pregnancy, adoption, early prenatal care, education techniques, community resources, agency protocols, referral procedures, all Planned Parenthood programs initiatives and communications General Back Office Duties: Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPLA locations and by all PPLA employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees and contractors. Obtain medical history, interview and educate clients ensuring informed consent Assist with the Patient Portal Enrollment process Obtain vital signs (blood pressure, height, weight, etc.) Accompany clients during procedures, as necessary Assist nurses and clinicians Pregnancy testing and options counseling Provide abortion education per agency protocols, make appointments and complete pre-screening form Complete daily quality control log Clean and stock exam and interview rooms Comply with infection control, safety, and emergency guidelines Sharp handling Ability to clean Autoclave and monitor Attest system Dipstick urinalysis Phlebotomy/Injection Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Generous salary and benefits package includes: Medical, dental, and vision coverage options for you and eligible dependents Free basic life/AD&D policy with additional voluntary coverage options Short Term Disability, Critical Illness and Accident policies 403(b) Retirement plan with up to 3% employer match Medical and Dependent Flexible Spending Account plans Public Transportation and Commuter Pre-Tax Reimbursements Generous vacation, sick, and holiday benefits Hiring Range: $25.00 per hour (Non-Exempt) + $ 3.00 Float Differential \n Compensation Philosophy and Position Hiring Range: At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.

Medical Assistant - Specialty Behavioral Health Clinic - Diamond Bar

apartment SerenityAG location_onDiamond Bar, CA

About Us: Located in the beautiful Diamond Bar, CA, Serenity AG partners with an innovative mental health practice meticulously designed down to every detail to deliver the most amazing patient experience possible. The clinic specializes in treating treatment resistant depression. Everything we do is driven by our desire to offer the best in care and experience for our patients. Our top-tier providers are the best in their field, our facility is designed for unparalleled comfort in every aspect, our Patient Advocate team is simply unmatched anywhere. Every patient has a personal Patient Advocate that will assist in every detail from scheduling, transportation, in-clinic amenities, and handle 100% of all paperwork related to insurance. Our patients have the luxury of focusing on their healing while we do the utmost to handle every other detail for them. Job Description: We are seeking a dynamic and experienced Medical Assistant to help deliver on our vision of redefining what it means to be a patient-centered practice. We are looking for a candidate who has experience working in a medical office and interacting with patients. We want a candidate who presents professionally and has excellent communication. This role requires a candidate who has computer skills, and a tremendous attention to detail. The ideal candidate would be an energetic individual who is dedicated, friendly, organized, reliable, a good multitasker, and customer-service oriented. This role will include a wide range of in-clinic administrative duties, patient interactions, and medical staff support. This candidate should have familiarity and comfortability working one-on-one with a physician. Responsibilities: Assist with in-person medical treatments. Seamlessly work alongside the clinical team to provide personalized care and ensure each patient feels like the only patient we serve. Utilize necessary clinical skills to check vitals, testing, and assist in medical procedures. Rooming patients which will include pushing any patient in a wheelchair when applicable and necessary. Prepare the patient rooms between patients. Maintain tidy and organized office space and patient rooms. Assist in managing day-to-day operations of the clinic to ensure exceptional experiences for our patients and provider staff. Provide seamless arrival/departure experience for all patients starting from profile check, pre-arrival communications, treatment room inspection, meet and greet, in-room check in, personalized amenity requests, and individualized safety requirements. Responsible for creating an atmosphere that allows both the patients and the managing physician to have the best experience possible. May assist with opening and secure closing of the clinic, patient communications, scheduling, coordinating patient care and intakes, collecting payments/copays, inventory management, and related duties. Responsible for prospectively identifying gaps in patient service or office flow and suggesting improvements. Assist the authorization team in verifying insurance eligibility and benefits Assist with management of the inventory of clinical supplies. Handle any administrative errands which may include but is not limited to going to the post office, picking up office supplies, and processing mail deliveries. Handle any scanning and filing of paperwork. Exceptional emotional intelligence with high degree of empathy Excellent personal presentation and interpersonal skills Enjoys solving problems and presenting solutions to the leadership team Possesses a startup mentality and the ability to function in a fast-pace environment Flexibility to changes in circumstances. Be a proactive self-starter Maintains effective work ethic in a highly collaborative work environment Customer service oriented with the ability to adapt/respond to different individuals Exceptional organizational skills, attention to detail, and ability to multitask Able to sit, stand, and walk up to 8 hours with ability to lift and carry up to 20lbs Proficiency in working in our technology suite: Google Workspace, Chromebooks, MacBooks, mobile apps, etc. Efficient Communication skills as this role will involve time on the telephone, both receiving inbound calls and making outbound calls, as well as in person communication with the physician. College degree in healthcare administration or business administration would be considered a plus. Part-time or Full-time Paid holidays, vacation, and sick time Medical, Dental, Vision Insurance 401K Retirement savings plan with 6% match Employee Assistance Program Short Term Disability and Long Term Disability insurance Life Insurance Growth & Development opportunities

CMA

Other

Bilingual Medical Assistant - Compton-Rancho Dominguez

apartment Concentra location_onCRYSTAL CITY, CA

Overview Concentra is the nation’s largest provider of workplace health services and we proudly own and operate 500+ outpatient clinics across the United States. Medical Assistant Location Compton-Rancho Dominguez Schedule: Mon - Fri Per Diem When you start your career with Concentra as a Medical Assistant, you will develop alongside a dedicated team, making a positive impact on our patient experience, their quality of care, and happiness. Our practice is responsible for treating one out of every five injuries sustained in the workplace. Our mission is to keep America’s workforce healthy, one patient at a time. The experience you will gain as a Medical Assistant is limitless, as are the career advantages with Concentra. In addition to a 401(k) employer match, we offer career advantages that are second to none: We offer a committed team that’s growing fast and making a difference We give you the opportunity to work with leading edge technologies that will continuously advance your knowledge and skills We provide mentorship and support through dedicated teams to help you succeed Responsibilities Our Medical Assistants greet our patients, obtain their medical histories and verify patient information Prepares patients for physical examinations, including taking vital signs and performing all required testing Provide assistance during examinations and treatment Perform ancillary testing and tasks as directed by the Center Medical Director (including but not limited to PFT, EKG, injections, audiograms, blood draws, etc.) and as certified Performs DOT and Non-DOT drug and alcohol testing In addition to working as a Medical Assistant, you will be cross trained to perform Front Office duties including greeting patients, obtaining authorization, check in/out, communication of wait times, etc. Qualifications High school graduate or equivalent Graduate of an accredited Medical Assistant program, training as a medical assistant, or military medical specialist with current credentials in the state of employment Ability to work effectively in a dynamic, clinical office environment Certified Medical Assistant (CMA, RMA) preferred but not required Prefer applicants who are conversationally fluent, can read and write in both English and Spanish This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Additional Data We are an organization that supports your growth and well-being as much as it's patients. You can develop in an organization as dynamic as you are. If you want to grow in the healthcare field consider Concentra. Apply today to start the next chapter in occupational healthcare greatness. Excellent salary to compliment your work/life balance. Are you ready to make Concentra your final career destination? We look forward to working with you very soon. This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. This position is eligible to earn a base compensation rate in the state range of $21.00 to $26.92 hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the Los Angeles Fair Chance Ordinance. Concentra is an Equal Opportunity Employer, including disability/veterans

CMA

Full-time

Medical Assistant II, Front and Back - PCP (Bilingual Chinese or Spanish)

apartment Astrana Health location_onWhittier, CA

$23 - $26 / HOUR

Medical Assistant II, Front and Back - PCP (Bilingual Chinese or Spanish) Department: Clinic Ops Employment Type: Full Time Location: 11236 Whittier Blvd., Whittier, CA 90606 Reporting To: Lina Iniguez Compensation: $23.00 - $26.00 / hour Description We are currently seeking a highly motivated bilingual Medical Assistant to assist our medical providers at our primary care clinic. This role will report to our Medical Office Manager/Site Administrator and enable us to continue to scale in the healthcare industry. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Assists physicians, nurses, and other medical staff by performing administrative and clinical duties under the direction of a physician Administrative duties may include scheduling appointments, maintaining medical records Clinical duties may include, such as preparing a treatment room for patient exams, recording patient medical history, and cleaning and sterilizing medical equipment Escort patients to exam rooms, interview patients, measure vital signs, including weight, blood pressure, pulse, temperature, and document all information in the patient's chart Interviews patients to obtain their medical history Records patient medical history, vital statistics, and test results in patient medical files Must be detail oriented and possess strong organizational skills in a fast-pace environment Good verbal and written communication skills Be able to prioritize workload while remaining flexible May be required to work overtime to meet tight deadlines Qualifications Must be bilingual in Chinese (Cantonese/Mandarin) OR Spanish One (1) or more years of experience working as a Medical Assistant Active and unrestricted Certified Medical Assistant (CMA) in California preferred High school diploma or GED You're great for this role if: Ability to maintain confidentiality following HIPAA Demonstration of mature judgment Attention to detail, organized, ethical, and reliable Ability to communicate clearly and effectively in a courteous and friendly manner Environmental Job Requirements and Working Conditions The total pay range for this role is $23 - $26 per hour. This salary range represents our national target range for this role. This role follows a onsite work structure where the expectation is to work onsite 5 days a week. The home office is located at 11236 Whittier Blvd., Whittier, CA 90606. Work hours: Monday through Friday 8:30am-5:30pm, lunch hour at 12:30pm. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.