Unit Clerk

Unit Clerk

Unit Clerk should have strong experience supporting nursing units through accurate patient chart management, admission/discharge paperwork, appointment scheduling, call-light communication responsiveness, supply coordination, and professional interaction with residents, families, clinical staff, and outside providers. Unit clerk needs to be skilled in maintaining confidentiality, using electronic medical recording systems, prioritizing multiple tasks in a fast-paced healthcare setting. Act as a serving backbone of the unit with accuracy, urgency, and calm professionalism.

A CNA license is a plus.

Administrative Functions

• Is the custodian of medical records to include coding
• Auditing of discharged records and insuring completion of same
• Prepare and set up for all new admissions and update information as needed
• Deletes forms when indicated and maintains all residual files. Follows chart audit/deletion policy
• Responsible for quality assurance of closed and open medical records
• Logs all admissions, discharges, and transfers of residents
• Reviews all monthly vital signs for completeness and documents in chart
• Collect charts, assemble them in proper order, and inspect them for completion
• Retrieve medical records when requested by procedure
• Monthly - monitors all Treatment Administration Records, Psychotropic Medication Records, and Medication Administration Records for completeness and then files them in residents medical record. Determines what signatures are missing and contact appropriate staff member to complete
• Check for correct name and room number on all sheets and put heading on as necessary
• Place appropriate sticker on charts, i.e. DNR, Allergies, Advance directives etc
• Arrange storage of supply in a neat and orderly fashion on unit
• Keeps stock forms well supplies in drawers in alphabetical order
• Keep CNA book up to date
• Pick up mail from mailbox for both units
• Order office supplies and maintain par level
• Answer phone on unit and identify self. Takes messages accurately and transcribes legibly
• Street clothes are neat and clean at all times, not be confused with Nurses Aides
• Covering for the nursing secretary at the front desk her lunch break
• Covering for central supply/staffing coordinator during her absent
• Be available to the unit managers when necessary
• Other duties as assigned by the Director of Medical Records

Experience

• Must have at least 3 month(s) experience in a clerical position, or successfully completed a secretarial science program from an accredited school/college
• Some knowledge of medical records and terminology
• High school graduate, prior work experience with documented competence in completing variable job requirements

We Are Proud To Offer:

• Competitive rates
• Healthcare benefits (medical, dental and vision)
• Paid time off