Ward Clerk

Ward ClerkThe primary purpose of your job position is to assist the Nurse Supervisor/Charge Nurse in their day-to-day recording and charting of medical or administrative information in accordance with current federal, state, and local standards, guidelines, and regulations that govern medical records, and as may be required by the Director of Nursing Services, to ensure that our medical records are maintained in an informative and descriptive manner.Essential duties include:Record medical and administrative information in accordance with our established charting and documentation policies and proceduresMaintain the Daily Census Report and submit to Nurse Supervisor/Charge NurseMaintain an up-to-date roster of residents for your assigned unitFill out resident charge slips and submit to the Business OfficeAnswer telephone, page calls, deliver messages to residents, etc., as necessaryMaintain a current listing of emergency phone numbers for your assigned unitMaintain and forward daily tardy and absentee reports to the Business OfficeRecord appropriate resident identification data on designated medical records, wristbands, ID cards, etc., as requiredTranscribe physicians' orders to care plans, medication cards, treatment plans, etc., as requiredReport to the Nurse Supervisor/Charge Nurse discrepancies found in transcribing physicians' orders, diet orders/changes, charting, etc.Review medication cards for completeness of information, accuracy in the transcription of the physician's order, legibility, etc., as directedChart nurses' notes in an informative and descriptive manner that reflects the care provided as well as the resident's response to the careForward new diet orders and/or diet changes to the Director of Food ServicesNotify the resident's next-of-kin when there is a change in the resident's condition as instructedAdmit, transfer, and discharge residents. Assist in arranging for transportation, packing residents' belongings, escorting them to discharge/transfer area, loading, etc., as necessaryComplete necessary medical and administrative records upon the resident's admission, transfer, and/or dischargeForward completed charts of discharged residents to the Medical Records/Health Information DepartmentAttend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assurance & Assessment, etc.) as requiredAssist the Nurse Supervisor/Charge Nurse in developing work assignments, schedules, etc., as requiredDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facilityInform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.Greet newly admitted residents upon admission. Escort to room as necessaryEncourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulationsInform family members of the death of a resident as instructedCall funeral homes when requested by the familyAttend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.)Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluidsParticipate in the implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases, including TB, among the residents and personnelInform the Nurse Supervisor/Charge Nurse of your equipment and supply needsEnsure that all personnel involved in providing care to the resident are aware of the resident's care plan and that nursing personnel refer to the resident's care plan prior to administering daily care to the residentReport suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.Treat all residents fairly, and with kindness, dignity, and respectAssist in recording all incidents/accidents. File in accordance with established policies and proceduresAgree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the AdministratorOther duties as assigned by the supervisor/DON/AdministratorThis position has no supervisor responsibilitiesQualification: Must possess, as a minimum, a high school diploma or GED. Must have exceptional communication and customer service skills.Pay Range: $23.00-$25.00