Unit Clerk/Medical Records

Job Description

Job Description

EDEN EAST is a portfolio of skilled nursing on the East Coast. As an industry-leading provider of post-acute care, Eden has been dedicated to changing the way healthcare is delivered. We are passionate about elevating and enhancing our employees as they are the core of the care and love we aim for, cultivating a family-like environment to ensure our residents are treated like family.

Edenbrook Yeadon is seeking a reliable and detail-oriented Central Supply Coordinator to join our dynamic team. In this role, you will be responsible for managing inventory, ordering medical supplies, and ensuring all departments are adequately stocked to support patient care. We're looking for someone who is organized, proactive, and committed to maintaining smooth daily operations within a healthcare setting.

Position: Unit Clerk/Medical Records

Summary:

The Unit Clerk/Medical Records is responsible for performing a variety of clerical duties relating to the updating and organizing of information on the nursing units; coordinating work within the unit as well as with other units and departments; reporting pertinent information to the immediate supervisor; responding to inquiries and requests from staff personnel, guests, and families.

Essential Functions:

1. Records medical and administrative information in accordance with established charting and documentation policies and procedures.
2. Establishes, develops, maintains, and updates the filing system for the unit. Retrieves information from the files when needed.
3. Answers the telephone in a professional manner; directs calls to appropriate individuals and/or takes messages.
4. Transcribes physicians' orders to care plans, medication cards, treatment plans, etc as required.
5. Charts nurses' notes in an informative and descriptive manner that reflects the care provided as well as the resident's response to the care.
6. Forward new diet orders to the Dietary Director.
7. Notifies the Guest's family or designated contact when there is a change in the resident's condition, as instructed.
8. Assist other departments with obtaining needed documentation and signatures from Guests, appointed guardians, and family members.
9. Assists with new admissions, room transfers, and discharges of Guests.
10. Provides coverage for front desk and relieves receptionist for breaks.
11. Types and designs general correspondence, memos, charts, tables, graphs, etc. Proofreads copy for spelling, grammar, and layout, making appropriate changes. Responsible for accuracy and clarity of final copy.
12. Reports all hazardous conditions, damaged equipment, and supply issues to appropriate persons.
13. Assures that established infection control and standard precaution practices are maintained at all times. Follow established safety precautions when performing tasks and using equipment and supplies.
14. Maintains the comfort, privacy, and dignity of Guests and interacts with them in a manner that displays warmth, respect, and promotes a caring environment.
15. Communicates and interacts effectively and tactfully with Guests, visitors, families, peers, and supervisors.
16. Answers and responds to call lights promptly and courteously when working in Guest Care Areas.
17. Attends and participates in departmental meetings and in-services as directed.

Qualifications:

• Must have experience with PointClickCare (PCC)
• Minimum of 1 to 2 years managing medical records in a long-term care or healthcare setting (preferred)
• Familiarity with Electronic Medical Records (EMR) systems required
• High school diploma or GED required; Associate's or Bachelor's degree in Health Information Management or related field preferred
• Working knowledge of HIPAA and state/federal documentation regulations
• Strong attention to detail and organizational skills
• Ability to work independently and maintain confidentiality