Medical Records Clerk (RN/LPN)

Description

Medical Records Nurse

We Own It!. Medicalodges is a 100% employee-owned organization with over 30 skilled nursing and assisted living facilities committed to providing the highest quality of care to our residents. If you have a passion for providing seniors with outstanding care we want to talk with you today!

Job Responsibilities:

• Keep all current medical files up-dated and filed in an organized manner.
• Assemble charts for use upon admission of a new resident. Disassemble resident charts upon dismissal and following up to ensure the record is complete and in proper order.
• Updating Nursing Chart Audit monthly using audit forms as well as computer audit.
• Performing daily spot check of MAR's and following up timely, accurate documentation on accidents/incidents, condition changes, etc.
• Maintaining and organizing the central supply room and the inventory control list for all items received or removed from central supply.
• Monitoring Medicare certifications and recertifications for completion and timeliness of physician's signature.
• Maintaining accurate listing of resident diagnoses and making corrections when necessary
• Antibiotic Stewardship Duties: Implement or oversee the implementation of Core Elements of Antibiotic Stewardship. Proper documention of order. Review clinical approriateness of order. 48 hour follow up.
• Create and present monthly anitbiotic use reports to present during QAPI meetings with the Medical Director and Consultant Pharmacists.
• Other duties as assigned

Job Requirements:

• Current LPN or RN license for the state in which the facility is located.
• Knowledge of basic medical terminology
• Knowledge of healthcare regulations and laws including state and federal regulations.
• Ability to perform basic clerical/office skills and file management skills
• Excellent attention to detail
• Strong written and verbal communication skills

Company Benefits:

• Paid Time Off
• Employee Stock Ownership Program
• Insurance benefits & 401k
• Educational Assistance

#INDNURSE