UNIT CLERK

Unit Clerk

The essential functions of the job for the Unit Clerk requires, and may be amended from time to time at the sole discretion of Windsor Health Care, LLC to include, but are not limited to the following:

· Comply with standards of business conduct in accordance with federal, state and local health and regulatory standards and guidelines, as applicable.

· Must possess, at a minimum, a high school diploma or a GED or at least one (1) year of experience in the healthcare field and/or related industry.

· Must be able to work well with peers in a congenial work environment, and above all, maintain the utmost compassion and dignity to the residents and adhere to the Resident Bill of Rights.

· Must be able to work beyond normal working hours; on weekends, as well as holidays, to the extent necessary. On-call status is a function of the job and employee understands, agrees to, and acknowledges that schedule flexibility is for the betterment of the residents and that the Unit Clerk will make themselves available, as needed, to ensure proper staffing levels.

· In exigent circumstances, the employee may be subject to call back during emergency conditions (e.g., severe weather, evacuation, temporary staffing shortages, etc.).

· Must adhere to Windsor Health Care, LLC's attendance policies and follow the terms and conditions of employment as set forth in the Employee Handbook.

· Must be able to read, write, speak and understand English.

· Must maintain the highest standards in caring and servicing the needs of the residents and residents' family members and loves ones.

· Must adhere to all facility policies and procedures.

Responsibilities/Accountabilities:

· Provides secretarial support to the nursing department/staff as needed, in the areas of medical records, transcription of physician orders and general operation of the unit;

· Experience with medical terminology and transcription is preferred;

· Must demonstrate discretion in handling of confidential information;

· Delivers new admission chart to unit and initiates forms in preparation for admission;

· Faxes physicians’ orders daily;

· Delivers any faxed printouts to the appropriate department;

· Completes daily transfer of the vital signs and weights from the daily assignment sheet to the resident’s chart;

· Schedules appointments with physicians for the residents; relays the information to nursing;

· Prepares discharge charts for medical records;

· Performs chart audit and report any deficiencies to the Unit Director;

· Maintains medical records per policy;

· Schedules professional agency personnel as directed and supervised by the D.O.N.;

· Keeps unit supplied with necessary forms;

· Orders and charges accordingly, any necessary resident care supplies (i.e., tube feedings, isolation supplies);

· Orders miscellaneous unit stock;

· Completes daily staffing sheets, places in staffing book, and copies these sheets for Unit Director;

· Assists in maintaining staffing needs on unit and making calls to fill staffing needs;

· Refers requests for all information on residents or facility to unit director or nurse coordinator;

· Greets and assists visitors entering unit;

· Answers telephones, directs call and takes messages;

· Report any occupational exposures to blood, body fluids, infectious materials, and or hazardous chemicals in accordance with facility policy;

· Report work related injuries and illnesses immediately to your supervisor;

· As a condition of employment, complete all assigned training and skills competency;

· Participate in all life safety and emergency drills and trainings;

· Fulfill responsibilities as assigned during implementation or activation of the facility’s emergency plan;

· Assists with evacuation of residents in an emergency situation;

· Maintain confidentiality of Protected Health Information, including verbal, written and electronic communications; Report non-compliance with policies, procedures, regulations or breaches in confidentiality to appropriate personnel;

· Protect residents from abuse, and cooperate with all investigations;

· Report any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator;

· Report any retaliation or discrimination to the Human Resource Director and the Compliance Officer;

· Fulfill individual responsibility to report any suspicion of a crime to law enforcement and the state agency;

· Performs other duties as assigned.