Schedule: Regular Full-time
Hours: 730 am to 4pm
Summary of Major Functions
Provides nursing/clerical assistance for the day-to-day operation of the unit. Serves as a key point of contact for the unit, locating physicians, nursing staff, non-clinical staff or other personnel to obtain information or to advise such person of a medical situation
May float to clinical area as needed to work an assignment and/or administer medications/perform treatments within the scope of the unit coordinator role.
Exhibits professional, customer focused, service oriented demeanor at all times, displaying and promoting respect, care and dignity for all internal and external customers. Facilitates a team-oriented attitude, striving continuously for service excellence to internal and external customers.
Essential Functions and Work Role Responsibilities
1. Schedules appointments for Physician office visits, X-rays, Labs, other procedures per physician's orders.
2. Establishes and implements effective clerical procedures for the unit related to patient/resident admissions, transfers, discharges (i.e. preparing charts, culling of medical records, discharge preparation and disposition of record).
3. Completes various clerical functions for the unit, printing Medication & Treatment MARs, Flow records, physician order sheets, etc.
4. Transcribes and processes physician orders to appropriate areas of medical record including computer.
5. Performs data entry functions as assigned by the nurse managers of the unit.
6. Communicates with physician's office staff, ancillary departments, residents, patients, family members, staff and visitors in a courteous and effective manner.
7. Answers, screens, and directs phone calls using correct customer-focused telephone techniques.
8. Updates all areas of each residents medical record daily to assure compliance with all regulatory time frames for obtaining documents (reports, labs, etc.), signing of documents by professionals (physicians, nurses, therapists), f/u documentation by nursing staff on incidents, etc., flagging areas of non-compliance.
9.Will participate as an active member of the Safety committee and will attend one Safety meeting per month and as needed.
10. Will be the Safety Representative for the unit and conduct monthly safety audits.
11. Move to an assignment and or medication pass/treatment nurse when needed for call-outs or otherwise directed by unit manager.
12. Will provide support during shift change by reviewing staffing and preparing shift assignments to be approved by the on-coming charge nurse.
13. Maintain a safe environment which includes knowing and understanding hospital and departmental policies and procedures.
14. Report and directly address identified environmental hazards when appropriate.
15. Report and directly address violations of patient safety policy and/or protocol when involved or observed.
16. Other duties as requested by Director, LPN/RN or nurse manager.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They do not necessarily include all responsibilities and duties usually associated with the job title. Some responsibilities may vary by unit.
Qualifications and Competencies
Prior health care experience in a medical records capacity or demonstrated knowledge of medical records and unit functions. Demonstrated telephone etiquette. Ability to work well with others and to function independently with minimal supervision. Demonstrated ability to prioritize and handle multiple tasks simultaneously. Demonstrated competency with computers. Must maintain registry status by performing competencies of CNA-M certificate or maintain L.P.N/R.N. licensure and competencies.
Clerical experience in the medical field helpful combined with at least 1 year of medication administration experience
Other Special Skills Required
Lifting – Only occasional or infrequent lifting required, up to 50 pounds
Carrying – Not a routine part of the job other than medical records
Vision – Sight requirements associated with position not beyond normal vision
· Maintain a safe environment which includes knowing and understanding facility and departmental policies and procedures.
· Report and directly address identified environmental hazards when appropriate.
· Report and directly address violations of resident safety policy and/or protocol when involved or observed.
· Other duties as requested by Director.
Miscellaneous Physical Tasks
Frequent sedentary work, standing, walking, computer/VDT usage
Occasional lifting/moving supplies or equipment, reaching, stooping, bending, kneeling, crouching, manual dexterity and mobility
Environmental – Fluctuations in temperatures and humidity, possible exposure to electrical, mechanical, power equipment hazards.
Noise – people and equipment, use hands for grasping/manipulations
Required Safety Equipment – none
Equal Opportunity Employment