Neighborhood (Nursing Unit) Clerk
The Neighborhood Clerk is responsible to the Director of Health Information Management and functional supervision by the nurse in charge of the Neighborhood. The Neighborhood Clerk must work closely with staff assigned to the nursing neighborhood and the Nursing Service Secretary. Has contact with physicians, other members of the Multidisciplinary Team, residents and residents’ families or support persons.
- Develops and maintains a good working rapport with intra-department personnel, as well as other departments within the facility to assure that the department services and activities can be properly maintained to meet the needs of the residents.
- Actively participates in Neighborhood Clerk meetings. Prepares minutes and projects as assigned. Makes policy and procedure recommendations. Reviews/edits/and comments on policies and other documents as assigned. Participates in Quality Improvement projects.
- Reviews medical records for concurrent review report monthly.
- Ensures that residents' rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage a complaint, are followed by all department personnel.
- Maintains CONFIDENTIALITY of all pertinent resident care information to assure resident’s rights are protected.
- Answers telephone with proper telephone etiquette and relay messages.
- Completes in an accurate and timely manner required recordkeeping forms/charts upon the resident's admission, discharge, transfer, etc. Files resident's chart and/or forwards to appropriate department.
- Creates templates and forms needed by neighborhood nurses to track resident or other neighborhood specific issues. Initiates forms review process if forms are needed for permanent record retention in the chart.
- Transcribes/inputs physician admitting orders on Electronic Medical Record; completes all forms necessary as needed for admission.
- Maintains and monitors resident's current medical records for completeness of information. Assures that appropriate staff signature and documentation is made in accordance with established policy and procedures. Reports all discrepancies to the Charge Nurse.
- Scans all paper documents for residents and attaches them appropriately in the Electronic Medical Record.
- Monitors doctor’s visits and follow up with doctor's office to completion of required documentation. Completes doctor visit spreadsheet on a timely basis.
- Assures nurses station is neat and well organized with all necessary documents and supplies readily accessible to staff. Adheres to all applicable standardized procedures. Orders nursing supplies and places them in proper storage area as needed.
- Schedules and arranges transportation for off-site resident appointments. Documents arrangements as needed.
- Forwards completed charts of discharged residents to medical records department within (7) seven days.
- Notifies the nurse in charge of the presence of a physician. Assists physicians in completing forms necessary for resident’s medical records.
- Assists in admitting transferring and discharging residents. Ensures that all resident related signs are removed upon transfer or discharge.
- Files and keeps manuals updated.
- Maintains a current and up-to-date listing of necessary phone numbers at each nursing station. Post memos and announcements on a timely basis. Keeps bulletin boards and nursing minutes updated.
- Gathers data for quality reviews as directed.
- Delivers mail to residents at bedside as requested. Assists residents with requests that do not involve personal care.
- Assists in orientation of newly assigned personnel as directed.
- Reports all hazardous conditions and equipment to the Charge Nurse or Maintenance Department immediately, generate service requests on a timely basis.
- Directs visitors to resident rooms, office areas, etc., as necessary.
- Initiates schedule for beauty shop and monthly lab list as assigned.
- Relieves other clerical positions as needed and performs other duties as assigned.
Full-time. Monday to Friday (8 hours/day)
- Associate’s Degree in Office Administration or related area preferred.
- One year general office experience required. Previous healthcare experience preferred.
- Knowledge of Business English; spelling, filing, arithmetic, office practices and procedures, and business etiquette.
- Knowledge of Word and Excel.
- Must have completed Medical Terminology at the community college level or work-based program with certificate of completion.
- Knowledge of medical and nursing practices helpful.
- Ability to write legibly.
- Demonstrate ability to apply medical terminology to work tasks.
- Ability to type by touch at 40 wpm.
- Ability to prepare simple narrative and numerical reports.
Union Start Wages: $15.63/hr. then $16.45/hr. after three months of continuous service.