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Medical Records Nurse - RN
Iola, Kansas
- Unit and setting
- Skilled Nursing
- License
- RN or LPN license Current LPN or RN license for the state in which the facility is located.Current LPN or RN license for the state where the facility is located
- Term
- Permanent
Do you qualify?
- License
- Current LPN or RN license for the state where the facility is located Current LPN or RN license for the state in which the facility is located.
- Also asks
- Knowledge of basic medical terminology
- Also asks
- Knowledge of healthcare regulations and laws, including state and federal regulations Knowledge of healthcare regulations and laws including state and federal regulations.
- Also asks
- Basic clerical/office and file management skills Ability to perform basic clerical/office skills and file management skills
- Also asks
- Excellent attention to detail
- Also asks
- Strong written and verbal communication skills
What it pays
Benefits
- BenefitsPaid Time OffPaid Time Off
- BenefitsEmployee Stock Ownership ProgramEmployee Stock Ownership Program
- BenefitsInsurance benefits and 401kInsurance benefits & 401k
- BenefitsEducational AssistanceEducational Assistance
- 401(k)
- Tuition reimbursement
The role and schedule
- Day to day
- Keep current medical files updated and filed Keep all current medical files up-dated and filed in an organized manner.
- Day to day
- Assemble charts on resident admission Assemble charts for use upon admission of a new resident.
- Day to day
- Disassemble charts on dismissal and confirm the record is complete Disassemble resident charts upon dismissal and following up to ensure the record is complete and in proper order.
- Day to day
- Update nursing chart audit monthly Updating Nursing Chart Audit monthly using audit forms as well as computer audit.
- Day to day
- Daily spot check of MARs and follow-up on documentation Performing daily spot check of MAR’s and following up timely, accurate documentation on accidents/incidents, condition changes, etc.
- Day to day
- Maintain central supply room and inventory control list Maintaining and organizing the central supply room and the inventory control list for all items received or removed from central supply.
- Day to day
- Monitor Medicare certifications and recertifications Monitoring Medicare certifications and recertifications for completion and timeliness of physician’s signature.
- Day to day
- Maintain accurate listing of resident diagnoses Maintaining accurate listing of resident diagnoses and making corrections when necessary
- Day to day
- Implement or oversee Core Elements of Antibiotic Stewardship Implement or oversee the implementation of Core Elements of Antibiotic Stewardship.
- Day to day
- Document antibiotic orders properly Proper documention of order.
- Day to day
- Review clinical appropriateness of antibiotic orders Review clinical approriateness of order.
- Day to day
- 48-hour antibiotic follow-up 48 hour follow up.
- Day to day
- Create and present monthly antibiotic use reports at QAPI meetings Create and present monthly anitbiotic use reports to present during QAPI meetings with the Medical Director and Consultant Pharmacists.
Ask Mira
Your fit
Questions to ask
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Original listing
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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