Admissions & Medical Records Nurse (LPN, RN)
Position Overview
The Admissions/Medical Records Nurse (LPN, RN) is responsible for overseeing the admissions intake and medical records functions of the Nursing Department(s) by assessing new residents and reviewing the baseline care plans with the nursing leadership team.
Key Responsibilities
- Review Braden Scale results implementing preventative measures for high-risk residents prior to wound development.
- Review high-risk residents upon admission using fall risk assessment ensuring orders for preventative interventions are in place, care plan for interventions entered, and CNA sheets/profiles are updated.
- Complete nursing admission assessment and baseline care planning for new admissions.
- Complete MDS section GG Functional assessment during the required timeframe.
- Make written and oral reports/recommendations to the Assistant and Director of Nursing as necessary/required, concerning the operation of the nursing service department.
- Verify census events are correct in Electronic Health Record.
- Complete resident documentation in MatrixCare to ensure Medical Records are complete and accurate.
- Provide patient care as needed and participate in campus on-call rotation based on campus schedule.
Qualifications
- Must have and maintain a current, valid state LPN or RN license.
- Current, valid CPR certification required.
Compensation
Compensation will be determined based on the relevant license or certification held, as well as the candidate's years of experience.
Location
US-OH-Englewood Cypress Pointe Health Campus
600 W National Rd
Englewood OH
About Trilogy Health Services
Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We’re proud to be recognized as one of Fortune’s Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor’s Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling.
Notice to Applicants
NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.