Unit Clerk

Responsibilities

• Support nursing units through accurate patient chart management, admission/discharge paperwork, appointment scheduling, call-light communication responsiveness, supply coordination, and professional interaction with residents, families, clinical staff, and outside providers.
• Maintain confidentiality and use electronic medical recording systems.
• Prioritize multiple tasks in a fast-paced healthcare setting.
• Act as a serving backbone of the unit with accuracy, urgency, and calm professionalism.
• Custodian of medical records, including coding, auditing of discharged records, and ensuring completion of same.
• Prepare and set up for all new admissions and update information as needed.
• Delete forms when indicated and maintain all residual files.
• Follows chart audit/deletion policy and responsible for quality assurance of closed and open medical records.
• Logs all admissions, discharges, and transfers of residents.
• Reviews all monthly vital signs for completeness and documents in chart.
• Monitors all Treatment Administration Records, Psychotropic Medication Records, and Medication Administration Records for completeness and files them in resident’s medical record.
• Determines what signatures are missing and contacts appropriate staff member to complete.
• Checks for correct name and room number on all sheets and puts heading on as necessary.
• Places appropriate stickers on charts, such as DNR, Allergies, Advance directives, etc.
• Arranges storage of supplies in a neat and orderly fashion on the unit.
• Keeps stock forms well supplied in drawers in alphabetical order.
• Updates CNA book.
• Picks up mail from mailbox for both units.
• Orders office supplies and maintains par level.
• Answers phone on unit and identifies self.
• Takes messages accurately and transcribes legibly.
• Ensures street clothes are neat and clean at all times, not confused with a Nurse's Aide's.
• Available to cover for the nursing secretary at the front desk during her lunch break.
• Available to cover for the central supply/staffing coordinator during her absence.
• Available to assist the unit managers when necessary.
• Performs other duties as assigned by the Director of Medical Records.

Requirements

• At least 3 months experience in a clerical position, or successfully completed a secretarial science program from an accredited school/college.
• Some knowledge of medical records and terminology.
• A high school diploma, with prior work experience demonstrating competence in completing variable job requirements.

Benefits

• Competitive Rates
• Healthcare benefits (medical, dental, and vision)
• Paid time off