Unit Clerk

Overview

Unit Clerk

Location: Elderwood at Burlington, 98 Starr Farm Road, Burlington, Vermont 05408

Responsibilities

• Demonstrates understanding and implementation of regulatory guidelines; audits medical records of individuals and maintains required audit documentation.
• Closes Medical Records following the hospitalization or permanent discharge of the resident.
• Performs other medical record procedures under the direction of the Unit Manager.
• Upholds all rules pertaining to protection, safekeeping and confidentiality of information regarding residents.
• Aids Medical Records with preparation of Admission/Discharge Summary form.
• Typing organizational lists and performing other secretarial functions for the unit.
• Distributes mail to residents and staff of unit.
• Answers call light signals; directs or assists as appropriate.
• Coordinates the preparation of forms and documents needed periodically for Medical Records and Treatment Books, Resident Care Planning meetings, and MDS assessments.
• This includes aide assignment sheets, ROM/Ambulation Records, skin and behavior records.
• Coordinates obtaining of information from all disciplines for Inter-disciplinary Discharge Summary and sends information to appropriate destination in a timely manner.
• Schedules appointments for consults/follow up for residents including Podiatry and Dental Consultant appointments and influenza vaccinations, if applicable.
• Notifies attending physicians of due date for visits, as required.
• Responsible for inventory and requisition supplies needed on the nursing unit, including nursing treatment supplies and printing of forms, as assigned.
• Handles all information about residents in a confidential manner.
• Maintains lab report schedule for admission, routine and annual requirements or special needs of residents.
• Completes appropriate forms and schedules appointments for lab draws.
• Assists with obtaining statistics for nursing monthly report and for annual survey by state health department.
• Photographs residents upon admission and places picture in Medication Book.
• Assists with obtaining of room labels for resident rooms.
• Assists with transporting residents and passing meals as necessary and directed.
• Obtains approvals for transportation and schedule van transportation.
• Attends facility meetings, staff meetings, and required or preferred in-services.

Qualifications

• Minimum of 16 years of age required; HS diploma or equivalent preferred.
• Employment Certificate/Permit required for applicable individuals.
• Office practice skills necessary.
• Knowledge of medical records processing preferred but not required.
• Attention to detail and accuracy in work required.
• Personal qualities of tact and dependability, caring and compassionate attitude toward residents.
• An understanding of need for confidentiality and discretion in processing of information about residents required.
• Basic understanding of medical terminology and accepted abbreviations.