Medical Records Nurse (RN)

## Description **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 #INDNURSE