Ward Clerk

JOB DESCRIPTION Unit-Ward Clerk Department: Nursing FLSA Classification: Non-exempt Reports to: Director of Nursing Overview of the position The Unit-Ward Clerk role involves supporting the Director of Nursing and Unit Managers by monitoring the completion of records as well as nursing station organization. Responsibilities Records Management Functions Admissions Initiate/coordinate admission process. Complete admission checklist. Conduct tours of the facility with prospective admissions. During the Resident stay: Thin in-house records in accordance with the written policy and procedure and files in discharge chart order for the in-house overflow file. Maintain in-house chart appearance and organization. Maintain a monitoring system to assure telephone orders and other information are signed and returned by the physician or other professionals. File all incoming clinical information in the in-house records on a daily basis. Check telephone orders daily for transcription on physician’s orders, medications and treatment records, care plants, etc. Monitor timeliness of physician’s visits on a monthly basis in conjunction with the manager of health information services. Prepare paperwork for transfer or referrals. Photocopy documents. Act as a liaison between Nursing and other departments. Protect the privacy and security of health information and follow confidentiality and release of information procedures. Audits of resident’s records as requested. Follow the safety guidelines and regulations set forth by the facility. Follows emergency action plan. Discharge: Prepare paperwork for discharge Assemble record from the nursing station and the overflow files in established discharge order Performs additional duties and assignments, as requested Qualifications for the position: Minimum Entry Level General office skills including filing, organizing, and tracking Oral and written communication skills Good customer service and telephone skills/etiquette. Tact and warmth when dealing with family and residents Ability to work within a team Empathy for the elderly Ability to work systematically and without continuous supervision