Admissions & Medical Records Nurse (LPN, RN)

Trilogy Health Services, LLC • Bedford, IN

1d • Onsite

About The Position

The Admissions/Medical Records Nurse (LPN or RN) oversees admissions intake and medical records functions for the Nursing Department(s). The role assesses new residents, reviews baseline care plans with the nursing leadership team, and ensures resident records are complete and accurate. The nurse provides patient care as needed and participates in the campus on-call rotation based on the campus schedule.

Requirements

• Maintain a current, valid state LPN or RN license.
• Current, valid CPR certification.

Responsibilities

• Review Braden Scale results and implement preventative measures for high-risk residents before wound development.
• Review high-risk residents upon admission using a fall risk assessment; ensure orders for preventative interventions are in place, interventions are entered into the care plan, and CNA sheets/profiles are updated.
• Complete nursing admission assessments and baseline care planning for new admissions.
• Complete the MDS Section GG Functional Assessment within the required timeframe.
• Make written and oral reports and recommendations to the Assistant and Director of Nursing as necessary or required concerning nursing service department operations.
• Verify census events in the Electronic Health Record.
• Complete resident documentation in MatrixCare to ensure medical records are complete and accurate.
• Provide patient care as needed.
• Participate in the campus on-call rotation based on the campus schedule.

Benefits

• Medical, dental, and vision coverage, including free virtual doctor visits, with coverage starting in the first 30 days.
• Weekly pay and quarterly wage increases.
• HSA with company match, Dependent Care account, LSA, and 401(k) with company match.
• Paid time off and fully paid parental leave for new parents.
• No-cost LGBTQIA+ support and gender-affirming care coordination.
• Financial assistance for education, certifications, and student loan repayment.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed