Medical Scribe / EMR Data Entry / Floor Nurse

Healthstar/CPS • Morristown, TN

54d • Onsite

About The Position

This role involves essential functions such as accurately recording patient medical information, including chief complaints, medical history, physical exams, and medications, as directed by a physician. The position requires submitting and monitoring physician orders, troubleshooting any delays, and assisting with patient dispositions, including prescriptions. A strong understanding of Electronic Medical Records (EMR) is necessary, along with performing other assigned nursing duties and attending required meetings.

Requirements

• Working knowledge of medical terminology and accepted abbreviations.
• Recognition of physical exam process and ability to record exam details.
• Must be proficient on the computer and have ability to ACCURATELY record information.
• Knowledge of all aspects of medication names and prescribing.
• Knowledge of policies and procedures related to infection control, environmental safety and patient confidentiality as directed by HIPAA standards.
• Knowledge of medical chart reporting and records.
• Knowledge of clinic/medical practice procedures related to all medical operations.
• Must have good computer skills.
• Must be skilled in customer service and have a pleasant and courteous demeanor while dealing with patients.
• Must have skills in critical thinking, communication, influence and decision making.
• Must have the ability to work cooperatively as a member of office staff and team.
• Some lifting and carrying up to 10 pounds.
• Sedentary 6-7 hours/day.
• Can suffer wrist, back, neck, or eye problems due to strain and risk repetitive motion injuries such as carpal tunnel syndrome.
• Constant pressure to be accurate and productive can be stressful.
• High School Diploma or equivalent
• Certified Medical Assistant Certification or LPN License

Responsibilities

• Records details of chief complaint, history of present illness, review of systems, past medical history, social history, family medical history, disease risk factors, medications and allergies as directed by physician.
• Record details of physical exam, including pertinent positives and negatives, noted abnormalities and patient general condition as directed by physician.
• Submit orders as desired by physician and check constantly for results of those orders.
• Responsible for troubleshooting for causes and solutions to any delays regarding the aforementioned orders.
• Must be knowledgeable of EMR.
• Assist in disposition of patient including prescriptions.
• Responsible for other nursing job duties as assigned.
• Attends meetings as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED