Ward Clerk (Skilled Nursing Facility) - FT Temp, Day Shift

Adventist Health • Yuba City, CA

13d

About The Position

Centered in the heart of Yuba-Sutter County, Adventist Health and Rideout has
been one of the area's leading healthcare providers since 1907. We are comprised
of a 221-bed hospital, 21 physician clinics, home care services, comprehensive
cancer care and a vast scope of award-winning services located throughout
Marysville and the surrounding areas. The allure of Marysville's community is
complimented by its proximity to major metropolitan cities in the Bay Area and
Sacramento, as well as just a quick drive to Lake Tahoe.

Job Summary:

Assists the Nurse Supervisor/Charge Nurse in day-to-day recording and charting
of medical or administrative information in accordance with current federal,
state, and local standards, guidelines, and regulations that govern medical
records, and as may be required by the Director of Nursing Services, to ensure
that our medical records are maintained in an informative and descriptive
manner.

Requirements

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• One year's relevant experience: Preferred
• Skilled nursing facility experience: Preferred
• Basic Life Support (BLS OR HS-BLS OR RQIBLS) American Heart Association: Preferred

Responsibilities

• Records medical and administrative information in accordance with our established charting and documentation policies and procedures. Maintains the Daily Census Report and submits to Nurse Supervisor/Charge Nurse. Maintains an up-to-date roster of residents for your assigned unit. Fills out resident charge slips and submit to the Business Office.
• Transcribes physicians’ orders to care plans, medication cards, treatment plans, etc., as required. Reports to the Nurse Supervisor/Charge Nurse discrepancies found in transcribing physicians’ orders, diet orders/changes and charting. Reviews medication cards for completeness of information, accuracy in the transcription of the physician’s order and legibility, as directed. Charts nurses’ notes in an informative and descriptive manner that reflects the care provided as well as the resident’s response to the care.
• Admits, transfers and discharges residents. Assists in arranging for transportation, packing residents’ belongings, escorting them to discharge/transfer area and loading, as necessary. Completes necessary medical and administrative records upon the resident’s admission, transfer, and/or discharge.
• Informs nursing service personnel of new admissions, their expected time of arrival and room assignment. Greets newly admitted residents upon admission. Escorts to room as necessary. Assists in escorting residents’ to/from activity and social functions. Encourages attending physicians to record and sign progress notes and physicians’ orders on a timely basis and in accordance with current regulations. Assists in recordkeeping functions for nurse aide trainees. Reports administrative problem areas to the Director. Assists in developing and implementing corrective action.
• Ensures that all personnel involved in providing care to the resident are aware of the resident’s care plan and that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident. Transcribes data to the care plan as necessary. Assists in scheduling assessment and care plan meetings as directed.
• Performs other job-related duties as assigned.

What This Job Offers

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