Medical Records

Medical Records

 

St. Bernard Nursing is proud to be rated 4-Stars in Quality of Resident Care and is part of the Volare Health portfolio of long-term care skilled nursing and short-term rehabilitation centers located in multiple states. We welcome our residents, their families, and our staff with warm hearts. While you make a difference in the daily lives of our residents, we support you with competitive market wages and help guide you along your career path.

 

Responsibilities:

• Set up medical records prior to admission. Monitor and audit records for completeness and accuracy at assigned intervals, in accordance with facility policy. Inform administrator and Director of Nursing Services of deficiencies in documentation.
• Provide information to the business office as required to meet admission requirements.
• Process and mail correspondence to physicians.
• May participate in monitoring of RAI, RAPS and Care Plan. Process, transfer, and discharge records and maintain appropriate records on discharged residents.
• Organize, file and store medical records according to facility policy, procedure, and regulations.
• Assure confidentiality of medical record information. Prepare reports, statistics and records as directed by the administrator and/or Director of Nursing Services and provide records to interdisciplinary conferences when requested.
• Audit records prior to conference so that deficiencies can be corrected.

Qualifications:

• Must have related administrative experience and/or experience as CNA or Nurse at a level necessary to accomplish the job.
• Must have training and/or certification or experience as required by the state.
• Must have the ability to read, write and follow oral and written directions at a level necessary to accomplish the job.
• Must be able to relate positively and favorably to residents and families and to work cooperatively with other associates.
• Basic computer knowledge and ability with an aptitude to learn company software.
• Must pass criminal background investigation and reference inquiry.