Ward Clerk (SNF)

Full Time
Yuba City, CA 95991
Posted
Job description

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.


Yuba County is California's gateway to the historic Mother Lode Country, with a diverse landscape that boasts grand rivers, thriving farmland, friendly communities and numerous recreational possibilities that extend into the Sierra foothills. Sutter County is home for the Sutter Buttes, known as the Smallest Mountain Range in the World. Considered "sister cities" our communities have that small town feel so many people are seeking. Our rivers, lakes, mountains, year-round festivals and fairs, entertainment, diverse recreation opportunities, hunting, camping, hiking, boating, fishing, community events, fine dining establishments, first-rate lodging, bikeways, and historic downtown shopping makes the Yuba and Sutter Counties a great place to live. With a lower cost of living, you can enjoy California life with Tahoe, Napa or the Bay Area only being a 2-hour drive.


We're looking for someone to join our team as a Ward Clerk (SNF) who: 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.


ESSENTIAL FUNCTIONS

  • 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.
  • Ensures nurse’s chart notes are written in an informative and descriptive manner that reflects the care provided and the resident’s response to the care.
  • 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.
  • 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.
  • Encourages attending physicians to record and sign progress notes and physicians’ orders on a timely basis and in accordance with current regulations.
  • 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.

You'll be successful with the following qualifications:

Education:

  • High School Education/GED or equivalent: Preferred
  • Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Work Experience:

  • One year's relevant experience: Preferred
  • Skilled nursing experience: Preferred

Required Licenses/Certifications:

  • Basic Life Support (BLS) Health Care Provider certification: Preferred


Location: Adventist Health + Rideout · Long Term Care (Fountains) HIM
Schedule: Full-time, Day shift

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