Unit Clerk

  • The Allure Group
  • 2237 Linden Blvd Brooklyn New York 11207 United States
  • Posted: Apr 18, 2019
Full-time Office and Clerical

Job Description

Duties and Responsibilities
Administrative Functions
  • Is the custodian of medical records to include coding, auditing of discharged records and insuring completion of same.                                                                     
  • Prepare and set up for all new admissions and update information as needed.
  • Deletes forms when indicated and maintains all residual files. Follows chart audit/ deletion policy.
  • Responsible for quality assurance of closed and open medical records.
  • Logs all admissions, discharges, and transfers of residents.
  • Reviews all monthly vital signs for completeness and documents in chart.
  • Collect charts, assemble them in proper order, and inspect them for completion.
  • Retrieve medical records when requested by procedure
  • Reviews all monthly vital signs for completeness and documents in chart. 
  • Monthly - monitors all Treatment Administration Records, Psychotropic Medication Records, and Medication Administration Records for completeness and then files them in resident’s medical record. Determines what signatures are missing and contact appropriate staff member to complete.
  • Check for correct name and room number on all sheets and put heading on as necessary.
  • Place appropriate sticker on charts, i.e. DNR, Allergies, Advance directives etc.
  • Arrange storage of supply in a neat and orderly fashion on unit.
  • Keeps stock forms well supplies in drawers in alphabetical order.
  • Pick up mail from mailbox for both units.
  • Order office supplies and maintain par level.
  • Answer phone on unit and identify self. Takes messages accurately and transcribes legibly.
  • Street clothes are neat and clean at all times, not be confused with Nurses Aide’s.
  • Covering for the nursing secretary at the front desk her lunch break.
  • Covering for central supply/staffing coordinator during her absent.
  • Be available to the unit managers when necessary.
  • Other duties as assigned by the DON.
Personnel Functions
  • Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.
  • Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
  • Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.
  • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
  • Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.
  • Report all complaints and grievances made by the resident.
  • Notify the facility when you will be late or absent from work.
Staff Development
  • Attend and participate in scheduled training and educational classes. Attend and participate in scheduled orientation programs and activities.
  • Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
  • Attend and participate in advance directive in-service training programs as scheduled.
Safety and Sanitation
  • Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.
  • Follow established safety precautions in the performance of all duties.
  • Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately.
  • Report all safety violations.
  • Follow established smoking regulations. Report all violations.
  • Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator.
  • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.
  • Report missing/illegible labels and MSDSs to your supervisor.
Equipment and Supply Functions
  • Use only the equipment you have been trained to use.
  • Operate all equipment in a safe manner.
  • Use only the equipment and supplies necessary to do the job. Do not be wasteful.
  • Report defective equipment to the Nurse Supervisor/Charge Nurse.
  • Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.
 Resident Rights
  • Maintain the confidentiality of all resident care information.
  • Ensure that you treat all residents fairly, and with kindness, dignity, and respect.
  • Knock before entering the resident's room.
  • Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse.
  • Report all allegations of resident abuse and/or misappropriation of resident property.
Working Conditions
  • Works throughout the nursing service area.
  • Moves intermittently during working hours.
  • Is subject to frequent interruptions.
  • Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
  • Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
  • Communicates with nursing personnel and other department personnel.
  • Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary.
  • Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
  • Attends and participates in continuing educational programs.
  • Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
  •  Must possess, as a minimum, a high school graduate education.
  • Prior work experience with documented competence in completing variable job requirements. 
  • Must be at least 18 years of age
  • Previous experience in a long term care facility or other healthcare related facility.
  • Some knowledge of medical records and terminology.
Specific Requirements
  • Must be able to read, write, speak, and understand the English language.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
  • Must possess the ability and willingness to work harmoniously with other personnel.
  • Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
  • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
  • Must be able to relate information concerning a resident's condition.
  • Must not pose a direct threat to the health and safety of other individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
  • Must be able to move intermittently throughout the work day.
  • Must be able to cope with the mental and emotional stress of the position.
  • Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
  • Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
  • May be necessary to assist in the evacuation of residents during emergency situations.