Job Description

Unit Clerk - DPSNF - Full Time

Shift: 6:45am - 7:15pm

PATIENT POPULATION:
The patient population served in the DP/SNF is 21 years and older. This also includes services which affect facility staff, physicians, visitors, vendors and the general public.

Under the direct supervision of a licensed nurse is responsible for performing and organizing the clerical activities necessary to maintain the medical record, ordering of office and medical supplies, and the coordination of on-going activities within the assigned unit. In the role of Unit Clerk, is responsible for assigning and placing patients in appropriate rooms according to age: Adult and Geriatric.

Must be able to work normal/scheduled working hours to include Holidays, call-backs, weeknights, weekends, and on-call. Agrees to participate, as directed, in emergencies and community disasters during scheduled and unscheduled hours. As a designated disaster service worker you are required to assist in times of need pursuant to the California Emergency Services Act.
(Gov’t. Code §§ 3100, 3102)

Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct.

The employee shall work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate cooperative behavior with colleagues and supervisors.

EDUCATION/TRAINING/EXPERIENCE:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

To perform this job successfully, an individual should be a high school graduate or equivalent. Must have their current and valid C.N.A. license. Must have a basic understanding of Medical Terminology.

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence if required. Ability to speak English, write legibly, and read, understand and follow directions.

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages if required.

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

To perform this job successfully, an individual should have basic computer skills.

LICENSURE/CERTIFICATIONS:
An individual should be a high school graduate or equivalent. Must fall into one of the following categories: (1) have successfully completed the Skills Lab and fundamentals of bedside care portion of their R.N. program; or (2) have their current and valid C.N.A. license. . Must have a basic understanding of Medical Terminology. Must have and maintain current BLS certification or obtain within orientation process, prior to hands-on patient care.

Responsibilities and Essential Functions:
*Indicates Essential Function

1 * On shift assigned, the Unit Clerk is responsible for all clerical duties related to computer entry and retrieval of data.
2 * Maintains the medical record on each patient within the assigned unit. Assembles chart, transcribes orders for verification by R.N. Files reports and thins the medical record as needed.
3 * Maintains accuracy, completeness and neatness of the medical record.
4* Assists with the paper flow for admissions, transfers, discharges, and deaths.
5* Utilizing appropriate telephone etiquette, answers phone promptly, screens, refers calls in accordance to policy and dispatches messages as requested. Initiates phone calls for nursing staff to Physicians, Nursing Administration, UR, etc.
6* Promptly and professionally responds to all patient call lights and refers patient needs to appropriate staff.
7* Is flexible when asked to assist with transportation of patients, equipment and supplies.
a. As needed, with active C.N.A certification, assist with delivering basic nursing care, utilizing policies and standards of care.
8* Accurately inputs orders for scheduling tests, x-rays and procedures via the computer system. Rechecks reports at the end of shift to ensure that all orders have been carried out on a daily basis.
9* Demonstrates the working knowledge of how to correctly complete forms including consents, transfers, deaths, AMA, Occurrence Reports, etc.
10* Alerts Charge RN of undue delays in patient care.
11* Monitors and coordinates flow of visitors in and out of departments.
12* Demonstrates a thorough working knowledge of medical and pharmaceutical terminology.
13* Completes all other tasks as designated by Unit Director or designee.
14* Demonstrates dependability and professional image by, but not limited to, adhering to dress code, reporting to duty on time, and using benefit time appropriately, maintains safe and clean work area and promoting patient and visitor satisfaction.
15* Demonstrates reverence for life, respect for inherent dignity and worth of each individual, and maintenance of patient privacy and confidentiality.
16 Ensures adequate and accurate inventory of all office, chart and medical supplies. Orders are submitted to appropriate departments prior to designated times and PAR levels maintained at all times.
17* Demonstrates adherence to "National Patient Safety Goals for Hospitals" as defined by scope of practice.
18* Documentation reflects compliance with established hospital policies and procedures.