Unit Clerk/Medical Records - Full Time

TABITHA’S PURPOSE:  We empower people to live joyfully, age gratefully.

POSITION SUMMARY:                                   

The Unit Clerk provides maintenance of the clinical records of the elders/residents/clients (hereinafter, “elders/clients”) of the Tabitha Nursing and Rehab Center, and supports the nursing staff by performing clerical and receptionist duties on the nursing units. The Unit Clerk embraces all components of the job, fostering an environment that allows Tabitha to provide optimum care to Tabitha’s elders/clients. This employee strives to uphold Tabitha’s LIVE2Care Culture and actively embraces Tabitha’s Core Values.   As a result, the employee supports Tabitha goals related to dignity, respect, independence, competence, autonomy, personal comfort, safety and security of elders/clients.   In addition, the employee contributes to the success of Tabitha through ongoing collaboration with, coworkers, management, volunteers and others in the organization.

ESSENTIAL FUNCTIONS:

1. Maintains the active clinical record for inpatient program by printing, filing, thinning, or replacing chart forms as needed.
2. Assists nursing with transcribing and performing data entry of signed physician orders.
3. Performs chart analysis to assure that necessary elements are present and complete.
4. Assists with necessary paperwork or data entry to facilitate elder/client admissions, transfers, and discharges.
5. Schedules physician or dental appointments for elders/clients makes arrangements with family if appropriate, and schedules van transportation when needed.
6. Receives incoming mail to the unit and distributes or files as needed.
7. Monitors frequency of physician visits and notifies physicians of upcoming regulatory required visits.
8. Creates hard copy chart upon admissions, and dismantles record after discharge.
9. Acts as a representative of Tabitha at all times, demonstrating professionalism in dress and appearance, courtesy, poise, attitude, interactions.
10. Assures report of broken and malfunctioning equipment are made in a timely manner.
11. Follows disaster plans and uses strength and agility during participation in preparedness drills and actual emergencies. Maintains a safe work environment.
12. Complies with HIPAA regulations regarding privacy by insuring that Protected Health Information (PHI) is safeguarded at all times. In addition, maintains a high level of confidentiality regarding any matter pertaining to any Tabitha elders/clients, as well as Tabitha employees.
13. Completes required training and in-services promptly. Demonstrates understanding of the course content and implements training in daily activities.  
14. Makes good decisions that contribute to the success of the department.
15. Performs work duties within the assigned work environment related to the position, as assigned by Tabitha, regardless of employee preference.
16. Participates in meetings and in-services on both department and company levels.
17. Maintains a good record of attendance and punctuality as defined by Tabitha’s policy pertaining to attendance and punctuality. Records all time worked accurately and consistently using the timekeeping method provided by Tabitha.
18. Complies with Tabitha policies and procedures as published by Tabitha and which may be modified at Tabitha’s discretion. Contributes to quality assurance and performance improvement activities by identifying instances of non-compliance and taking appropriate action, including reporting violations of Tabitha policy or regulations as appropriate.
19. Acts with integrity and in the best interest of Tabitha. Business relationships are conducted in the best interest of Tabitha, free of gifts, cash inducements, gratuities, favors, or other perceived improper inducements.

Tabitha’s Core Values
As a member of the Tabitha team, I will…

CARE

…extend unwavering Christian compassion

CONNECT

…build relationships rooted in love, because love matters

CUSTOMER CENTRIC

…identify, clarify and anticipate needs to exceed expectations

COLLABORATE

…create an atmosphere of teamwork

CULTIVATE

…nurture an environment of innovation and growth

COURAGE

…demonstrate confidence, boldness and determination

COMMIT

…devote our time, talent and treasures

CELEBRATE

…recognize and encourage all accomplishments big and small

COMMUNICATION: Must be able to speak, read, write, and understand the English language as well as terminology and jargon specific to the job. Sufficient fluency to be able to understand and follow written and verbal instructions, provide instructions to others, read and understand policies, procedures or other similar documentation, interact successfully with elders/clients/caregivers, hold a conversation, conduct or participate in meetings, compose professional e-mails or other written communication, prepare legible, accurate and thorough documentation as required by the job and effectively interact with coworkers, customers, vendors, volunteers, managers and family members. Ability to recognize and interpret non-verbal cues. Ability to respond calmly and clearly to emergencies and emotional situations.

WORKSITE CONDITIONS: Works indoors in a facility maintained by Tabitha that will typically be in good repair, clean, well ventilated and well lit. Work is performed in a standard office setting. Frequently seated at a desk, working at a computer for extended periods. Works under daily and hourly deadlines, requiring uninterrupted periods of intense activity. Frequent exposure to interruptions and changes in priorities. Works beyond normal scheduled hours and on weekends and holidays when assigned.

PHYSICAL REQUIREMENTS: Ability to gain access to the work area and then safely perform the duties of the job while utilizing standard and specialized equipment, including but not limited to the equipment described below. Ability to move about the work area. Ability to do sedentary work at a computer for hours at a time. Must have the ability to spot errors or to sense when data output contains an error. Vision and hearing within normal limits (with or without correction) Must have unrestricted lift/push/pull ability and pass a 25 - pound physical exam demonstrating strength and agility prior to employment and from time to time thereafter at Tabitha’s discretion.    

EQUIPMENT USAGE: Standard and specialized equipment including laptop, PC, tablet, photocopier, scanner, fax machine, and telephone.

AGE REQUIREMENT: At least age 18.

EDUCATION:                High School Diploma or equivalent required. Post high school education in medical record technology or a related health care field preferred.

EXPERIENCE:               Medical record experience in a long term care facility, hospital, or medical clinical preferred.

CREDENTIALS:           Must meet Tabitha's vaccination requirements

 
STATEMENT OF EQUAL EMPLOYMENT OPPORTUNITY AND AFFIRMATIVE ACTION

Tabitha Health Care Services is an equal employment opportunity employer and does not discriminate in employment on the basis of race, religion, color, national origin, citizenship, creed, gender, sexual orientation, age, veteran status, mental or physical disability, genetic information, or any other characteristic protected by federal, state, or local law.  This policy applies to all employment practices and decisions including recruitment, selection, hiring, training, transfer, promotion, compensation, benefits, and the termination of employment. 

 Furthermore, Tabitha Health Care Services will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship, safety, and/or health risk.  Please contact Tabitha Health Care Services Human Resources Department to request an accommodation.

 As a government contractor, the organization has adopted written Affirmative Action Plans for women and minorities, protected veterans and individuals with disabilities. These plans will be revised on an annual basis. Tabitha Health Care Services is committed to making a good-faith effort toward achieving the objectives of the Plans. Any employee who would like to review the Plans may do so by scheduling an appointment with the Human Resources Department during normal business hours.