Medical Records Nurse

2 months ago

Saint Louis MO, United States Bethesda Health Full time

Bethesda Brings out the Best in Talented, Caring People
At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others.
As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses, career advancement opportunities, and holiday pay.
Medical, dental, vision, prescription, and life insurance available for regular status full and part time employees.
Summary
Accurately assesses residents' health status as well as their educational and environmental needs on admission and on an ongoing basis. Remains aware about and communicates to the appropriate interdisciplinary team (IDT) member any significant change in condition. Accurately documents all assessments. Develops dynamic care plans based upon the identified needs of the residents through an interdisciplinary approach that includes physicians, residents, families, and other IDT members. Reviews and revises the care plan as the resident's needs, problems, and goals change. Communicates the plan to the appropriate IDT members along with the residents and families. Accurately documents the care plan on admission, cognition change, or regulatory requirements for care planning. Identifies necessary nursing interventions relevant to the plan of care which includes nursing orders, physician orders, residents/families educational and environmental needs. Interventions such as medication administration, treatments, and IV fluid administrations are accomplished in a safe and timely manner. Documents all interventions accurately and timely. Uses critical thinking skills when dealing with residents' change in condition. Notifies the physician timely using the SBARR as the communication tool. Maintains composure during and handles any crisis situation such as family dissatisfaction, staff disputes, or inclement weather in a calm and professional manner. Monitors the care of the residents closely to see that the care plan is being delivered effectively. Identifies problem areas and uses the QAPI process to actively address the situation for immediate problem resolution. Remains knowledgeable about the status of the resident to quickly identify behavioral changes or other untoward signs or symptoms. Assists in answering call lights and assists with resident care such as ADLs. Completes twelve hours, at a minimum, of offerings related to nursing. Upholds commitment to remaining current in best nursing practices through knowledge of Bethesda's policies and self-study. May be assigned other duties as appropriate.
Job Qualifications

Education from an accredited school of nursing that results in becoming a registered nurse
Current RN license in the state you will be working
CPR/AED certification required, or willing to obtain within six months of employment
Long-term care experience preferred
Must possess critical thinking skills
Excellent communication skills to interact verbally with patients, visitors, and staff
Excellent time management and organizational skills
Ability to stand and walk for long periods of time
Ability to lift heavy objects using proper lifting techniques and with assistance as necessary
Ability to transfer and move patients who vary with ability to assist weighing 200+lbs using proper lifting techniques and with assistance when necessary
Ability to push and pull equipment weighing in excess of 40lbs using proper techniques and with assistance when necessary
Manual dexterity, coordination and skillful use of hands when working with patients and equipment
Visual acuity with the ability to distinguish color
Ability to physically perform necessary documentation electronically and in writing

Category: RN

  • Medical Records Nurse

    2 months ago

    Saint Louis, MO, United States Mercy Full time

    Up to $20,000 Sign On Bonus for experienced OR Nurses   * Candidates who do not yet have OR experience will be considered for the next available OR Residency in February of 2025.   We bring to life a healing ministry through our compassionate care and exceptional service. Join us and discover why Modern Healthcare Magazine named us in its “Top 100...

  • Medical Records Specialist

    2 weeks ago

    East Saint Louis, Illinois, United States TOUCHETTE Full time

    Job Summary:Maintains and monitors medical record integrity through record organization and management, filing, assembly, analysis, and re-analysis (updates), final check retrieval, record control, completion, scanning, indexing, quality review, and overall processing and accounting for any/all patient health information (medical records). Assists with...

  • Medical Records

    2 months ago

    Saint Louis, MO, United States Mercy Full time

    Sign On Bonus for New Grads - $5,000 Sign on Bonus for Experienced Nurses - $7,500 Relocation Assistance Available The General Surgery Department is a 30-bed unit that cares for patients with a variety of surgical needs. We care for the simple appendectomy patient all the way to the sometimes-complicated colon resection with colostomy placement. The...

  • Medical Records Specialist

    3 weeks ago

    Saint Louis, United States SBS Creatix, LLC Full time

    Job Title: ParalegalWe are seeking a highly skilled Paralegal to join our team at SBS Creatix, LLC. As a key member of our team, you will be responsible for managing complex medical documentation and case preparation.Key Responsibilities:Manage and maintain accurate and up-to-date medical recordsPrepare and organize case files for review and...

  • Medical Records Clerk

    4 days ago

    East Saint Louis, United States Wexford Health Sources Full time

    To Apply for this Job Click Here POSITION: Medical Records Clerk PRN SCHEDULE: As Needed FACILITY: Southwestern Illinois Correctional Center LOCATION: East St. Louis, Illinois POSITION SUMMARY Ensures confidentiality of all medical records information, and completes forms for release of information; utilizes electronic medical record system as...

  • Medical Records

    6 days ago

    St Louis Park, United States Associated Clinic of Psychology Full time

    Position: Medical RecordsLocation:Saint Louis Park, MNJob Id: 1868# of Openings: 1The Associated Clinic of Psychology is hiring a full-time Medical Records Associate. This person supports the clinical and administrative processes to ensure that medical records functions are completed accurately and timely in meeting the needs of the practice. This person...

  • Medical Records Coordinator

    2 weeks ago

    Saint Petersburg, United States The Oncology Institute of Hope and Innovation Full time

    Job Title: Medical Records CoordinatorWe are seeking a highly organized and detail-oriented Medical Records Coordinator to join our team at The Oncology Institute of Hope and Innovation. As a Medical Records Coordinator, you will play a critical role in ensuring the accuracy and completeness of patient medical records.Key Responsibilities:Gather and verify...

  • Medical Records Coordinator

    1 month ago

    Saint Petersburg, United States The Oncology Institute of Hope and Innovation Full time

    Job Title: Medical Records CoordinatorWe are seeking an experienced Medical Records Coordinator to join our team at The Oncology Institute of Hope and Innovation. As a Medical Records Coordinator, you will play a vital role in ensuring the accuracy and completeness of patient medical records.Key Responsibilities:Gather and verify patient demographic and...

  • Medical Records Nurse, LPN

    3 days ago

    St Louis, Missouri, United States U.S. Central and Southern Province, Society of Jesus Full time

    Job Summary:We are seeking a skilled Licensed Practical Nurse to join our Medical Records team. As a key member of our healthcare team, you will provide high-quality nursing care to our residents, ensuring their physical and psychosocial needs are met.Responsibilities:Provide direct nursing care to residents, including administering medications, performing...

  • Medical Records Nurse

    4 months ago

    Saint Albans, NY, United States Drift Services Full time

    Starting Pay Rate: $47 - $55 / hour ***New Graduates Welcome To Apply!*** At DRIFT , we work with healthcare companies across the United States to help recruit for frontline staff positions. By applying with us, you'll work with one of our Recruitment Pros to help you land your next dream role. Please note: we recruit for direct hire positions and are...

  • Medical Records Clerk

    3 days ago

    East Saint Louis, Illinois, United States Wexford Health Sources Full time

    Job SummaryWexford Health Sources is seeking a Medical Records Clerk to join our team. The successful candidate will be responsible for ensuring the confidentiality of all medical records information and completing forms for release of information. They will also utilize the electronic medical record system as applicable throughout the scope of duties and...

  • Medical Records Specialist

    2 weeks ago

    St Louis, Missouri, United States Wexford Health Sources Full time

    Job SummaryAs a Medical Records Clerk with Wexford Health Sources, you will play a crucial role in ensuring the confidentiality and accuracy of medical records. Your primary responsibility will be to maintain and update medical records, ensuring that all information is accurate and up-to-date. You will also be responsible for completing forms for release of...

  • Medical Records Specialist

    3 weeks ago

    St Louis, Missouri, United States Wexford Health Sources Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Records Clerk to join our team at Southwestern Illinois Correctional Center. As a Medical Records Clerk, you will play a critical role in ensuring the confidentiality and accuracy of medical records information.Key ResponsibilitiesEnsure confidentiality of all medical records...

  • Medical Records Coordinator

    3 days ago

    St Louis, Missouri, United States EmpowerMe Wellness Full time

    OverviewAt EmpowerMe Wellness, we're dedicated to improving the lives of seniors and the communities they call home. As a Medical Records Technician, you'll play a vital role in our mission by ensuring the accuracy and efficiency of our medical records department.ResponsibilitiesReport to the medical records department supervisor and work closely with other...

  • Medical Records Specialist

    2 weeks ago

    St Louis, Missouri, United States EmpowerMe Wellness Full time

    Grow Your Career with EmpowerMe WellnessAt EmpowerMe Wellness, we're dedicated to improving the lives of seniors and the communities they call home. As a Medical Records Technician, you'll play a vital role in our mission by ensuring the accuracy and efficiency of our medical records.ResponsibilitiesReport to the medical records department supervisor and...

  • Medical Records Specialist

    1 month ago

    St Louis, Missouri, United States EmpowerMe Wellness Full time

    EmpowerMe Wellness: A Leader in Senior CareAt EmpowerMe Wellness, we're dedicated to improving the lives of seniors and the communities they call home. As a Medical Records Technician, you'll play a vital role in our mission by ensuring the accuracy and efficiency of our medical records department.Responsibilities:Work closely with our medical records...

  • Medical Records Specialist

    1 month ago

    Saint-Brieuc, Bretagne, United States Randstad Full time

    Job Title: Medical Records ClerkWe are seeking a detail-oriented and organized Medical Records Clerk to join our team at Randstad. As a Medical Records Clerk, you will play a critical role in maintaining accurate and confidential patient records.Responsibilities:Process and index patient medical records into our Electronic Health Record (EHR) system.Ensure...

  • Medical Records Coordinator

    3 weeks ago

    Saint Clairsville, Ohio, United States Certus Healthcare Full time

    Medical Records Specialist OpportunityCertus Healthcare is seeking a skilled Medical Records Specialist to support our team at Forest Hill Healthcare & Rehabilitation.We offer a competitive compensation package, including full benefits, 401K, and tuition reimbursement, with a starting wage of $18.00 per hour.Key Responsibilities:Manage and maintain accurate...

  • Medical Records Nurse

    5 months ago

    Christian County, MO, United States Bethesda Health Full time

    Bethesda Brings out the Best in Talented, Caring People! At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy great benefits such as: 403b, daily pay, bonuses, career advancement opportunities, and holiday pay. Medical, dental, vision, prescription, and life...

  • Medical Records Coordinator

    3 days ago

    St Louis, Missouri, United States EmpowerMe Wellness Full time

    OverviewEmpowerMe Wellness is dedicated to improving the lives of seniors and the communities they call home. As a Medical Records Technician, you will play a vital role in our mission by ensuring the accuracy and efficiency of our medical records department.ResponsibilitiesWork closely with the medical records department supervisor to maintain a high level...