Medical Records Nurse

5 days ago

Warren MI, United States Villa at City Center Full time

Read all the information about this opportunity carefully, then use the application button below to send your CV and application.
Look no further than Villa Healthcare Don't miss out on this incredible opportunity to join the Villa Healthcare family and make a real difference in the lives of others. Daily Pay
Medical, dental, and vision insurance
Paid vacation and holidays
Tuition reimbursement
One of the only companies in Michigan that offers incentives for food, gas, childcare, and medical bills up to $225/month
Under the supervision of the Unit Manager, Assistant Director of Nursing (ADON) and/or Director of Nursing (DON), the Registered Nurse (RN) assumes responsibility and accountability for a group of residents for or a shift of duty. Nursing care is provided through assessment, implementations, and evaluation of the plan of care. The RN adheres to the standards of care for the area, manages the environment to maintain resident safety, and supervises the resident care activity performance by nursing assistants and staff. Follows all Villa’s policies and procedures. Makes frequent rounds to note resident conditions and to ensure nursing personnel are performing their work assignments in accordance with acceptable nursing standards.
Provides licensed care to assigned residents as ordered by physician and in accordance with facility, federal, state and local standards, guidelines and regulations.
Provides and receives nursing reports upon reporting in and ending shift duty hours.
resident care rooms and treatment areas are maintained in a clean and sanitary manner.
Monitors nursing supplies and orders as needed.
Attends regularly conducted staff meetings as scheduled by the Director of Nursing/Unit Manager.
Directs and supervises the day-to-day certified nursing assistant services for assigned unit to assure that care is being rendered in accordance with current federal, state and local standards, guidelines and regulations.
Provides required resident assessments/observations and interventions.
Reviews care plans, at least daily, to ensure appropriate care.
Appraises the DON / ADON / Unit Manager of resident status changes in condition.
Informs physician of resident change of condition.
Takes and records residents blood pressure and vital signs.
Administers catheter care as to residents as required (may include catheter insertion).
Administers IV therapy to residents as ordered within license limitations.
Provides respiratory care, e.g. oxygen, nebulizer treatments.
Charts nurses notes in an informative and descriptive manner that reflects the care provided as well as the resident’s response to the care.
Documents all pertinent data as required by Medicare, Medicaid, Villa standards and policies.
Counts all controlled drugs with other nurse at shift change and notifies the DON / Unit Manager of all drug and narcotic discrepancies noted on your shift.
Closely monitors and supervises all facility residents per facility policies and as warranted by good nursing judgment.
The ability to understand process development and improvement.
Maintains Villa dress code and hygiene policies.
Ensures all elements of the Villa Abuse Policy are maintained and enforced.
Nursing Degree or diploma from an accredited College or University.
This description has been prepared to assist individual VILLA Facilities in evaluating various classes of responsibilities, skills, and working conditions. Facilities are independent Limited Liability Companies are free to amend or promulgate other guidelines. Nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under supervision. Nothing contained herein is intended or shall be construed to create or constitute a contract of employment or establish employment at will between any employee or group of employees and the facility. The facility retains and reserves any and all rights to change, modify, amend, add to or delete from any section of this document as it deems, in its judgment, to be proper.
Villa Facilities are Equal Opportunity Employers and do not discriminate based on any protected right such as race, color, nationality, gender age, disability or any protected applicable right under the National Labor Relations Act.

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