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Medical Records Nurse
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Cavalier Healthcare is seeking a highly skilled and detail-oriented Medical Records Nurse to join our team. As a Medical Records Nurse, you will be responsible for managing and maintaining accurate and complete medical records for our residents.
Key Responsibilities- Assemble and maintain accurate and complete medical records for each resident.
- Conduct regular audits to ensure the completeness, accuracy, and internal consistency of medical records.
- Audit discharge charts for accuracy and completeness, and file them in the appropriate order.
- Perform coding and maintain a diagnosis list on each medical record.
- Participate in Case Mix audits and provide assistance as needed.
- Maintain an inventory of all forms used in medical records.
- Provide administrative support as requested.
- Understand and follow fire, safety, sanitation, and Blood-borne Pathogen rules and Hazard Communication programs.
- Promote a positive relationship with residents, visitors, and government regulators.
- Prevent abuse, neglect, and exploitation in the elderly.
- Promote a safe, clean environment for residents.
- Perform other duties and responsibilities as requested by the Administrator.
- Hold a current license as a Licensed Practical Nurse (L.P.N.) in good standing with the Board of Nursing in the state where the facility is located.
- Ability to read and write legibly.
- Ability to comprehend and follow instructions.
- Ability to tolerate a high pace and work in a fast-paced environment.
- Ability to take and give instructions well.
- Ability to work with the elderly and enjoy interacting with them.