What are the responsibilities and job description for the Medical Records Licensed Practical Nurse (LPN) position at The Good Shepherd Community?
Job Details
Job Location: Good Shepherd Lutheran Home - Sauk Rapids, MN
Position Type: Full-time
Education Level: LPN Licensure
Salary Range: Undisclosed
Travel Percentage: None
Job Shift: Day Shift
Job Category: Health Care
Description
JOB FUNCTION
The Medical Records LPN is responsible for reviewing medical records for completeness and computerization of medical records and reports. Keeps current medical records thinned according to procedure. Responds to the inquiries of family residents, visitors and following procedure at nurses stations. Arranges for transportation, families or volunteers, as needed for resident appointments. Answers or responds to call lights and exit alarms. Prepares medical chart and lab orders as required. Accurately files information in chart. Processes and signs off on physician orders.
RESPONSIBILITIES
- Responsible to review medical records for completeness and computerize and run reports.
- Reviews audit sheets and maintains follow-up of records with deficiencies until record is complete.
- Keeps current medical records thinned according to procedure.
- Responds to inquiries of family, residents, visitors and staff.
- Answers phones promptly and courteously.
- Triages phone calls.
- Gives directions and information as needed.
- Responsible for maintaining medical records and performing clerical duties at the nurses stations following procedures.
- Performs nursing procedures as follows:
- Sign off on physician orders.
- Receive physicians orders as needed.
- Makes appointments for residents and prepares paperwork for appointments.
- Arranges for transportation, families or volunteers, as needed for resident appointments according to procedure.
- Answers call lights and exits alarms promptly.
- Answers and acknowledges call light promptly and summons appropriate staff.
- Investigates exit alarms by informing appropriate staff, watching monitor or going to exit.
- Prepares medical charts and lab orders as required.
- Prints orders to be signed by physician on rounds.
- Prepares charts for physician rounds.
- Track physicians orders, discharge summary and history and physical information.
- Sends fax as needed to pharmacy and to clinics.
- Accurately files information into chart.
- Adds admission information to medical record.
- Keeps all information updated pertaining to medical records.
- Transcribe physician orders on admission, return from hospital and after physician rounds.
- Compiles closed chart after resident discharge.
- Performs other duties as assigned by the Health Information Manager.
Qualifications
- Must be a professional nurse currently licensed in the State of Minnesota.
- Must demonstrate an ability to perform necessary responsibilities of the position.
- Must have clerical skills such as typing and computer skills.
- Must have the ability to work in a variety of work areas.
- Familiarity with medical terminology preferred.
- Must have excellent customer service skills.
Outpatient Licensed Practical Nurse - LPN LVN - Dialysis
Fresenius Medical Care -
Alexandria, MN
