Sabal Palms is looking for an exceptional Medical Records & MDS Assistant at our community!

• Care Plan Updates
• Medical Record Experience in a Skilled Nursing or Hospital experience
• Verifying records
• scheduling care conferences
• coordinates calendars with staff assessments.

Check us out at: https://sabalhealthandrehab.com

Who Are We?

Sabal Palms Health & Rehabilitation is a 244 bed skilled nursing facility and provides the support residents and patients need through a wide range of skilled nursing care, restorative therapies, memory care and pediatric care. This award-winning community is located on The Palms of Largo campus, which has been part of the Largo area since 1990. It is the commitment of our team members to help each resident and patient lead a purposeful life and strive to deliver an exceptional experience through Platinum Service®

Why Work with Us?

• Comprehensive Health Plan Options
• Medical and Prescription Coverage
• Dental and Vision Coverage
• $10k Life Insurance Coverage*
• Supplemental Insurance Options
• Pet Insurance
• 401(k) Retirement Savings Plan with Generous Company Matching Benefits
• Employee Support Program (ESP)
• Tuition Discounts with Rasmussen College
• Educational Support
• Team Member Referral Bonus
• Shift Differentials
• LifeMart Employee Discounts
• OnShift Engage Bonus and Incentives
• Generous Paid Time Off

• Benefits available to eligible employees with enrollment in a medical insurance plan. Eligibility may vary by position, average hours worked, length of service, and/or location.

Medical Records/MDS Purpose

The primary purpose of this position is to assure that medical and MDS records are maintained in accordance with federal and state guidelines, as well as in accordance with our established policies and procedures, to assure that a complete medical records program is maintained.

Essential Job Functions Duties and Responsibilities

Medical Records/MDS

• Plan, develop, organize, implement, evaluate, and direct the medical and MDS records are in accordance with established policies and procedures. Includes department policies and procedures, job descriptions, etc.
• Review discharge and death records, as well as records on the nursing units.
• Care Plan Updates
• Verifying Records
• Scheduling Care Conferences
• Coordinate Calendars with Staff Assessments
• Collect, assemble, check, and file resident charts and personnel records.
• Maintain a record of authorized information taken from charts/records (i.e., type information, name of recipient, date, department, etc.).
• Abstract information from records as authorized/required for insurance companies, Medicare, etc.
• Prepare medical records for court trials as required.
• Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Attend such meetings as may be necessary or appropriate.
• Assist in the development of and participate in in‑service, orientation classes, and on‑the job training programs.
• Ensure that work areas are clean and that records are properly stored.

Medical Records/MDS Required Knowledge, Skills and Abilities

• Possess the ability to make independent decisions, follow instructions, and accept constructive criticism.
• Be able to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
• Be able to work with ill, disabled, elderly, emotionally upset, and potentially hostile people within the facility.
• Must be able to speak, write and understand English in a manner that is sufficient for effective communication with supervisors, employees, residents, and families.

Education and Experience

• High school diploma or equivalent.
• Prefer experience in Health Information Management department.
• Preferred MDS experience

Licensing/Certifications

• None.