Medical Records Technician / Staff Educator, LVN

Position Summary

Compiles and maintains computerized medical records system related to the patients’ health care delivery system to document customer condition and treatment by performing the following duties.

Educator performs employee training on an ongoing basis as determined by Facility needs, as well as State and Federal requirements. This position is also responsible for managing the occupational health program.

Essential Duties and Responsibilities

1. Reviews Discharged medical records. Notifies team members and Physicians of incomplete records. Informs CEO timely of non-compliant individuals

2. Medical Records/ Health Information is copied and released in accordance with State and Federal Laws, PureHealth Policy and Corporate Legal oversight

3. Operates computer to process, store, and retrieve health information

4. Ensure all elements of customer’s medical records received and/or created by the Facility in paper format are converted to digital format in accordance with PureHealth Policy; attach digital format in PPC, as indicated

5. Ensure compliance with PureHealth Policy in obtaining appropriate and timely attending physician signatures on all CMS certification/ re-certification forms

Conducts nursing/clinical staff training primarily on the units in direct contact with preceptors and new hires

2. Performs classroom lecture training, at a minimum in order to fulfill identified Facility needs

3. Identifies educational opportunities and conveys that information to the appropriate department Directors

4. Under the direction of and in collaboration with the CNO and CCO, develops and delivers specified educational programs including but not limited to clinical competencies, computer skills, and general orientation

5. Reinforces the organizational belief in and dedication to learning and staff development

6. Observes the workplace and identifies any potential hazards or health effects that may result from the work environment and reports this information to the appropriate department Director

7. Manages the employee immunization program as required per Facility and State/Federal regulations

8. Manages and coordinates with Staffing Manager nursing new-hire training and on-boarding schedules with approved nursing precept team members

9. Manages organization’s RELIAS system for team member compliance

10. Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

11. Attends and participates in in-service training

12. Adhere to infection control guidelines

Competencies

 Notifies team members and physicians on incomplete records upon discovery

 Insures that Medicare Certification/Re-certification forms are created and signed by attending physicians in a timely, compliant manner. Demonstrates timely communication to CEO, or designee, all exceptions to compliance

 Effectively utilizes resources to manage medical records oversight and all requests for record productions, including Smartsheet and Point Click Care

 Ensures that requests for medical records copies are fulfilled timely, completely and accurately, in accordance with PureHealth and legal department, as indicated

Hosts and/or participates actively in meetings; makes meaningful contributions

 Takes charge of people/events; assumes leadership in a positive way and treats all team members with fairness and respect

 Provides clear, objective and timely feedback to employees

 Creates enthusiasm for team effort; is an effective team builder; sets a model for teamwork that encourages common goals

 Uses all available and appropriate resources, including team members

 Interacts frequently with customers; takes initiative to inquire about customer needs and opinions and effectively manages concerns

 Encourages and develops customer service skills in employees

 Able to prioritize work. Sets realistic deadlines for self and others and ensures deadlines are met; delegates as needed

 Presents ideas and information in a concise, well organized manner

 Manages as if it were his/her own business, keeps up to date with best practices and new developments. Makes informed decisions within the scope of responsibility

 Sets precise, measurable goals that are realistic, challenging and compatible with company goals; demonstrates actions to meet those goals

 Is progressive in outlook; initiates new approaches and ideas; offers creative and effective solutions

 Receptive and open to new ideas; Empowers and supports employees to make decisions

 Takes responsibility for his/her own training and development; follows up and integrates training when appropriate

 Listens; concentrates on information presented; takes action

 Observes early signs of changing conditions; responds effectively

 Ensures new employees are fully trained on all aspects of the job

 Identifies promotable employees and provides necessary training through application of the Develop Map Program

 Ability to understand and manage budget within scope of job role

Work Environment

This job operates in a post-acute setting. This role requires regular walking to various locations around the facility. This role also routinely comes into contact with patients who may have contagious illnesses. Team member is expected to adhere to facility’s no-smoking policy.

Physical Demands

While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires standing, walking, bending, kneeling, and stooping all day. The employee must frequently lift and/or move items over 60 pounds.

Position Type and Expected Hours of Work

This is a position in a post-acute setting that is open 24 hours a day, 365 days a year. Weekend and holiday shifts will be required.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

HIPAA

Team members are required to adhere to policies and procedures implementing HIPAA requirements for the privacy and security of protected health information. Team member are permitted to use and/or disclose only minimum amount of Protected Health Information necessary to complete assigned tasks. Reports all suspected violation of company’s HIPAA policies or procedures to facility CEO.

Knowledge, Skills and Abilities

1. Ability to communicate effectively with internal and external customers at all levels of the organization

2. Proficient computer and Microsoft Application skills. Must have an ability to learn new systems

3. Ability to work with a culturally diverse population

4. Must have positive communication skills and demonstrated adequate maturity and patience

5. Proficient in the English language. Excellent communication (verbal and written), customer service and interpersonal skills

6. Must have excellent organizational skills with attention to detail

7. Must be able to successfully prioritize workload, demonstrate initiative, and analyze situations to make sound decisions

8. Must show initiative and take action on observed needs

Knowledge of learning principles and training techniques

2. Skilled in developing and conducting training programs

3. Interpersonal skills necessary in order to provide effective leadership, maintain a variety of internal and external contacts, and work cooperatively with a variety of facilities, managers, executives, and team members

4. Analytical abilities necessary in order to evaluate delivery of care systems; respond to deficiencies by identifying and implementing appropriate corrective action; develop and administer sound department policies, procedures and budgets

5. Skilled in directing and motivating team members

6. Ability to maintain confidentiality

7. Ability to communicate effectively with internal and external customers at all levels of the organization

8. Proficient computer and Microsoft Application skills. Must have an ability to learn new systems

9. Ability to work with a culturally diverse resident and employee population

10. Must have positive communication skills and demonstrated adequate maturity and patience

11. Proficient in the English language. Excellent communication (verbal and written), customer service and interpersonal skills

12. Must have strong organizational skills with attention to detail, as well as strong leadership skills

13. Must be able to successfully prioritize workload, demonstrate initiative, and analyze situations to make sound decisions based on available data

14. Ability to maintain a calm, professional demeanor under pressure

15. Self-directing with the ability to work with minimal direct supervision

Required Education/Experience

 High School Diploma or Equivalent

 Graduate of accredited School of Nursing

 A minimum of three (3) years of progressive nursing experience

 A minimum of one (1) year experience as an instructor in a healthcare environment

Required License/Certification

 Valid state LPN/RN License

 Valid CPR Certification

 Valid CPR teaching certificate

 Current with state Continuing Education (CE) requirements

Preferred Education/Experience

 College/University Degree in Nursing or other related field

 A minimum of five (5) years of nursing experience

 A minimum of three (3) years’ experience as an instructor in a healthcare environment

 A minimum of one (1) year experience in a leadership role

Knowledge of HIPPA laws

Job Type: Full-time

Pay: $35.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $35