Medical Records Transcriptionist transcribes medical dictation by physicians and other medical practitioners pertaining to patients assessment, diagnostics, therapy, and other medical reports. Understands medical terminology and the use of transcription software and equipment. Being a Medical Records Transcriptionist requires a high school diploma. May require Registered Healthcare Documentation Specialist (RHDS). Additionally, Medical Records Transcriptionist typically reports to a supervisor or manager. The Medical Records Transcriptionist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Records Transcriptionist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Job Position: The primary purpose of your job position is to assure that admissions are completed and medical 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 for resident, clinicians, and billing. Admission/Medical Records department consists of one person. In addition, the team member will oversee the MCO authorizations and weekly updates, nursing daily schedule and long term care insurance..
Desired Skills: LPN, CPR Certified
Job Overview:
We are seeking a highly skilled and compassionate Nurse to join our team as an Admissions Nurse. In this role, you will be responsible for assessing and admitting patients to our healthcare facility. As an Admissions Nurse, you will play a crucial role in ensuring a smooth transition for patients entering our care. This is a rewarding opportunity to make a difference in the lives of individuals seeking medical treatment.
Responsibilities:
- Conduct comprehensive assessments of patients upon admission
- Collaborate with healthcare team members to develop individualized care plans
- Coordinate and facilitate the admission process, including completing necessary paperwork and obtaining patient information
- Provide education to patients and their families regarding their condition, treatment options, and available resources
- Assist with discharge planning and ensure appropriate follow-up care is arranged
- Administer medications and treatments as prescribed by physicians
- Monitor patient progress and report any changes or concerns to the healthcare team
- Maintain accurate and up-to-date medical records
Skills:
- Strong knowledge of hospital admission procedures and protocols
- Excellent assessment skills and ability to identify patient needs
- Effective communication skills, both verbal and written
- Ability to work well under pressure and prioritize tasks efficiently
- Attention to detail and strong organizational skills
- Proficient in using electronic medical record systems
Qualifications:
- Valid Nurse license in Nebraska
We offer competitive compensation packages, including benefits. Join our dedicated team of healthcare professionals and contribute to providing exceptional patient care.
Job Type: Full-time
Benefits:
Physical setting:
Standard shift:
Supplemental schedule:
Weekly schedule:
Ability to Relocate:
Work Location: In person