UNIT CLERK - Med/Surg - Full Time - Nights

Sierra View Medical; Porterville (CA); On-site; USD 36,000 - 48,000; Full time

Job summary

Sierra View Medical in Porterville, CA seeks a Unit Clerk to support patient care operations in the evening shift. Responsibilities include managing medical records, ordering supplies, and coordinating unit activities under nurse supervision.

The role requires high school completion, a CNA or RN-related training, basic medical terminology knowledge, and BLS certification. Flexibility for holidays and on-call is expected.

Qualifications

• High school diploma or equivalent is required.
• RN program skills lab or an active CNA license is acceptable.
• Basic understanding of Medical Terminology expected.
• Current BLS certification or obtaining it during orientation.

Responsibilities

• Perform and organize clerical duties for medical records and data entry.
• Maintain medical records for each patient and ensure accuracy.
• Handle telephone etiquette, screen calls, and dispatch messages to staff.
• Respond to patient call lights and coordinate care with nursing staff.
• Assist in admissions, transfers, and discharges as needed.

Education

High school diploma or equivalent

RN program skills lab or CNA license

Basic understanding of Medical Terminology

Current BLS certification

Job description

Unit Clerk - Full Time

Shift: 6:45pm - 7:15am

Job Description

PATIENT POPULATION:

The patient population served can be all patients, including geriatric, adult, adolescent, pediatric, and newborn. This also includes services which affect facility staff, physicians, visitors, vendors and the general public.

POSITION SUMMARY:

Under the direct supervision of a licensed Nurse, the Unit Clerk is responsible for performing and organizing the clerical activities necessary to maintain the medical record, ordering of office and medical supplies, and the coordination of on-going activities within the assigned unit. Under the direct supervision of a licensed nurse, the Unit Clerk will perform individual assigned patient care activities based on policies and procedure guidelines. Specific areas of responsibility could include monitoring patient vital signs, providing hygiene care, assisting in nutritional needs, and recording the care that has been provided in the patient care record. Under the direction of the Charge Nurse or Nursing Supervisor the role of Unit Clerk is responsible for assisting in assigning and placing patients in appropriate rooms. Must be able to work normal/scheduled working hours to include Holidays, call-backs, weeknights, weekends, and on-call. Agrees to participate, as directed, in emergencies and community disasters during scheduled and unscheduled hours. As a designated disaster service worker you are required to assist in times of need pursuant to the California Emergency Services Act. (Gov’t. Code §§ 3100, 3102) Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct. The employee shall work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate cooperative behavior with colleagues and supervisors.

EDUCATION/TRAINING/EXPERIENCE:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

To perform this job successfully, an individual should be a high school graduate or equivalent. Must fall into one of the following categories: (1) have successfully completed the Skills Lab and fundamentals of bedside care portion of their R.N. Program or (2) have their current and valid CNA license. Must have a basic understanding of Medical Terminology. Must have and maintain current BLS certification or obtain within orientation process, prior to hands‑on patient care.

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence if required. Ability to speak English, write legibly, and read, understand and follow directions. Have a basic understanding of Medical Terminology.

Ability to calculate figures and amounts such as metric system proportions and percentages if required.

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

To perform this job successfully, an individual should have basic computer skills.

LICENSURE/CERTIFICATIONS:

To perform this job successfully, an individual should be a high school graduate or equivalent. Must have and maintain BLS certification or obtain within orientation process, prior to hands‑on patient care. Must fall into one of the following categories: (1) have successfully completed the Skills Lab and fundamentals of bedside care portion of their R.N. Program or (2) have their current and valid CNA license.

Responsibilities and Essential Functions:

• *Indicates Essential Function
• 1 * On shift assigned, the Unit Clerk is responsible for all clerical duties related to computer entry and retrieval of data. Assists and demonstrate working knowledge of admissions, transfers, discharges, consents, occurrence reports, and deaths. Including completing check off list of specific activities every shift.
• 2 * Maintains the medical record on each patient within the assigned unit. Assembles chart, transcribes orders for verification by R.N. Files reports. Maintains accuracy, completeness and neatness of the medical record.
• 3 * Utilizing appropriate telephone etiquette, answers phone promptly, screens, refers calls in accordance to policy and dispatches messages as requested. Initiates phone calls for nursing staff to physicians, nursing administration, UR, etc.
• 4 * Promptly and professionally responds to all patient call lights and refers patient needs to appropriate staff. Alerts shift charge nurse of undue delays in patient care.
• 5 * Cooperates in team planning and execution of that plan to accomplish assigned patient care tasks effectively and safely.
• 6 * Demonstrates a thorough working knowledge of medical and pharmaceutical terminology.
• 7 * Monitors and coordinates flow of visitors in and out of departments. Demonstrates reverence for life, respect for inherent dignity and worth of each individual, and maintenance of patient privacy and confidentiality.
• 8 * Is flexible when asked to assist with transportation of patients, equipment and supplies. Completes all other tasks as designated by Unit Director or designee.
• 9 * Ensures adequate and accurate inventory of all office, chart and medical supplies.
• 10 * Demonstrates dependability and professional image by, but not limited to, adhering to dress code, reporting to duty on time, and using benefit time appropriately, maintains a safe and clean work area for promoting patient and visitor satisfaction.
• 11 * Participates in adherence to the Joint Commission "National Patient Safety Goals for Hospitals" as defined by Scope of Practice.
• 12 * Documentation reflects compliance with established Hospital policies and procedures.
• 13 Be in attendance on site and arrive to work on time.

DEPARTMENT SPECIFIC DUTIES:

• 1 * Assists with customer service rounding, including basic care needs such as but not limited to feeding, bathing, vital signs measurement, and positioning of the patients using proper body mechanics.
• 2 * Monitors and documents patient care as directed. Reports variances immediately to appropriate health team member. Reports any patient concerns or changes in patient conditions to the R.N. as soon as possible.