Ward Clerk: Charting, Admissions & Care Coordination

Poway Healthcare Center in; Poway (CA); On-site; USD 42,000 - 56,000; Full time

Job summary

Poway Healthcare Center seeks a detail-oriented Medical Records Assistant to support the Nurse Supervisor in recording and charting medical information according to current standards. You will maintain the daily census and an up-to-date resident roster.

You will transcribe physicians' orders to care plans, chart nursing notes, notify families of changes, and process admissions, transfers, and discharges with accuracy and compliance.

Qualifications

• Must possess a high school diploma or GED.
• Exceptional communication and customer service skills.
• Basic knowledge of medical terminology and nursing practices is helpful.

Responsibilities

• Record medical and administrative information according to established charting policies and procedures.
• Maintain the Daily Census Report and resident roster.
• Transcribe physicians’ orders to care plans, medication cards, and treatment plans as required.
• Notify next-of-kin when there is a change in resident condition.
• Admit, transfer, and discharge residents and assist with transportation as needed.
• Forward completed charts to the Medical Records/Health Information Department.

Skills

Communication

Customer service

Interpersonal skills

Education

High school diploma or GED

Job description

Poway Healthcare Center seeks a detail-oriented Medical Records Assistant to support the Nurse Supervisor in recording and charting medical information according to current standards. You will maintain the daily census and an up-to-date resident roster.

You will transcribe physicians' orders to care plans, chart nursing notes, notify families of changes, and process admissions, transfers, and discharges with accuracy and compliance.