Demonstrates competency in performing clerical duties and clinical support consistent with the mission and values of the University of Maryland Rehabilitation and Orthopaedic Institute (UMROI) and in accordance with regulatory requirements. Serves as a fully engaged member of the interdisciplinary patient care services team. Participates in cost effective strategies that optimize patient outcomes.
The following statements are intended to describe the general nature and level of work being performed by the person assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Electronic/Paper documentation
- Accurately and concisely maintains patient care records along the continuum from admission to discharge
- Attends required training on electronic Medical record documentation electronic admission and discharge process and HIPAA requirements.
- Demonstrates ability to write or electronically document accurately in the medical record and/or file paper documents as verified by chart review.
- Performs basic computer and clerical skills.
- Communication/ Collaboration
- Develops communication skills to enhance networking with other clinical and clerical staff.
- Uses active listening principles to promote interdisciplinary teamwork patient safety and customer service.
- Demonstrates ability to articulately and clearly use verbal telephone and/or written skills.
- Maintain customer service skills whenever dealing with difficult personalities and practice service recovery as needed.
- Responds to any safety violations or emergency situations in an appropriate manner.
- Highly effective verbal communication skills including courtesy resourcefulness and efficiency in answering questions giving directions locating staff and explaining hospital/departmental policies and procedures are necessary.
- Verbal communication skills may include communicating with an interdisciplinary team patients and families.
- Effective writing skills are also required in order to take messages and maintain miscellaneous records receipts reports and logs.
- Assemble admission charts/breakdown discharge charts.
- File documents and loose paperwork in charts
- Infection Control: Standard Precautions Isolation Precautions
- Respond to patient call lights
- Accurate keyboard skills
- Maintain Unit communication board
- Orient new staff
- STAR/EPIC/iPath
- Maintain downtime charting needs.
- Collect data per Patient Care Manager
- Activate emergency response systems (RRT/911/Code)
- Medical Emergency Preparedness: Current CPR
- Distributes patient mail and deliveries
- Transportation arrangements for clinic appointments etc.
- Respect for individuals Customer Service Teamwork and Collaboration:
- Models excellence in customer service behaviors. Identifies and acts on opportunities to respond to customer requirements. Takes action to prevent potential customer complaints.
- Initiates and reports service recovery steps taken in response to customer concerns.
- Demonstrates the ability to perform clerical tasks and clinical support according to the age culture ethnicity spirituality and individual diagnostic needs of the persons served.
- Uses hands off communication to convey pertinent patient/clinical information to patient/family or appropriate clinician within the interdisciplinary team.
- Maintains confidentiality of patient information (HIPAA).
- Serves as collaborative member of the interdisciplinary team.
- Provides an inclusive environment for peers orienteers and students.
- Provides performance feedback as requested within peer review systems.
- Voices difference in opinion professionally through appropriate channels.
- Leadership Clinical and/or Technical Skills:
- Maintains updates and protects the integrity of patients Medical Records. Assumes efficient transfer of completed medical record upon discharge/transfer.
- Implements appropriate actions to facilitate efficient and timely Admission/Discharge/Transfer processes.
- Utilizes clinical information systems to enter update revise or delete clinical and demographic data.
- Coordinates/facilitates consults appointments treatments and special equipment based on patient needs.
- Demonstrates ability to complete delegated tasks related to the patient population in the area of assignment.
- Supports unit/organizational goals and problem solving initiatives as a fully engaged team member.
- Provides assistance to interdisciplinary team members as required to meet needs of the unit and organization.
- Responds to operational problems. Reports to appropriate clinician including followup.
- Maintains orderly appearance of work area.
- Quality and Patient Safety:
- Alerts staff to STAT/urgent physicians orders.
- Ensures the safety of the clinical environment for patients visitors and other staff members.
- Demonstrates knowledge practice and accountability for compliance with the TJC National Patient Safety Goals within scope of practice.
- Detects reports and takes action to avoid or correct safety risks.
- Reports adverse events and near misses to appropriate management authority.
- Cost Effectiveness:
- Acts on opportunities to improve patient flow and prevent care delays.
- Employs practices that improve efficiency reduce costs and maximize charge capture when delivering patient care.
- Inputs efficient and balanced selfscheduling data in compliance with staffing targets and guidelines.
- Demonstrates effective prioritysetting and time management skills.
- Demonstrates awareness of cost implications of practice patterns and identifies methods to improve.
- Orders and replenishes appropriate stock of patient care items office supplies and clinical forms.
- Education and Research:
- Assumes responsibility for maintaining competency and clinical knowledge base related to role.
- Identifies and addresses learning needs of self.
- Attends required inservices. Completes written and/or computerized training.
- Participates in data collection for approved research projects as directed
Qualifications :
- Completion of a high school level course of work with attainment of high school diploma or a State High School Equivalency (GED).
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation:
Remote Work :
No
Employment Type :
Fulltime