Nurse Unit Manager

Auditing client health records, communication with physicians and facilities to obtain necessary or missing orders/documents. Maintaining health records in secure organized office. Medication administration and documentation in health record. Inservice training and new employee training.Enrolled in college full-time.

Auditing medical records, Capturing all diagnoses/treatments/procedures for assisted living/long term care/dementia/hospice, Admissions/Discharge/Transfers, Rounds with physician, Communication with physicians, supervisor, and family, Documentation in EHR, supervising care givers, Administration of physician orders and skilled care.

Maintaining accurate EHR, Auditing medical record, Admissions- capturing diagnoses, procedures, physician orders and transfer/discharges in EHR. Communication with physicians, supervisor, co-workers, families. Review labs and radiology, Supervising STNAs, Administration of physician orders, Skilled care for tracheostomy and ventilator dependent patients, wound care, hospice and long-term care. Assist ADON/DON when I was not busy. Documentation in EHR as required. HIPAA compliance. Time management skills.

Maintaining accurate EHR, Auditing medical record, Admissions- capturing diagnoses, procedures, physician orders and transfer/discharges in EHR. Communication with physicians, supervisor, co-workers, families. Review labs and radiology, Supervising STNAs, Administration of physician orders, Skilled care for tracheostomy and ventilator dependent patients, wound care, hospice and long-term care. Documentation in EHR as required. HIPAA compliance. Time management skills. I transferred full time to sister facility close to home that I did PRN at.

Maintain accurate health record and documentation, obtain missing documents/orders, Strong communication skills with physicians, supervisors, and families, Skilled nursing care: Pediatric and adult tracheostomy and ventilator care in home and school setting, Post-surgical care/wound care, Administer physician/therapy orders, Worked independently, critical decision making skills.