Job Overview
- Completes medical forms, QA reports, evaluations, charting, 24-hour report for DON, forms for admission, transfer, and/or discharge, and accident/incident reports to be submitted to the Caregiver Manager, etc., as necessary and documents pertinent information in resident care notes/log and/or communicates to caregiver staff.
- Reviews monthly kardexes for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies.
- Reviews the caregiver's interdisciplinary progress notes regularly to assure that they are informative and descriptive of the care provided, reflective of the resident’s response to care, that such care is provided by the resident’s wishes, and that all documentation meets regulatory requirements.
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