Home Health Scribe

The Home Health Scribe is responsible for remote documentation of comprehensive assessments performed by Registered Nurses in the home setting, completed in real-time, and maintaining both audio and visual connectivity throughout the assessment.

The Home Health Scribe is responsible for accurately capturing the assessment findings of the Registered Nurse, accurately scoring the OASIS and developing the comprehensive Plan of Care.

The Home Health Scribe is responsible for transcribing real-time assessment findings and medical information from patient encounters into the electronic medical record, collaborating with the assessing clinician to ensure accurate transcription and completion of all documentation same-day.

Duties and Responsibilities:

1. Ensures medical record compliance by self-documentation attestation.
2. Prepares, transcribes, and assembles medical record documentation/charts for physician(s)
3. Updates patient history, physical exam, and pertinent health information of the patient
4. Complies with hospital and medical facility policies, including those relating to HIPAA and Joint Commission.
5. Prepares and sends all documentation to physician for review and approval
6. Analyze the patient history and medical records before input of data to the assessment record.
7. communicate with clinician/nurses to ensure that assessment form is filled up correctly with the appropriate information.
8. Uses a client system tool to record all data that was scribe within the session with the clinician/nurses
9. Performs other duties and tasks to improve productivity and workflow as assigned.

Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing needs of the position.

Requirements:

• Registered Philippine Nurse
• At Least 1 year of clinical experience
• Excellent communication skills
• Work experience with OASIS is an advantage
• Detail-oriented
• Strong written, oral and interpersonal communication skills
• Willing to work on night shift

Current Openings for Home Health Scribe Jobs at PMAX Global