Job Summary The Medical Scribe is responsible for documenting patient encounters and assisting healthcare providers by accurately recording medical histories, examination findings, treatment plans, and other relevant information during patient visits. This role ensures that medical records are complete, accurate, and compliant with regulatory standards, allowing healthcare providers to focus on patient care and improving clinical efficiency. Essential Functions Provides support to physicians and healthcare providers by documenting medical information, reducing their clerical workload. Accurately and efficiently documents patient histories, physical exams, diagnoses, treatment plans, and other relevant information during patient visits in real-time. Identifies and clarifies inconsistencies, discrepancies, and inaccuracies in medical dictation, editing as necessary to ensure accuracy without altering the provider's intent. Records all physician-patient interactions, including medical notes, lab results, medications, and follow-up instructions, in the electronic health record (EHR) system. Maintains and organizes patient records in the EHR system, ensuring proper coding, compliance, and documentation practices. Reviews and updates patient charts before the physician enters the room to ensure all relevant information is accurate. Relays important information between patients and healthcare providers, as well as coordinate communication with other healthcare professionals as needed. Adheres to healthcare regulations, including HIPAA, to maintain the confidentiality and privacy of patient information. Documents lab results, imaging studies, and diagnostic tests in patient records promptly. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Coursework in medical terminology, anatomy, or healthcare documentation preferred 0-2 years of experience in a healthcare setting with experience in medical scribing or healthcare documentation preferred Knowledge, Skills and Abilities Proficient knowledge of medical terminology and human anatomy. Strong attention to detail and accuracy in documentation. Excellent written and verbal communication skills to facilitate effective documentation. Ability to manage time effectively and work efficiently in a fast-paced clinical environment. Basic computer skills, including familiarity with EHR or healthcare documentation software.
Now Hiring: Med/Surg RN Night – Poplar Bluff, MO $20k Sign-On Bonus! Why You’ll Love It Here Supportive leadership, a collaborative care team, and an environment where your voice is heard. Why You’ll Love This Role Comprehensive Health Coverage – Medical, dental, and vision plans for you and your family, effective the first day of the month following your start date. Future Security – 401(k) with employer matching to support your long-term financial goals. Student Loan Support – Student loan repayment assistance to help reduce your financial burden. Educational Assistance – Tuition reimbursement because we invest in your continued growth and development. Time Away – Paid Time Off (PTO) and paid holidays to rest, recharge, and maintain work-life balance. Protection & Wellness – Life and disability insurance, wellness resources, and access to an Employee Assistance Program (EAP). Competitive Pay – Compensation designed to reward your expertise, experience, and dedication. National Certification Differential – Earn more for your expertise with additional compensation for nationally certified professionals, recognizing advanced skills and commitment to excellence. Company-Paid Certification Renewals – BLS, ACLS, and PALS renewals are fully covered, allowing you to maintain your credentials at no cost while focusing on delivering exceptional care. Compensation: Shift Differentials: May vary by schedule. (We encourage candidates to inquire!) What We’re Looking For – Med/Surg RN Night If the following describes you, you're a perfect fit: Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements.
Now Hiring: Med/Surg Charge RN Nights – Poplar Bluff, MO $20k Sign-On Bonus! Why You’ll Love It Here Supportive leadership, a collaborative care team, and an environment where your voice is heard. Why You’ll Love This Role Comprehensive Health Coverage – Medical, dental, and vision plans for you and your family, effective the first day of the month following your start date. Future Security – 401(k) with employer matching to support your long-term financial goals. Student Loan Support – Student loan repayment assistance to help reduce your financial burden. Educational Assistance – Tuition reimbursement because we invest in your continued growth and development. Time Away – Paid Time Off (PTO) and paid holidays to rest, recharge, and maintain work-life balance. Protection & Wellness – Life and disability insurance, wellness resources, and access to an Employee Assistance Program (EAP). Competitive Pay – Compensation designed to reward your expertise, experience, and dedication. National Certification Differential – Earn more for your expertise with additional compensation for nationally certified professionals, recognizing advanced skills and commitment to excellence. Company-Paid Certification Renewals – BLS, ACLS, and PALS renewals are fully covered, allowing you to maintain your credentials at no cost while focusing on delivering exceptional care. Compensation: Shift Differentials: May vary by schedule. (We encourage candidates to inquire!) What We’re Looking For – Med/Surg Charge RN Nights If the following describes you, you're a perfect fit: Job Summary The RN Charge oversees the operations of a nursing unit during assigned shifts, ensuring effective and efficient delivery of high-quality patient care. This role supervises nursing staff, coordinates care with healthcare teams, and maintains compliance with healthcare regulations and hospital policies while fostering a positive work environment and promoting professional development. Essential Functions Supervises and supports nursing and support staff, delegating tasks and responsibilities to appropriate personnel. Evaluates staff performance, providing feedback and coaching to maintain high standards of care. Oversees the assessment, planning, implementation, and evaluation of patient care, ensuring patient care plans are followed and adjusted as needed. Collaborates with healthcare professionals to coordinate patient care and resolve issues related to patient flow or care delivery. Ensures effective communication among physicians, patients, families, and hospital departments, including managing shift handoffs and unit huddles. Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. Conducts employee and patient rounding to evaluate care delivery and satisfaction. Monitors adherence to safety standards, infection control protocols, and hospital policies, addressing non-compliance promptly. Participates in quality improvement initiatives and audits to enhance patient outcomes and ensure compliance with healthcare regulations. Ensures necessary medical supplies are available and properly utilized while maintaining cost-effective resource management. Facilitates ongoing education and professional development for nursing staff and ensures training needs are met. Leads efforts in infection prevention by conducting audits, educating staff, and ensuring adherence to protocols for hand hygiene, sterilization, and use of PPE. Responds to emergencies within the unit, providing leadership and direct care as necessary. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 1-2 years of clinical nursing experience required Knowledge, Skills and Abilities Strong clinical knowledge and ability to oversee complex patient care. Effective communication and interpersonal skills to coordinate with interdisciplinary teams. Leadership and mentoring skills to manage staff and promote a positive work environment. Ability to assess, prioritize, and manage multiple patients and tasks. Proficiency in using hospital information systems and clinical documentation tools. Knowledge of infection control protocols, safety standards, and quality improvement practices. Critical thinking and problem-solving skills for addressing unit challenges and emergencies. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred
Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements.
Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements.
