Charting Manager Jobs in Ohio (NOW HIRING)

The Nurse Supervisor will be responsible for direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by STNAs, primarily during night shifts. To monitor the performance of STNAs and non-licensed personnel and provide education and counseling.  Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to ensure that the highest degree of quality care is maintained at all times.

1. Administrative Functions
   1. Direct the day-to-day functions of the STNAs or other nursing personnel in accordance with current rules, regulations, and guidelines that govern the long-term care Facility.
   2. Ensure that all assigned nursing personnel including STNAs comply with the written policies and procedures established by this Facility.
   3. Periodically review the department’s policies, procedure manuals, job descriptions, etc.  Make recommendations for revisions.
   4. Provide discipline and evaluations of assigned STNAs and other nursing personnel in accordance with current rules, regulations, and guidelines that govern the Facility.
   5. Issue verbal and written disciplinary warnings to assigned STNAs and other nursing personnel for violations of current rules, regulations, and guidelines of the Facility.
   6. Meet with your assigned nursing personnel, including STNAs, as well as support personnel, in planning the shifts’ services, programs, and activities.
   7. Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in the Facility.
   8. Make written and oral reports or recommendations concerning the activities of your shift, as required.
   9. Cooperate with other resident services when coordinating nursing services to ensure that the resident’s total regimen of care is maintained.
   10. Ensure that all nursing service personnel comply with their respective job descriptions.
   11. Participate in the maintenance and implementation of the Facility’s quality assurance program for the nursing service department.
   12. Participate in Facility surveys or inspections made by authorized government agencies, as may be requested.
   13. Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies, as required.
   14. Admit, transfer, and discharge residents, as required.
   15. Assist with completing accident and incident reports, as necessary.
   16. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
2. Charting and Documentation
   1. Complete and file required recordkeeping forms or charts upon the resident’s admission, transfer, and/or discharge.
   2. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
   3. Receive telephone orders from physicians and record on the Physicians’ Order Form.
   4. Transcribe physician’s orders to resident charts, cardex, medication cards, treatment or care plans, as required.
   5. Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care.
   6. Fill out and complete accident and incident reports.  Submit to Director of Nursing, as required.
   7. Chart all reports of accidents and incidents involving residents.  Follow established procedures.
   8. Record new and changed diet orders.  Forward information to the Food Services Department.
   9. Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the Unit Manger and/or Assistant Director of Nursing.
   10. Fill out and complete transfer forms in accordance with established procedures.
   11. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident’s medical record in accordance with established procedures.
   12. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
   13. Sign and date all entries made in the resident’s medical record.
3. Medication Administration
   1. Prepare and administer medications as ordered by the physician.
   2. Verify the identity of the resident before administering the medication and treatment.
   3. Ensure that prescribed medication for one resident is not administered to another resident.
   4. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents.  Report needs to the Unit Manager and/or Assistant Director of Nursing.
   5. Order prescribed medications, supplies, and equipment, as necessary, in accordance with established policies.
   6. Ensure that narcotic counts are accurate before and after every shift.
   7. Notify the Unit Manager and/or Assistant Director of Nursing of all drug and narcotic discrepancies noted on your shift.
   8. Review medication cards for completeness of information, accuracy in the transcription of the physician’s order, and adherence to stop order policies.
   9. Notify the attending physician of automatic stop orders prior to the last dosage being administered.
   10. Dispose of drugs and narcotics as required, and in accordance with established procedures.
4. Personnel Functions
   1. Inform the Unit Manager and/or Assistant Director of Nursing of staffing needs when assigned personnel fail to report to work.  Recommend overtime for assigned STNAs and other nursing personnel to the Unit Manager and/or Assistant Director of Nursing to insure residents’ needs are met.
   2. Report absentee call-ins to the Unit Manager or Assistant Director of Nursing.
   3. Provide feedback and recommendations for probationary and annual employee performance evaluations for STNAs and other nursing personnel.  Prepare probationary and annual employee performance evaluations for STNAs and other nursing personnel.  Meet with STNAs and other nursing personnel to review performance.
   4. Develop work assignments and/or assist in completing and performing such assignments.  Reassign assigned STNAs and other nursing personnel based upon skills and qualifications.
   5. Provide leadership, education, counseling, and discipline, when appropriate, to assigned STNAs and other nursing personnel.
   6. Make daily rounds of your unit/shift to ensure that assigned STNAs and other nursing personnel are performing their work assignments in accordance with acceptable nursing standards.  Make changes to assignments based upon resident needs and availability of skilled staff.
   7. Evaluate daily performance of assigned STNAs and other nursing personnel.  Document any disciplinary issues and report problem areas or disciplinary actions to the Unit Manager and/or Assistant Director of Nursing.
   8. Meet with your assigned STNAs and other nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services.  Assign personnel accordingly to insure quality resident care while allowing personnel to improve in areas where they may be deficient, with appropriate supervision. 
   9. Ensure that STNAs, department  personnel, residents, and visitors follow  the department’s established policies and procedures at all times.
   10. Resolve personnel disputes and issues within the unit and reassign or remove personnel, if necessary, to insure patient safety. 
   11. Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the Facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
   12. Review complaints and grievances made or filed by your assigned STNAs or other nursing personnel.  Make appropriate reports to the Unit Manager and/or Assistant Director of Nursing as required or as may be necessary.  Follow Facility’s established procedures.
   13. Receive/provide the nursing report upon reporting in and ending shift duty hours.
   14. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the Facility’s policies and procedures governing accidents and incidents.
5. Nursing Care Functions
   1. Inform nursing personnel including assigned STNAs of new admissions, their expected time of arrival, room assignment, etc.
   2. Ensure that rooms are ready for new admissions.
   3. Greet newly admitted residents upon admission.  Escort them to their rooms, as necessary.
   4. Participate in the orientation of new residents and family members to the Facility.
   5. Make rounds with physicians, as necessary.
   6. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
   7. Consult with the resident’s physician in providing the resident’s care, treatment, rehabilitation, etc., as necessary.
   8. Review the resident’s chart for specific treatments, medication orders, diets, etc., as necessary.
   9. Maintain established nursing objectives and standards.
   10. Make periodic checks to ensure that certified nursing assistants, STNAs, and/or other nursing personnel are properly administering prescribed treatments and to evaluate the resident’s physical and emotional status.
   11. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, STNA, and/or a nurse aide trainee qualified to perform the procedure.
   12. Cooperate with and coordinate social and activity programs with nursing service schedules.
   13. Notify the resident’s attending physician when the resident is involved in an accident or incident.
   14. Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition.
   15. Carry out restorative and rehabilitative programs to include self-help and care.
   16. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
   17. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings and bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead and dying, etc., as required.
   18. Use restraints when necessary and in accordance with established policies and procedures and applicable state laws and guidelines.
   19. Use an Automated External Defibrillator, as required.
   20. Obtain sputum, urine, blood, and other specimens for lab tests, as ordered
   21. Take and record TPRs, blood pressures, etc., as necessary.
   22. Perform Cardiopulmonary resuscitation (CPR), as necessary.
   23. Monitor seriously ill residents as necessary.
   24. Check foods brought into the Facility by the resident’s family or visitors to ensure that it is within the resident’s dietary allowances.  Report problem areas to the Unit Manager and/or Assistant Director of Nursing and Dietary Director.
   25. Ensure that personnel providing direct care to residents are providing such care in accordance with the resident’s care plan and wishes.
   26. Ensure that residents who are unable to call for help are checked frequently.
   27. Meet with residents, and/or family members, as necessary.  Report problem areas to the Unit Manager and/or Assistant Director of Nursing.
   28. Admit, transfer and discharge residents, as necessary.
   29. Assist in arranging transportation for discharged residents, as necessary.
   30. Ensure that discharged residents are escorted to the pick-up area.
   31. Inform family members of the death of the resident.
   32. Call funeral homes when requested by the family. Ensure that established post- mortem procedures are followed.
6. Staff Development
   1. Participate in planning, conducting, and scheduling in-service training classes for STNAs and any other nursing personnel that provide instructions on “how to do the job,” and ensure a well-educated nursing service department.
   2. Implement and maintain an effective orientation program that orients the new employee, including STNA assigned to your shift, its policies, and procedures, and to his/her job position and duties.
   3. Assist in standardizing the methods in which work will be accomplished.
   4. Assist in training department personnel in identifying tasks that involve potential exposure to blood or body fluids.
   5. Assist the Director in planning clinical supervision for nurse aide trainees.
   6. Attend and participate in outside training programs, as requested.
   7. Attend and participate in annual Facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).
   8. Attend and participate in advance directive in-service training programs for the staff and community.
   9. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
7. Safety and Sanitation
   1. Ensure that all personnel performing tasks that involve potential exposure to blood or body fluids participate in appropriate in-service training programs prior to performing such tasks.
   2. Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
   3. Ensure that your assigned work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.
   4. Ensure that your unit’s resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
   5. Ensure that assigned STNAs and other nursing personnel follow established hand washing and hand hygiene technique in the administering of nursing care procedures.
   6. Ensure that assigned STNAs and other nursing personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
   7. Participate in the implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
   8. Ensure that assigned STNAs and other nursing personnel follow established infection control procedures when isolation precautions become necessary.
   9. Ensure that STNA...