Entry Level Rn Data Abstractor Jobs in Columbia, MD

REPORTS TO: Nurse Manager
FLSA: Non-Exempt
About Us:
Tuerk House is a non-profit behavioral health system that serves nearly 300 patients a day, regardless of their ability to pay, through an innovative, integrative model of care that encompasses all aspects of recovery. It opened its doors in 1970 in Baltimore, providing lifelong healing and recovery, transforming lives and giving hope to individuals, families, and communities. Tuerk House has also been awarded Joint Commission Accreditation, the gold standard of health care. Patients and families can have peace of mind knowing that we deliver quality, safe care!
Join Tuerk House and make a meaningful impact on the lives of individuals and families seeking recovery and support!
JOB SUMMARY/OBJECTIVE:
The Registered Nurse (RN) works under the supervision of the Nurse Manager and is responsible for the comprehensive care of all assigned patients, in accordance with the Maryland Nurse Practice Act and the policies and procedures of the agency. The RN is accountable for making clinical decisions and providing care consistent with regulations from the Maryland Department of Health and Mental Hygiene and agency guidelines.
ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Patient Follow-Up: Conduct follow-ups for patients needing medical attention based on reviews of medical files and documentation to ensure timely care.
• Medication Administration: Administer medications to clients as prescribed, ensuring safe and secure storage in compliance with state and federal guidelines.
• Regulatory Compliance: Maintain current knowledge of state standards for nursing practice in an intermediate care facility, ensuring compliance at all times.
• Nursing Assessment: Perform comprehensive nursing assessments for each client upon admission and develop discharge care plans for ongoing medical conditions.
• Staff Orientation: Assist in the orientation of nursing staff as directed by the Nurse Manager, fostering a culture of compliance and patient safety.
• Record Maintenance: Ensure all medical forms and clinical records are accurately completed and timely submitted, adhering to HIPAA regulations.
• TB Testing Records: Maintain accurate records of tuberculosis testing for all employees, in compliance with state health regulations.
• Patient Documentation: Review and complete necessary patient paperwork as required to maintain compliance with healthcare standards.
• Incident Monitoring: Monitor client complaints and incidents, responding in accordance with agency and regulatory guidelines for complaint tracking.
• Infection Control: Oversee and report on Infection Control/Surveillance activities to ensure a safe environment for clients and staff.
• Client Care Records: Maintain a comprehensive system of client care records, reporting forms, and service data per state and federal requirements.
• Service Coordination: Ensure all client care services are coordinated and integrated appropriately among multidisciplinary teams.
• Clinical Documentation: Keep necessary clinical documentation from physicians, nurses, and other healthcare providers current and accessible.
• Collaboration: Foster a multi-disciplinary approach to the delivery of services.
• Additional Duties: Accept and perform tasks assigned by the Medical Director, Executive Director, or their designee that align with this role.
• Meetings: Attend required meetings and trainings to remain informed and compliant with best practices.
• Other Duties: Perform all other duties as assigned.

** Flexibility to work evenings and weekends as needed.
REQUIRED EDUCATION, CERTIFICATIONS AND/OR EXPERIENCE:

• Associate's degree (AA) or bachelor's degree (BS) in Nursing required.
• Entry level experience is okay
• Licensure: Valid Maryland RN license required
• BLS certification required.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Ability to conduct ongoing chart reviews to prepare for audits and ensure compliance with state and federal regulations.
• Commitment to maintaining client confidentiality and respecting clients' rights.
• Strong adherence to professional standards of practice, including punctuality, reporting protocols, and professional conduct.
• Consistent execution of monitoring tasks as outlined in Infection Control Policies.
• Ability to train and mentor staff in medication administration and clinical procedures.
• Skilled in coordinating client medical referrals and orienting clients to appointment procedures.
• Proficiency in learning and utilizing in-house software for documentation and reporting.
• Flexibility to work evenings and weekends as needed.
• Commitment to perform all other duties as assigned.

• Personal belief in recovery and the recovery process.
• Excellent written and verbal communication skills, with the ability to interact effectively with staff, clients, and the public.
• High energy, flexibility, and strong interpersonal skills to work effectively within a team.
• Ability to engage clients flexibly based on their individual needs.
• Respect for and maintenance of professional boundaries with all individuals.
• Ability to follow written and verbal instructions accurately.
• Proficiency in reading, understanding, and speaking English.

Background: This position requires successful background and drug test completion
Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Prolonged periods of standing, bending, and reaching
• Must be able to lift up to 75 pounds at times.

SALARY AND BENEFITS:
The compensation for this position will vary depending on factors such as your location, skills, job-related knowledge, and experience. The compensation package may also include incentive compensation opportunities in the form of discretionary annual bonus. Tuerk House provides comprehensive benefits including healthcare, 401K savings plan, company holidays, vacation, sick time, short term disability, life insurance, pet insurance, parental leave, and an employee assistance program. Eligibility requirements apply.
Company Benefits:

• Generous PTO: Enjoy a competitive paid time off policy to promote work-life balance.
• Health Benefits: Comprehensive health, dental, and vision insurance to support your overall well-being.

• Employee Assistance Program (EAP): Assistance for a variety of personal and professional matters.
• HRSA Eligibility: Eligible for Health Resources and Services Administration (HRSA) benefits, providing additional support and resources.
• 401K Match

Equal Employment Opportunity (EEO)
Tuerk House is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
APPLICATION PROCESS:
If you have a disability and you believe you need reasonable accommodation in order to search for a job opening or to submit an online application, please contact this employer to ask for accommodation or an alternative application process. We are committed to providing reasonable accommodation to qualified individuals with disabilities throughout the application and employment process.
This job description provides a summary of the major duties and responsibilities performed by individuals in this position. Incumbents may be asked to perform other tasks not specifically written in this job description.