60 Psa Health Information Manager Jobs Hiring Near You

Job Description

Position

Health Information Manager (LVN)

Department

SNF Nursing

Reports To

Director of Nursing

FLSA Status

Exempt

Prepared By

Human Resources

Prepare Date

June 2026

Job Summary

Under the direction of the Director of Nursing, the Health Information Manager is responsible for the overall planning, organization, management, and oversight of the facility's health information and medical records systems. This position ensures the accuracy, completeness, confidentiality, security, and regulatory compliance of resident health records in accordance with federal, state, and facility requirements.

The Health Information Manager serves as a key resource for health information management, clinical documentation, regulatory compliance, quality assurance activities, and electronic health record administration. This position works collaboratively with nursing leadership, the DMS Nurse, Quality Assurance Nurse, physicians, and interdisciplinary team members to support resident care, survey readiness, and operational excellence.

The Health Information Manager may supervise Medical Records staff and is responsible for maintaining the integrity of all resident health information throughout the admission, stay, discharge, and record retention process

Mission and Values

Demonstrates the competencies to fulfill the Mission and values of St. John of God Ministry, which are the foundation of all activities performed by every employee

Mission

We are here to extend the healing mission of Jesus through the Hospitality of St. John of God by continually improving the health and quality of life of the people we serve

Core Values

Hospitality

Creates an environment where people can feel welcomed, comfortable, understood, esteemed and loves

Respect

Recognizes the richness of God’s gifts and His presences in every person regardless of age, situation in life, culture or religion

Quality

Works toward creating centers of excellence and service fostering continuous improvement in the quality of service

Responsibility

Encourages cooperation as a way of promoting standards of competence, efficiency and accountability as we carry out our duties in the Mission

Leadership and Department Management

1. Plans, develops, organizes, implements, evaluates, and directs the Medical Records and Health Information Management functions of the facility.
2. Maintains current policies, procedures, forms, and job descriptions related to health information management.
3. Reviews and updates departmental policies and procedures annually or as regulations change.
4. Supervises Medical Records staff, including hiring, training, scheduling, coaching, performance evaluations, and corrective action when necessary.
5. Attends department head meetings, quality assurance meetings, in-services, and other facility meetings as assigned.
6. Maintains effective working relationships with nursing leadership, department managers, physicians, consultants, and regulatory agencies.

Health Information Management

1. Oversees the creation, maintenance, storage, security, retention, and destruction of resident health records in accordance with HIPAA, CMS, California Department of Public Health regulations, and facility policies.
2. Ensures timely and accurate documentation of admissions, transfers, discharges, deaths, and clinical updates.
3. Maintains resident census records and monitors record completion requirements.
4. Manages requests for release of information, subpoenas, audits, and requests from residents, families, legal representatives, physicians, hospitals, and regulatory agencies.
5. Maintains confidentiality and safeguards all protected health information.
6. Monitors record completion and follows up with physicians and interdisciplinary team members regarding missing signatures, orders, and required documentation.
7. Maintains filing systems for active and inactive records in accordance with retention requirements.
8. Maintains a master forms management system and coordinates development, review, revision, and distribution of facility forms.
9. Performs data entry and record management functions as required.

Electronic Health Records (EHR)

1. Serves as a resource for PointClickCare and other electronic health record systems.
2. Maintains working knowledge of all aspects of the EHR system and assists with troubleshooting documentation issues.
3. Participates in planning, implementation, optimization, and future expansion of electronic documentation systems.
4. Assists staff with documentation processes and EHR-related questions.

Quality Assurance and Regulatory Compliance

1. Participates in the Quality Assurance and Performance Improvement (QAPI) program.
2. Conducts quantitative and qualitative audits of medical records to ensure completeness, accuracy, and compliance.
3. Monitors admission, discharge, MDS, quality indicator, and survey-related documentation.
4. Works closely with the Quality Assurance Nurse and DMS Nurse to ensure documentation compliance and support quality outcomes.
5. Assists with survey preparation and responds to requests from regulatory agencies regarding medical record documentation.
6. Maintains current knowledge of federal, state, and local regulations governing skilled nursing facilities and health information management.

Admission, Resident Stay, and Discharge Responsibilities

1. Coordinates admission record preparation and ensures required documentation is completed timely.
2. Maintains admission and discharge tracking systems and census records.
3. Ensures incoming clinical information is filed accurately and promptly.
4. Conducts ongoing chart audits and record reviews during residents' stays.
5. Monitors physician visit documentation and required signatures.
6. Coordinates assembly, review, and completion of discharged resident records.
7. Audits discharged records for deficiencies and coordinates correction with responsible departments.

Additional Responsibilities

1. Orders and maintains departmental supplies.
2. Supports risk management activities, investigations, and compliance initiatives.
3. Performs other duties and responsibilities as assigned.

REQUIRED QUALIFICATIONS

Education and Licensure

• Current, valid, and unrestricted California Licensed Vocational Nurse (LVN) license.

Experience

• Minimum one (1) year of experience as an LVN Charge Nurse, Desk Nurse, Medical Records professional, Health Information Manager, or related position.

• Minimum two (2) years of experience in Health Information Management, Medical Records, or a related healthcare setting preferred.

• Skilled nursing facility or long-term care experience strongly preferred.

Knowledge, Skills, and Abilities

• Knowledge of HIPAA regulations and health information privacy requirements.

• Knowledge of Medicare, Medicaid, and skilled nursing facility documentation standards.

• Knowledge of ICD-10 coding principles, medical terminology, and documentation requirements.

• Understanding of federal and state regulations governing skilled nursing facilities.

• Proficiency in PointClickCare, electronic health record systems, and Microsoft Office applications.

• Strong organizational, communication, analytical, and problem-solving skills.

• Ability to prioritize multiple responsibilities and meet deadlines.

• Ability to maintain strict confidentiality and professionalism.

• Ability to work independently and collaboratively as part of an interdisciplinary team.

PHYSICAL DEMANDS

• Frequent sitting, typing, filing, and reviewing records.

• Frequent use of computers and office equipment.

• Occasional standing, walking, bending, lifting, pushing, and pulling up to 25 pounds.

• Ability to perform repetitive hand and finger movements.

• Ability to organize, file, scan, copy, collate, and maintain records efficiently.