iSTA Solutions

Nurse, Chart Auditor

iSTA Solutions

full-time

Posted on:

Origin:  • 🇵🇭 Philippines

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Job Level

Junior

About the role

  • Conduct thorough reviews of prehospital patient care records to ensure compliance with established protocols and regulatory requirements.
  • Verify the accuracy and completeness of documentation, including assessments, treatments, interventions, and other relevant information.
  • Identify discrepancies, errors, or omissions in patient care documentation and provide constructive feedback to clinical staff and management.
  • Collaborate with clinical teams to address and rectify identified issues, and provide guidance on best practices for accurate record-keeping.
  • Maintain a thorough understanding of applicable regulations, standards, and guidelines governing prehospital patient care documentation.
  • Assist in the development and implementation of educational programs and training materials related to proper documentation practices.
  • Generate reports summarizing audit findings and trends, and present findings to relevant stakeholders as needed.
  • Participate in quality improvement initiatives to enhance overall patient care quality and documentation accuracy.
  • Stay updated on industry trends, best practices, and regulatory changes related to prehospital patient care documentation.
  • Collaborate with clinical staff, managers, and other stakeholders to identify areas for improvement and provide feedback for ongoing education and training.

Requirements

  • Current and valid PHRN license
  • Have at least 1 year bedside / clinical experience
  • Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements.
  • Excellent attention to detail and analytical skills.
  • Effective communication and interpersonal abilities.
  • Ability to work independently and collaboratively in a team-oriented environment.
  • Commitment to continuous learning and professional development.
  • Willing to work on shifting schedule.