…healthcare professionals, analyze and interpret information collected from patient, medical records , symptoms, physical findings, or diagnostic information,

…order completion, patient education, and referral for follow up care, both in the medical records and logs, as indicated. Assures medical records

…and resident care standard are followed while on shift. Reviews documentation in medical records to insure compliance with regulations, nursing standards of

…or estimating fetal size and weight. Maintain and record information in medical records or provide narrative summaries to communicate patient information

…Health Disparities Collaboratives (HDC) (ie diabetes, depression). + Maintains adequate, up-to-date medical records , completed in a timely manner, according to

…for youth + Updates medical record tracking, and assures that client medical records and appointments are tracked with appropriate diagnoses in GA systems

…management information to other professionals and community agencies. Prepares documentation for medical records including updating patient medical chart by

…an annual basis. Documents patient care services by accurately charting in electronic medical records . Participates in and contributes to regular staff meetings

…practice standards in collaboration with team. + Maintains accurate and confidential medical records . Documents all medical evaluations, diagnoses,

…that order(s) was not executed and reason(s) for same. + Documentation on the medical records the physician was notified and reason(s) for not following