**JOB PURPOSE:**

Assumes authority, responsibility and accountability for the responsibility and accountability for the record keeping procedures and storage of all clinical records in a manner consistent with facility policies and procedures, professional standards and state and federal laws and regulations for long term care facilities. Establishes and implements policies to ensure that records are complete, accurately documented, and readily accessible and systematically organized. Collaborates with Nursing Home Administrators o allocate department resources in an efficient and economic manner to achieve department objectives.

**KEY RESPONSIBILITIES:**

1. Ensures that all clinical records contain sufficient information to identify the resident; a record of the resident’s assessments; the plan of care and services provided; the results of any preadmission conducted by the State, and progress notes.

2. Initiates and participates in the develop...