Admissions & Medical Records Nurse

Trilogy Health Services is seeking an Admissions & Medical Records Nurse to support our senior living and long-term care residents. In this role, you'll coordinate new resident admissions, obtain and review medical histories, and ensure accurate, timely documentation in electronic health records. You'll collaborate with interdisciplinary teams, communicate with families and providers, and support care planning. Trilogy offers a compassionate, growth-focused culture with opportunities to advance your nursing skills while delivering high-quality, person-centered care.

Responsibilities

• Coordinate and complete resident admission assessments and documentation
• Collect, review, and verify medical histories and physician orders
• Maintain accurate, up-to-date electronic health records (EHR)
• Ensure compliance with HIPAA and facility documentation standards
• Collaborate with interdisciplinary team on care plans and updates
• Communicate with residents, families, and providers regarding admission status
• Support care transitions and discharge documentation as needed
• Monitor documentation for accuracy, completeness, and timeliness
• Assist with quality audits and regulatory survey preparation
• Provide direct nursing support as needed during high-volume periods

Required Skills

• Patient admission coordination
• Medical records management
• Electronic Health Records (EHR)
• Nursing assessment
• Care planning documentation
• Regulatory compliance (HIPAA)
• Medication reconciliation
• Interdisciplinary team collaboration
• Patient and family communication
• Time management