Nursing Clerk

Job Posting Title

Nursing Clerk
Nexus Neurorecovery Center – San Antonio, TX
Residential Behavioral Health Treatment Program

Position Summary

Under the general supervision of the Director of Nursing, the Nursing Clerk provides essential clerical, administrative, and unit-support services to the nursing department. This role plays a vital part in supporting the delivery of high-quality resident care by maintaining accurate medical records, assisting with nursing documentation, coordinating communication, and ensuring compliance with facility, state, and federal regulations within a residential mental and behavioral health treatment setting.

The ideal candidate is detail-oriented, organized, and professional, with experience supporting clinical teams in a fast-paced healthcare environment.

Job-Specific Responsibilities

• Maintain and organize resident medical records related to admissions, transfers, discharges, and daily documentation in accordance with facility policies and regulatory standards

• Ensure nursing documentation is complete, accurate, and filed in a timely manner within the EMR and/or paper charts

• Assist nursing staff with clerical tasks related to Medication Administration Records (MARs), treatment logs, and shift documentation

• Prepare, distribute, and maintain reports, logs, and forms required for nursing operations

• Track and log physician orders, laboratory results, referrals, and follow-up documentation

• Communicate effectively with nursing staff, providers, admissions, and interdisciplinary team members to support continuity of care

• Answer phones, route calls appropriately, and relay messages to nursing leadership and staff

• Assist with scheduling-related documentation, call-in tracking, and maintaining unit communication boards as assigned

• Support audits, surveys, and inspections by ensuring records and documentation are organized and readily available

• Maintain strict confidentiality of resident information in compliance with HIPAA and facility standards

• Identify and report documentation discrepancies or concerns to the Director of Nursing promptly

• Assist with ordering, tracking, and stocking nursing forms and office supplies

• Demonstrate professionalism and excellent customer service when interacting with residents, families, visitors, staff, vendors, and contractors

• Notify appropriate leadership of urgent clerical or documentation-related issues during the shift

• Perform other duties as assigned

Position Qualifications

Education

• High School Diploma or GED required

• Completion of a medical office, health unit coordinator, or clerical training program preferred

Experience

• Minimum of one (1) year of clerical or administrative experience in a healthcare or behavioral health setting preferred

• Experience working with Electronic Medical Record (EMR) systems strongly preferred

Licensure / Certification

• No licensure required

• CPR/BLS certification preferred or must be obtained within a designated timeframe after hire