CAREERS

Under general direction, the Housekeeper cleans all areas of the hospital by performing routine cleaning of patient rooms, nursing units, offices, clinical areas, waiting areas, lobbies, lounges, restrooms, and corridors. Demonstrate ability to utilize the appropriate chemicals and supplies according to procedure. This is a full time 40 hr/wk position with rotating weekends & holidays.

Education and/or Experience

• High school diploma or equivalent.  

• Ability to communicate effectively with patients and staff.

SIGNIFICANT DUTIES 

• Promote the mission, vision, and values of the organization 

• Performs all assigned tasks in a professional manner in order to reflect the highest integrity of the Environmental Services Department

• Performs routine cleaning of patient rooms, nursing units, offices, clinical areas, waiting areas, lobbies, lounges, restrooms and corridors in a clean, neat and sanitary manner.

• Performs terminal/detailed cleaning of the OR rooms by following check list or as instructed by OR personnel 

• Performs laundry service in house and complies with all safety codes in doing so.

• Completes work assignments in a timely manner. 

• Utilizes the appropriate chemicals and supplies according to procedure. 

• Uses and maintains equipment properly. 

• Assists visitors with directions whenever requested. 

• Always introduces self to patients, families and visitors. 

• Reports safety hazards as appropriate. 

• Transports trash and hazardous waste to appropriate disposal area. 

• Replenishes supplies. 

• Follows all infection control practices including hand washing techniques, Standard Precautions and isolation precautions. 

• Maintains set quality standards when performing job duties. 

• Works day, evening or night shifts as assigned. 

• Ability to do work on his/her own with normal supervision. 

• Observes safety precautions at all times. 

• Maintains age specific safety precautions. 

• To apply common sense understanding to carry out detailed but uninvolved written or oral instructions. 

• Read and understand equipment operation manual. 

• Assist with cleaning and maintaining carpet and tiled floors by using heavy equipment to clean, strip and wax floors.

• Cooperate with other personnel to achieve departmental objectives, maintain good employee relations and interdepartmental objectives. 

• Enhance professional growth and development through participation in educational programs, trainings, current literature, in-service meetings and workshops.   Shows responsibility for own professional practice and ongoing education. 

GENERAL REQUIREMENTS

• Perform other duties as assigned

• Must be able to assume duties of each housekeeping staff in a time of need.

• Adhere to dress code, appearance is neat and clean.

• Complete annual education requirements.

• Maintain patient confidentiality at all times.

• Report to work on time and as scheduled.

• Wear identification while on duty.

• Maintain regulatory requirements, including all state, federal and local regulations.

• Represent the organization in a positive and professional manner at all times.

• Comply with all organizational policies and standards regarding ethical business practices.

• Communicate the mission vision and values of the organization.

• Participate in performance improvement and continuous quality improvement activities.

• Attend regular staff meetings 

• Must maintain a valid driver’s license 

• Knowledge of environmental services

• Strong organizational and interpersonal skills

• Determine appropriate course of action in more complex situations

• Work independently, exercise creativity, be attentive to detail, and maintain a positive attitude

• Manage multiple and simultaneous responsibilities and to prioritize scheduling of work

• Maintain confidentiality of all medical, financial, and legal information

• Complete work assignments accurately and in a timely manner

• Communicate effectively, both orally and in writing

• Handle difficult situations involving patients, physicians, or others in a professional manner

Physical Requirements and Environmental Conditions

• Working irregular hours including call hours 

• Physically demanding, high-stress environment

• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions 

• Pushing and pulling heavy objects 

• Full range of body motion including handling and lifting patients

• Position requires light to moderate work with 50 pounds maximum weight to lift and carry. 

• Position requires reaching, bending, stooping, and handling objects with hands and/or fingers, talking and/or hearing, and seeing. 

General Sign-off

• The employee is expected to adhere to all policies and to act as a role model in adherence to those policies.

• The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.

The Financial Counselor is responsible for verifying the insurance coverage and calculating the patient’s responsibility for the services to be rendered, reviewing payment options to provide the patient the best financial plan for them. This is a full time, 40 hr/wk position. M-F only, no weekends or holidays.

Education and/or Experience

•             High School Diploma

•             Two year degree preferred

•             One year previous office experience preferred

•             Proficient in Microsoft Excel

SIGNIFICANT DUTIES 

•             Preregistration of a defined group of services for patients including but not limited to:  CT, MRI, Nuclear Medicine, Treadmills, Sleep Studies, Doppler, IV Therapy, Echocardiography, Surgeries, and Ultrasound.

•             Verify insurance coverage prior to the delivery of services.

•             Discuss payment options at point of preregistration.

•             Identify, consult and assist patients with potential eligibility for the Medicaid program.

•             Serve as a liaison/contact point for patients needing insurance preauthorization services.

•             Serve as backup Registration staff member.

GENERAL REQUIREMENTS

•             Pledge sincere commitment to quality care to a quest for excellence and to maintaining confidentiality for the people we serve and to fellow employees.

•             Adhere to the team approach and work well with fellow employees.

•             Support the hospital, patients, and employees to accomplish the hospital’s mission.

•             Maintain accountability and responsibility for job performance and look for ways to improve.

•             Be punctual and use time wisely.

•             Show respect, politeness, consideration, and sympathy to patients, visitors, and fellow employees.

•             Demonstrate good public relations by expressing to the public and fellow employees the desire for continuous quality improvement.

•             Does not breach patient confidentiality in any way by following HIPPA Privacy and Security Rules at all times.

•             Maintain processes to identify and pre-register patients prior to the delivery of services.

•             Communicate with the patient’s insurance companies prior to the delivery of services and in conjunction with the registration process.

•             Determine the amount of any outstanding deductible and co-insurance at the time of anticipated services.

•             Provide price estimate of anticipated patient services.

•             Communicate price estimates, the anticipated insurance coverage and the anticipated out of pocket costs to the patient.

•             Using the insurance and cost data, discuss payment options with the patient.

•             Perform preregistration timely to ensure adequate time to allow patient to make an informed decision of the delivery of the patient service.

•             Effectively communicate with registration staff to ensure a smooth streamlined registration event for the patient.

•             Identify patients that may be eligible for the Financial Assistance Program and distribute appropriate materials and application if applicable.

•             Assist CFO with the Financial Assistance Program.

•             For private pay patients, determine if any potential eligibility exists for the Medicaid insurance program.

•             Query Medicaid eligibility information to determine if any eligibility does exist for the patient.

•             Assist any patients or hospital departments with preauthorization/precertification of any applicable patient services.

•             Effectively communicate with hospital departments, conveying the need for precertification and informing the departments of the status of the precertification. 

•             Assist with the current registrations during certain days with high volume of patients where the registration staff can’t stay current with the registration procedures.

•             Serve as backup registration staff during the absence of a registration staff member.

•             Provide courteous service to the general public.

•             Possess good written and verbal communication skills.

•             Maintain the ability to stay calm in stressful situations.

•             Ability to perform detailed work.

•             View computer monitor for extended periods of time.

•             Assist and perform other clerical duties as assigned.

The Registration & Call Center Receptionist is Responsible for completion of prior authorization & verifying patient insurance.  This position is also responsible for patient check in, check out, and making patient appointments following medical practice procedures. This position is also responsible day-to-day administrative and general office duties including word processing, filing, faxing, and data entry.  This is a full time position and is located in the Medical Clinic.

Registration Clerk

QUALIFICATIONS: High school diploma or GED; associate’s degree preferred. Minimum one year of experience in an appointment scheduling position or customer service position, preferably in a medical practice setting. Word processing and computer experience.

Certification: Prefer completion of a course in Medical Terminology but not required

Registration Clerk Duties:  

1. Schedules appointments for patients either by phone when they call in or in person after an office visit. If medical practice offers after-hours/one-day appointments, schedules these appointments following urgent/emergency protocols as in the case of a sick child, which may mean scheduling the patient with a physician or nurse practitioner other than their primary physician 

2. Uses manual/computerized system to match physician/clinician availability with patient’s preferences in terms of date and time.

3. Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns. 

4. Ensures that updates (e.g., cancellations or additions) are marked appropriately on the provider’s schedule. 

5. Communicates as needed with physicians/clinicians and other staff about any patient concerns/issues related to scheduling. 

6. Uses customer service principles and techniques to deal with patients calmly and pleasantly.

7. Follows all Clinic policies on safety and security; maintains restricted areas safe by safeguarding keyless entry codes and computer system passwords in strict confidentiality.

8. Appropriately and courteously screens solicitors for relevance to organization needs.

9. Explains financial requirements to the patients or responsible parties and collects copays as required.

10. Responsible for keeping the reception and patient waiting areas, and office files clean and organized.

11. Monitors medical office supplies and inventory needs, places orders and oversees office equipment.

12. Completes patient pre-registration 

13. Performs other duties as assigned.

Knowledge, Skills, and Abilities:

1. Knowledge of medical practice protocols related to scheduling appointments.

2. Knowledge of manual/computerized scheduling systems.

3. Knowledge of customer service principles and techniques.

4. Knowledge of medical terminology.

5. Skill in communicating effectively with physicians/clinician and staff. 

6. Skill in maintaining master appointment schedule via manual or computerized means.

7. Skill in producing reports about appointment patterns as needed.

8. Ability to multitask effectively, dealing with phone calls, in-office patients, staff, and others pleasantly.

9. Ability to communicate calmly and clearly with patients about appointments in all circumstances, including when they are ill or have an emergency.

10. Ability to analyze situations and respond appropriately.

11. Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate practice management software.

12. Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

13. Medical office or reception area. Exposure to communicable diseases and other conditions related to clinic setting. Work may be stressful due to a busy office.

Call Center Duties:

- Review notification system for prior authorization request 

- Check email, fax, and web portals for prior authorization requests (medications) 

- Verify patient insurance 

- Verify prior authorization is needed from insurance company 

- Review diagnosis codes and prior medical procedures prior to submitting a prior authorization

- Submit prior authorization request online, phone, or fax 

- Follow up on submitted prior authorization

- Notify patient/provider if the prior authorization was approved or denied via scanning, or contacting medical facilities

- Scan approval or denial letter to patient chart 

Knowledge, Skills, and Abilities:

1. Knowledge of diagnosis codes 

2. Knowledge of medical terminology.

3. Knowledge of insurance industry.

4. Knowledge of grammar, spelling, and punctuation to type correspondence

5. Skill in computer programs, spreadsheets and applications.

6. Ability to understand and interpret policies and regulations.

7. Ability to prepare documents in response to complaints and inquiries.

8. Ability to examine documents for accuracy and completeness.

9. Ability to read, understand, and follow oral and written instruction.

10. Ability to sort and file materials correctly by alphabetical or numeric system.

11. Ability to communicate effectively and work with others.

Responsible for food preparation and delivery to patients, staff and visitors. This is a full time, 40 hour per week position with weekend & holiday rotation.  Hours will vary depending on assigned shift.

QUALIFICATIONS

Education and/or Experience

•             Two years’ experience as a cook in healthcare setting preferred

•             Good organizational skills

•             High School Diploma

•             Must be at least 19 years old to operate kitchen equipment  

•             Serve Safe (Obtained within 3 months of hire)

Certificates, Licensure, Registrations

•             None required

SIGNIFICANT DUTIES 

•             Check the current census before each meal preparation

•             Check for new diet orders

•             Check diet cards and cross reference with diet order

•             Communicate with nurses to ensure patients’ dietary needs are met

•             Conduct patient rounds at least once daily to review diet requests, preferences and concerns

•             Document meal and fluid consumption when picking up patient trays

•             Prepare patient meals following prescribed diet

•             Prepare late trays as needed for patients

•             Prepare entrees, side dishes, salads, drinks and desserts for upcoming meals

•             Prepare special order menu items as needed

•             Adjust recipes based on need.

•             Prepare coffee for cafeteria

•             Prepare meals for special events, e.g., board and staff meetings, employee events 

•             Prepare salad bar for cafeteria and refresh lettuce and condiments as needed

•             Prepare food requiring advanced preparation per protocol and dietary regulations

•             Taste test all entrée and side dishes

•             Cleans and disinfects all work areas per protocol includes pots and pans, range grill and steam table.

•             Cleans and disinfects pots and pans per protocol

•             Test Chlorine sanitizing solution using chlorine test strip using in pot & pan sink

•             Empties trash cans as needed 

•             Prepare and deliver patient snacks

•             Functions as food service manager in his/her absence

•             Prepare entrée, vegetables, side dishes and desserts for cafeteria

•             Utilizes batch cooking to keep vegetables fresh on cafeteria serving line

•             Cleans cafeteria dining room after each break period, lunch and supper

•             Delivers late trays as needed

•             Stocks nourishment center in acute refrigerator and cupboard as needed 

•             Inspects and documents all patient refrigerator and freezer temperature on a daily basis

•             Serve employees in cafeteria line at lunch and supper

•             Perform all other duties assigned by Food Service Supervisor.

GENERAL REQUIREMENTS

•             Attend staff meetings and training sessions on a regular basis

•             Provides input at meetings to improve dietary services for patients, visitors and staff.

•             Maintains compliance with annual education requirements

•             Adheres to all safety requirements and promptly reports all safety concerns to manager, maintenance or safety officer

•             Maintains a positive attitude at all times and supports JMMMC initiatives both internal and in the community.

•             Participates in at least one JMMMC community driven activity on an annual basis

•             Exhibits good customer relations at all times

•             Exhibits professional conduct when dealing with patients, family, medical staff, and hospital staff at all times

The RN Surgical Servies roll will be responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations. This is a full-time position.

PRIMARY FUNCTION  

• Promote the mission, vision, and values of the organization.

• Assess patients at intervals as stated in policies and procedures.

• Develop an individualized perioperative patient plan of care.

• Implement the plan of care by protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources; performing accounting procedures to protect the patient from unintended retained surgical items; performing interventions necessary to ensure that the patient's procedure is performed on the correct site, side, and level; managing the patient's specimens according to organizational policy and procedures; communicating the patient's current status to relevant parties throughout the continuum of care; administering medications safely and correctly; performing interventions to maintain the patient's wound and tissue perfusion at or above baseline levels; performing interventions to maintain the status of the patient's genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels; performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period; performing interventions to protect the patient from surgical site infection; assessing the knowledge level of the patient or designated support person; providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure; involving the patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process; protecting the patient's rights, dignity, and privacy; providing age-specific, culturally competent, ethical care within legal standards of practice; and providing consistent and comparable care regardless of the setting.

• Evaluate the patient's progress toward attaining outcomes.

• Transfer care as applicable.

• Delegate tasks according to the state Nurse Practice Act and job descriptions.

• Document nursing care accurately, completely, and legibly.

• Collaborate effectively with other disciplines as applicable.

• Participate in quality review and performance improvement projects.

• Participate in the performance appraisal process.

• Use problem-solving and conflict resolution skills to foster effective work relationships with team members.

• Maintain required competencies.

• Pursue professional growth and participates in a professional organization.

• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.

QUALIFICATIONS

Required education and/or experience

• Graduate from an accredited school of nursing

• Current registered nurse licensure in state of employment

• Basic Life Support (BLS) certification

• Demonstrated ability to work in a flexible hospital environment and assist in multiple patient care areas as needed

Preferred:

• 1 year perioperative services experience

• Bachelor of Science in Nursing

• Certified Nurse, Operating Room (CNOR) certification

• Advanced Cardiac Life Support (ACLS) certification

• Pediatric Advanced Life Support (PALS) certification, depending on patient population

• Basic computer skills (eg, Microsoft® Word)

• CNOR certification preferred

Working conditions/Physical Requirements

• Physically demanding, high-stress environment

• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions

• Pushing and pulling heavy objects

• Full range of body motion including handling and lifting patients

• Manual and finger dexterity

• Hand and eye coordination

• Standing and walking for extensive periods of time

• Lifting and carrying items weighing up to 50 lbs.

• Corrected vision and hearing to within normal range

• Working under stressful conditions

• Working irregular hours including call hours

• Performs other duties as assigned, consistent with licensure, competencies, and organizational needs

Provide comprehensive patient care in a clinical laboratory setting, ensuring safety and minimizing medical errors. Perform diagnostic testing across all laboratory disciplines—including blood bank, chemistry, hematology, microbiology, serology/immunology, urinalysis, and phlebotomy. Verify questionable results and repeat procedures when necessary. Support routine phlebotomy services as needed. This is a full time, 30 hr/wk position with rotating On Call on weeknights, weekends & holidays. 

Education and/or Experience

•             Bachelor of Science Degree in Medical Laboratory Science, Biology, or Chemistry.

•             Associate degree in Medical Technology, required

•             Active registration with the American Society for Clinical Pathology (ASCP) or American Laboratory Technologists (AMT)

Certificates, Licensure, Registrations

•             Board Certified in Medical Laboratory Science (ASCP, AMT) 

•             Current Basic Life Support (BLS) certification or must be obtained within 30 days of hire.

Significant Duties

•             Perform chemical and cellular analysis of body fluids (e.g., blood, urine, spinal fluid)

•             Conduct high-complexity testing and validate accuracy of results 

•             Operate, calibrate, and maintain laboratory instruments

•             Prepare reagents and perform routine equipment maintenance

•             Collect and label specimens accurately, ensuring proper patient identification

•             Communicate critical lab values to clinical staff with proper documentation

•             Respond promptly to STAT, timed, and call-result specimens

•             Monitor quality assurance programs and document troubleshooting using SBAR or QA formats

•             Provide technical interpretation of test results to physicians, patients, and families

•             Submit abnormal findings to the Pathologist for review

•             Maintain adequate inventory of testing supplies

•             Present records and procedures to accrediting inspectors as needed

•             Collaborate with other departments to support patient care and performance improvement

•             Assist in compiling data for reports and audits

•             Review and resolve outstanding reports and specimens during each shift

•             Support and oversee managerial duties when assigned

•             Foster teamwork and offer assistance to colleagues

•             Stay current with hospital policies and regulatory standards

•             Demonstrate the ability to be flexible, organized and function in stressful situations.

•             Demonstrate the value of team concepts on a consistent basis.

•             Offer supportive assistance to co-workers.

•             Manage and operate laboratory equipment safely and correctly.

•             Consult with other departments, as appropriate, to collaborate in patient care and performance improvement activities.

•             Assist in compiling data for all necessary reports promptly.

•             Review pending and outstanding reports on every shift and follow up to resolve outstanding specimens.

•             Oversee and assist with manager duties when assigned. 

General Requirements

•             Uphold the organization’s mission, vision, and values

•             Maintain a professional appearance and adhere to dress code, including identification badge while on duty

•             Protect patient confidentiality and sensitive information at all times

•             Comply with all regulatory and ethical standards

•             Participate in ongoing education, staff meetings, and quality improvement initiatives

•             Demonstrate strong communication, organizational, and interpersonal skills

•             Handle challenging interactions with professionalism and empathy

•             Adapt to changing situations and work effectively under pressure

•             Prioritize tasks and manage multiple responsibilities efficiently

•             Complete assignments accurately and on schedule

•             Availability for evening/weekend shifts as needed; on-call duties

•             Follow PPE protocols and safety guidelines

•             Comfortable working in environments with exposure to blood, body fluids, and chemicals

The LPN is responsible for providing professional nursing care for patients including assessment, treatment, care planning, and medical care evaluation by following established standards and practices.  This is full time, 32-40 hours/week. Position is based at the Central Nebraska Medical Clinic.

QUALIFICATIONS

Education and/or Experience: LPN degree. Completion of nursing training from an accredited school of nursing. Minimum of one-year professional nursing experience, clinic experience preferred. 

Certification: 

•             CPR required 

•             Current State Licensed Practical Nurse License 

SIGNIFICANT DUTIES: 

• Obtains patient consent for care and ensures patient confidentiality. 

• Obtains and documents health history, information on chief complaint, vital signs, and health risk factors and assesses disease condition. 

• Provides patient care based on practice guidelines, standards of care, and federal/state laws and regulations.

• Executes prescribed treatments and medical interventions, administers prescribed medications, and monitors and documents treatment progress and patient response. 

• Delegates as allowed under the Nurse Practice Act. Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns. 

• Educates patients and families about health status, health maintenance, and management of acute and chronic conditions.

• Documents patient assessment and intervention data using established medical record forms/automated systems and documentation practices.

• Participates in multidisciplinary teams to improve patient care processes and outcomes. 

• Tracks quality assurance data and monitors for acute and chronic care management.

• Maintains/reviews patient records, charts and other pertinent information.  

• Posts tests and examination results.

• Responds to/refers incoming patient treatment-related phone calls.  

• Maintains patient confidentiality.

• Other duties as assigned.

GENERAL REQUIREMENTS

Knowledge, Skills, and Abilities:

• Knowledge of professional nursing theory, regulations and practices to give and evaluate patient care.

• Knowledge of nursing processes; health care systems, structure, and functions; and community resources. 

• Understanding of health care technology, equipment, and supplies. 

• Familiarity with state law on nursing care, nurse practice guidelines, and clinic policies and procedures.

• Knowledge of chart/medical record documentation requirements and federal/state laws related to release of health care information.

• Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.

• Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care. 

• Skill in time management, problem solving, multitasking, prioritizing, and medical care coordination.

• Skill in initiating appropriate crisis interventions and emergency response.

• Skill in patient triage in person and on the phone.

• Skill in preparing/maintaining records, writing reports and responding to correspondence.

• Ability to analyze options and then counsel patients and families about choices and make referrals to other providers and resources.

• Ability to engage clients and families in the development and implementation of a care plan.

• Ability to read and interpret physicians’ orders and notes from other providers.

• Ability to calculate and administer drug dosages and injections and measure results.

• Ability to maintain quality control standards.

• Ability to react calmly and effectively in emergency situations.

• Ability to communicate clearly.

• Ability to take orders from physicians 

Equipment Operated: Standard nursing equipment and supplies including thermometer, EKG machine, and syringes. May involve use of assistive devices such as walkers, wheelchairs, ventilators, pulse oximetry units, and oxygen tanks. Computer and devices. 

Work Environment: Varied activities including standing, walking, reaching, bending, lifting.  Requires full range of body motion including handling and lifting patient’s manual and finger dexterity and eye-hand coordination. It requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 100 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours.

Mental/Physical Requirements: Combination of office and exam settings. Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinic environment.

Nursing Support Specialist LPN/CNA

The Nursing Support Specialist (NSS) LPN/CNA will be responsible for split duties as the NSS and support as an LPN or CNA. As an NSS, you will be responsible to support the Emergency Dept nurses by promoting communication efficiently from patient registration to discharge, accurately entering patient data into the registration application, order management application and clinical records of the EMR. As an LPN/CNA, your role will be to provide direct and indirect nursing care for assigned patients and utilizing the nursing process and carrying out provider’s orders for those patients. This is a 24 hour per week position that will vary between day shift (6:30am – 7:00pm), & night shift (6:30pm – 7:00am), plus rotating holidays and every 3rd wknd (Fri/Sat/Sun).

Qualifications:

 HS graduate or equivalent

 Office computer skills required

 Previous healthcare experience preferred

 Previous medical terminology preferred

 Must communicate effectively verbally and in writing

 Licensed Practical Nurse (LPN) preferred

Certification/Licensure

 Current Basic Life Support (BLS) 

 Current Licensed Practical Nurse (LPN)

 Current Certified Nursing Assistant (CNA)

GENERAL REQUIREMENTS

• Demonstrate commitment to the organizational mission, vision, and core values

• Support the Acute Care Nurses in providing excellent patient care by promoting communication efficiently throughout the flow of patient care from registration to discharge

• Communicate effectively verbally and in writing

• Maintain confidentiality of patient information

• Establish and maintain effective working relationships with health care team members and diverse patient populations

• Practice in a fast-paced environment relevant to changing patient needs including work with acute, chronic, complex disease processes, emergency care, and care of those who are dying

SIGNIFICANT DUTIES 

• Performs registration of patients in ED areas

• Reports daily census of acute care area 

• Assists nursing in admitting patients to the ED areas

• Accurately collects and enters data into registration application or during downtime on paper

• Accurately enters orders into Order Management system under supervision of an RN

• Maintains expert level of knowledge of order management

• Demonstrates the ability to retrieve patient information form the Electronic Medical Record (EMR) applications as needed for medical providers, nursing staff, and information for transfer of patients

• Coordinates scheduling and orders with other departments per procedure

• Coordinates on call staff contact information at beginning of each shift

• Answers phone and transfers calls to appropriate person as needed at Acute Care and ED nurses’ stations

• Demonstrates ability to use paging system, nurse call system, telephone, fax and all methods of communication 

• Assists with transfer of patients to ensure transition of care by arranging transportation, faxing information and any other communication as directed by RN

• Acts as liaison with registration staff 

• Completes handoff at each change of shift between off-going and on-coming NSS

• Performs duties in ED as directed, including cleaning of units

• Maintains appropriate stock of ED supplies by using Kanban ordering system based on par levels

• Maintains office supplies and organization of supplies at nurses’ station

• Performs chart audits for quality committee as directed

• Demonstrates competency in communicating with nursing staff, providers, ancillary staff, patients and visitors

• Promptly communicates matters requiring immediate nursing intervention

• Demonstrates ability to adapt to changes in the workload as required, in view of patient census fluctuations and staffing levels

• Participate in continued learning opportunities and continued self-development pertinent to duties

• Initiates assessment/reassessment based on the patient’s needs per nursing standards, organizational policy and procedures

• Reports pertinent observations and reactions regarding patients to appropriate personnel and records those observations per facility policy/procedure

• Collaborates with interdisciplinary team to provide patient care including daily hygiene, medication administration, mobility activities, therapeutic and supportive interventions

• Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan

• Assists with delivery of care to patients including bathing, grooming, medication administration, and other therapeutic and/or supportive interventions as ordered

• Contributes to the evaluation of effectiveness of interventions and patient’s progress 

• Documents patient care and related information according to Melham procedures for documentation

• Assists team in patient’s transition to next level of care 

• Incorporates cultural considerations into the plan/delivery of care

• Supports team efforts through timely and professional communication

• Actively participates in continued learning opportunities and continued self-development pertinent to the duties of the job

• Performs other related duties as assigned

PRIMARY FUNCTION  

Responsible for all aspects of Human Resources (HR), both directly and indirectly, including policies, compensation, employee retention, and benefit management with an emphasis on recruitment and staffing. The Director of Human Resources is responsible for coordinating and managing all human resources functions of payroll, compensation, benefits administration, recruitment, retention, employee relations, and policy administration. Responsible for overseeing the workers compensation program, coordinating and administering annual education for the organization. 

QUALIFICATIONS

Education and/or Experience

• Bachelor’s Degree in Human Resource Management or related business field required.  

• Minimum of five (5) years’ experience in Human Resources leadership.  

• Requires effective organizational and problem-solving skills and ability to work well in a non-structured environment.  

• Strong oral and written communication skills are mandatory.

• Needs the ability to handle a variety of duties with frequent change of tasks without loss of efficiency.

• Experience with talent management including workforce planning, succession planning, performance management etc.

Preferred Education and Experience

• Master’s Degree in Human Resources, MBA, or related degree from an accredited college or university

• Experience in the healthcare industry

SIGNIFICANT DUTIES 

• Develops and implements the strategic Human Resources plans with a strong focus on human capital practices, employee relations, performance management, employee communications, employee engagement and retention activities and, in conjunction with CEO and CFO, the strategic compensation and benefits.

• Maintains employee database (HRIS) including, but not limited to personnel files, personnel policies and procedures, benefits, salary information, job descriptions, performance appraisals, time and attendance, and hiring/termination records.

• Partners with legal counsel on requirements and government reporting regulations affecting Human Resources.

• Develops and implements JMMMMC employment policies and procedures system wide, ensuring compliance with all federal and state employment laws.

• Provides proactive and strategic guidance and support for organizational planning and development that aligns the Human Resources agenda in support of key business strategies. This includes and is not limited to items such as the development/training/continuing forward a leadership development plan and change management. 

• Acts as a change champion during periods of restructuring, mergers, or cultural transformations by identifying best practices and approaches that align with the culture and support leaders.

• Serves as a resource for all team members including department managers and directors for human resource information and training. Responsible for disciplinary policies and procedures. Keeps the Employee Handbook current and assures that it meets all required personnel laws.

• Coordinates the recruitment process including job postings, offer letters, interviewing, and coordination of potential applicant visits to the facility. Coordinates the hospital physician and advanced practice provider recruitment process in conjunction with the CEO and Medical staff.

• Responsible for new employee hire and orientation program and procedures. 

• Manages the performance review process to ensure effectiveness, compliance, and equity.

• Serves on and participates in other projects/tasks as required by hospital committees or administration. Assist the CEO as necessary with contract negotiations, preparing letters of intent and compensation recommendations. 

• Assure accuracy of time and attendance records. Monitors the training requirements and certifications of staff to ensure all are current including assigned compliance training.

• Prepares, communicates, and maintains appropriate documentation for establishing employee benefits coverage, updates employee benefits records, to ensure compliance with benefits regulations.

• Manages and monitors the Workers Compensation program along with FMLA policies/procedures/processes.

• In conjunction with CFO, develops and maintains the annual operating budget for the Human Resources Department. 

• Fulfills mission statement by performing job duties with a high level of customer service while contributing to a positive and professional environment. 

• Always maintain a high degree of confidentiality. Follows all HIPAA guidelines and promotes and ensures patient safety.

• Special projects and other duties as assigned.

Performance Improvement: 

• Participates in the PI program, including development and review of internal department quality monitors, tracking and reporting quarterly PI findings in a timely manner, reporting all patient quality issues to the Quality Department and facilitating on-going education for staff regarding their role in the PI process.  

ORGANIZATIONAL/DEPARTMENTAL RELATIONSHIPS

• Reports directly to the CEO. This position supervises all functions of the Human Resource Department. Responsible for working with department leaders for compliance with federal and state laws regarding personnel policies. Must be able to effectively work with all hospital departments for various aspects of the position.

The Nursing House/Shift Supervisor is responsible for promoting and maintaining quality patient care through the effective management and delivery of patient care during his/her assigned 12-hour shift. A significant portion of time is spent coordinating resources, problem solving, supporting and/or providing direct care delivery, evaluating effectiveness of care, and promoting effective communication. Contributes to implementation and enforcement of Nursing, Medical Staff and Administrative policies and procedures, performance plans, and takes appropriate action. The House/Shift supervisor assumes the lead RN role in the absence of the CNO and Nursing Management staff. This position will also rotate into the ED RN role. 

Shifts Avialable: 

- 36 hrs/week & every 3rd weekend (Fri, Sat, Sun) and holiday rotation. Hours for this position are 6:30pm – 7:00am. 

- 24-36 hrs/week & every 3rd weekend (Fri, Sat, Sun), and holiday rotation. Hours are 6:30 pm- 7:00 am

- A Sign-On bonus of $7,000 is offered with this  full time position.

QUALIFICATIONS

• Graduate of School of Nursing; BSN or BA preferred.

• Minimum of 6 months of clinical experience, work related experience and/or previous House/Shift Supervisor/management role in a hospital setting. and ability to perform duties in acute, skilled, and emergency areas of facility.

• Current NE State License or Compact license as a Registered Nurse required. 

• Professional knowledge of nursing practice, and regulation to support patient care delivery.

• Current BLS, ACLS, PALS or ability to obtain within 2 months of hire. 

• Current TNCC or ability to obtain within 1 year of hire.

• IS 100, 200, 700 and 800 or ability to obtain within 12 months of hire.

GENERAL REQUIREMNENTS

• Demonstrate commitment to the organizational mission, vision, and core values.

• Maintain clinical competency as required for Acute and Emergency Room Care including but not limited to age-specific competencies relative growth and developmental needs of all ages of patients.

• Knowledge of federal and state regulations related to nursing applications and relative practice area.

• Communicate effectively both verbally and in writing.

• Supervise, instruct, and evaluate the work of all acute and ED patient care staff members.

• Maintain confidentiality of patient information

• Exercise professional judgment, courtesy, and professionalism in daily interactions with others

• Demonstrates relationships management and influencing behaviors. 

o Conflict resolution skills

o Critical conversation skills

o Mediation skills

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards.  Monitors staff adherence and knowledge of standards.

• Serves as the lead RN for emergency management plan response.  Opens incident Command as appropriate.  Monitors staff knowledge and response to plan activations.

• Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.

o Incident reporting SQSS

o Compliance and safety reporting

o Abuse/neglect reporting

o Patient rights

o Staff rights

o Appropriately completes and/or supports reporting of events and forms as needed.

• Completes yearly self and staff evaluations/reviews and development plan.

• Attends meetings as assigned.

• Attends 75% of monthly staff meetings and keeps updated on information.

• Completes annual on-going competency plan.

• Attends mandatory in-services and/or programs.

• Maintains certifications.

SIGNIFICANT DUTIES

• Initiates assessment/reassessment based on the patient’s needs per nursing standards and organization policy and procedures.

• Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.

• Collaborates with the interdisciplinary team to coordinate and provide patient care.

• Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.

• Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical/surgical, pediatric, neonatal, emergency and skill care. 

• Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs.

• Executes, directs, supervises and/or assigns other staff members to perform therapeutic and or supportive interventions.

• Evaluate the patient’s response to and effectiveness of interventions.

• Evaluates the patient’s progress toward established outcome.

• Incorporates cultural considerations into the plan/delivery of care. 

• Includes family and/or significant others in the care of the patient as appropriate.

• Documents patient care and related information according to Melham procedures for documentation

• Facilitates a patient’s transition to the next level of care including admission, discharge, and transfers.

• Receives calls for patient placement, screens for appropriate admission criteria and notifies the department of patient placement.

• Utilizes knowledge of UR criteria to assist with the appropriate admission status and placement of a patient.

• Demonstrates knowledge of EMTALA regulation and paperwork.

• Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication.

• Services as a role model to colleagues, students, and other care providers

• Actively participates in continued learning opportunities and continued self-development pertinent to all areas of Acute/ED care nursing.

• Proficient in the management of provider orders in CPOE and in the order management system

• Maintains effective communication channels with the entire healthcare team.

• Assist administration with personnel management and other administrative duties as assigned.

• Acts as a resource to the healthcare team

• Performs as senior leader in event CNO/nursing management are absent. 

• Performs other related duties as assigned.

• Oversees and/or assigns additional work duties during low volume periods when core staffing is in place.

The ED RN renders collaborative nursing care via the Method of Practice, Patient Coordinated Care, to a caseload of patients for an assigned shift in accordance to the healthcare practitioner’s treatment plan, nursing standards of care/practice and professional code of ethics.  The RN is committed to promoting the health potential of the patient (body-mind-spirit) through the implementation of the nursing process.  Demonstrates ability to delegate appropriately and direct staff in the coordination and delivery of care; assumes responsibility for the appropriate utilization of care resources; demonstrates positive interpersonal relationships with others in problem resolution, is sensitive to the needs of patients, families, and fellow workers. Reports directly to the Emergency Services Manager. Delegates and directs assigned shift caseload team which may be comprised of RN’s and NSS’s. Must be a Graduate of School of Nursing and have a current Nebraska State RN license. 2-5 years ED or Critical Care experience preferred. 

Currently available:

• Full time, 36 hours per week, night shift position from 6:30pm – 7:00am with every 3rd weekend rotation (Fri/Sat/Sun) & holiday rotation.

•     24-36 hours per week. Night shift position 6:30 pm-7:00 am. Every 3rd weekend, Friday, Saturday, Sunday and holiday rotation. 

•    24-36 hours per week. Day shift position. 6:30 am-7:00 pm. Every 3rd weekend, Friday, Saturday, Sunday and holiday rotation. 

• A $7,000 sign-on bonus is eligible with full time positions.

QUALIFICATIONS

• Graduate of School of Nursing

• Current Nebraska State License as a Registered Nurse required.

• On the job experience necessary as determined by department orientation requirements in order to acquire and effectively utilize knowledge of department specific structure and/or process standards.

• Interpersonal skills necessary in order to instruct/comfort patients/families; to maintain effective communication/contact with healthcare team members.

• Analytical Skills necessary in order to prioritize workload and prepare nursing care plans, implement effective nursing care and develop solutions to problems concerning patient’s body, mind and spirit.

• Basic computer knowledge, including Outlook and Microsoft Office

• Basic Life Support within 3 months of hire and maintained

• ACLS and PALS within 6 months of hire and maintained

• TNCC and NRP within one year of hire 

• Job functions must be performed on site with regular attendance.

• Understands that Nebraska is an at will state and that either the employer or employee may terminate the employment relationship at any time with or without cause.

ORGANIZATIONAL SUPPORT

• Adheres to Melham Medical Center administrative support policies and procedures including:

• Demonstrates knowledge of and ability to follow attendance, punctuality, time documentation and scheduling practices

• Complies with parking practices and follows up with staff out of compliance.

• Demonstrates knowledge of department locations and functions.

• Attire is appropriate to job responsibilities. Wears appropriate identification. 

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. 

• Demonstrates knowledge of Melham Medical Center Emergency Management Plan

WORK ROLE COMPETENCIES - CLINICAL PRACTICE

• Performs direct patient care in accordance to performance standards listed on Skills Checklist according to the defined patient population of neonates, pediatrics, adults and geriatrics for the Emergency department and/or trauma patient.

o Demonstrates ability to perform admission, discharge, transfer procedures.

o Utilizes modes of communication to provide continuity of care and to deliver safe care.

o Cares for the patient undergoing an invasive and/or operative procedure.

o Assesses and promotes optimum neurological functioning including pain management.

o Assesses and promotes optimum respiratory and cardiovascular function.

o Demonstrates ability to care for the patient with diabetes and other endocrine challenges.

o Assesses and promotes optimal gastrointestinal functions.

o Assesses fluid electrolyte balance, including blood administration.

o Assesses and promotes optimal musculoskeletal function.

o Assesses and maintains optimal skin integrity, including preventative measures.

o Assesses and supports genitourinary function.

o Demonstrates ability to administer medications and has knowledge of actions, route of administration, dosage, and side effects.

o Demonstrates appropriate patient safety practices.

o Provides nursing interventions to assist the patient during the end-of-life process.

o Demonstrates knowledge of Infection Control Patient Care Practices for the patient population hired

o Demonstrates knowledge of Infection Control Environmental practices for the patient population hired

o Demonstrates knowledge of and ability to perform during trauma care for the following patient presentations:

o Assures each patient receives health care excellence aims of:  safe, effective, patient centered, timely, efficient, and equitable care.

• For shift worked, coordinates shift caseload of patients

• Delegates and directs care delivery appropriately

• Coordinates care effectively

• Accurately completes ED log with patient information and disposition

• Utilizes critical thinking skills in the application of the nursing process in the Emergency Department:

• Records & Completes patient triage to identify patient medical treatment needs and intervention level. Supports the initiation of the patient log via tracking board including update of medical diagnosis at disposition. 

• Performs focused nursing assessment for presenting condition

• Based on focused nursing assessment initiates ED standing orders. 

• Collaborates with Provider in the treatment plan and patient response to care delivery

• Keeps patient and/or significant other informed of care delivery plan

• Continues to reassess and revise the established care plan in relation to the patient’s response to, and the outcomes of the care provided as condition warrants

• Supports and develops Provider discharge plan of care. 

• Implements patient/family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens

• If condition does not meet Melham admission criteria, supports patient stabilization and transfer to a higher level of care

ADMINSTRAIVE PRACTICE

• Oversees and provides feedback on work performance of the shift staff and other members of the health care team and provides feedback to the House Supervisor, and/or Manager. 

• Functions as RN caseload coordinator on assigned patient load.

• Serves as a preceptor to students and staff as requested.

• Follows chain of command to resolve issues or challenges.

The RN renders collaborative nursing care via the Method of Practice, Patient Coordinated Care, to a caseload of patients for an assigned shift in accordance to the healthcare practitioner’s treatment plan, nursing standards of care/practice and professional code of ethics.  The RN is committed to promoting the health potential of the patient (body-mind-spirit) through the implementation of the nursing process.  Demonstrates ability to delegate appropriately and direct staff in the coordination and delivery of care; assumes responsibility for the appropriate utilization of care resources; demonstrates positive interpersonal relationships with others in problem resolution, is sensitive to the needs of patients, families, and fellow workers. Reports directly to the Emergency Services Manager. Delegates and directs assigned shift caseload team which may be comprised of RN’s and NSS’s .

The following shifts are available:  

 Part time, 24 hours/week and every 3rd weekend (Friday, Saturday, Sunday)11:00 am-11:30 pm

QUALIFICATIONS

• Graduate of School of Nursing

• Current Nebraska State License as a Registered Nurse required.

• On the job experience necessary as determined by department orientation requirements in order to acquire and effectively utilize knowledge of department specific structure and/or process standards.

• Interpersonal skills necessary in order to instruct/comfort patients/families; to maintain effective communication/contact with healthcare team members.

• Analytical Skills necessary in order to prioritize workload and prepare nursing care plans, implement effective nursing care and develop solutions to problems concerning patient’s body, mind and spirit.

• Basic computer knowledge, including Outlook and Microsoft Office

• Basic Life Support within 3 months of hire and maintained

• ACLS and PALS within 6 months of hire and maintained

• TNCC and NRP within one year of hire 

• Job functions must be performed on site with regular attendance.

• Understands that Nebraska is an at will state and that either the employer or employee may terminate the employment relationship at any time with or without cause.

PRINCIPLE DUTIES   AND RESPONSIBILITIES

• ORGANIZATION TEAMWORK   

o To support the mission, and motto of Melham Medical Center: Mission:  Partnering with you to inspire healthy living through quality care. Vision: to be your preferred healthcare provider. Motto: Large enough to serve, small enough to care

 Able to verbalize the mission/vision and motto as the driving base for strategic planning, decision-making and delivery of patient care and support services.

o The core values of JMMMMC represent the beliefs of our organization, guiding our processes and decision making at all levels.  The mission and promise is accomplished through a commitment to our core values:

• Integrity: Do the right thing, even when no one is looking

• Respect :Value everyone, diminish no one

• Responsibility: Own our actions, own our results

• Demonstrates values based decision making in the performance of work duties

o Adheres to service delivery standards to ensure a high level of customer satisfaction. Recognizes opportunities for service improvement

 Demonstrates and achieves customer service standards for self

 Initiates and documents service recovery actions within scope of role

 Department customer satisfaction scores exceed customer expectation goals set

o Demonstrates knowledge of role responsibility and operating philosophy of JMMMMC

 Sells, promotes (manages up)  and presents Melham Medical Center programs, policies, and services in a favorable and positive manner.

 Nursing Code of Ethics behaviors are consistently followed

 Other duties as assigned

o Demonstrates relationship management and influencing behaviors

 Demonstrates. Commitment to Coworkers

 Works well as a collaborative member of the healthcare team

 Demonstrates Communication Expectations

 Manages up peers and healthcare team in interactions with patient/family

 Follows chain of command when addressing issues within the work environment

ORGANIZATIONAL SUPPORT

• Adheres to Melham Medical Center administrative support policies and procedures including:

• Demonstrates knowledge of and ability to follow attendance, punctuality, time documentation and scheduling practices

• Complies with parking practices and follows up with staff out of compliance.

• Demonstrates knowledge of department locations and functions.

• Attire is appropriate to job responsibilities. Wears appropriate identification. 

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. 

• Demonstrates knowledge of Melham Medical Center Emergency Management Plan

WORK ROLE COMPETENCIES

           CLINICAL  PRACTICE

• Performs direct patient care in accordance to performance standards listed on Skills Checklist according to the defined patient population of neonates, pediatrics, adults and geriatrics for the Emergency department and/or trauma patient.

o Demonstrates ability to perform admission, discharge, transfer procedures.

o Utilizes modes of communication to provide continuity of care and to deliver safe care.

o Cares for the patient undergoing an invasive and/or operative procedure.

o Assesses and promotes optimum neurological functioning including pain management.

o Assesses and promotes optimum respiratory and cardiovascular function.

o Demonstrates ability to care for the patient with diabetes and other endocrine challenges.

o Assesses and promotes optimal gastrointestinal functions.

o Assesses fluid electrolyte balance, including blood administration.

o Assesses and promotes optimal musculoskeletal function.

o Assesses and maintains optimal skin integrity, including preventative measures.

o Assesses and supports genitourinary function.

o Demonstrates ability to administer medications and has knowledge of actions, route of administration, dosage, and side effects.

o Demonstrates appropriate patient safety practices.

o Provides nursing interventions to assist the patient during the end of life process.

o Demonstrates knowledge of Infection Control Patient Care Practices for the patient population hired

o Demonstrates knowledge of Infection Control Environmental practices for the patient population hired

o Demonstrates knowledge of and ability to perform during trauma care for the following patient presentations:

o Assures each patient receives health care excellence aims of:  safe, effective, patient centered, timely, efficient, and equitable care.

• For shift worked, coordinates shift case-load of patients

• Delegates and directs care delivery appropriately

• Coordinates care effectively

• Accurately completes ED log with patient information and disposition

• Utilizes critical thinking skills in the application of the nursing process in the Emergency Department:

• Completes patient triage to identify patient medical treatment needs and intervention level. Records patient triage

• supports the initiation of the  patient log via tracking board including update of medical diagnosis at disposition. 

• Performs focused  nursing assessment for presenting condition

• 1)may use the patient/family, EMS, chart, community agencies as a source of information  

• Based on focused nursing assessment initiates ED standing orders. 

• Collaborates with Provider in the treatment plan and patient response to care delivery

• Keeps patient and/or significant other informed of care delivery plan

• Continues to reassess and revise the established care plan in relation to the patient’s response to, and the outcomes of the care provided as condition warrants

• Supports and develops Provider discharge plan of care. 

• Implements patient/family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens

• If condition does not meet Melham admission criteria, supports patient stabilization and 

• transfer to a higher level of care

ADMINSTRAIVE PRACTICE

• Oversees and provides feedback on work performance of the shift staff and other members of the health care team and provides feedback to the  House Supervisor, and/or Manager. 

• Functions as RN caseload coordinator on assigned patient load.

• Serves as a preceptor to students and staff as requested.

• Follows chain of command to resolve issues or challenges.