CAREERS

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 with 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.  This is a full time, 36 hr/week night position. Hours are 6:30pm – 7:00am.  Every 3rd weekend (Fri, Sat, Sun) & holiday rotation required. Sign-on bonus of $7,000 is eligible with this position.

SUPERVISION

• Reports directly to the Acute Care Manager

• Reports indirectly to the House Supervisor and other managers covering the department.

• Delegates and directs assigned shift caseload team which may be comprised of LPN’s and CNA’s. 

QUALIFICATIONS

• Graduate of School of Nursing.

• Clinical and/or work nursing experience in a hospital with ability to perform duties in the acute and skilled nursing setting is preferred.

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

• BLS within 6 months of hire and maintained.

• ACLS within 6 months of hire and maintained.

• PALS within 6 months of hire and maintained.

• ICS 100 and 200 or ability to obtain within 12 months of hire.

GENERAL REQUIREMENTS

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

• Maintain clinical competency as required for Acute Care including but not limited to age-specific competencies relative to 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.

• Delegate, oversee, and evaluate the work of all acute LPN and CNA 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. 

• Serves designated role for emergency management plan response.  Follows instruction from Incident Command as appropriate.

• 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, and skill care. 

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

• Executes, delegates 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.

• 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 Care nursing.

• Maintains effective communication channels with the entire healthcare team.

• Acts as a resource to the healthcare team

• Performs other related duties as assigned.

• Performs additional work duties during low volume periods when core staffing is in place.

Responsible for coding of medical records and completing and processing insurance claim forms for all government and commercial insurance patients.  This is a full time, 40 hour per week (in-house) position.  

QUALIFICATIONS

Education and/or Experience

• High school diploma or equivalent required.

• Two year degree preferred.

• One year previous office experience.

• Proficient in Microsoft Excel

Certificates, Licensure, Registrations

• Certification in coding (CCS)

SIGNIFICANT DUTIES 

• Filing all insurance claim forms with the proper company.

• Follow-up on past due claims.

• Assist with other office duties

• Assigns codes to diagnosis (es) and operative procedures as documented in the outpatient medical record for billing, data retrieval and research purposes using ICD10-CM, ICD-10PCS and CPT-4 coding classification systems.  Confers with physician and/or health care provider if documentation is unclear 

or insufficient to ensure accurate assignment of codes.

• Assists the billing office with pre-authorization of tests and services for reimbursement purposes.

• Provides codes and/or assists patient accounting personnel in clarification of coding vs. reimbursement issues.

• Coding of Inpatient, Swing Bed and Outpatient facility and professional fees.

• Monitoring incomplete/delinquent accounts.

• Process dictation and diagnostic test results received via email.

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 HIPAA Privacy and Security Rules at all times.

• Process patient account to commercial insurance, Medicare, Medicaid, Tricare, Vets Administration, Every Woman Matters and any others.

• Maintains knowledge of current trends and development in coding by participating in in-service training/continuing education, reading periodicals, journals, other literature and attending related seminars, conferences, etc.

• File insurance claims for Pro Fees on 1500 as required.

• File liens timely for auto accidents.

• Follow-up on insurance claims within 45 days of final bill date.

• Maintain neat and orderly billing files.

• Redistribute accounts for insurance reporting.

• Combine outpatient and inpatient accounts as needed.

• Complete Medicare enrollment forms for new doctors (855R)

• Monitor daily deposits for errors, 2nd insurance billing and denials.

• Assure timely follow-up on patient account balances, keeping accounts receivable to the lowest level possible.

• Process appropriate credit letters and collection stickers associated with the insurance follow-up.

• Assist with problem accounts that others can’t get processed for payment.

• Keep contact with provider representatives for insurance assistance needs.

• Follow-up on charge errors with departments.

• Shred confidential documents as required or requested.

• 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 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 36 hour per week, Night Shift position, 6:30pm – 7:00am with holiday and every 3rd wknd rotation (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

Responsible for food preparation and delivery to patients, staff and visitors. 

Available shifts:  

• Full time, 40 hour per week position with rotating weekends & holidays. 

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  

SIGNIFICANT DUTIES 

• Check current census before each meal preparation

• Check for new diet orders

• Check diet cards and cross reference with diet order

• Communicate with nurses to assure patients dietary needs are met

• Conduct patient rounds at least once daily to review diet requests, preference 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 meal

• Prepare special order menu items as needed

• Adjust recipes based on need.

• Prepare coffee for cafeteria

• Prepares 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 advance 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  pot 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 vegetable 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 employee in cafeteria line at lunch and supper

• Perform all other duties assigned by Food Service Supervisor.

GENERAL REQUIREMENTS

• Attends staff meetings and training session 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 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.

This position manages the activities in the Surgical Department to include planning, directing, organizing, coordinating, and evaluating the services provided by the surgery department. This position is a working manager position, and the person will need to be able to function as a staff OR RN. Responsible for monitoring and reporting on the Quality Assurance Program for the surgery department. Will need to work closely with Specialty Clinic and CNMC for coordinating procedures performed by the Specialists. Will need to work closely with all hospital departments to provide continuance of care for patients. This is a supervisory role and will be responsible for staff evaluations and supervision. Will be a part of the CNO management team. This is a full time 40 hour per week position.  No weekends, holidays or on call. A $7,000 sign on bonus is eligible with this position.  

QUALIFICATIONS

Education and/or Experience

•              Graduation from an accredited nursing program

•              2 years as an OR Staff Nurse

•              Computer skills

•              Telephone skills

Certificates, Licensure, Registrations

•              Current Nebraska or Compact State RN license

•              Current ACLS and BLS certification

SIGNIFICANT DUTIES 

•              Creates, directs, and implements the policies and procedures for surgery department. Assists in the development of the electronic system, involving necessary stakeholders and directs review and revision as needed.

•              Responsible for the proper staffing of the surgery department.

•              Ensures a high level of quality care and services for patients by coordinating and communicating operational procedures to physicians, clinical staff, and various departments. 

•              Monitors, evaluates, and modifies programs while adhering to organizational guidelines and standards.

•              Consistently supports the mission, vision, values, and standards of behavior of the organization in daily leadership duties. Acts as a role model for patient-centered care. 

•              Demonstrates commitment to continuous improvement in the areas of quality, people, finance, community, and service. 

•              Responsible for the selection and evaluation of surgical services staff.

•              Collaborates with hospital administration, nursing staff, medical providers, subject matter experts, and community partners to gain knowledge of healthcare issues and community needs.

•              Disseminates information among stakeholders, reports to CNO, Medical Staff, management, Board of Directors, and community.

•              Seeks innovative opportunities to positively enhance Jennie M. Melham Memorial Medical Center.

•              Will be a working manager and maintain ability to function as an OR nurse (see OR Staff nurse job description).

•              Will work in conjunction with the Specialty Clinic to provide clinic services for Podiatry.

GENERAL REQUIREMENTS

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

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

•              Demonstration of leadership skills and ability to make sound decisions for departmental delivery of care.

•              Establishes goals and strategic plan for departments of responsibility and participates in strategic planning activities of department and overall facility.

•              Maintains current knowledge of department and hospital operations, local and industry trends and practices, market forces and outside regulatory requirements.

•              Identifies opportunities and challenges to the departments’ services and applies this knowledge to develop new or enhance existing policies, procedures, systems, and services.

•              Provides leadership in planning, directing, organizing, and evaluating clinical practice throughout the department. 

•              Assures appropriate patient care and continuous quality improvement is provided efficiently. 

•              Assumes administrative responsibilities as required.

•              Participates in an ongoing, systematic QI program for surgery department.

•              Manages the performance review process to include developing job descriptions and standards as well as providing ongoing training, performance counseling and evaluation.

•              Manages the operating and capital resources of the department and participates in the budget process.

•              Demonstrates effective relationships with hospital staff, patients, public, outside agencies, and providers.

•              Communicates effectively verbally and in writing.

•              Maintain confidentiality of patient information.

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

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

•              Practices in a fast-paced environment relevant to changing organizational, staffing, and patient needs. 

•              Any other job/tasks as assignment by CNO or Senior Leadership for the betterment of the facility.

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, day shift position from 6:30am – 7:00pm with every 3rd weekend rotation (Fri/Sat/Sun) & holiday rotation.

• 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 Chief Nursing Officer functions as a member of the Jennie Melham M. Memorial Medical Center (JMMMMC) Senior Leadership team to provide direction, strategy, business development, budgeting, trend variance analysis and information technology for the promotion of outcomes focused nursing care treatment and services.  The CNO has 24-hour accountability and responsibility for planning, organizing, directing, controlling and evaluating nursing care treatment and services. Ensures efficient, economic, and quality performance measures to support and provide outcome focused quality health care services. Recommends administrative policy changes and consults with and advises JMMMMC CEO for Nursing Services operations. Responsible for communication with Nursing and clinical staff, Department leaders, Senior Leadership, various departments, and community.

Oversees the daily operations of Nursing and Clinical Services (medical surgical, medical-surgical pediatrics, SWING, Emergency Services (ED, Trauma), Cardiopulmonary Services (RT, Sleep Lab, Pulmonary Rehab, Outpatient RT testing), Case Management (UR & Social work), Outpatient Ambulatory Nursing Services (Infusion Center, Specialty Clinics, Cardiac Rehab, Diabetic Education) and Surgical Services (Pre-assessment, SDS Pre/post, Surgery, Central Sterile Processing).

SUPERVISION

• Reports directly to the President/Chief Executive Officer

QUALIFICATIONS

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

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

• Minimum of 3 years of Senior Level Nursing Leadership experience.

• Professional knowledge of nursing practice and the business of nursing.

• Advanced interpersonal and communication skills necessary.

• Effective leadership to build teams and create buy-in.

• Effectively communicate with a wide variety of hospital personnel, community residents, and outside agency personnel.

• Advanced analytical skills necessary to develop and implement new nursing systems, revenue budgets and prepare special and recurring reports or analysis. A strong ability to analyze nursing business operations.

• A high level of experience in quality outcomes and patient care.

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

PRINCIPLE DUTIES AND RESPONSIBILITIES

• ORGANIZATION TEAMWORK   

o Support the mission of JMMMMC.

o Demonstrate the core values of JMMMMC.

o Establish appropriate models of service delivery and identify areas of improvement.

o Create, implement, and oversee action plans.

o Encourages collegial contact among hospital departments.

o Ensure patient, visitor, and staff concerns are addressed timely and appropriately.

o Collaboratively work with Providers, Leadership, frontline staff, and vendors/contractors

o Represent JMMMMC positively in the community.

• ORGANIZATION SUPPORT  

o Adheres to JMMMMC policies and procedures.

o Demonstrate knowledge of Office/Workplace Safety.

o Demonstrate knowledge of JMMMMC Exposure Control Program

o Demonstrates knowledge of risk management and quality reports

WORK ROLE COMPETENCIES WORK PRACTICE

• Support and implement the development of approved hospital wide patient care programs. 

• Develop, review, revise, and oversee the implementation of clinical care services. 

• Assure the provision of nursing care in accordance with specialty, regulatory, and JMMMMC practice standards.

• Demonstrate knowledge of, compliance to, and staff education of CMS standards, ANA/Specialty Standards, and other regulatory standards impacting clinical departments of oversight.

ADMINISTRATIVE PRACTICE

• Facilitates the formulation and approval of Nursing Services annual goals and objectives in accordance with the JMMMMC strategic plan.

• Develops, monitors, and ensures adherence to strategic plans for assigned organizational components in relation to total nursing service.

• Facilitates the formulation and approval of Nursing Service Clinical Departments Operational Budgets.

• Works closely with fiscal services, medical records, case management, and directors to evaluate reimbursement practices and ensure that the most cost-effective procedures, drugs etc. are being utilized. Works to implement best practices as opportunities are identified.

• Responds to and communicates departments of oversight concerns, operations, practice changes and medical-legal issues to CEO, Risk Management, and medical staff as appropriate.  

• Monitors complaints, Incident Reports, Case Reviews and RCA’s.  

• Oversees the Clinical Nursing Departments Quality Assurance/Performance Improvement Plan.  

• Prepares, administers and/or monitors management and staff performance evaluations including development of annual goals/pillars.

• Oversees the review and update of the Nursing Services Orientation program and manuals. Oversees the monitoring and release of personnel from orientation in conjunction with Nursing leadership.

• Monitors Nursing Service turnover and recruitment/retention plans and initiatives.

PROFESSIONAL ACCOUNTABILITY/LEADERSHIP

• Demonstrates knowledge of and follows correct chain of command in handling management and patient care challenges, including crisis situations.

• Holds department meetings, records appropriate information, and follows through on actions.

• Holds direct reports accountable to meet goals/targets.

• Effectively mentors direct reports with a team oriented and collaborative approach.  

• Leads, facilitates, participates in, or contributes to selected committees specific to role and departments of oversight. 

• Attends mandatory hospital in-services and programs.

• Attends appropriate management and clinical seminars to enhance knowledge base and awareness of national trends.

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 Availble 

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

-  A 24-36 hour per week on night shift position. 6:30 pm-7:00 am. Every 3rd weekend Friday, Saturday, Sunday and holiday rotation. 

- A Sign-On bonus of $7,000 is offered with the 36 hour 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 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

Full-time, 36 hours/week and every 3rd weekend (Friday, Saturday, Sunday) 11:00 am-11:30pm. The full-time position is elligbile for a $7,000 hire on bonus.

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.