CAREERS

The Pharmacy Manager will be an expert in pharmacy operations and medication-use systems. This Manager will take on advanced responsibilities in the areas of pharmacy operations, technology and automation, medication safety, quality improvement, compliance, technician oversight and training, medication compounding and preparation, and education related to all aspects of pharmacy operations.  The Pharmacy Manager will report to the Administrative Services Director to provide safe, timely, efficient, equitable, effective and patient-centered medication use. This is a full-time, 40 hr/wk position with typically Monday-Friday normal business hours, occasional response to after-hours calls.

•   A $15,000 sign-on bonus is eligible with the full time position.

QUALIFICATIONS

Education and/or Experience

•             Pharmacy Degree (PharmD or B.S.)

•             One to three years previous experience in the specialized function of hospital pharmacy services is desirable including inpatient, emergency services, and infusion clinic services

•             Prior management experience highly preferred

•             Must demonstrate strong attention to details and work with minimal supervision

•             Ability to research evidence-based medicine and regulatory requirements; excellent organization skills with high attention to detail

•             Excellent verbal and written communication skills

Certificates, Licensure, Registrations

•             Active Nebraska state pharmacist license (or ability to obtain prior to employment)

•             BLS certified within 6 months of hire

•             Nebraska Pharmacist-In-Charge, upon hire

•             Power of Attorney for purchasing of controlled substances, upon hire

SIGNIFICANT DUTIES 

•             Responsible for operational systems to assure appropriate prescribing, distribution, administration, and monitoring outcomes of drug therapy processes.

•             Maintain Pharmacist-In-Charge responsibilities in accordance to Nebraska Statutes 71-470 and 38-2867.02, including: 

o             developing , establishing, and implementing policies and procedure for the practice of pharmacy and medication use in the hospital;  

o             developing  and implementing policies and procedures to ensure that a pharmacist reviews all medical orders prior to first dose to a patient in the hospital; 

o             establishing policies and procedures for validation of medication by two or more certified pharmacy technicians before such validation process is implemented in the hospital; 

o             responsible for the supervision, performance and competence of the pharmacy technicians;

•             Ensure compliance with all applicable federal, state, and local laws, rules, and regulations.

•             Ensure compliance with health system policies and procedures that apply to pharmacy services.

•             Develop and enforce policies and procedures that promote cost-effective, appropriate, and safe medication use in accordance with state, federal, and CMS regulations.

•             Manage technology and automation to allow for optimum resources.  Evaluate new automation that may bring additional value to the organization.

•             Assure that existing automation is being utilized at the highest level of efficiency, and develop efficiency standards for each.

•             Collaborate with facility staff to develop, implement, and operate automated programs and software for pharmacy information management systems.

•             Conduct post-implementation assessment of pharmacy automation enhancements and new pharmacy programs to ensure desired changes are achieved. Change systems to achieve desired results.

•             Assure compliance within sterile compounding (USP 797) and non-sterile compounding practices (USP 795).

•             Develop policies and procedures and assure compliance with current standards for the safe handling of hazardous drugs (USP 800).

•             Review reports for medication errors, adverse drug events, ineffective service, or other problem identification.  Analyze and implement quality improvement measures for improving organizational performance.

•             Analyze records to indicate prescribing trends and excessive or inappropriate usage of medications.

•             Attend Medical Staff Meetings to advise and inform the medical staff of medication applications and characteristics. 

•             Serve and/or lead on hospital committees, as directed.

•             Actively participate in professional pharmacy organizations (i.e., ASHP, NPA, APhA, ISMP)

•             Provide for the educational needs of health care professionals, patients, and their families.

•             Develop and maintains a medical staff-approved formulary through Pharmacy & Therapeutics.

•             Supervise medication storage and preparation areas throughout the facility.

•             Assure adequate control and documentation of controlled substances.

•             Ensure maintenance of an adequate medication supply. Ensure the integrity of the medication supply.

•             Establish specifications for the procurement of medications, chemicals, and biologicals.

•             Oversee the development and operation of the systems for distribution of all medications within the hospital. Ensure strict control and accountability for medications dispensed to patients or distributed to floor stock.

•             Provide for the educational needs and competencies of the pharmacy staff.

•             Ensure applicable continuing education and licensure records are maintained in department files.

•             Supervise all pharmacy personnel and recruit, interview, promote, discipline, and terminate pharmacy staff as necessary.

•             Observe pharmacy personnel at work and develop quality assurance techniques to ensure safe, legal, and ethical practices within the department.  

•             Develop job descriptions and performance standards. Evaluate and counsel staff on their performance.

•             Approve department work schedules, approve payroll hours, and monitor workload statistics. Maintain an appropriate staffing level.

•             Prepare a pharmacy budget annually.

•             Review monthly financial statistics and plan expenditures within budget guidelines.

•             Monitor and justify all expenses exceeding budgeted targets.

•             Ensure preparation and submission of patient charges and financial reports to administration in accordance with policy.

•             Administer reports, documents, statistical surveys, and other required data.

GENERAL REQUIREMENT

•             Effective verbal and written communication skills.

•             Ability to implement comprehensive pharmacy services within the framework of the overall services offered by the hospital.

•             Management skills appropriate for successful and efficient management of department staff.

•             Capability of personal interaction with utmost courtesy and tact, while projecting a demeanor of warmth and welcome, to any and all individuals who present to the JMMMC pharmacy department.

•             Capacity to educate and communicate facts to a variety of individuals.

•             Achieve job performance standards as stated in the hospital’s performance appraisal program.

This position is responsible for participating in the planning, development, training, implementation, evaluation, and improving efficiency of clinical information systems across Melham Medical Center.  Works to optimize the clinical design to meet the needs of a large group of interdisciplinary end users, including nurses, medical staff, therapists, ancillary, clinical, and administrative staff.  Will analyze, install, troubleshoot, and configure improvement in the clinical information systems. This is a full time 40 hr/week position with occasional evening training or system troubleshooting.

QUALIFICATIONS

Education and/or Experience

•             BS in Nursing or an Associate’s degree with equivalent experience and extensive understanding of clinical processes as they relate to workflow and information technologies, Masters degree preferred.

•             Experience in healthcare field with particular emphasis on clinical workflow as they relate in a hospital setting

•             High degree of proficiency and expertise working with PC’s and information systems 

•             Knowledge of organization policies and procedures. 

•             Strong customer service orientation. 

•             Knowledge of Altera Paragon EHR system preferred. 

•             Knowledge of redesigning performance information, tools and resources. 

•             Strong initiative can establish goals and take responsibility for meeting them within defined timelines. 

•             Desire for continued development toward clinical informatics certification 

•             Solid understanding of appropriate clinical workflows, commercially available technology, and package system implementations

•             Knowledge of computer hardware, software, and data communications.

•             Excellent interpersonal, communication, presentation and analytical skills. 

•             Ability to articulate technical and user needs in a concise manner understood by all. 

•             Must be able to function in a dynamic environment subject to impromptu changes in schedules and priorities. 

•             Ability to develop and maintain good working relationships and to interact positively and productively with teams and providers across organizational lines. 

Certificates, Licensure, Registrations

•             Current Registered Nurse licensure in the State of Nebraska, or able to obtain within 60 days of employment.

SIGNIFICANT DUTIES 

•             Responsibility for the efficient management and communication of projects related to clinical information systems. 

•             Functions as a resource person to clinical personnel to troubleshoot hardware and software challenges and to meet user learning needs.  

•             Participates in performance improvement activities in conjunction with JMMMMC programs to facilitate the delivery of quality services. 

•             Evaluates the use of the clinical information system and report anomalies, errors, inaccuracies, or inefficiencies.  Make recommendations and training plans as needed. 

•             Collaborate closely with - and communicate between - IT leadership and the clinical community to provide leadership for clinical system projects and initiatives.  

•             Utilizes knowledge of clinical practices to determine functions that are suitable for computer applications and to ensure that clinical information systems are consistent with professional standards of practice. 

•             Participates and/or coordinates in ongoing workflow process and facilitates improvement processes and Security Regulations.

•             Represents JMMMC at appropriate conferences and committee meetings. 

•             Participates in professional development activities to keep current with trends in technological advances. 

•             Consistent attendance is required.  

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 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: 

- Full time, 36 hours per week 

- Part time, 24 hours per week

-  Night shift positions are from 6:30pm – 7:00am with every 3rd weekend rotation (Fri/Sat/Sun) & holiday rotation.

- 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.

•  Part time, 24 hours per week.

•  Night shift positions are from 6:30pm – 7:00am with every 3rd weekend rotation (Fri/Sat/Sun) & 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.