CAREERS

Health Information Management Clerk

The HIM Clerk is responsible for supporting the Health Information Management department by maintaining accurate and complete patient health records. This role performs a variety of clerical and data management tasks to ensure the integrity, accessibility, and confidentiality of medical records in a hospital setting. This is an entry-level position with opportunities for advancement. On-the-job training provided. This is a full-time, 40 hr/wk position. 

QUALIFICATIONS

Education and/or Experience:  

• High school diploma or equivalent

• Associate degree or coursework in Health Information Management or related field

• Basic understanding of medical terminology 

• Strong attention to detail and organizational skills 

• Basic computer skills (Microsoft Office, data entry) 

• Ability to handle sensitive information with discretion

SIGNIFICANT DUTIES 

• Uploading and labeling patient health records from multiple systems and entities into Memorial Medical Center and Clinic.

• Chart auditing of paper records

• Assist with organizing, scanning, and indexing patient health records 

• Support record retrieval and release of information processes under supervision 

• Maintain confidentiality and comply with HIPAA regulations at all times 

• Perform other duties and projects as assigned.

• Respond to internal requests for records or information in a timely manner 

GENERAL REQUIREMENTS 

• Knowledge of HIM workflow process

• Experience using general office equipment.

• Excellent oral and written communication skills

• Must be dependable, professional and a team player

• Ability to multi-task and be flexible with job demands.

• Must maintain the highest level of confidentiality.

• Willingness to learn and accept feedback 

• Understanding of confidentiality and ethical standards in healthcare

As an integral role within the Information Technology team, the IT Help Desk is responsible for supporting hospital providers, team members, patients, and outside vendors through hardware & software support. This is a full time 40 hr/wk position with On Call rotation.

Education and/or Experience

• High school Diploma – Required

• Post Secondary Education – Preferred 

SIGNIFICANT DUTIES 

• Maintains patient confidentiality at all times.

• Ability to exercise professional judgment, courtesy, and professionalism in daily interactions with others.

• Communicates effectively both orally and written to all disciplines.

• Possesses ability to make independent decisions and changes and asks for assistance when appropriate.

• Facilitate the interaction between end users and higher-level technical support through phone calls, emails, and in-person. 

• Troubleshoots user IT challenges on a consistent basis.

• Attend any IT meetings and committees assigned.

• Ability to thrive in both an independent, self-directed environment, as well as working on a team.

• Develop and maintain IT asset database.

• Assist with setting up and maintaining new users

• Attends training as assigned for all IT hardware and software.

• Activates and deactivates users in the badging software.

• Analyzing, writing, and maintaining detailed systems documentation and knowledgebase, including user manuals and technical manuals.  

• Assist with providing help desk support, troubleshooting, and maintenance activities. Develop, implement, and maintain a maintenance activity plan and schedule.

• Performs other related duties as assigned.

GENERAL REQUIREMENTS

• Excellent written and verbal English language skills.

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

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

• 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.

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

• 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/customer needs.

The Financial Counselor will be 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. Monday – Friday 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 Nurse Extern works under the direction of a Registered Nurse and in accordance with the patient/family care plan to collect patient information and provide direct patient care contributing to the achievement of patient/family outcomes. As a member of the direct care team, the Nurse Extern is responsible and accountable for the complete and accurate collection and recording of data, completion of routine and delegated direct patient care activities and communicating and collaborating under the direct supervision of the RN to prioritize the workload. The Nurse Extern helps to support and maintain a clean, safe work environment. Reports directly to the Acute Care Manager. Works under the supervision of the RN assigned each shift. This is a Full time Temporary position and will work varied shifts, hours, and rotating weekends.

QUALIFICATIONS

• Be enrolled in an accredited nursing program with an expected graduation date between December and Spring immediately following the summer nurse extern experience

• Minimum cumulative GPA of 3.0

• Active Nebraska Nurse Aide Certification and listed on the Nebraska DHHS Medication Aide Registry, by program start date.

• Good communication and interpersonal skills.

• BLS completion upon 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 nurse aides and scope of practice and skills as outlined.

• Communicate effectively both verbally and in writing.

• Perform direct patient care overseen by RN 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.

• Attends meetings as assigned.

SIGNIFICANT DUTIES

• Performs direct patient care in accordance with performance standards listed on Skills Checklist according to the defined patient population of pediatrics, adults, and geriatrics.

• Collaborates with the interdisciplinary team to provide patient care.

• Demonstrates the ability to assist the RN with general patient care duties, including activities of daily living, vital signs, intake and output, measurements, and patient mobility.

• Utilizes SBAR communication to provide hand-off on information and to deliver safe patient care.

• Reports changes in patient condition in a timely manner to RN as appropriate.

• Demonstrates appropriate patient safety practices (i.e., gait belts, positioning of patients, lifting patients, etc.).

• Assists with transportation of patients to other departments within the facility under the direction of nursing staff.

• May start IVs under RN supervision 

• Pass medications in accordance with medication aide certificate

• Place and remove foley catheters and maintenance of drainage devices

• Performance of EKG’s

• Change IV dressings & site

• Performs treatments, dressing changes, pressure ulcer care, trach care, suctioning and records results under supervision of RN

• Provides teaching to patient & family & documents the same

• Initiates discharge planning & provides discharge instructions & document same

• Place or remove NG tubes under RN supervision

• Assists with maintaining availability of patient care supplies/linens according to department need.

• Demonstrates knowledge of infection control practices for the patient population served.

• 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

• Demonstrates knowledge of EMTALA regulation.

• Performs other related duties as assigned.

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.

The LPN is responsible for; Providing direct and indirect nursing care with the supervision of a Registered Nurse as described in Nebraska Statute 38; Ensuring continuity of care for assigned patients in the medical/surgical area of Acute Care utilizing the nursing process and carrying out provider’s orders for those patients.

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

RN Qualifications

• Graduate of School of Nursing.

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

• 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.

LPN Qualifications

• Graduation from an accredited nursing program

• Experience in rural hospital nursing preferred

• Current Practical Nurse licensure from the State of Nebraska or approved compact state of residence as defined by Nebraska Nurse Practice Act. 

• Basic Life Support (BLS) within 6 months of hire and maintained

RN 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.

RN 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.

LPN Requirements

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

• Maintains clinical competency as required for Acute 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 verbally and in writing

• Maintain confidentiality of patient information

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

• 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, and complex disease processes, and those who are dying

LPN 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 

• Incorporates cultural considerations into the plan/delivery of care

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

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

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

• Supports team efforts through timely and professional communication

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

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

• Performs other related duties as assigned

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.