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Title Registration Clerk – Full Time
Categories Administrative
Job Information

Registration Clerk – Full Time, Posted on 11/22/2016
#222016 from 9/16/2016
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers

This position contributes to the fulfillment of Thayer County Health Services vision and mission by registering patients for clinic, hospital, lab, radiology, rehab and specialty services accurately, completely, and timely by following established standards and procedures. The Registration Clerk is responsible for maximizing hospital reimbursement by utilizing sound knowledge of insurance requirements, upholds patient confidentiality and rights, and recognizes patients immediate needs and acts appropriately to meet their needs. In all interactions, the Registration Clerk projects a caring and professional attitude towards patients, physicians, physician office staff, visitors, co-workers and all personnel.

SUPERVISION: Reports to Revenue Cycle Director

SHIFT: Full Time, Non-Exempt, 40 hours/week Mon-Fri Days, 9am-5:30pm; with alternating Saturday mornings.

• High School Diploma is required.
• Knowledge of medical terminology is preferred.
• Prior experience with registration functions for a Rural Health Clinic is preferred.
• Computer and keyboarding skills required.

• Maintains excellent phone skills emphasizing customer service excellence.
• Greets patients in prompt fashion, inquiring of their needs and assisting when needed.
• Registers current and future patients for clinic, hospital, lab, radiology, rehab and specialty appointments and procedures according to departmental guidelines.
• Obtains data required to initiate and/or complete patient records including verification of all demographic, employment, retirement, accident and insurance information to ensure accuracy.
• Ensure insurance precertification, referral, and authorization requirements have been met for commercial, government and worker’s compensation payers.
• Obtains authorization signatures for consent to treatment, release of information, financial responsibility, and any other necessary forms.
• Scans insurance cards, referrals, consents and patient identification documents into document imaging software.
• Determines and collects patient co-pays, deductibles and applicable co-insurance amounts required by insurance guidelines and internal policies and procedures.
• Refers patients to the Financial Counselor as needed.
• Follows up on obtaining any required information that is unavailable at the time of registration.
• Counts and balances cash drawer, completes deposit and follows department process for all monies collected.
• General secretarial duties as needed.
• Works flexible work schedule hours as required.
• Works in CPSI and Allscripts software systems, as well as any other systems required for performing required job duties.
• Assumes responsibility for personal and professional growth through participation in department meetings, in-service programs, continuing education programs, and fulfills yearly requirements as stated by policy.
• Assists in orientation of new staff.
• Participates in achieving organizational goals.
• Maintains effective working relationships with patients, visitors, physicians, office staff, hospital personnel, and the public.
• Assures confidentiality of patient and hospital information, maintaining compliance with policies and procedures.
• Any other duties as assigned by supervisor.

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Title Nutritional Services Director Exempt Full Time
Categories Dietary Services
Job Information

Nutritional Services Director – Full Time, Re-Posted on 12/5/2016 (Original posting 8/22/2016)
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers

This position contributes to the fulfillment of Thayer County Health Services vision and mission by being responsible for organizing, developing, and directing the overall operations of Nutritional Services.

SUPERVISION: Reports to Facilities VP

SHIFT: Exempt Full-Time

• High school diploma or GED required.
• Culinary Arts degree preferred.
• A minimum of 2 years of experience in a supervisory capacity in a healthcare facility preferred.
• Must have Certified Dietary Manager with completion in a Food Protection Manager Program in accordance to Nebraska Food Code.
• A minimum of 2 years of experience in a nutritional services supervisory capacity in a healthcare setting preferred.
• Computer knowledge required (i.e. email, Microsoft Office).

• Interviews, orients, implements training programs, and evaluate the Nutritional Services personnel.
• Oversees the implementation of implementation of therapeutic diets in coordination with the Registered Dietitian, to ensure that quality food service and nutritional care is provided to patients, employees and guests.
• Performs Patient Nutritional Screening on all patients as required by established policy and procedure and Federal and State guidelines.
• Establishes or updates policies and procedures for the department in accordance with Federal and State guidelines.
• Implements and monitors adherence to programs, goals, objectives, policies, and procedures of the department and organization. Ensures the policies, procedures, and regulations for food service operation are being followed by staff.
• Purchases, receives, stores, and inventories food, supplies, and equipment using cost control methods. Ensures food is available according to the menus and standardized recipes.
• Makes recommendations to the administrator to ensure adequate staffing to meet patient and cafeteria needs. Develops employee schedules using established organization/department policies and procedures.
• Collects data and implements a Quality Improvement (Q.I.) plan. Monitors or implements solutions/improvements to identified quality processes.
• Participates in the Infection Control program of the facility.
• Collects and reports all data, to the business office regarding meals served, as required by Medicare rules and Regulations.
• Develops and implements an annual budget.
• Completes reports and duties accurately and on time (i.e., processes invoices, Medicare numbers, expenses and incomes.)
• Completes bi-weekly payroll. Manages staff time and attendance, employee calendars, absence reports etc.
• Writes and implements all cleaning schedules for dietary staff.
• Updates material safety data sheets for all hazardous materials in the department and trains the personnel on them.
• Ensures a safe work environment in accordance with safety rules. Ensures safety reports are completed correctly and timely (i.e., accident/incident, department fire drill forms, etc.)
• Communicates and/or coordinates with Facilities and Information Systems staff the need for repairs on equipment.
• Responsible for the implementation of food-related special events.
• Seeks out new methods and principles and is willing and able to incorporate them into existing practices. Provides input and ideas into decisions affecting the dietary department.
• Serves on committees and attends meetings as assigned.
• Other duties and responsibilities as required.

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Title Environmental Services Tech Full Time
Categories Environmental Services
Job Information

Environmental Services Tech – Full Time – Posted on 10/17/2016
Shift: Days; rotating Saturdays
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
This position contributes to the fulfillment of Thayer County Health Services vision and mission by performing daily cleaning, disinfecting and supplying of offices and patient areas including cleaning walls, lights, windows, vents, floors, and carpets.
Reports to Environmental Services Supervisor.
• High school diploma or GED required.
• 3-5 years of clinical and/or infection control are preferred.
• Meets with supervisor on a daily basis to confer on special cleaning needs or problems.
• Cleans floors, rooms, and offices following established schedules and procedures, including moving furniture.
• Vacuums carpets for cleaning and bacteria control, and removes spots from carpets, or reports stains to maintenance.
• Assists in cleaning emergency spills as observed or requested. Sanitizes and sterilizes clinic areas.
• Washes ceilings, walls, lights, windows, fixtures, mirrors, and office equipment.
• Dry and wet mops floors in uncarpeted offices and rooms, scrubs floor.
• Transports trash from collection points to designated area and disposes of mounted wall sharps containers.
• Dust surfaces, damp wipe furniture, and cleans and polishes metal and porcelain fixtures in bathrooms.
• Maintains equipment in a clean and orderly manner, and re-stocks supplies as needed.
• Reports any unsafe conditions to Safety Committee Member or Supervisor.
• Completion of on-going education as needed.
• Maintains strictest confidentiality.
• Performs related work as required.

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Title Nutritional Services Cook – Full Time
Categories Dietary Services
Job Information

Nutritional Services Cook I – Full Time, Posted on 7/20/2016
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers

This position contributes to the fulfillment of Thayer County Health Services vision and mission by preparing and serving meals in accordance with current federal and state regulations and organization/department policies & procedures governing our facility to ensure that quality food service is provided in a timely manner; Complete dishwashing operation and completed cleaning tasks and is responsible for opening and closing of the department.
SHIFT: Full Time Non-Exempt; 40 hours evening; 10:30a-7:00pm; Rotating weekends and holidays.
Reports to Nutritional Services Director.
• High school diploma or GED preferred.
• One to two years of experience is preferred, but not required.
• Must have the ability to follow oral and written directions, observe all safety rules, work cooperatively with other staff and interact effectively with the general public.
• Must have the ability to perform math functions including standardize recipes.
• Must have the ability to understand therapeutic diets, diet consistencies, and standardized recipes and to utilize equipment, chemicals, and other supplies correctly and safely.
• Must have the ability to make independent decisions when circumstances warrant such actions.
• Prepares and serves patient, cafeteria, and special function meals at the proper temperatures following patient preferences, menus, standardized recipes, diet modifications, portion control, production guides, regulations and policies/procedures. Follows written duty sheets.
• Assumes charge of food service operations in the absence of the Nutritional Services Director. Keeps other employees on task and assures their job duties are completed.
• Completes daily forms/logs (i.e., receiving, temperatures: food, refrigeration, dish machine; cooling; sanitizer; pot/pan sink; patient meal rounds), follows HACCP policies/Procedures. Maintains proper food temps throughout food preparation and service.
• Follows proper ware washing (manual and automatic) policies/procedures.
• Receives, stores, and verifies invoices for incoming food/supplies. Follows food storage policies/procedures (i.e., labels, dates $ stored food properly).
• Maintains a clean and sanitary work environment in accordance with regulations. Completes cleaning duties and cleaning schedules as assigned.
• Completes cost control reports (i.e., number of meals served, cashier reports, etc.).
• Communicates with co-workers throughout shift to maximize patient/customer satisfaction. Reports inadequate inventory levels.
• Serves on committees and attends meetings as assigned.
• Provides effective on the-the-job training for new departmental staff.
• Maintains a safe work environment in accordance with regulations and safety rules. Reports repair and maintenance needs. Completes proper reports (i.e., accident/incident. Fire drill, etc.).
• Demonstrates competency in operation and cleaning of kitchen equipment.
• Interacts with patients when needed.
• Other related duties and tasks assigned.

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Title 340B Specialist Tech – Full Time
Categories Pharmacy
Job Information

Pharmacy – 340B Specialist Tech


This position contributes to the fulfillment of Thayer County Health Services vision and mission by under general supervision, oversees the activities of the 340b Drug Pricing Program for all qualified entities within Thayer County Health Services, maximizing program participation while maintaining full compliance with program rules.


Reports to Director of Pharmacy.

JOB QUALIFICATIONS:                       

  • Graduation from High School or a GED.
  • Tech certification preferred.
  • Minimum one year pharmacy experience required, and 1-3 years required.
  • Must have good communication skills.
  • Knowledge of pharmaceutical and related medical technology.
  • Knowledge of metric and apothecary systems of weights and measurements.
  • Knowledge of medical safety standards to assist in manufacturing and working with pharmaceutical substances.
  • Knowledge of prescription drugs and the dispensing function to check for correctness.
  • Skill in establishing and maintaining effective working relationships with patients, medical staff and the public.
  • Ability to read and interpret prescription information.
  • Ability to read and follow oral and written instructions.
  • Ability to perform arithmetical computations and use a calculator.



  • Establish and maintain consistent policies and procedures for 340(b) that maximize participation with the program while assuring full program compliance.
  • Reviews and monitors all points of service where 340(b) Drug Pricing Program participation occurs to ensure policies and procedures are followed accordingly and is responsible to be the institutional compliance expert with regard to plan qualifications, policies, and procedures.
  • Routinely monitors utilization records, 340(b) purchasing accounts to ensure software or tools are working properly and accurately, performing audits and both internal and external compliance assessments to validate processes.
  • Collaborates with the finance department to monitor changes that could affect 340(b) qualification such as changes in the points of service position on the cost report, any changes in institutional ownership or related joint ventures and any variations or negative trends in DSH percentages.
  • Develop process to maximize use of all the available tools built into the 340B software.
  • Maintain 340B software to ensure appropriate products are linked to the appropriate charge code and in the correct ratio as well as maintain system when new charge codes are created.
  • Regularly communicate with all staff involved with 340(b) to be sure processes remain efficient and to address any problems or suggestions for improvement; also establishing a clear way for them to communicate any concerns or problems at any time.
  • Develop and maintain relationship with all Contract Pharmacy ownership and/or staff, serving as the point person for questions, problems, and concerns.
  • Places drug order for covered entities.
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Title Chief Financial Officer – Exempt Full Time
Categories Finance
Job Information

CFO – Posted on 4/22/2016
Posting #62016 External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
Thayer County Health Services, Thayer County, NE
Manages, coordinates and analyzes the financial aspects of the Critical Access Hospital and Rural Health Clinic Operations. Designs, implements and manages all systems for identifying and controlling the income and expenses within the facilities and lines of business including Charge Master oversight; consults with and advises Chief Executive Officer and Board of Trustees regarding plans for generating increased revenue streams and controlling operational costs in relation to the overall goals of the hospital, strategies, the market and the needs of the community, county and extended patient marketplace.
SHIFT: Exempt Full-Time, Days
Reports to CEO/President.
• Bachelor’s degree in Accounting and CPA required
• Minimum of 5 years working in Accounting, with 3 years as CFO in a Critical Access Rural Hospital.
• Must have successful history of working with CMS (Medicaid, Medicare payment plans and regulations).
• Advance computer skills in Accounting, Excel and Microsoft Word software programs, prefer experience in CPSI, AllScripts, knowledge of Meditech and or EPIC systems.
• ChargeMaster knowledge as well as fundamentals of ICD-10.
• Ten key by touch

• Financial stewardship leadership: Manages the hospital’s financial resources. Responsible to develop a formal budget and supervises budgeting process, providing a standard of measurement so the actual hospital and departmental performance can be evaluated.
• Develops, coordinates and analyzes the hospital’s policies on finance, accounting, insurance, patient billing and internal controls.
• Provides ongoing reviews, analyzes and communicates financial reports and data to the CEO, and Finance Committee of the Board of Trustees.
• Manages the financial policies for the CAH and RHC to control the receipt of revenue, expenditures of funds and preservation of assets.
• Responsible for the supervision and coordination of the functions of reimbursement, budget, patient accounting, patient registration and general ledger accounting, accounts payable, information systems, and material management.
• Evaluates and recommends changes to the administration for rates/charges and the structure for same as appropriate.
• Evaluates the facilities objectives as they relate to the third party reimbursement and the appropriate analysis. Responsible to make the appropriate organization investments and appropriate reporting on the activities and results of the investments as well. This shall be approved by the Board of Trustees.
• Develop department’s operating budget and ensure that operations are maintained within allocated funds.
• Responsible for the ongoing and updated three year capital budget or as appropriately designated.
• Chief facilitator of Meaningful Use 2 and spearheading the CAH and RHC in progressive and timely mode for attestation deadlines and incremental controls thereafter.
• Establish and maintain all appropriate records and reports applicable to the financial operation of the CAH and RHC.
• Reviews financial impact of hospital contracts.
• Prepares periodic reports outlining the institutions’ financial position in all areas of assets, liabilities, income and expense based on past, present and planned future operations.
• Provides for organization and maintenance of an effective system of accounting and cost determination.
• Responsible to continually review and modify cost systems and data collection to ensure maximum reimbursements for patient services.
• Ensures the timely filing of federal, state, third party and other financial reports as required, including the Medicare and Medicaid Cost Reports.
• Responsible to provide for and understand the current insurance needs of the institution and to assure that the proper protection from liability or other loses is being provided.
• Works with HR Director to analyze the cost impact of Employee benefit programs and compensation plans.
• Perform cost studies involving third parties such as private insurance as well as state and federal coverage plans – with active knowledge of national and state-wide insurance exchanges.
• Plans, coordinates, and prepares for year-end audits by public accounting firms and outside auditors
• Directs and supervises departmental staff and interfaces with all CAH and RHC directors and as appropriate, providers.
• Responsible for establishing and maintaining healthy interpersonal relationships with all CAH and RHC team members.
• Abides by all Federal, State and Hospital laws, regulations policies and guidelines as well as those appropriately identified by Thayer County.
• Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation in the financial field.
• Perform all other duties as assigned

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Title General Application – Thayer County Health Services and Medical Clinics
Categories General Application
Job Information

Thayer County Health Services is currently looking for professional healthcare employees. If you do not see a current job opening in our present online listings, we still encourage you to apply using the online application. If your qualifications meet any of our current needs, we will contact you.

We are currently accepting applications for positions we will need filled in the future. We keep applications active for 1 year from the submission date. Contact Information
Human Resources
Email: humanresources@tchsne.org

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