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Jobs Listing

Title Registered Dietitian – Full Time
Categories Dietary Services
Job Information

REGISTERED DIETITIAN – Full Time – Posted on 10/30/2015 @1:00pm
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY: Responsible for patient nutritional care and education.
This position contributes to the fulfillment of Thayer County Health Services vision and mission by providing a component of the overall wellness for patients.
SUPERVISION: Reports to the CNO
• Registered Dietitian (RD) based on registration by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics
• Licensed Medical Nutrition Therapist licensed (LMNT) by the State of Nebraska Department of Health and Human Services Regulation and Licensure- Professional and Occupational Licensure Division

• Assesses at risk patient’s nutritional status, diet history, and dietary habits and determines needs. Confers with the physician/provider as appropriate on effect of nutritional status.
• Provides patient/family counseling and education on appropriate nutrition and develops/implements plan of care for inpatients. Follow up via phone and office visits as determined necessary.
• Counsels patients on special diets and diet techniques to ensure proper preparation of nutritional intake.
• Provides nutritional assessment/plan summary for medical record.
• Plans and participates in patient education programs for outpatients on weight reduction, diets for special needs including but not limited to diabetes, high blood pressure, etc.
• Participates in and directs the diabetes education program.
• Conducts health education programs for staff.
• Formulates and integrates, in conjunction with the dietary manager, on menus for therapeutic diets.
• Provides dietitian services for the corporate wellness program.
• Participates on the Wellness Committee.
• Consults with dietary director to assure conformance to prescribed diets and maintains standard of palatability, and appearance of meals.
• Adherence to the state regulations and Nebraska Food Code.
• Provides education, in conjunction with the dietary manager, as needed to dietary staff.
• Assumes responsibility for educational opportunities relative to professional growth.

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Title Radiology Technologist – Part Time
Categories Radiology Services
Job Information

Radiology Technology – Posted on 11/4/2015 @ 6:00pm
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers

SHIFT: Part Time with on-call evening, weekends and holidays

This position contributes to the fulfillment of Thayer County Health Services vision and mission by utilizes independent judgement in the performance diagnostic imaging procedures in the radiology department.

Reports to Radiology Director

• Graduates from an accredited School of Radiologic Technology.
• Registered and certified by the American Registry of Radiologic Technology (ARRT) (R).
• Certified Mammography experience preferred, but not required.
• Licensed by the state of Nebraska as a General Radiographer (each state has different licensure
• requirements).
• Possess professional oral and written communication skills.

• Performs diagnostic procedures on patients to meet the established practice parameters and standards of care including proper positioning/centering of part/patient, proper technical factor selection, proper image/patient identification, proper use of image receptors, proper professional patient care and assessment, proper radiation protection provided for patient/staff/general public, and proper documentation maintained.
• Works as a member of the healthcare team including physicians, nurses and other healthcare professionals in diagnostic testing procedures such as fluoroscopy, trauma and surgery.
• Utilize a fluoroscopic unit to image patients in certain procedures as outlined in the American Society of Radiologic Technologists Practice standard document, state certification requirements and institutional parameters.
• Performs specialized procedures for diagnosis and assistance in the design of treatment for patients including myelography and gastrointestinal exams.
• Adheres to medical and surgical asepsis and standard precautions as required per procedure.
• Administers contrast media and barium products under the direction of the radiologist/physician.
• Insures contrast media used in exams is prepared and available for use in accordance with accepted practices in sterility and infection control.
• Works closely with radiologists, orthopedic physicians, other specialty physicians, lab technologists nurses, patients, patient’s family members and other healthcare professionals.
• Patient requisition is reviewed/verified for accuracy to ensure correct procedure is performed.
• Performs clerical duties, transports patients as required, processes images and proper inventory supplies.
• Assists with quality control/performance improvement measures as required.
• Insures that radiographic images are available for review by radiologist as necessary.
• Performs radiologic exams in surgery suite as necessary.
• Operates portable machine in patient rooms, obstetric suite and ER as necessary.
• Follows precise procedures as to exposure and position of patient.
• Maintains the quality of radiographs, procedures and services. Reviews quality of radiographic images.
• Works closely with radiologists, physicians, specialty physicians, lab technologists, nurses, patients and other facility staff personnel.
• Assists with on-call coverage by participating in on-call schedule.
• Wears dosimetry badge at all times while involved in radiological procedures.
• Participates in committees where needed, attends in-service programs and hospital meetings.
• Patients are identified in accordance with established hospital policies using two patient identifiers.
• Maintains strict patient confidentiality.
• Performs other duties as assigned.

• Recognized and has a commitment to meet the ethical, moral and legal obligations of nursing.
• Maintains and promotes good health practices.
• Will conform to TCHS policies and procedures.
• Will perform all duties as described by the job description within the scope of licensure.
• Maintains current professional license/certifications in accordance with state law.
• Provides leadership in medical concerns in the absence of the physician.
• Does not discuss patient matters such as medical treatment, diagnosis or history outside of the clinical setting in; keeping in compliance of HIPAA.
• Maintains the TCHS Behavior Standards and CORE VALUE program.
• Willingly accepts new responsibilities and cooperates with implementation of change.
• Ensures pay roll and time card information is complete and accurate every pay period.
• Dresses in a neat, clean uniform for patient care; maintains high personal hygiene standards.

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Title Registration Clerk Full Time – Patient Access
Categories Administrative
Job Information

Registration Clerk – Full Time – Posted on 11/17/2015 @ 12:30pm
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers

Day Shift

Reports to the Patient Access Team Lead.

• 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.

Performance metrics will include error rates, percentage of patient responsibility payments collected or secured, and other factors determined by management.

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Title Environmental Services Tech I – Full Time
Categories Environmental Services
Job Information

Environmental Services Tech – Full Time – Posted on 10/30/2015 @12:54pm (Updated shift time on 11/3/2015)
Shift: 11:00am-7:30pm; 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 PRN RN – Hospital
Categories Nursing Services
Job Information

PRN RN – Hospital  

RN –


This position contributes to the fulfillment of Thayer County Health Services vision and mission by exercising appropriate nursing judgment based on knowledge, skills and understanding in nursing situations, participates in planning, implementation and evaluation of nursing care, is involved in a quality assurance program to provide optimal patient care.


Reports to House RN Supervisor and Chief Nursing Officer.


  • Graduate of an accredited school of nursing and possess a current valid state Nursing License.
  • Maintains current CPR status.
  • Must have good communication skills.


  • Performs nursing care and services for patients such as assessment and documentation of signs and symptoms, administering sterile treatments, assisting with examinations, participating in the rehabilitation of patients, and showing appropriate use and care of resources all in accordance with the medical and/or nursing plan of care.
  • Prepares, administers, and documents oral, subcutaneous, intramuscular and intravenous medications; observes site of insertion, rate of flow in IV’s and discontinues IV’s.
  • Assists in planning, providing, and evaluating patient care as a member of the nursing team.
  • Assists physicians, nurses and others as required; responsible for total patient care of patients assigned and delegation of duties to appropriate personnel as necessary.
  • Performs duties in care and cleaning of rooms and equipment after use or discharge, stocks supplies in designated areas, keeps utility and other nursing areas clean and in order.
  • Observes, records, and reports to the appropriate persons, general and specific physical and mental conditions of patients, and signs and symptoms which may be indicative of change.
  • Performs selected procedures and therapeutic treatments, provides nursing care in Med/Surg, Emergency Room and the Operating Room following demonstration of competence.
  • Observes and provides care to the obstetrical patient through the stages of labor, delivery, and post-partum, after demonstration of competence.
  • Observes and provides care of the newborn after NRP and STABLE certification and demonstration of competence.
  • Participates in planning care for patients utilizing physician orders, instructions, established standards, nursing techniques, policies and procedures.
  • Promotes patient education and assists in teaching patient health maintenance and self-care.
  • Studies and evaluates trends and developments in nursing practices with thought of their adaptability to the specific needs.
  • Assumes responsibility for accuracy of procedures, documentation and maintenance of high standards of nursing care. Maintains accurate and complete records.
  • Verifies electronically placed provider orders in a timely manner.
  • Assists in training and orientation of new employees.
  • Participates in Quality Assurance, committees where requested/needed, attends in-service programs, staff and employee meetings and required educational trainings.
  • Performs other duties as assigned.

Updated posting on 3/30/2015

Updated Posting from Part Time to Full Time on 5/15/2015
Updated Posting from Full Time to PRN on 10/5/2015

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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 Maintenance Worker – Full Time
Categories Maintenance
Job Information

Maintenance Worker – Full Time – Posted on 9/18/2015 @ 4:00pm
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 maintains all properties owned by Thayer County Health Services. The Maintenance Worker assists in all areas of maintenance to ensure a standard of excellence for the comfort and care of the patients and staff of TCHS.
Responsible to the Director of Maintenance
• High School Diploma is required.
• Some maintenance experience preferred

• Assists maintenance engineer with Lawn and Landscape Maintenance .
• Assists maintenance engineer with Snow Removal.
• Assists maintenance engineer with Preventative Maintenance.
• Assists maintenance engineer with Plumbing/Electrical/HVAC-R.
• Assists maintenance engineer with Special Construction Projects.
• Assists maintenance engineer with General Work Orders.
• Performs other duties as assigned.

• Complies with Federal and State requirements
• Will be required to participate and complete the CORE Values program.
• Will conform to TCHS policies and procedures.
• Maintains the TCHS Behavior Standards.
• Will perform all duties as described by the job description.
• Does not discuss patient matters such outside of the clinical setting in; keeping in compliance of HIPAA.
• Willingly accepts new responsibilities and cooperates with implementation of change.
• Maintains personal hygiene standards.

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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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