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Title Hospital RN or LPN-C Full Time, Nights
Categories Nursing Services
Job Information

Hospital RN or LPN-C – Full Time, Nights – Posted on 4/10/2017 – #122017
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY:
This position contributes to the fulfillment of Thayer County Health Services vision and mission by functioning as a member of the health care team by exercising appropriate nursing judgment based on knowledge, skills, and understanding in nursing situations, under the supervision of the charge nurse.

SHIFT: Non-Exempt Full Time, Nights. SUPERVISION: Reports to Chief Nursing Officer

JOB QUALIFICATIONS:
• IV Certification preferred; if not, requirement to obtain IV certification within one (1) year of start date.
• Graduate of an accredited school of nursing and possess a current valid state Nursing License.
• Maintains current CPR status.
• Must have good communication skills.
• Maintains current NRP and STABLE.
• For RN: TCNN and ACLS, in addition to the above.
LPN-C PRINCIPAL RESPONSIBILITIES:
• 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 and Emergency Room under the instruction of a professional RN following demonstration of competence.
• Observes and provides care to the post-partum under the supervision of a professional RN 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.
• 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.

RN PRINCIPAL RESPONSIBILITIES:
• 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.

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Title Chief Operating Officer – Full Time – Internal Posting
Categories Administrative
Job Information

Chief Operating Officer – Full Time – Posted on 4/24/2017 – #132017
Internal Candidates Only – TCHS Employees may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY:
The Chief Operating Officer (COO) will have responsibility for the operations of Thayer County Health Services (TCHS) and will provide administrative leadership and optimize organizational performance. This individual will execute strategy and manage operations while achieving effective and efficient operating performance. The COO will ensure the provision of quality care and services through the cost effective management of hospital operations. This individual will consult with and advise the President and CEO and assume responsibility for the organization along with the Chief Financial Officer, Chief Nursing Officer, and Clinic Services VP in the President and CEO’s absence. The COO works collaboratively with the Senior Leadership Team to design and implement operational strategies and tactics to achieve organizational goals and objectives.
SHIFT: Exempt, Full Time, Days SUPERVISION: Reports to President and CEO.
JOB QUALIFICATIONS:
• Bachelor’s degree in Business Administration or related field required
• Master’s degree in Health Care Administration, Business Administration, or related field preferred
• Minimum of five (5) years of health care management experience required
• Motivated, strategic, and team-oriented professional
• Expertise in both administrative and operational health care functions
• Strong communication and interpersonal skills
• Problem-solving and effective analytical skills
• Knowledge of CMS (Medicare and Medicaid) regulations and requirements
• Advanced computer skills in programs such as Microsoft Word and Excel (electronic health record experience preferred)
SUPERVISORY RESPONSIBILITIES:
• Imaging Services
• Laboratory
• Pharmacy
• Rehab Services
• Home Health
• Social Services
• Wellness Center
PRINCIPAL RESPONSIBILITIES:
• Actively manages departments with supervisory responsibilities
• Directs organizational operations effectively and efficiently
o Oversees day-to-day operations, which includes problem solving issues and ensuring effective processes
o Optimizes revenue potential for current and new lines of business while understanding community needs
o Ensures service levels are achieved and maintained and makes adjustments when necessary
o Collaborates with other departments in providing services and resources
o Monitors workflow and departmental processes
o Develops and maintains department policies
o Sets and achieves department goals and objectives
• Participates in the strategic planning process for the organization in order to build and maintain hospital programs that support the organization’s mission, vision, and values
o Develops concepts, communicates ideas, and participates in the strategic planning process
o Regularly attends weekly Senior Leadership Team meetings
o Regularly attends scheduled Department Director meetings
• Communicates frequently with the CEO, staff, and medical staff to solve problems and promote quality patient care
o Collaborates with medical staff, hospital, and community leaders in designing and providing compassionate, quality, and cost effective patient care services
o Directs areas of accountability through strategic planning and review of department operations to ensure efficiency and effectiveness
o Assists in ensuring that the quality of patient care at TCHS meets established standards
• Works with Senior Leadership Team and department directors to define annual goals and budgeting plans
o Approves, monitors, and develops budgets, capital expenditure planning, and strategic planning for responsible areas
o Establishes and outlines annual organizational goals in collaboration with Senior Leadership Team and department directors
• Directs departmental financial operations
o Maintains, develops, monitors, and reports budgets, expenses, variances and strategic planning for department
o Monitors expenses on a monthly basis and explains budget variances
o Works with vendors and management, as appropriate, to negotiate best value purchases
• Participates and monitors activities related to continuous performance improvement
o Participates in community, state, and national healthcare organizations
o Monitors quality controls and implements improvements/changes to achieve quality levels
• Recruits and develops a qualified and productive workforce
o Maintains and creates department job descriptions to represent positions accurately and clearly
o Recruits, interviews, and selects qualified candidates while following established hiring practices and guidelines
o Orients new employees in a thorough manner to department and organizational operations, policies and procedures
o Provides training to department staff in an appropriate and thorough manner
o Offers opportunity for continuing education by sharing own knowledge, accessing internal opportunities, and considering external opportunities to support the continued development of department staff
o Monitors and verifies the compliance of staff in regards to maintaining required licenses and certifications, as applicable
o Uses labor resources, such as overtime and agency assistance effectively
• Performs employee relations functions effectively to promote a positive work environment, influence retention and enhance communication
o Develops, supports and actively seeks activities and establishes an environment that promotes recognition and retention for employees
o Communicates effectively and provides feedback to staff which may include department meetings, individual employee meetings, and rounding
o Interprets and applies department and organizational policies with consistency and fairness in managing a qualified, efficient and productive workforce
o Addresses employee issues in an effective and timely manner
o Communicates with department leadership and HR regarding employee issues appropriately in an effort to obtain guidance and reduce potential organizational liability
o Administers annual performance appraisal process for staff
• Follows HIPAA regulations and ensures that the confidentiality of patients’ medical, personal, financial records, employee records, and organizational records is maintained
• Participates in TCHS committees, quality assurance, performance and quality improvement initiatives, and activities which support the facility and department operations
• Complies with the state and federal regulatory requirements related to the performance of TCHS operations and requirements of the TCHS compliance program including but not limited to:
o TCHS policies and procedures
o Completes all SWANK on-line training annually and as assigned
o Considers the impact of federal and state regulations including those specific to Critical Access Hospitals (CAHs) and discusses concerns appropriately to ensure compliance
• Presents self in a professional manner and enhances professional growth and development through participation in education programs, current literature, in-service meetings and workshops
o Seeks opportunities for continued growth and performance improvement
o Always maintains a professional appearance and manner
o Dependable and completes work in a timely manner
o Demonstrates an understanding and emphasis on quantity, quality, and knowledge of duties and tasks
• Performs other duties and projects as assigned by the President and CEO

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Title Surgery RN – Part Time – Internal Posting
Categories Nursing Services
Job Information

Surgery RN – Part Time – Posted on 4/28/2017 – #142017
Internal Candidates Only – TCHS Employees may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY:
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 in the surgical setting.
SHIFT: Non-Exempt, Part Time, Minimum of 20 hours/week; Weekday, weekend and holiday call rotation required
SUPERVISION: Surgery Supervisor
JOB QUALIFICATIONS:
• Graduate of an accredited school of nursing and possess a current valid state Nursing License.
• Maintains current CPR status.
• Must have good communication skills.
PRINCIPAL RESPONSIBILITIES:
• Performs nursing care and services for patients such as observing and recording signs and symptoms, administering sterile treatments, using and caring for special equipment, as assisting with recovery of patients, according to medical and/or nursing plan.
• 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 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 surgery area and equipment after use, prepare and sterilize patient instruments and supplies, keep utility and service rooms 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 treatments, provides nursing care in Pre-op Area, Operating Room and Recovery Room following 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, implements, and evaluates surgical patient care.
• 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.

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Title Hospital LPN Part Time or PRN
Categories Nursing Services
Job Information

LPN – Part Time or PRN – Posted on 3/29/2017 – #092017
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY:
This position contributes to the fulfillment of Thayer County Health Services vision and mission by functioning as a member of the health care team by exercising appropriate nursing judgment based on knowledge, skills, and understanding in nursing situations, under the supervision of the charge nurse.

SHIFT: 24 hours/week; Nights SUPERVISION: Reports to Chief Nursing Officer

JOB QUALIFICATIONS:
• IV Certification preferred; if not, requirement to obtain IV certification within one (1) year of start date.
• Graduate of an accredited school of nursing and possess a current valid state Nursing License.
• Maintains current CPR status.
• Must have good communication skills.
• Maintains current NRP and STABLE.

PRINCIPAL RESPONSIBILITIES:
• Performs nursing care and services for patients such as observing and recording signs and symptoms, administering sterile treatments, assisting with examinations, using and caring for special equipment, and assisting with rehabilitations of patients, according to medical and/or nursing plan, under the supervision and direction of a professional RN.
• Prepares, administers, and records selected oral, subcutaneous, intramuscular medications; observes site of insertion, rate of flow in IV’s and discontinues IV’s following demonstration of competence. The LPN is not responsible for the administration of intravenous solutions and medications. Obtains permission from the charge nurse to administer PRN medication.
• 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 and Emergency Room under the instruction of a professional RN following demonstration of competence.
• Observes and provides care to the post-partum under the supervision of a professional RN 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.
• 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.

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Title Full Time or Part Time Days Staff Pharmacist
Categories Pharmacy
Job Information

Staff Pharmacist – Full Time – Posted on 3/7/2017 – #082017
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY: This position contributes to the fulfillment of Thayer County Health Services vision and mission by providing prescribed medications, drugs, and other pharmaceuticals according to professional standards and practices.
SHIFT: Days; Full Time or Part Time
SUPERVISION: Reports to Director of Pharmacy.
JOB QUALIFICATIONS:
• Pharmacy degree from an American Council for pharmacy Education (ACPE) accredited school of pharmacy and licensed through the successful passage of a licensure exam in accordance with National Association of Boards of Pharmacy. PharmD preferred.
• Possession of a State of Nebraska Pharmacist License in good standing.
• Three years of experience as a Pharmacist preferred.
• Must have good communication skills; both written and verbal.
PRINCIPAL RESPONSIBILITIES:
• Provides specialized pharmaceutical services to improve drug usage and therapeutic outcomes including, but not limited to, advising physicians on issues concerning drug therapy, the inherent toxicity of drugs and their side effects, as well as assisting in the prescription of the appropriate doses and ensuring that adequate quantities of drugs and supplies are ordered and maintained.
• Is responsible for the preparation and dispensing of all medications within the facilities, overseeing non-pharmacist personnel involved in the medication use process and ensuring that all prescription and medication orders are accurate, complete, and appropriate for the individual patient and in compliance with all state and federal legal requirements.
• Maintains relationships with medical and nursing staff; providing timely information pertaining to pharmaceuticals, therapeutic options, drug usage and compatibility, state and federal regulations regarding drug controls, and Nebraska Department of Health standards.
• Conducts and evaluates medication use reviews as needed, assessing patient compliance and outcomes; and suggests modifications so as to achieve desired outcomes; instructs patients in the proper use of prescribed drugs and makes patient care rounds with physicians to evaluate patient progress as needed.
• Individualizes medication regimens using sound principles, accounting for pharmacodynamics and pharmacokinetic variations in drug absorption, distribution, metabolism, and elimination with responsibility for establishing and continually improving the delivery of pharmaceutical care to patients within areas of direct responsibility and assisting others in the department with the same.
• Ensures that medicinal products are stored appropriately and securely to ensure inventory is maintained in accordance with state and federal requirements.
• Responds to medication related queries from within the hospital, other hospitals and the general public.
• Maintains strict standards of confidentiality, complying with but not limited to HIPPA recommendations and regulations.
• Keeps up to date with, and contributes to changing drug knowledge and healthcare developments in collaboration with medical staff and other colleagues.
• Writes guidelines for drug use within the hospital and long-term care facilities, preparing drug and therapeutic bulletins and implementing necessary regulations and related hospital/departmental policies and procedures.
• Provide information related to budgets and drug expenditures. Processes all cash and credit transactions as required, giving patients proper receipts and related information.
• Attends required meetings and participates in facility and community committees as requested.
• Mentors healthcare professionals in training including, but not limited to, pharmacy, medical, and nursing students; activities should include both practical and didactic experiences.
• Provides monthly consulting to our contracted LTC facilities.
• Performs other duties as needed by facility.

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Title Full Time Days Environmental Services Tech
Categories Environmental Services
Job Information

Environmental Services Tech – Full Time – Posted on 3/7/2017 – #062017
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY:
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.
SHIFT: Full Time, Non-Exempt; Days with rotating Saturdays and some holidays
SUPERVISION: Reports to Environmental Services Supervisor.
JOB QUALIFICATIONS:
• High school diploma or GED required.
• 3-5 years of clinical and/or infection control are required.
PRINCIPAL RESPONSIBILITIES:
• 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.
• Shampoo and 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, and scrub floors.
• 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 Full Time Days Pharmacy Tech: 340B Specialist
Categories Pharmacy
Job Information

Pharmacy Tech: 340B Specialist – Full Time – Posted on 3/7/2017 – #072017
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY:
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.
Shift: Full Time; Non-Exempt; Days
SUPERVISION: 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.
PRINCIPAL RESPONSIBILITIES:
• 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 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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