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Title Registration Clerk – Full Time
Categories Health Information
Job Information

Registration Clerk – Full Time – Posted on 05/02/2016
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers

SHIFT: Days 11:00a-6:30p; 30-35 hours/week; rotating Saturdays

Reports to the Revenue Cycle Director/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.

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Title I.T. Director – Full Time
Categories Information Technology
Job Information

I.T. Director – Posted 5/13/16

Shift: Full Time; Exempt

This position contributes to the fulfillment of Thayer County Health Services vision and mission by managing, coordinating and supervising activities of computer operations, data entry, and software utilization. Responsible for designing, planning, implementing and controlling all functions pertinent to these areas. Serves as a liaison between software vendors and the users. Responsible for the operation of the telephone system. Assists Vice President of Facilities. Other duties as assigned by Supervisor.
Reports to Vice President of Facilities.
• BA/BS in information systems, business or technical field, Masters in business or computer information systems preferred.
• Knowledge of data analysis, systems design, problem identification, medical data, and processing information.
• Knowledge of computer hardware, software and data communications including system configuration and exposure to programing languages.
• Must have excellent oral, written, and electronic communication skills.
• Must possess leadership qualities.
• Develops strategies, plans, policies, goals, and budget for technology department and implements policies and procedures.
• Determines staff, space, equipment, supply requirements, prepares/recommends department budget and ensures that department operates within allocated funds.
• Ensures the selection, training, development and evaluation of department employees.
• Evaluates and recommends hardware and software acquisitions.
• Maintains integrity of information. Maintains security systems, guarantees back-up schedules for data, and maintains a log of software application problems and status.
• Complies with HIPAA Privacy and Security Regulations.
• Responsible for technology equipment maintenance so that it performs at a high level of efficiency.
• Updates systems procedures and completes all conversions on schedule.
• Ensures prompt and courteous feedback to requesters of technology services including providing information on software changes and other pertinent information to technology users.
• Assists users to identify hardware, software and procedural requirements for each department. Serves as systems administrator including solving computer issues and making recommendations to enhance information systems and promote more efficient and cost-effective operations.
• Ensures the daily operations of information systems and that appropriate backup systems are in place.
• Represents TCHS in networking and at appropriate functions, meetings, and organizations that work with directly or indirectly as business partners.
• Stays current with technology trends and updates with software including security threats and vulnerabilities. Continues annual training with current software applications and new applications as they are developed.
• Establishes/directs department quality assurance systems to ensure quality performance.
• Develops and maintains appropriate department records, reports and files.
• Works with users to budget and purchase technology equipment for growth and new application needs.
• Negotiates most favorable prices and terms with vendors to provide most reliable uptime and system performance.
• Maintains and promotes strict confidentiality through education and example.
• Displays initiative, enthusiasm, diplomacy, and tact.
• Exercises leadership in promoting the mission and values of the hospital throughout the facility and the community.
• Responsible for completing work projects as delegated by the Vice President of Facilities.
• Undertakes special projects as assigned by Administration.
• Performs other duties as assigned.

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Title RN: Surgery – Full Time
Categories Nursing Services
Job Information

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 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: Days; Full Time; Non-Exempt; minimum 35 hours/week; On-Call: evening/weekend/holiday rotation
Reports to the Surgery Supervisor and Chief Nursing Officer.
• Graduate of an accredited school of nursing and possess a current valid state Nursing License.
• Maintains current CPR, ACLS, and NRP certifications.
• Must have good communication skills.
• Performs nursing care and services for patients such as observing and recording signs and symptoms, administering sterile treatments, using and caring for special equipment, and 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 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 Environmental Services Tech I – Full Time
Categories Environmental Services
Job Information

Environmental Services Tech – Full Time – Posted on 2/12/2016 @ 4:23pm
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 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 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 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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