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Title Wellness Center Front Desk Attendant – PRN
Categories Wellness Center
Job Information

Wellness Center Front Desk Attendant – PRN (As needed) – Posted on 7/11/2017 – #222017
External and Internal Candidates may apply at www.thayercountyhealth.com – click on Careers
POSITION SUMMARY:
The front desk attendant is the first person a member will encounter when entering the Wellness Center. The attendant must have a friendly, professional, outgoing personality, be cooperative, and enjoy social interaction. Attendant must exhibit enthusiasm for the Wellness Center and for the job, and be a patient and courteous listener whether by phone or in person while upholding the wellness center’s operating standards in a professional manner at all times.
SHIFT: PRN – as needed per department schedule: weekdays/weekends/days/evenings
SUPERVISION: Wellness Program Coordinator
JOB QUALIFICATIONS:
• Basic computer skills and telephone etiquette
• Detail oriented and strong multi-tasking skills
• Excellent customer service skills
• Reliable, responsible, and mature
• Self-motivated, takes initiative, and is able to work without supervision
• Dedicated to working as a team player and maintaining a positive attitude
• CPR and first aid certification, preferred
PRINCIPAL RESPONSIBILITIES:
• Open and close Wellness Center as needed.
• Reports any incident or accident to wellness coordinator.
• Responsible for membership sign-up and checking in members with verification processes along with tours of the Wellness Center.
• Becomes knowledgeable about the Wellness Center and its amenities in order to effectively communicate with members and/or guests.
• Helps ensure Wellness Center is only accessed by actual members and/or guests, and that it is safe and secure at all times.
• Greets each and every guest with a smile and direct eye contact, always upholding great customer service. Ability to work under pressure, and solve problems in a professional manner.
• Uses time efficiently throughout shift by checking equipment, locker rooms, inventory, etc.
• Ensures proper coverage when it’s necessary to leave the area.
• Informs co-worker(s) of pertinent information at the end of the shift.
• Informs wellness coordinator of any member, guest, or Wellness Center issues.
• Enrolls members and guests in programs.
• Assists staff with lifting and storing Wellness Center equipment, furniture, and products to help maintain Wellness Center and prepare for special events.

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Title Registration Clerk/Financial Counselor Full Time
Categories Administrative, Finance
Job Information

Registration Clerk/Financial Counselor – Full Time – Posted on 8/1/2017 – #232017
Internal and External candidates may apply at www.thayercountyhealth.com – click on Careers
Thayer County Health Services, Thayer County, NE
POSITION SUMMARY: This position coordinates and communicates daily activity within the Patient Access Department and reports to Revenue Cycle Director. This position consults with Revenue Cycle Director regarding plans for improving efficiency within the department, decreasing data entry errors, and increasing payments collected or secured before services are provided to patients. As Financial Counselor, serves as a friendly, helpful provider of additional services to patients, ensuring patient understanding of the financial aspects of care, availability of assistance, and securing payment arrangements.

SHIFT: Full Time Non-Exempt Day Shift, with possible weekend coverage when needed. SUPERVISION: Reports to Revenue Cycle Director
POSITION QUALIFICATIONS:
1. High School Diploma is required, with preference to an advanced level of education such as a Bachelor’s in Business Management, Social Work, or similar area of study.
2. Knowledge of medical terminology is preferred.
3. Requires prior experience with scheduling and registration functions for a Rural Health Clinic, with preference for experience using EHR.
4. Requires excellent organizational, priority setting and problem solving skills
5. Requires strong interpersonal skills and excellent verbal and written communication skills.
6. Requires proficient computer and keyboarding skills including Microsoft Office software
PRINCIPAL RESPONSIBILITIES:
Registration Clerk:
• 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.
o Obtains data required to initiate and/or complete patient records including verification of all demographic, employment, retirement, accident and insurance information to ensure accuracy.
o Ensure insurance precertification, referral, and authorization requirements have been met for commercial, government and worker’s compensation payers.
o Obtains authorization signatures for consent to treatment, release of information, financial responsibility, and any other necessary forms.
o Scans insurance cards, referrals, consents and patient identification documents into document imaging software.
o 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 EHR 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.
Financial Counselor:
• Leads by example in setting goals, providing feedback, recognizing performance and developing skills.
• Coordinates and assigns schedules for Patient Access Department staff based upon patient volume, making adjustments as needed including weekend coverage.
• Runs reports to identify staff performance metrics, including error rates, percentage of patient responsibility payments collected or secured, and others as determined by management.
• Works with Revenue Cycle Director and staff to design and implement a comprehensive training program for new hires and effective cross-training program for existing staff.
• Works with Revenue Cycle Director to evaluate department processes and implement an action plan to increase efficiencies, improve performance metrics, and secure collection of payments for patient responsibility.
• In coordination with Revenue Cycle Director and staff, create and maintain written procedures manual for scheduling, registration, phone receptionist, and financial counseling functions, to include scripting for patient interactions and standardized data entry.
• Coordinates regular staff meetings with Revenue Cycle Director and provides written agendas and minutes of these meetings.
• Provides regular and periodic reports to the Revenue Cycle Committee upon request.
• Expected to become knowledgeable of scheduling and registration functions, with ability to backfill for staff on an as needed basis.
• Provides financial counseling services to patients, including educating them about their options to enroll for insurance through Medicare, Medicaid, or the Health Insurance Exchange.
• Negotiates and sets up written payment agreements with patients following established standards and procedures.
• Assists patients with gathering all necessary data for Charity Care applications, only after exhausting all other options, and prepares initial evaluation of application to be presented for senior management review.
• Acts as patient advocate by receiving patient concerns related to insurance payer coverage of specific clinical care and resolving these concerns to facilitate payment.
• Effectively functions as a liaison for patients, families, physicians, Business Office and the patient care team. Promptly and freely investigates and resolves problems and or complaints of physicians, their office staffs and patients through own action or referral to a Revenue Cycle Director.
• 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 a professional attitude with patients, visitors, physicians, office staff and hospital personnel. Assures confidentiality of patient and hospital information, maintaining compliance with policies and procedures.
• Any other duties as assigned by Revenue Cycle Director.

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Title Revenue Cycle Director – Full Time
Categories Finance
Job Information

Revenue Cycle Director – Full Time – Posted on 8/4/2017 – #242017
Internal and External candidates may apply at www.thayercountyhealth.com – click on Careers
Thayer County Health Services, Thayer County, NE
POSITION SUMMARY: This position contributes to the fulfillment of Thayer County Health Services vision and mission by being responsible for directing the organization’s patient billing and registration departments, overseeing claims production, billing, follow-up, collections, cash receipts/adjustments, compliance with third party payor regulations, insurance verification and provider enrollment/credentialing. This position is responsible for both strategic alignment and daily oversight and management of transaction and process-based revenue cycle functions, including ongoing improvement to key revenue cycle indicators. These key indicators include but are not limited to: A/R days, cash collections goals and posting, bad debt, denials, underpayment recovery and contract management activities related to patient account management. This individual should have comprehensive knowledge of revenue cycle operations, either from a provider or payor perspective, with particular experience in performance improvement identification/implementation and monitoring controls. This position is responsible for personnel development, implementing and maintaining department policies, and initiating disciplinary action according to policy. Responsible for the overall functions of the Health Information Management and Coding Department. Insures the highest standards for the protection of confidential information which includes the security and integrity of the electronic health records. This position also serves as the Chief Privacy Officer who oversees all activities which includes the development, implementation, and maintenance of all policy and procedures to assure compliance with the Health Insurance Portability and Accountability Act of 1996.
SUPERVISION: Reports to Chief Financial Officer. SHIFT: Full Time Exempt, Days
JOB QUALIFICATIONS:
• Bachelor’s degree required, preferably in Business or Healthcare Administration
• Master’s Degree in a related field preferred (MBA, MHA)
• Five years of progressive Revenue Cycle/Patient Financial Service management experience required
• Extensive experience in Revenue Cycle/Patient Financial Service management would be considered in place of bachelor’s degree, with a strong successful track record
• Relevant industry license/certifications preferred (CRCE, CRCP, CPAM, CRCR, CHFP)
• Participation in relevant industry professional associations preferred (AAHAM, HFMA, NHA)
• Experience with Critical Access Hospitals and Rural Health Clinics preferred
• Must have successful history of working with CMS (Medicare/Medicaid payment plans and regulations)
• Advanced computer skills in Microsoft Office, with preferred experience in CPSI and AllScripts EHR systems
• Knowledge of CPT, ICD-9 & ICD-10 coding and hospital/physician billing
• Required current certification as an RHIT.
• Required knowledge of ICD-9 and ICD-10 in addition to CPT codes.
PRINCIPAL RESPONSIBILITIES:
• Ensures accounts are billed accurately and timely by providing proactive oversight and direction for patient registration, billing, and collections, including but not limited to: inpatient, outpatient, emergency room, clinic, lab, rehab, and home health procedures/visits
• Provides operational oversight for Patient Access Team Lead and Billing Team Lead, mentoring them in their responsibilities
• Maintains current knowledge of hospital billing systems and government payment systems, including applicable federal/state laws and regulations, as well as all aspects of third party reimbursement policies and practices
• Develops and implements policies and procedures in accordance with applicable laws, regulations, and sound business practices
• Demonstrates ability to supervise, train and motivate employees, as well as a professional attitude in relating to executive management, professionals, third-party insurance carriers, and business/community leaders
• Organizes and leads intra-departmental efforts to maximize operational efficiency and optimize reimbursement, as well as monitors denials and provides education and reporting to clinical areas regarding the effect of denials from their area
• Reviews all statistical reports to monitor trends, determine operational deficiencies, and implement corrective action plans as necessary
• Selects and monitors outside collection and “early out” vendors engaged in the collection of accounts receivable, reviews and balances agency reports to hospital system reports, and approves agency invoices
• Demonstrates highly developed verbal and written communication skills, excellent analytical and problem solving skills, the ability to assess and evaluate complex financial data, and the ability to manage multiple complex tasks
• Exhibits excellent leadership and self-direction, good judgment in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills
• Assures that confidentiality of patient information is maintained without exception and satisfactorily handles customer complaints within organization guidelines
• Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices
• Develops and implements Health Information Management Policies.
• Develops and implements Privacy Policies in compliance with the Health Insurance Portability and Accountability Act.
• Develops and implements departmental budget.
• Develops departmental objectives and goals in addition to organizing the work load with staff.
• Interviews/hires all health information management staff in addition to performing performance evaluations and recommended wage increases, promotions, or disciplinary actions.
• Prepares statistical analysis and reports to mandatory agencies.
• Prepares the Medical Staff Meeting agenda, attends meetings, and acts as recorder.
• Actively participates in meaningful use activities to help organization stay in compliance.
• Actively participates in revenue cycle improvement activities.
• Audits records and works closely with staff to assure the completeness of the electronic health record.
• Audits electronic health records to assure compliance with access in accordance with the privacy regulations. In addition performs initial and periodic information privacy risk assessments.
• Manages and oversees transcription services.
• Oversees or ensures delivery of initial privacy training and orientation to all employees, volunteers, and contracted employees.
• Develops and implements all business associate agreements in accordance with the privacy regulations.
• Accurately assigns diagnosis and procedure codes to hospital inpatient visits, outpatient surgeries and emergency room visits.
• Accurately assigns professional fee to hospital and emergency room visits.
• Performs all Quality Improvement activities for the department.
• Participates in professional development activities and maintains professional affiliations.
• Performs all other duties as assigned

Revenue Cycle Director – Full Time – Posted on 8/4/2017 – #242017
Internal and External candidates may apply at www.thayercountyhealth.com – click on Careers
Thayer County Health Services, Thayer County, NE
POSITION SUMMARY: This position contributes to the fulfillment of Thayer County Health Services vision and mission by being responsible for directing the organization’s patient billing and registration departments, overseeing claims production, billing, follow-up, collections, cash receipts/adjustments, compliance with third party payor regulations, insurance verification and provider enrollment/credentialing. This position is responsible for both strategic alignment and daily oversight and management of transaction and process-based revenue cycle functions, including ongoing improvement to key revenue cycle indicators. These key indicators include but are not limited to: A/R days, cash collections goals and posting, bad debt, denials, underpayment recovery and contract management activities related to patient account management. This individual should have comprehensive knowledge of revenue cycle operations, either from a provider or payor perspective, with particular experience in performance improvement identification/implementation and monitoring controls. This position is responsible for personnel development, implementing and maintaining department policies, and initiating disciplinary action according to policy. Responsible for the overall functions of the Health Information Management and Coding Department. Insures the highest standards for the protection of confidential information which includes the security and integrity of the electronic health records. This position also serves as the Chief Privacy Officer who oversees all activities which includes the development, implementation, and maintenance of all policy and procedures to assure compliance with the Health Insurance Portability and Accountability Act of 1996.
SUPERVISION: Reports to Chief Financial Officer. SHIFT: Full Time Exempt, Days
JOB QUALIFICATIONS:
• Bachelor’s degree required, preferably in Business or Healthcare Administration
• Master’s Degree in a related field preferred (MBA, MHA)
• Five years of progressive Revenue Cycle/Patient Financial Service management experience required
• Extensive experience in Revenue Cycle/Patient Financial Service management would be considered in place of bachelor’s degree, with a strong successful track record
• Relevant industry license/certifications preferred (CRCE, CRCP, CPAM, CRCR, CHFP)
• Participation in relevant industry professional associations preferred (AAHAM, HFMA, NHA)
• Experience with Critical Access Hospitals and Rural Health Clinics preferred
• Must have successful history of working with CMS (Medicare/Medicaid payment plans and regulations)
• Advanced computer skills in Microsoft Office, with preferred experience in CPSI and AllScripts EHR systems
• Knowledge of CPT, ICD-9 & ICD-10 coding and hospital/physician billing
• Required current certification as an RHIT.
• Required knowledge of ICD-9 and ICD-10 in addition to CPT codes.
PRINCIPAL RESPONSIBILITIES:
• Ensures accounts are billed accurately and timely by providing proactive oversight and direction for patient registration, billing, and collections, including but not limited to: inpatient, outpatient, emergency room, clinic, lab, rehab, and home health procedures/visits
• Provides operational oversight for Patient Access Team Lead and Billing Team Lead, mentoring them in their responsibilities
• Maintains current knowledge of hospital billing systems and government payment systems, including applicable federal/state laws and regulations, as well as all aspects of third party reimbursement policies and practices
• Develops and implements policies and procedures in accordance with applicable laws, regulations, and sound business practices
• Demonstrates ability to supervise, train and motivate employees, as well as a professional attitude in relating to executive management, professionals, third-party insurance carriers, and business/community leaders
• Organizes and leads intra-departmental efforts to maximize operational efficiency and optimize reimbursement, as well as monitors denials and provides education and reporting to clinical areas regarding the effect of denials from their area
• Reviews all statistical reports to monitor trends, determine operational deficiencies, and implement corrective action plans as necessary
• Selects and monitors outside collection and “early out” vendors engaged in the collection of accounts receivable, reviews and balances agency reports to hospital system reports, and approves agency invoices
• Demonstrates highly developed verbal and written communication skills, excellent analytical and problem solving skills, the ability to assess and evaluate complex financial data, and the ability to manage multiple complex tasks
• Exhibits excellent leadership and self-direction, good judgment in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills
• Assures that confidentiality of patient information is maintained without exception and satisfactorily handles customer complaints within organization guidelines
• Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices
• Develops and implements Health Information Management Policies.
• Develops and implements Privacy Policies in compliance with the Health Insurance Portability and Accountability Act.
• Develops and implements departmental budget.
• Develops departmental objectives and goals in addition to organizing the work load with staff.
• Interviews/hires all health information management staff in addition to performing performance evaluations and recommended wage increases, promotions, or disciplinary actions.
• Prepares statistical analysis and reports to mandatory agencies.
• Prepares the Medical Staff Meeting agenda, attends meetings, and acts as recorder.
• Actively participates in meaningful use activities to help organization stay in compliance.
• Actively participates in revenue cycle improvement activities.
• Audits records and works closely with staff to assure the completeness of the electronic health record.
• Audits electronic health records to assure compliance with access in accordance with the privacy regulations. In addition performs initial and periodic information privacy risk assessments.
• Manages and oversees transcription services.
• Oversees or ensures delivery of initial privacy training and orientation to all employees, volunteers, and contracted employees.
• Develops and implements all business associate agreements in accordance with the privacy regulations.
• Accurately assigns diagnosis and procedure codes to hospital inpatient visits, outpatient surgeries and emergency room visits.
• Accurately assigns professional fee to hospital and emergency room visits.
• Performs all Quality Improvement activities for the department.
• Participates in professional development activities and maintains professional affiliations.
• Performs all other duties as assigned

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Title Behavioral Health Clinician – Full Time
Categories Administrative
Job Information

Behavioral Health Clinician – Full Time – Posted on 8/9/2017 – #192017 (re-post from 6/9/2017)
Internal and External candidates may apply at www.thayercountyhealth.com – click on Careers
Thayer County Health Services, Thayer County, NE
Position Summary: This position contributes to the fulfillment of Thayer County Health Services vision and mission by assuring that the behavioral health needs of those in the communities we service are provided for in an efficient and effective manner.
SUPERVISION: Reports to the VP of Clinic Services
JOB QUALIFICATIONS:
• Minimum 2 years of progressive experience in a behavioral health or related field preferred.
• Master’s degree from an accredited educational institution in Counseling, Social Work, Nursing or other related behavioral health field preferred.
• Must have a current license/certification in Nebraska.
• Must have excellent communication skills.
PRINICIPAL RESPONSIBILITIES:
• Provide behavioral/mental health services for adults and children/youth in individual, group, or family therapy as needed by the department.
• Provide behavioral/mental health consultation to TCHS staff as directed.
• Assist medical staff, within scope of practice, with medication management.
• Administer such behavioral/mental health assessments as necessary to diagnose and/or provide objective function measures as necessary and as mandated.
• Collaborate to develop and implement behavioral/mental health Quality Assurance processes as required to maintain compliance with all Federal, State, County, and facility requirements.
• Collaborate with medical staff and outside consultants as needed.
• Keeps skills up to date and increases knowledge and productivity.
• Ensures electronic records are properly maintained and kept up to date.
• Maintains timely flow of patients.
• Accurately document all pertinent information in the electronic health record.
• Assumes responsibility for the development and implementation of standards.
• Maintain strict confidentiality.
• Schedules patients as needed.
• Attend regular staff meetings and other meetings as assigned.
• Helps other team members as needed.
• Perform other duties as assigned.

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Title Ward Clerk/CNA Part Time
Categories Nursing Services
Job Information

Ward Clerk/CNA – Part Time – Posted on 6/23/2017 – #202017
Internal and External 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 exercising appropriate nursing judgment based on knowledge, skills and understanding in charting, locating, filing, retrieving and delivering patient record information; as well as directly administering, following specific instructions and orientation, routine patient care measures under the direct supervision of professional and/or practical nurses.
SUPERVISION: Reports to CNO SHIFT: Part Time Non-Exempt, 24 hours/week, nights, rotating weekends and holidays; Two (2) openings available
JOB QUALIFICATIONS:
• High school diploma or equivalent
• Graduate of an accredited Nursing Assistant Program
• Must have good communication skills, good general secretarial, filing, copy machine and phone skills.
• Maintains current CPR status.
• Needs basic knowledge of computer operations.
• Ability to organize tasks and maintain attention to detail.
PRINCIPAL RESPONSIBILITIES-WARD CLERK:
• Admit patient to ER, OP, IP, and SB and complete SBAR on all new admissions.
• Answers telephone in a polite and professional manner and relays messages or finds RN to obtain MD orders and other pertinent information.
• Maintains patient confidentiality.
• Disassembles chart after patient is dismissed and makes pertinent copies.
• Keep supply of all forms in desk drawer, and updates forms/orders as necessary.
• Inform business office and kitchen of admissions, dismissals, room changes, and level of care. Make copies of face sheets for Echo and Dopplers
• Double check SBAR for missed orders.
• Start EMTALA forms for ER patients, make appropriate copies for all discharges/transfers to nursing homes, home health and receiving hospitals.
• Make ID and allergy bands for new admissions.
• Page both overhead and on call personnel as needed.
• Schedule outpatient, clinic and ER follow-up appointments.
PRINCIPAL RESPONSIBILITIES-CNA:
• Provides direct personal care of patients such as: assist in the admission and dismissal of patients, transport, reposition and move patients per bed, chair, wheelchair or assist with ambulation. Give bed or tub baths or showers as needed. Provide oral and pericare, comb hair and provide shaving services. Assist in the serving and feeding of patients. Provide water and snacks. Collect specimens as directed. Monitor I & O, VS and general condition, communicate information to supervisor through oral or written means.
• May perform service functions such as: help serve trays, obtains supplies or equipment, answer call lights, answer patient and visitor questions under the direction of the supervisor while maintaining confidentiality. Store and deliver laundry, care for flowers, prepare ice packs and warm packs, keep patient room areas neat and clean.
• Provide cleaning of patient room and equipment after discharge, make beds, pick up trays, keep utility room and service areas clean.
• Maintain supportive interest in the physical and spiritual welfare of each patient and report any observations in condition or behavior.
• Seek assistance or clarification of assignments/duties from the nursing supervisor whenever needed.
• Attends in-service and employee meetings, serves on committees when needed.
• Performs other duties as assigned.

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Title Environmental Services Tech Full Time
Categories Environmental Services
Job Information

Environmental Services Tech – Full Time – Posted on 6/13/2017 –
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 Hospital RN or LPN(-C) Full Time or Part Time, Nights – Sign On Bonus
Categories Nursing Services
Job Information

Hospital RN or LPN(-C)– Full Time or Part Time, Nights – Posted on 4/10/2017 – #122017 – Position Eligible for Difficult to Fill Sign On Bonus and Employee Referral
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:
• 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.
• 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 Director of Pharmacy – Full Time – Exempt – Sign On Bonus
Categories Pharmacy
Job Information

This position is eligible for Difficult to Fill Sign on Bonus and Employee Referral

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; Exempt SUPERVISION: Reports to COO.
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 health care management experience preferred
• Three years of experience as a pharmacist preferred.
• Must have good communication skills; both written and verbal.

PRINCIPAL RESPONSIBILITIES:
• Plans, organizes and supervises activities within pharmacy services in accordance with facility, governmental and other regulatory standards.
• Develops departmental goals and objectives in consultation with administration.
• Establishes and implements departmental policies and procedures.
• Monitors and informs staff of new drug regulations.
• Establishes billing and pricing procedures for the pharmacy operations subject to the approval of Administration and ensures that medication is controlled throughout the facility.
• Oversees the 340B program to ensure compliance with applicable requirements.
• Manages the selection and training/orientation of departmental personnel. Evaluates performance and recommendations merit increases, promotions, and disciplinary actions.
• Acts as educational resources and consults with medical staff as required and works to advance the practices of clinical pharmacy.
• Implements decisions of the Medical Staff Committee, and works with the Medical Staff to establish a formulary system, including evaluation for additions and deletions.
• Prepares and dispenses medication orders for patients. Evaluating patient profiles and comprehensive drug data file to evaluate orders for any incompatibilities.
• Establishes procedures for dispensing all medications in accordance with existing state and federal laws. Ensures that records are maintained in accordance with these laws. Ensures correct compounding of special formulas. Checks all prescriptions for completeness.
• Establishes drug control procedures and methods of storage of medication, equipment and supplies. Orders and restocks drugs for dispensing, including soliciting bid prices and establishing pricing structure for pharmaceuticals.
• Controls narcotic, barbiturate and DEA drugs by establishing proper records for receipt, issuance and use.
• Supervises the IV additive program, guaranteeing an aseptic environment for preparation.
• Makes daily rounds with the medical staff to provide professional drug information and assistance, and consults with patients to determine medication compatibility. Instructs on effects and warns of potential side effects.
• Responsible for reports and recommendations regarding the pharmacy department requested by administration. Maintains written policies and procedures for the pharmacy department.
• 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 VP of Clinic Services – Sign On Bonus
Categories Administrative
Job Information

VP of Clinic Services – Full Time – Posted on 5/25/2017 – #172017
Internal and External 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 exercising appropriate scope of practice judgement based on knowledge, leadership skills and understanding; developing and maintaining patient care functions for the clinic.
SUPERVISION: Reports to President and Chief Executive Officer
SHIFT: Exempt, Full Time, Days
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.
• 3 years management experience required
• Clinical experience preferred. Motivated, strategic, and team-oriented professional
• Strong communication and interpersonal skills
• Problem solving and analytical skills
SUPERVISORY RESPONSIBILITIES:
• Providers
• Clinic Nursing Staff
• Scheduling Staff
PRINCIPAL RESPONSIBILITIES:
• Works with Senior Leadership Team
• Oversees scheduling and staffing of personnel and medical staff in the clinics.
• Oversees ordering of all necessary supplies and equipment.
• Participates in TCHS committees, quality assurance, performance and quality improvement initiatives,
• Complies with the state and federal regulatory requirements related to the performance of clinic operations and requirements of the clinic compliance program including but not limited to:
o TCHS policies and procedures
o Completes all SWANK on-line training annually and as assigned
• Manages care essentials to the assessment, promotions, maintenance, and restoration of patients’ health and wellness.
• Maintains laboratory records in accordance with standard laboratory practice.
• Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
• Resolves work problems to ensure quality patient service.
• Attends required meetings and participates in committees as requested.
• Participates in professional development activities to keep current with medical clinic practices.
• Maintains and promotes strict confidentiality through education and example.
• Develops departmental goals and objectives.
• Directs financial operations for clinics.
• Displays initiative, enthusiasm, diplomacy and tact.
• Performs 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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