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LPN – Hospice – Part-Time

Job Posting
Hospice LPN
Part-Time Status
Day Shift

The Licensed Practical Nurse is responsible to the Nurse Managers for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation, and other duties as assigned.  The Licensed Practical Nurse functions within the limits of the Missouri Nurse Practice Act and performs in a comparable manner to peers with similar training, experience, and circumstances.

Education:  Graduate of an accredited Licensed Practical Nurse program.

Experience:  One (1) year home care experience preferred.  Computer skills preferred.  Minimum of 3 – 6 months experience in Med/Surg or nursing home.

Licensure, Registration, Certification:  Current LPN license in the state of Missouri.  CPR certification.  Current driver’s license and declaration of automobile liability insurance.

Mental/Physical Requirements:  (may be met with or without reasonable accommodations):  Ability to stand and walk for long periods of time and to walk up and down flights of stairs.  Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions.  Excellent interpersonal and organizational skills.   Ability to safely operate an automobile.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases and hostile persons at times.  Works with sharps and other potentially biohazardous materials.  Variation in environmental temperatures.  Exposure to various community environments.   Exposure to dogs, cats, etc.  Participate in rotational on-call, fund-raising efforts and available for after hours work as needed for respite, continuous home care.  

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Certified Nurse Aide – Med-Surg – PRN

Job Posting
Certified Nurse Aide

Med-Surg
PRN

Under the general supervision of a licensed nurse, the Nursing Assistant (C.N.A.) performs various duties in the treatment and care of patients.  Assists patient with activities of daily living, provides basic nursing care to non-acutely ill patients and assists in the maintenance of a safe and clean environment under the direction and supervision of the Registered Nurse and the Licensed Practical Nurse.  Complies with all organizational policies regarding ethical business practices.  Ensures patient confidentiality.

Education:  High school diploma or GED.

Experience: 1-year prior experience as a Nursing Assistant (C.N.A.), preferred.

Licensure, Registration, Certification:  Certified Nursing Assistant Certification, recognized by the Division of Aging in the State of Missouri, required for Skilled and Acute Nursing.  Active and in good standing.  BLS certification.

Mental/Physical Requirements:  (may be met with or without reasonable accommodations):  Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Frequent exposure to infectious disease and hostile persons at times.  Frequent exposure to communicable disease via blood and other body fluids.  Works with potentially biohazardous material.  Minimal physical discomfort.  Ability to function under stress required. Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Inpatient Coder / DRG Coordinator – Medical Records

Job Posting
Inpatient Coder / DRG Coordinator

Medical Records
Full-Time Status

Under the supervision of the Director of Medical Records, the Inpatient Coder/DRG Coordinator reviews all inpatient Medicare charts for severity of illness and intensity of service.  Reviews Medicare, Premier and Champus records when complete.  Codes all charts sequencing primary diagnosis as reason for admission, trying to make the top five diagnoses the most important.  Codes appropriate procedures performed during the hospital stay.  Computes a DRG for Medicare patients.  Places diagnosis and procedure codes on work sheet, assigns DRG and hold for consultant to review.  Monitors monthly Medicare remittance to determine if accurate DRG payments are paid to facility and reports discrepancies to billing staff.  Stays abreast of coding/billing issues through continuing education.

Education:  High School Diploma or GED.  LPN license helpful, but not necessary.  Education in anatomy, physiology and medical terminology.

Experience:  One year of coding experience preferred.

Licensure, Registration, Certification:  LPN licensure.  CCS preferred, but not necessary.

Mental/Physical Requirements:  (may be met with or without reasonable accommodations):  Intense mental concentration for long periods of time required to complete duties.  Work is primarily sedentary (90-95% of time spent at computer terminal).  Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Standard office conditions.  Work involves some interruptions by telephone, employees and visitors.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Med/Surg – Night Shift

Job Posting
Registered Nurse
Med / Surg
Full-Time Status
Night Shift

Summary:  Under the general supervision of the Med/Surg Director, the Registered Nurse provides direct and indirect patient care in the Medical/Surgical setting.  Communicates with physicians/nurse managers/co-workers about changes in in-patient’s clinical condition including results of diagnostic studies and symptomatology.  Is able to respond quickly and accurately to changes in condition or response to treatment.  Additionally, is able to perform general nursing duties with adequate supervision.

The Registered Nurse functions independently within the scope of the position.  Regular communication with Med/Surg Director and Director of Nursing.  The Charge Nurse provides direction of activities and guides priorities.  Must be highly motivated to complete assigned duties within prescribed time limits.  Uses extreme tact when dealing with patients, employees, other departments, physicians and the public.  Maintains a strong ethical code regarding patient’s rights as evidenced in documentation and professional attitude and behavior (i.e., privacy, confidentiality and empathy).  Must promote professional, positive and cooperative demeanor.

Education:  Graduate of an accredited School of Nursing.  Charge nurse, one year of experience preferred.

Licensure, Registration, Certification: Current Missouri Licensure.  Current PALS, CPR, BLS and certification in ACLS.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Minimal physical discomfort.  Moderate level of auditory distractions.  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases and hostile persons at times.  Works with sharps and other potentially biohazardous material.  Ability to function under stress required.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Paramedic – Emergency Medical Services

Job Posting
Paramedic
Emergency Medical Services
Full-time Status
24 Hour Shifts

Under the general supervision of the Director of Emergency Medical Services and the respective charge Nurse, the Paramedic is responsible to perform emergency care to patients on the field and in the Emergency Department as well as providing Advanced Life Support for patients on both emergency and routine transport, with similar capacity in the ED.    Responsible for checking the ambulances for supplies and vehicle inspection, documenting accurately on the MARF report and patient’s ED charts.

Education:  High School education of equivalent.  Graduate of approved EMT-P course.

Experience:  One year preferred but not required.

Licensure, Registration, Certification:  Current Missouri licensure as EMT-P. Current certification of BLS, ACLS, BTLS, and PALS required.  (ACLS, BTLS, and PALS may obtain within six months of hire.)

Mental/Physical Requirements: (May be met with or without reasonable accommodations):
Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Fit for duty test is required for employment and includes:

-Walk three laps (3/4 mile) on the track in 10 minutes or less
-Walk three circuits of the stadium stairs (not timed but without stopping)
-Take ambulance cot and 180-200 pound subject in and out of ambulance alone
-Lift backboard and 180-200 pound subject from the ground and carry 25 feet with a  partner
-Lift and carry backboard and 180-200 pound subject up and down 6-8 steps with a partner
-Use stair chair to move 180-200 pound subject up and down 6-8 steps with a partner
-Move 180-200 pound subject from seated position to cot alone

Exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Emergency Department – Night Shift

Job Posting
Registered Nurse
Emergency Department
Full Time-Night Shift

Summary:  Under the general supervision of the Director of the Emergency Department, the Registered Nurse is a professional caregiver who assumes responsibility and accountability for patients seeking emergency treatment.  S/HE provides both direct care to the emergency patient, as well as directing the care given by other members of the health care team, such as LPN’s, paramedics, EMT’s, emergency technicians, and coordinators.  The registered nurse also coordinates care for emergency patients, working closely with physicians and ancillary departments to assure coordinated care is provided.  The Registered Nurse assures that care is delivered utilizing the nursing process, considering age specific parameters, and does so in a professional, compassionate manner.

Must be able to work at a fast pace for long hours, to include lifting and moving patients. Must be willing to be part of a healthcare team and work well with the ward clerks, EMT-Ps, technicians and physicians. The RN must possess: excellent people skills, the ability to multi-task, as well as prioritization and time management skills.

Education:  Graduate of an accredited school of nursing:  ADN, BSN.  ACLS and PALS preferred and must be obtained within one year of employment.  CEN certification, TNCC encouraged.

Experience:  Must have either one year of Medical/Surgical Nursing as a Registered Nurse, or one year of emergency department experience in any capacity.  Previous emergency department experience or critical care experience as a Registered Nurse Preferred.

Licensure, Registration, Certification: Current Missouri licensure.

Mental/Physical Requirements: (may be met with or without reasonable accommodations):  Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times.  Works with sharps and other potentially biohazardous material.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

 

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