Career Opportunities

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Swingbed Coordinator/Utilization Review Nurse – Nursing Administration – Full-time Status

Job Posting
Nursing Administration
Swingbed Coordinator/Utilization Review Nurse
Full-time Status

Summary: The Swingbed Coordinator/Utilization Review Nurse is responsible for all inpatient utilization review functions, specifically for Medicaid, insurance, and VA patients. The Swingbed Coordinator/Utilization Review Nurse is also responsible for coordinating all admissions to the skilled nursing unit, both internal and external, and ensuring compliance with all MDS requirements. Works in conjunction with the nurse case manager and reports to the quality director.

Education: Graduate of an accredited School of Nursing, Licensed Practical Nurse or Registered Nurse. Knowledge of insurance review process, InterQual criteria, utilization review, and MDS requirements.

Experience: Minimum of five years nursing experience; two years of management or supervisory experience preferred. Experience in utilization review and MDS assessments preferred.

Licensure, Registration, Certification: Licensed Practical Nurse or Registered Nurse with current Missouri licensure.

Qualifications/Skills Required:
• LPN or RN with at least 5 years nursing experience-proven clinical competence
• Self-motivated, Assertive, Independent Leadership Skills
• Excellent Communication Skills-Verbal and Written
• Excellent Critical Thinking Skills
• Decision Making Skills
• Ability to work independently
• Proficient in Admission Criteria-InterQual Criteria
• Proficient in MDS/skilled care requirements
• Proficient in EMTALA Guidelines
• Current with Federal and State Requirements

Responsibilities:
• Perform admission and concurrent utilization management (particularly Medicaid, VA, and Insurance patient)
   a. Review all Medicaid and Insurance admissions for appropriate placement (acute, observation etc.)
   b. Document reviews and provide to individual insurance companies and Medicaid as required by each
   c. Review Physician and Nursing clinical documentation for optimal reimbursement
   d. Keep physician and discharge team apprised of covered services for each patient
• Understand and stay current with InterQual criteria and admission requirements
• Prepares and distributes denial letters when appropriate.
• Assist Physicians in the coordination/Facilitation of patient plan of care admission to discharge
• Communicate effectively with physicians and discharge team
• Participate in discharge planning committee
• Document and assess documentation of deficiencies or non-compliance to appropriate utilization (peer review)
• Complete evaluations as ordered for in house swing bed patients and coordinate admissions from other facilities
• Complete all required MDS assessments and ensure timely submission of assessments to CMS
• Communicate effectively with patient and family members
• Assist in mandated patient notification of discharge plans for Swingbed patients
• Coordinate appeal requests with utilization review committee, Case Manager, physicians, maintain documentation related to appeals
• Participates in the hospital wide QAPI program and maintains documentation as required
• Other tasks as assigned

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required with a majority of time being computer work. Interpret and apply State and Federal regulations as they apply to patient care and treatment. Process information from patient, family, staff and physician to develop appropriate plan of care. Perform mathematical functions for monthly and yearly reports. 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: Excellent verbal and written communication skills required. General clinical knowledge in all areas of department. Proficient use of computers for completion of assessments, chart reviews, spreadsheets computations and word processing. Ability to work in a muldisciplinary setting.

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 – Intensive Care Unit – Full-Time Night Shift

Job Posting
Intensive Care Unit
Registered Nurse
Full-Time Night Shift

Summary: Under the general supervision of the Director, the Registered Staff Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Staff Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. 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 patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor.

Education: Graduate of an accredited School of Nursing. ADN, BSN

Experience: Two years ICU experience preferred. Experience with geriatric patients is also desired. Must possess and demonstrate good IV skills. Basic telemetry monitoring skills. Prefer one year of cardiac monitoring, but not required. Ability to recognize cardiac arrhythmias and respond appropriately.

Licensure, Registration, Certification: Current Missouri licensure. ACLS, BLS, PALS certified.

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, radiation, anti-neoplastic agents, 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.

Receptionist – TCMH Licking Family Clinic – Part-Time

Job Posting
TCMH Licking Family Clinic
Receptionist
Full-Time

Summary: Under the direct supervision of the Clinic Coordinator, the Receptionist is responsible for performing the reception and secretarial duties of the clinic while functioning as the primary/focal communication source. Performs under hospital and clinic policies and procedures. Demonstrates behaviors which exemplify professional conduct and teamwork.

Essential duties/responsibilities: Fluctuating clinic activities necessitate flexibility. Must be highly motivated to complete assigned duties within prescribed time limits. Exercise extreme tact when dealing with patients, employees, hospital departments, physicians and the public. Maintains a strong ethical code regarding patient rights as evidenced in professional attitude (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. Performs receptionist duties, to include, but not limited to: answering telephone calls, screening telephone calls, processing and/or relaying of messages, assisting clinic visitors and directing them to the appropriate personnel. Responsible for patient check-in and check-out functions. These include: new chart preparation, photocopying insurance cards/crucial documents, scheduling appointments for clinic patients, completing new patient registration forms, printing daily encounter forms, totaling patient charges upon check-out, collecting appropriate payment. Scheduling functions include: notifying nursing of additions/cancellations to the provider’s schedule, rescheduling of patients if the physician is unavailable or detained, pulling medical charts/records for next day’s appointments. Additional daily tasks: insure that all correspondence is signed, copied, addressed and mailed or faxed, keeping log of daily patient information, filing of charts, filing of correspondence in patient charts, maintaining an inventory of office supplies. End of day duties: batch encounter forms and receipts, prepare appropriate corresponding paperwork/documentation, lock and secure office. Knows the policies and procedures relating to fire, safety, disaster and infection control as they apply to hospital, as well as clinic practice. Attend in-services of these as required. Performs other duties/projects as assigned by authorized personnel.

Education: High school diploma, GED or equivalent.

Experience: least one year of experience in clerical, receptionist and/or medical office preferred. General office procedures: filing, typing, and basic computer skills required. Knowledge of standard office machinery.

Licensure, Registration, Certification: Not applicable.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Effective and appropriate communications skills, both verbal and written. Accuracy and attention to detail required. 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: Minimal physical discomfort. Frequent distractions and interruptions. Potential exposure to infectious diseases and hostile persons. Ability to perform duties under stress required.

Looking for a candidate that can work in a fast-paced environment, eager to learn, friendly and outgoing. If you are that candidate, please submit a transfer form or submit your application to Melanie Scavone, Clinic Manager.

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

Medical Records Clerk – Medical Records – Full-Time Day Shift

Job Posting
Medical Records
Clerk II
Full-Time Day Shift

Summary: Under the supervision of the Director of Medical Records, the Clerk II performs clerk duties, answering the telephone, processing and/or relaying messages, assisting department visitors and directing them to appropriate personnel. Retrieves and distributes medical records to the requesting department. Files records in designated areas according to applicable alphabetic and numeric filing system. Check birth certificates and type and mail to Registrar. Assemble patient charts following discharge. Assisting director with preparation of reports as needed. Cross training in other areas of the department. Other duties may be assigned.

Education: High School Diploma or GED; education in medical terminology and computer skills.

Experience: Knowledge of computer office programs and various office machines. Typing skills preferred. Experience working with public and ability to deal diplomatically with said public. Knowledge of medical terminology.

Licensure, Registration, Certification: None required.

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.

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.

Clinic Supervisor – Medical Office Building / Houston Family Clinic – Full-Time

Job Posting
Medical Office Building / Houston Family Clinic
Clinic Supervisor
Full-Time

Summary: The Clinic Coordinator is responsible for the effective coordination of staff and the management of the operational support functions of the clinic. Manages such activities as registration, scheduling, reception of patients, processing of client’s account, documentation and processing of client billing and liaison services. Must work effectively with physicians, staff, patients, public and external agencies. Uses skills in gathering and interpreting data in a physician office setting. Must have ability to take initiative and to exercise independent judgment. Must demonstrate ability to make decisions independently. Must exercise problem-solving expertise. Maintains a clean, orderly and safe facility. Essential duties and responsibilities include the following: Assure specific orientation for new employees and re-orientation for existing employees to represent TCMH in the community and to communicate the mission and goals of TCMH. Conducts appropriate orientation of all new staff members. Performs ninety day and annual evaluations on all assigned clinic personnel. Ensures that time reports are processed and submitted on a timely basis. Maintains a proper inventory of office supplies, ensures that they are ordered on a timely basis and records of supply usage are properly maintained. Responsible for providing coordination and scheduling on all computer modifications and updates. Demonstrates a working knowledge of the practice management system and electronic medical records. Supervises, hires, transfers, promotes, assigns, rewards, counsels, disciplines and discharges appropriate employees of the clinic according to the policies and procedures of TCMH. Reviews and updates forms used within the practice. Standardized whenever possible. Journalizes financial data in preparation for year-end reports and physician data for the National Health Service Corp. Assists with and reviews monthly clinical reports which include: patient account aging report, physician admission reports and physician productivity reports. Responsibilities may include daily posting of clinic and hospital charges as well as physician payments for same. Assists with health insurance and third-party payer rules and regulations. Responsibilities may include analyzing third-party payer denials and assisting with correct refilling of charges. Determines best approach to dealing with managed care plans and over the counter collections for those plans, as well as self-pay patients. Complies with contractual terms agreed to by insurance contracts. Coordinates supplying the required information for insurance companies for physicians registration and credentialing. Prioritizes, coordinates and/or assigns work to clerical personnel in order to ensure timely, accurate completion of assignments and adequate staffing coverage. Directs the staffing requirements of the clinic. Evaluates staffing needs, ensures that adequate staff is scheduled for clinic services. Resolves questions or problems related to staffing. Substitutes for receptionists or biller as needed. Acts on patient complaints at the time they are received, with complete follow-through and resolution of the complaint. Reviews, researches and responds to account inquiries from various sources and resolves problems and questions via telephone or mail. Assists with handling all telephone inquiries and letters concerning unpaid accounts. Coordinates financial arrangements with the patient or financially responsible party. Assists with managing accounts which have been forwarded to collection agencies. Answers telephone, handles patient questions and follows up with provider as necessary, relays messages. Maintains a system of confidentiality according to hospital policies and procedures. Develops and implements policies to meet State and Federal regulations. Ensures that new/revised procedures are promptly communicated to all staff members. Responsible for the coordination, development and education of all staff members regarding government regulations, i.e. OSHA, CLIA, HIPAA. Know the policies/procedures relating to fire, safety, disaster and infection control as they apply to hospital practices in general, as well as the clinic. Attends in-services of these as required. Assists in establishing/implementing goals, objectives, policies, procedures and systems for the clinic. Develops and monitors important aspects of care or service according to the TCMH quality plan. Conducts staff meetings, records minutes of meetings to assure that agenda items and staff discussion items are addressed with action plans and outcomes. Documents and reports to Quality Assurance/CQI Director, any incident (patient, employee, guest, physician) within 24 hours of occurrence. Reports medical, as well as clerical equipment problems and/or arranges for services as needed. Must dress in professional manner, be neat and clean in appearance. Other duties as assigned by supervisor. Must have effective verbal and written communication skills. Cognitive, verbal ability to understand patient information and to communicate with physicians, staff, patients and their families. Determines and demonstrates effective communication methods and defines appropriate lines of authority for the clinic in keeping with administrative structure. Uses all methods of communication to disseminate information to staff in a timely manner. Utilizes policies and good judgment to establish limits in independent decision making. Identifies problems which interfere with practice and develops an action plan for resolution. Consults with/reports to physicians and/or physician practice manager when appropriate. Provides leadership and direction in accordance with organizational goals and objectives. Supervises and coordinates clinic staff. Prepares monthly quality assurance reports.

Education: High school diploma or equivalent required.

Experience: Two years medical office experience required. Management experience preferred. Previous medical billing experience in managed care setting, knowledge of ICD-9 and CPT coding and how it affects reimbursement from third-party payers, knowledge of medical terminology, desirable. Experience with computer systems and their applications. Knowledge/experience of standard office equipment/machinery.

Licensure, Registration, Certification: Not applicable.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Accuracy and attention to detail a necessity. Must have tactile ability relative to tasks, ability to reach, hold, grasp and release items and equipment. Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching 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: Frequent distractions and interruptions. Minimal physical discomfort. Potential exposure to infectious disease, communicable disease and hostile persons. Ability to perform duties 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.

Lab Asst./Phlebotomist – Laboratory – PRN Status Day/Evening/Night Shift

Job Posting
Laboratory
Lab Asst./Phlebotomist
PRN Status Day/Evening/Night Shift

Summary: Under the general supervision of the Laboratory Supervisor, the Lab Assistant receives physician’s requests and collects blood specimens from adult, pediatric and newborn patients by venipuncture and skin puncture. The Lab Assistant performs general office duties and general laboratory cleaning, collects drug screens for employers and may perform other tasks as assigned.

Education: High School education or equivalent

Experience: Equivalent of one year full-time phlebotomy experience preferred.

Licensure, Registration, Certification: None required. PBT preferred.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Close mental and visual attention required for sustained periods of time. Frequently works under stressful conditions due to time constraints and critical condition of some patients. Frequent standing and walking required along with 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: Constant exposure to infectious material. Works in air-conditioned environment with moderate noise level. May be required to work any time of day.

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 – Obstetrics – PRN

Job Posting
Obstetrics
Registered Nurse
PRN

Summary: Under the general supervision of the Director, the Registered Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. 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 patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. While on call, be able to be present in hospital within thirty (30) minutes for STAT call back. Third person call back should be present in the hospital within one hour.

Education: Graduate of an accredited School of Nursing. ADN, BSN, MSN, or Ph.D. Must participate in a Basic Fetal Monitoring course within 6 months of hire and every year thereafter.

Experience: One year in L&D, Post-Partum or Nursery preferred. Must possess and demonstrate good IV skills.

Licensure, Registration, Certification: Current Missouri licensure. BLS, ACLS and Neonatal Resuscitation certifications. Basic Fetal Monitoring Course. STABLE preferred, but not required.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Requires frequent heavy lifting and turning activities and nearly constant walking. Standing, carrying, pushing, pulling, stooping, crouching, twisting, and reaching 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. Must be able to multitask.

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 – Obstetrics – Full-Time Night Shift

Job Posting
Obstetrics
Registered Nurse
Full-Time Night Shift

Summary: Under the general supervision of the Director, the Registered Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. 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 patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. While on call, be able to be present in hospital within thirty (30) minutes for STAT call back. Third person call back should be present in the hospital within one hour.

Education: Graduate of an accredited School of Nursing. ADN, BSN, MSN, or Ph.D. Must participate in a Basic Fetal Monitoring course within 6 months of hire and every year thereafter.

Experience: One year in L&D, Post-Partum or Nursery preferred. Must possess and demonstrate good IV skills.

Licensure, Registration, Certification: Current Missouri licensure. BLS, ACLS and Neonatal Resuscitation certifications. Basic Fetal Monitoring Course. STABLE preferred, but not required.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Requires frequent heavy lifting and turning activities and nearly constant walking. Standing, carrying, pushing, pulling, stooping, crouching, twisting, and reaching 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. Must be able to multitask.

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 Diagnostic Medical Sonographer – Radiology – Full-Time Status w/ call rotation

Job Posting
Radiology
Registered Diagnostic Medical Sonographer
Full-Time Status w/ call rotation

Summary: A diagnostic medical Sonographer is a Diagnostic Ultrasound Professional that is qualified by professional credentialing, academic and clinical experience to provide diagnostic patient care services using ultrasound and related diagnostic procedures.

Under the general supervision and reporting to the Director of Radiology, the Diagnostic Medical Sonographer is responsible for the independent operation of sonographic equipment; making a record of the exam produced for interpretation by the radiologist or cardiologist; job performance will be in appropriate manner complying with all regulations and policies.

Essential Functions:
• Performs clinical assessment and diagnostic sonography examinations.
• Uses cognitive sonographic skills to identify, record and adapt procedures as appropriate to anatomical, pathological, diagnostic information and images.
• Uses independent judgment during the sonographic exam to accurately differentiate between normal and pathologic findings.
• Analyses sonograms, synthesizes sonographic information and medical history, and communicates findings to the appropriate physician.
• Assumes responsibility for the safety, mental and physical comfort of patients while they are in the sonographer’s care.
• Assists with daily operations of the department
• Maintains ultrasound equipment and work area and maintains adequate supplies.
• Reports equipment failures to the appropriate person.
• Addresses problems of patient care as they arise and makes decisions to appropriately resolve the problems.
• Performs other work-related duties as assigned.

Demonstration of Skills and Abilities:
• Ability to effectively operate sonographic equipment.
• Ability to evaluate sonograms in order to acquire appropriate diagnostic information.
• Ability to integrate diagnostic sonograms, laboratory results, patient history and medical records and adapt sonographic examination as necessary.
• Ability to use independent judgment to acquire the optimum diagnostic sonographic information in each examination performed.
• Ability to evaluate, synthesize and communicate diagnostic information to interpreting physicians and health care providers.
• Ability to establish and maintain effective working relationships with the public and health care team.
• Ability to follow established departmental procedures.
• Ability to work efficiently and cope with emergency situations.
• Ability to maintain prolonged arm positions necessary for scanning.
• Ability to organize daily work schedule and performs related clerical duties as required.

Education: Graduate of an accredited Diagnostic Medical Sonography Program or equivalent.

Experience:
• One year experience as a sonographer preferred.
• Experience as a registered ARRT, R.T. (R) desired.

Licensure, Registration, Certification:
• Active certification by American Registry for Diagnostic Medical Sonography (ARDMS) or American Registry for RadiologicTechnologists Sonography certification.
• Current compliance with Continuing Medical Education (CME) requirements

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Close mental and visual attention required for sustained periods of time. Frequently works under stressful conditions due to demands of customers and the critical condition of some patients. Must be able to transport self throughout department. 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: Potential exposure to infectious diseases, disagreeable odors from patients, anesthetics, disinfectants, and/or chemicals. May be exposed to controlled radiation exposure.

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.

Clinic Nurse – Medical Office Complex – Full-Time

Job Posting
Medical Office Complex
Clinic Nurse
Full-Time

Summary: Clinic Nurse renders nursing care in support of medical care as directed by a physician or physician assistant in an office and/or clinical setting. A LPN will prepare patients for examinations according to the reason for the visit, performing initial patient assessment. This should include taking/recording vital signs, weight, height, head circumference (infant), temperature, reason for visit, etc. Assist the provider with the exam, procedures (such as minor surgeries, injections or aspirations). Performs venipuncture and appropriate laboratory tests as ordered and as needed. Prepares slides and specimens for physician’s review. Perform EKG’s as necessary. Assembles equipment and supplies in preparation for diagnostic or treatment procedures performed by provider. Answers telephone, handles patient questions, does follow-up with provider as necessary, and relays messages. Phones/faxes pharmacy/prescription orders. Schedules referral appointments at other facilities and other physician offices. Assists with patient instruction and interpretation of provider orders with patients. Discharges the patient and ensures that all charges have been properly recorded on the patient encounter form. Secures patient’s signature on Medicare waiver forms, CPSI forms, and procedure consent forms. Maintains patient records/charts, follows-up with provider to ensure accurate and complete medical records. Maintain and record/file lab, x-ray, EKG reports, prescriptions, correspondence, phone messages, etc. in patient chart/record. Cleans and sterilizes instruments and equipment. Maintains clean and orderly patient rooms, as well as a clean, orderly and safe workplace and clinic facility. Maintains stock of needed medical supplies. Uses proper procedure for disposal of contaminated and infectious items. Receive, record and organize medication samples, disposing of outdates appropriately and in a timely fashion. Knows the policies/procedures relating to fire, safety, disaster and infection control as they apply to hospital, as well as clinic practice. Attends in-service of these as required. The Clinic Nurse must demonstrate knowledge of the principles of growth and development over the life span. He/she must possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to his or her age-specific needs. Uses appropriate tact when dealing with patients, employees, hospital departments, facilitating agencies, physicians and the public. Maintains a strong ethical code regarding patient’s rights as evidenced in professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. Performs under hospital/clinic policies and procedures. Demonstrates behaviors which exemplify professional conduct and teamwork. Performs other duties as assigned by authorized personnel.

Education: High school diploma, GED or equivalent, as well as completion of an accredited nursing program with subsequent licensure.

Experience: One to two years of nursing experience (particularly physician office experience) preferred. Candidate must be comfortable utilizing a computer. CPSI software experience preferred. Centricity software experience desired.

Licensure, Registration, Certification: LPN licensure, Basic Life Support Certification and IV Certification required.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Accuracy and attention to detail required. Effective and appropriate verbal and written communication skills. 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 distractions and interruptions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases. Exposure to hostile persons, at times. Works with sharps and other potentially bio-hazardous material.

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

Home Health Aide – Home Health / In Home Services – PRN Status

Job Posting
Home Health / In Home Services
Home Health Aide
PRN Status

Summary: Under the general supervision of the Registered Nurse, the Home Health Aide assists the patient in personal care, rehabilitative activities, nutrition, and/or other therapeutic activities as prescribed in the care plan developed by a registered nurse or therapist, and other duties as assigned.

Education: High school diploma or equivalent G.E.D.

Experience: Must have completed one (1) year as a health care aide in a hospital, extended care center, or home health. Has the emotional and mental maturity necessary for establishing a good work relationship with patients, families, caregivers, supervisors, and employees of the agency.

Licensure, Registration, Certification: CPR certification and completion of the Home Health Aide competency evaluation. C.N.A. required. Current driver’s license, declaration of automobile liability insurance, and copy of driving history.

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. Variation in environmental temperatures. Exposure to various community environments.

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.

Emergency Medical Services – EMT – Full-Time Status / 24 Hour Shifts

Job Posting
Emergency Medical Services
EMT
Full-Time Status / 24 Hour Shifts

Summary: Under the general supervision of the Director of Emergency Medical Services, and the direct supervision of the Paramedic and the respective charge nurse, the EMT is responsible for providing Basic Life Support for patients 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 Diploma or GED. Graduate of EMT course.

Experience: One year preferred but not required.

Licensure, Registration, Certification: Current Missouri licensure as EMT-B and Class E Missouri Driver’s license (with a clean driving record.) Candidate must have current BTLS.

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 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, 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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