Job Posting
Clinic Coordinator
Surgery Clinic
Full Time
FLSA Status: Non-Exempt

Job Summary: Under general supervision, 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, pre-authorizations, referrals 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 demonstrate ability to make decisions independently. 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. Demonstrates a working knowledge of the practice management system and electronic medical records. Responsible for daily posting of clinic and hospital charges as well as physician payments for same (currently, Cabool Clinic only.) Monitors and ensures that provider charting is completed and in accordance with the clinic documentation policy. Assist/work with the Business office to ensure insurance filing is completed in an accurate and timely fashion (chart completion, pre-certifications.) Other responsibilities are given as requested by the supervisor.

Education: High school diploma or equivalent required.

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

Licensure, Registration, Certification: Not applicable.

Mental / Physical Requirements: (maybe met with or without reasonable accommodation): Considerable mental concentration required. Accuracy and attention to detail are a necessity. Must have tactile ability relative to tasks—ability to reach, hold, grasp, and release items and equipment. Must be able to lift 20lbs from the floor and from overhead, and 40lbs from waist height; exercise good body mechanics in executive 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.

Job Posting
Medical Social Worker
Hospice
Part-TIme; Day Shift
FLSA Status: Non-Exempt

Job Summary: Under the direction of the Hospice Director, the Hospice Medical Social Worker shall provide home visits for purposes of assessment, community liaison and counseling, of terminally ill patients and their family.  Attends interdisciplinary team meetings weekly to provide insight into social needs of patients and their families.

Education: Must have a minimum BSW in Social Work from an accredited school of social work.

Experience / Skills: Experience in field of social work, especially areas of counseling and community resources.

Licensure, Registration, Certification: Must have current licensure in State of Missouri for Social Work.

Mental / Physical Requirements: (may be met with or without reasonable accommodations):  Ability to meet multiple deadlines and to prioritize.  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 lift 20 lbs. from floor and overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Ability to work in a fast paced, multidisciplinary office, meeting multiple deadlines, and the ability to set priorities.  Interaction with various individuals of the department and hospital.  Environment of changing regulatory requirements for agency operations.  Exposure to various community environments (i.e. dogs, cats, etc.).  Participate in fund-raising efforts.

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.

Job Posting
Certified Surgical Tech
Surgery Dept.
Full Time
FLSA Status: Non-Exempt

Job Summary: Under the general supervision of the Perioperative Services Supervisor, the OR Scrub Tech/Surgical Assistant is a professional caregiver who works with Anesthesia, surgeons and other surgical personnel in patient care before, during and after surgery.  The OR Scrub Tech/Surgical Assistant uses sterile technique and technical equipment to perform surgical procedures.  Assures operating suite is adequately prepared for procedures.  Monitor PAR levels of all surgical instruments and supplies.  Cleans and sterilizes all surgical instruments.  Participates in departmental staff meetings and performance improvement activities.

Education: Graduate of an accredited School of Nursing, Practical Nurse, or Surgical Technologist program preferred.  Current BCLS certification.

Experience: Minimum one (1) year work experience in the OR/PACU setting is preferred, but not required.  Surgical Assistant should have a total of two (2) years scrub experience.

Licensure, Registration, Certification: Current Missouri licensure.  RN, RNFA, LPN-IV, or CST/CFA.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required.  Nearly constant 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.  Must have ability to pull retractors and hold patient extremities during surgery.  While on call, must be able to be present in hospital within thirty (30) minutes for STAT callback.

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.

Job Posting
Certified Nurse Aide
Med-Surg
Full time; Night-Shift
FLSA Status: Non-Exempt

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. As well as being accountable for observing telemetry monitors and recognizing changes and alerting nursing staff promptly.

Education: High school diploma or GED.

Experience / Skills: 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.

Job Posting
Registered Nurse
Obstetrics
PRN; Night-Shift

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 / Skills: 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 appropriate accommodations if deemed necessary):  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:  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.

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.

Job Posting
Clinic Nurse
Houston Family Clinic
Full Time
FLSA Status: Non-Exempt

Under general supervision, the Clinic Nurse renders nursing care in support of medical care as directed by a physician or nurse practitioner in an office and/or clinical setting.  The Clinic Nurse 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 as needed.  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.  Obtains appropriate Prior authorizations/Pre-certifications on diagnostic tests/procedures and medications. 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, review orders with manager as required for signature.  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 / Skills: One to two years of nursing experience (particularly physician office experience) preferred.

Licensure, Registration, Certification:  LPN licensure, and/or Medical Assistant (Certified or Registered preferred), and/or RN licensure (may be considered), 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.

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.

Job Posting
Home Health RN
Home Health
Full Time
FLSA Status: Non-Exempt

The Registered Nurse is responsible to the Department Director for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation, and other duties as assigned.  The Registered 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 Registered Nurse program, BSN preferred.

Experience:  Minimum one (1) year professional nursing experience.  Minimum one (1) year experience in a medical/surgical unit.  Six (6) months home care experience preferred.  Computer skills preferred.

Licensure, Registration, Certification:  Current RN license in the state of Missouri.  CPR certification.  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.  Works with sharps and other potentially biohazardous materials.  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.

Job Posting
Hospice/Home Health RN
Home Health Clinic
PRN
FLSA Status: Non-Exempt

The Registered 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 Registered 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 Registered Nurse program, BSN preferred.

Experience / Skills: Six (6) months home care experience preferred.  Computer skills preferred.   3 – 6 months experience in Med/Surg or nursing home.

Licensure, Registration, Certification: Current RN 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.  Available for work after hours as needed for continuous home care, etc.

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.

This opportunity offers excellent benefits:
• Guaranteed Salary with Lucrative Bonus Structure
• Sign-On Bonus
• Moving Allowance
• 1/4 Call Rotation
• $200K Basic Life Insurance Benefit
• Student Loan Repayment Available (We are an approved NHSC loan repayor site with a HPSA
score of 18.)
• Family-Oriented Community with Excellent Schools
• Hospital Procedures are Optional for Physician Practice if Desired
Other full-time employment benefits include health, dental, vision insurance, retirement plans with
matching and employee profit sharing, short-term, long-term, and accidental death and disability
insurance, five weeks of paid time off, six paid holidays, $5K CME allowance, and medical malpractice
insurance coverage.
About Us
Texas County Memorial Hospital is a not-for-profit, acute care facility located in Houston, MO, the heart
of Texas County. TCMH serves more than 45,000 area residents throughout Texas, Wright, and
neighboring counties in south-central Missouri.
TCMH is a 66-bed facility offering complete surgical, obstetrical, emergency, and physical therapy
services. In 2013, TCMH completed a 59,000-square foot expansion project that included a new 15-bed
emergency department, medical-surgical floor, radiology department, and registration department.
Construction is currently underway to complete a 6,000-square-foot surgery expansion that will double
the size of two operating rooms, including an outpatient surgery room and seven private pre/postoperative surgical rooms.
TCMH has a four-bed ICU and an obstetrical unit complete with three LDRP rooms and two postpartum
rooms. EMR, PACS, centralized fetal monitoring, in-house MRI, CT, 3D digital mammography, and sleep
lab are just a few of the technological advantages we offer our medical staff and our patients.
Our medical staff at TCMH includes physicians who specialize in emergency medicine, internal medicine,
family medicine, obstetrics & gynecology, general surgery, pulmonology, and pain management. TCMH
also employs advanced practitioners who work in tandem with our physicians to provide patient care.
TCMH employs two CRNAs, who provide pain management for our surgery department and obstetrics.
TCMH has four rural health clinics. They are in Houston, Licking, Cabool, and Mountain Grove
Why Choose US?
At TCMH we value our physicians. We are progressive in our strategic goals, and we collaborate with our
providers to ensure they are key stakeholders in the decision-making of our organization. We
compensate our physicians very well through a bottom-line-based compensation plan that offers a
lucrative bonus structure. Our physicians are among the top earners in their field. Performing hospital
procedures is an optional source of additional compensation.

This opportunity offers excellent benefits:
• Guaranteed Salary with Lucrative Bonus Structure
• Sign-On Bonus
• Moving Allowance
• 1/3 Call Rotation
• $200K Basic Life Insurance Benefit
• Student Loan Repayment Available (We are an approved NHSC loan repayor site with a HPSA score
of 18.)
• Family-Oriented Community with Excellent Schools
• Hospital Procedures are Optional for Physician Practice if Desired
Other full-time employment benefits include health, dental, vision insurance, retirement plans with matching
and employee profit sharing, short-term, long-term, and accidental death and disability insurance, five weeks
of paid time off, six paid holidays, $5K CME allowance, and medical malpractice insurance coverage.
About Us
Texas County Memorial Hospital is a not-for-profit, acute care facility located in Houston, MO, the heart of
Texas County. TCMH serves more than 45,000 area residents throughout Texas, Wright, and neighboring
counties in south-central Missouri.
TCMH is a 66-bed facility offering complete surgical, obstetrical, emergency, and physical therapy services. In
2013, TCMH completed a 59,000-square foot expansion project that included a new 15-bed emergency
department, medical-surgical floor, radiology department, and registration department.
Construction is currently underway to complete a 6,000-square-foot surgery expansion that will double the
size of two operating rooms, including an outpatient surgery room and seven private pre/post-operative
surgical rooms.
TCMH has a four-bed ICU and an obstetrical unit complete with three LDRP rooms and two postpartum
rooms. EMR, PACS, centralized fetal monitoring, in-house MRI, CT, 3D digital mammography, and sleep lab
are just a few of the technological advantages we offer our medical staff and our patients.
Our medical staff at TCMH includes physicians who specialize in emergency medicine, internal medicine,
family medicine, obstetrics & gynecology, general surgery, pulmonology, and pain management. TCMH also
employs advanced practitioners who work in tandem with our physicians to provide patient care. TCMH
employs two CRNAs, who provide pain management for our surgery department and obstetrics.
TCMH has four rural health clinics. They are in Houston, Licking, Cabool, and Mountain Grove.
Why Choose US?
At TCMH we value our physicians. We are progressive in our strategic goals, and we collaborate with our
providers to ensure they are key stakeholders in the decision-making of our organization. We compensate
our physicians very well through a bottom-line-based compensation plan that offers a lucrative bonus
structure. Our physicians are among the top earners in their field. Performing hospital procedures is an
optional source of additional compensation.

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

Job Posting
Certified Surgical Tech
Surgery Dept.
PRN
FLSA Status: Non-Exempt

Job Summary: Under the general supervision of the Perioperative Services Supervisor, the OR Scrub Tech/Surgical Assistant is a professional caregiver who works with Anesthesia, surgeons and other surgical personnel in patient care before, during and after surgery.  The OR Scrub Tech/Surgical Assistant uses sterile technique and technical equipment to perform surgical procedures.  Assures operating suite is adequately prepared for procedures.  Monitor PAR levels of all surgical instruments and supplies.  Cleans and sterilizes all surgical instruments.  Participates in departmental staff meetings and performance improvement activities.

Education: Graduate of an accredited School of Nursing, Practical Nurse, or Surgical Technologist program preferred.  Current BCLS certification.

Experience: Minimum one (1) year work experience in the OR/PACU setting is preferred, but not required.  Surgical Assistant should have a total of two (2) years scrub experience.

Licensure, Registration, Certification: Current Missouri licensure.  RN, RNFA, LPN-IV, or CST/CFA.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required.  Nearly constant 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.  Must have ability to pull retractors and hold patient extremities during surgery.  While on call, must be able to be present in hospital within thirty (30) minutes for STAT callback.

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.

Job Posting
Licensed Practical Nurse
Med/Surg Floor
Full Time; Nights

Provides direct and indirect patient care services that meet the psychosocial, physical and general aspects of care; meets the communication needs of patient and family; provides care that reflects initiative and responsibility indicative of professional expectations, under the supervision of a Registered Nurse.  Maintains regulatory agency requirements, nursing and hospital policies, procedures and standards.  Communicates with physicians and team members about changes in patient’s clinical conditions, 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 in all departments with adequate supervision.

Education: Graduate of an accredited LPN program and IV therapy course.

Experience: One year preferred but not required. Telemetry Unit experience desired.   Previous health care experience a plus.

Licensure, Registration, Certification: Current Missouri licensure, BLS.

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 sharps and other 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.

Job Posting
Paramedic
Emergency Medical Services
Full-time; 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.

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.

Job Posting
Registered Nurse
Obstetrics
Full Time; Night-Shift

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 appropriate accommodations if deemed necessary):  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.

Job Posting
Registered Nurse
Intensive Care Unit
Full Time Night
FLSA Status: Non-Exempt

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.

Job Posting
Clinic Nurse
Mountain Grove Clinic
Full Time
FLSA Status: Non-Exempt

Job Summary: Under general supervision, the Clinic Nurse renders nursing care in support of medical care as directed by a physician or nurse practitioner in an office and/or clinical setting. 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. Assists 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. 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. 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.  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 / Skills: One or two years of nursing experience (particularly physician office experience) preferred.

Licensure, Registration, Certification: LPN, MA, or RN licensure, Basic Life Support (BLS) 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.

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.

Job Posting
Physical Therapy Assistant
Physical Therapy
PRN
FLSA Status: Non-Exempt

Job Summary: Under the general supervision of the Director of Physical Therapy, the PT Assistant is responsible for patient treatment as prescribed by the physician, and/or determined by the Physical Therapist.  Responsible for maintaining proper records and progress notes on the patient and communicating with the therapist, physician and other healthcare team members concerning the patient’s care and progress.  Practices under the State of Missouri Healing Arts Practice Act and hospital policies and procedures.  Provides direct patient care to an assigned number of patients with an understanding of the age-specific development needs.  Demonstrates behaviors that exemplify professional conduct and teamwork.

The Physical Therapy Assistant functions independently within scope of position.  Regular communication with Director/Physical Therapist 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 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: Associate of Applied Science in Physical Therapy from an accredited school or licensure under State of Missouri Grandfather Clause.

Experience / Skills: None required, but 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: Minimal physical discomfort.  Moderate level of auditory distractions.  Potential exposure to infectious diseases, crowded workspace and hostile persons at times.   Works with 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.

Job Posting
Emergency Department Technician
Emergency Department
Full time; Night-Shift
FLSA Status: Non-Exempt

Job Summary: Under the general supervision of the Director of Emergency Services, and the direct supervision of the respective charge nurse, the Emergency Department Technician  (tech) maintains appropriate records, performs stocking, cleaning functions within the department, assists in the provision of basis patient comfort measures, performs certain technical duties as assigned by the licensed staff, within competencies measured, and assists with portering of patients, specimens, and equipment as required by the department.

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 healthcare team and work well with the ward clerks, EMT-Ps, nurses and physicians.  Must possess: excellent people skills, the ability to multi-task, prioritization skills and time management skills.

Education: High School Diploma or GED. Current Missouri EMT-B or CNA licensure.

Experience / Skills: Previous healthcare experience preferred.  Previous Emergency Department experience preferred.

Licensure, Registration, Certification: Missouri EMT-B or CNA. EMT-B must have BLS and PHTLS certification. CNA must have 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 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.

Job Posting
Emergency Department Technician
Emergency Department
PRN; Night & Day Shift
FLSA Status: Non-Exempt

Job Summary: Under the general supervision of the Director of Emergency Services, and the direct supervision of the respective charge nurse, the Emergency Department Technician  (tech) maintains appropriate records, performs stocking, cleaning functions within the department, assists in the provision of basis patient comfort measures, performs certain technical duties as assigned by the licensed staff, within competencies measured, and assists with portering of patients, specimens, and equipment as required by the department.

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 healthcare team and work well with the ward clerks, EMT-Ps, nurses and physicians.  Must possess: excellent people skills, the ability to multi-task, prioritization skills and time management skills.

Education: High School Diploma or GED. Current Missouri EMT-B or CNA licensure.

Experience / Skills: Previous healthcare experience preferred.  Previous Emergency Department experience preferred.

Licensure, Registration, Certification: Missouri EMT-B or CNA. EMT-B must have BLS and PHTLS certification. CNA must have 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 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.

Job Posting
Sleep Lab Tech or RPSGT
Sleep Lab
PRN
FLSA Status: Non-Exempt

Under the general supervision of the Cardiopulmonary Director, the RPSGT performs all-night recordings on patients as they sleep.  Duties include application and monitoring of devices (EEG, EKG, respiration, oxygen saturation, etc.) that are used in the diagnosis of sleep disorders.  May be assigned the scoring of examinations.  Summarizes data after the study.  Practices under hospital policies and procedures. Provides direct patient care to patients assigned to him\her while on duty with an understanding of age-specific development needs of those patients.  Demonstrates behavior, which exemplifies professional conduct and teamwork.

Education: Successful completion of an accredited educational program leading to an associate degree with an emphasis in polysomnography.  OR Successful completion of a polysomnography program of no less than one year duration associated with a state licensed and/or a nationally accredited educational facility or equivalent experience and documented proficiency at all competencies required of a Polysomnographic Technician.

Experience: Prefer one-year experience.

Licensure, Registration, Certification: RPSGT and CPR and BCLS certification required.  Must have NBRC credentials and AASM.

Mental/Physical Requirements: (May be met with or without reasonable accommodations):  Considerable mental concentration required for long periods of time.  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: Constant exposure to infectious materials and other hazardous conditions.

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.

Job Posting
Medical Lab Tech
Laboratory
Full-Time
FLSA Status: Exempt

Summary: Under the general supervision of the Laboratory Supervisor or another Medical Technologist, the Medical Technician obtains and receives laboratory specimens, and competently performs clinical testing in the areas of hematology, immunology, microbiology, clinical microscopy, chemistry, and blood bank.  He/she interprets results as to accuracy, acceptability and critical limits and uses quality control materials according to established procedures with appropriate documentation.  In the absence of the supervisor, serves as a resource person for the technicians.  Assists with investigating new procedures and instrumentation, performs quality assurance studies, and ordering of supplies as well as performing other duties as requested and assigned.

Education: Associate / Bachelor’s degree in Biological science, military training or documented equivalent.

Experience: Experience working independently and unsupervised in a laboratory setting preferred.

Licensure, Registration, Certification: Certification as Laboratory Technician by accrediting agency (ASCP, ISCLT, AMT, HHS or NCA).

Mental/Physical Requirements: (May be met with or without appropriate accommodations):  Ability to meet multiple deadlines and to prioritize.  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: Constant exposure to hazardous and infectious material.  Works in air-conditioned environment with moderate noise level.  May be required to work any time of day or night.

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.

Job Posting
Registered Nurse
Emergency Department
PRN Status; Night Shift
FLSA Status: Non-Exempt

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.

Job Posting
Registered Nurse
Emergency Department
PRN
FLSA Status: Non-Exempt

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.

Job Posting
Staff Pharmacist
Pharmacy
PRN Status
FLSA Status: Non-Exempt

The Pharmacist works with the Medical Staff and other hospital departments to coordinate management of patient care, serves as a clinical resource person, and assists pharmacy and nursing personnel and doctors in assessing medication interactions and providing educational materials.  The Pharmacist assists with supervising all pharmacy activities related to patient care and sets standards for accurate reporting and recording of patient dispensed medications. He/She will assist with formulary management and inventory, sterile compounding, and verification of patient medication orders. Works with members of the health care team to provide safe and effective drug therapy. Serves as a drug information resource  to patients. Performs duties and responsibilities in a manner consistent with our mission, values, and TCMH standards.

Education:  Graduation from an accredited pharmacy college, BS or PharmD degree.

Experience: Hospital clinical experience preferred, but not required.

Licensure, Registration, Certification:  Requires a current pharmacist license from the Missouri State Board of Pharmacy in good standing. Must also maintain Medication Therapy Services licenses.

Mental/Physical Requirements: (may be met with or without reasonable accommodations):  Considerable mental concentration required for long periods of time.  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 overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Exposure to infectious materials and other hazardous conditions. Frequent interruptions. Must be able to manage multiple tasks simultaneously and stressful situations.

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.

Job Posting
Lab Asst./Phlebotomist
Laboratory
PRN; Day shift
FLSA Status: Non-Exempt

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.

Job Posting
Housekeeping Aide
Part Time Status; Evening & Night Shift
FLSA: Non-Exempt

Under the general supervision of the Director of Environmental Services and reporting to the Supervisor of Housekeeping, the Housekeeper is responsible for linen distribution, daily cleaning of patient care areas, offices and public areas; to include:  walls, windows, doors, floors, bathrooms, beds, furniture and waste removal – picking up trash, bio-medical waste, box removal from work areas.

Housekeeper will notify the Director of Environmental Services or Supervisor of Housekeeping of problems related to the cleaning and maintenance of assigned areas, chemicals, equipment failure, safety issues, or facility issues that need repair or maintenance by Engineering.

Education:   A basic amount of education necessary to be able to read and follow instructions; willingness to learn and perform different tasks and duties.

Experience:   Up to six months preferred.

Licensure, Registration, Certification:   None

Mental/Physical Requirements:   (may be met with or without reasonable accommodations);  Ability to read and write.  Ability to follow verbal and written instructions.  Ability or organize work. Long periods of standing and walking.  Ability to learn and follow hospital and Environmental Services policies and procedures.  Ability to operate housekeeping equipment and use chemicals in a safe manner.  Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, climbing ladders, 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: May encounter unpleasant conditions, offensive odors, body fluid.  Potential exposure to infectious diseases or waste..  Exposure to housekeeping and floor finishing chemicals, slick or wet floor surfaces.

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.

Apply Here

Job Posting
Registration Clerk
Registration
PRN; Nights
FLSA: Non-Exempt

Under the supervision of the Registration Supervisor, the Registration Team Member obtains and collects all patient consent signatures, demographic information and insurance billing information at the time of registration.  Registration Team Members answer the TCMH switchboard.

Education:   High school diploma or equivalent

Experience: At least one year of experience in a health care organization preferred, but not required.  Must type 40 words per minute and possess mathematical skills.  Computer experience and knowledge of medical terminology preferred. Good customer service skills. Must be a good team player and have good work ethic. Must be able to work flexible hours

Licensure, Registration, Certification:   Not applicable.

Mental/Physical Requirements: (may be met with or without reasonable accommodations):  Normal mental concentration on variable operations for short periods of time and moderate concentration with repetitive operations for long periods of time.  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 with more than average noise.  Periodic contact with conditions such as fumes, noise, chemicals, hazards and/or diseases.  Potential exposure to infectious disease.  Possibility of exposure to radiation, anti-neoplastic agents and hostile persons.  Minimal physical discomfort, with frequent auditory distractions.

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.

Job Posting
EMT-B
Emergency Medical Services
Full-time; 24 Hour Shifts
FLSA: Non-Exempt

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.

Job Posting
Registered Nurse
Emergency Dept.
Full Time; Night Shift
FLSA: Non-Exempt

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.