Shenandoah Medical Center jobs - 32 jobs

1. Communicates professionally and courteously with all patients/customers and members of the work team while completing tasks in an effective, efficient manner to promote the highest quality of customer service, patient safety and support the facilitation of patient care. Performs account creation and registration tasks via face to face, over the telephone or at the bedside patient interview in accordance with established policies to obtain complete and accurate demographic and insurance information. Actively listens to understand what information is being conveyed. Conveys genuine warmth, care and concern to patients, customers and peers through appropriate tone of voice and demeanor. Shows willingness to assist all patients, customers, and peers by seeing needs and following through. Identifies, documents and reports to Manager any exceptions, account creation errors, unresolved complaints/concerns, and critical issues in a timely manner. Mentors new staff members as assigned. Collaborates with an inter-disciplinary team approach, acting as an advocate on behalf of patients and families to ensure patient safety and support the facilitation of patient care, satisfaction and quality of services is carried out in a timely manner. Gathers all data defined in an accurate, efficient and timely manner utilizing appropriate departmental databases. Properly re-identifies patient upon completion of account creation/verification and places armband. 2. Maintains and demonstrates working knowledge to carry out policy and procedure to effectively comply with departmental, organizational, regulatory, and agency needs. Utilizes knowledge and critical thinking to equitably apply policy and procedure to all patients and customers. Promotes secure environment for the procurement of patient's protected health information (PHI). Complies with regulatory requirement such as OSHA, JCAHO, and HIPAA. Understands the concept of the Iowa Trauma System Community Level and Emergency Care Facility Categorization Criteria. Participates in accordance with the Trauma Team Activation Policy/Protocol. Fulfills the roles and responsibilities of a trauma team member. May be asked to perform job duties above and beyond the description (but within of practice/knowledge) in the event of an emergency. 3. Provides exceptional customer service support. Ensures outstanding public relations. Ensures that contacts with the registration area are positively enhanced by serving as a resource for patients, families of patients and hospital management and staff. Provides accurate information to all customers by phone or other communication media. Answers telephone calls and related questions in a professional manner and with patience and maturity. Assists with administrative duties. Communicates effectively with department contacts, patients and management to thoroughly investigate and resolve patient account issues. 4. Performs other duties as assigned.

Job Description 1. Supervises all aspects of department operations effectively and efficiently. Supervises day-to-day operations, which includes problem solving issues and ensuring effective processing. Works with other departments in providing services and resources. Monitors workflow and departmental processes. Assist in department goals and objectives. Audit rooms and common areas, including stairwells and lounge areas for cleanliness for each shift as needed Responds to customer complaints and special requests 2. Responsible for communication and training of policies related to environmental services department for Shenandoah Medical Center. Works closely with Housekeepers, floor finishers, and laundry workers in all areas to monitor accuracy and productivity. Rounds with members of second shift staff monthly using Leader Rounding Form. Remains knowledgeable on how to operate all Housekeeping, floor finishing, and laundry equipment, and be able to train caregivers. Remains up to date with all safety equipment and devices, and trains caregivers in the use of safety equipment. Follows Material Safety Information, Infection Control procedures, and other applicable regulations such as the OSHA blood born pathogen standard, EPA infectious waste guidelines, etc. Trains staff in the use of cleaning chemicals and how to use personal protective equipment in the use of those chemicals. Remains familiar with cleaning techniques and procedures in all areas of the facility. 3. Supervises and performs employee relations effectively to promote a positive work environment, influence retention and enhances communication. Develops, supports, and actively seeks activities and establishes an environment that promotes recognition and retention for employees. Communicate effectively and provide feedback to staff which may include department meetings, individual employee meetings, rounding, etc. Addresses employee issues in an effective and timely manner. Communicate with Manager and HR regarding employee issues appropriately in an effort to obtain guidance and reduce potential organizational liability. Assists with administration of performance appraisal process for staff, with feedback for positive reinforcement of strengths and opportunities for growth/improvement. Assists in delivering thorough and effective training to staff. Maintains timekeeping records and updates appropriately and accurately for department staff. Assists and participates in annual budgeting planning process for areas of responsibility . 4. Performs other duties as assigned.

1. Performs a variety of radiation oncology procedures for radiation oncology patients as requested by the healthcare provider and assists in managing the overall care of the patient. Provide precise/accurate radiation treatments and simulations to ensure patient safety and quality care. Maintain technical expertise in operation of radiation therapy equipment. Accurately perform basic dose calculations. Accurately interpret and implement prescription and treatment plan as directed by the radiation oncologist. Maintain complete chart for each patient including all pertinent clinical information. Assist with brachytherapy procedures. Practice within the published task inventory or scope of practice for radiographers and radiation therapists as defined by the American Registry of Radiologic Technology. Monitor patient's clinical progress and refer patients to medical or nursing staff for appropriate intervention. Accurately communicate patients' needs and issues with other members of the healthcare team. 2. Prepares room and equipment for radiation therapy. Carefully follow warm-up procedure/dose check on linear accelerators, simulators and CT scanners daily to ensure accurate and safe treatments. Ascertain equipment malfunction and/or output variances and report to physicist, lead therapist or manager. Check the prescribed dose and verify machine settings prior to initiating treatment. Disinfects all equipment before and after each patient contact. Follows infection control procedures. Maintains and restocks appropriate supplies. Follows established protocol in accordance with the requested procedure being conducted. Ensures all equipment is maintenance and in optimal function condition. Reports and follows up on equipment issues. 3. Prepares patient for procedures. Identifies patient appropriately. Validates the procedure to be performed with the patient and obtains necessary consent. Validates patient prep and medical history for exam ordered. Explains procedures to the patient effectively. Perform weekly chart checks to ensure accuracy in patient chart. Assists in performing first aid as needed. Anticipates and responds appropriately to the needs of the patient and his or her family . Schedule all patients to allow enough time to thoroughly complete each procedure while maintaining well run, efficient operation. Respond appropriately to unexpected scheduling changes and ensure patient care and convenience are maintained whenever possible and patients are notified of any changes. Educate and instruct patients about treatment and reinforce advice given by physicians and nurses at a level the patient can understand; including education on procedures, skin care, side effects, and nutrition within their scope of practice. Observe patients for physical and emotional changes, side effects and nutrition needs. Ensure patients are seen by physicians in accordance with departmental policy and procedure. 4. Completes Quality Assurance measures to promote patient safety and outcomes. Participate in performance improvement and quality assurance programs to ensure the accuracy and safety of radiation treatments delivered, meet regulatory requirements and ensure patient and personal safety. Follow quality assurance procedures to guarantee daily accuracy throughout a patient's course of treatment. Obtain treatment field localization and review films with physician per policy. Accurately identify anatomy and adjust ports solely when policy allows. Actively participate in weekly departmental patient conferences to discuss patient progress, complications, field changes and other issues relating to the care of the patient under treatment. Perform data collection for designated QA/QI monitors as requested. Adhere to strict safety guidelines. Maintain knowledge of basic radiation physics and principles of ionizing radiation in handling and use of radioactive materials. Provide clinical instruction, in-services, and continuing education as needed in support of the radiation therapy curriculum. 5. Follows established radiation safety policies and procedures to protect patients and staff and performs in a manner that ensures patient safety. Follow policies/procedures/regulatory requirements and perform other work assignments. Wears personal radiation monitoring device while on duty. 6. Performs patient documentation and completes necessary office duties. Ensures patient reports are received in a timely manner for the health care provider. Ensures patient charges are accurately documented using the EHR system. Provides input and assists with maintaining department policies, procedures, and product information. Provides patient demographics and reports to hospital billing system. Ensures correct patient exam is filed so charges are accurate for billing. Document patient set up information and daily/cumulative dosage and verify at regular intervals to ensure accuracy. 7. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 8. Performs other duties as assigned.

1. Meets or exceeds food service requirements by coordinating the operations within the Food Services Department. Ensures appropriate numbers of competent staff are available to meet food service needs. Ensures food service assignments are based on patient/resident needs and staff competency. Communicates with other healthcare team members and departments to meet food service requirements. Monitors adherence to policy and procedure to ensure safety of patients and staff. Assists in maintaining equipment for food services and reports malfunctioning equipment to appropriate personnel. Keeps management informed of food service and staff issues. Participates in planning meetings Completes reports/assessments as directed by Director/Registered Dietician 2. Problem-solves and makes decisions within areas of accountability by using a well-defined approach to ensure effective and efficient patient care. Prioritizes multiple unit activities in changing environment. Keeps patient/resident needs in the forefront when evaluating alternatives. Uses good judgment when making independent decisions. Negotiates effectively while maintaining positive relationships. Serves as a resource for staff in solving operations issues. Listens effectively and processes key information. Promotes trust with open and effective communication. Communicates organizational management decisions in a positive manner. Recognizes impacts of decisions made. Participates in quality and process improvement initiatives for the department. 3. Monitors performance of department staff by data collection, coaching, education and role modeling at the direction of management to ensure ongoing performance improvement. Provides immediate feedback to staff and management regarding performance issues. Complete performance appraisals. Provide department employee orientation. Role models positive professional characteristics. Contributes to professional growth of colleagues. Assists in preparation and participate in surveys and certifications. Recognizes, takes action and reports deficiencies in a timely manner. 4. Manages all aspects of department operations effectively and efficiently. Manages day-to-day operations, which includes problem solving issues and ensuring effective processing. Develops and documents department procedures to ensure consistent and accurate processing. Works with other departments in providing services and resources. Monitors workflow and departmental processes. Sets and achieves department goals and objectives. 5. Responsible for communication and training of policies related to food services department for Shenandoah Medical Center. Maintains familiarity with all personnel policies and keep staff informed of all changes in policy. Works closely with food service staff in all areas to monitor accuracy and productivity. Remains knowledgeable on how to operate all food service equipment and is able to train workers. Remains up-to-date with all safety equipment and devices, and trains food service workers in the use of safety equipment. Requisitions and orders supplies and equipment when needed. Responsible for compliance of all state, federal and life safety regulations. 6. Supervises and performs employee relations functions effectively to promote a positive work environment, influence retention and enhance communication. Develops, supports, and actively seeks activities and establishes an environment that promotes recognition and retention for employees. Communicates effectively and provides feedback to staff which may include department meetings, individual employee meetings, rounding, etc. Addresses employee issues in an effective and timely manner and keeps Senior Leader informed. Communicates with Senior Leader and HR regarding employee issues appropriately to obtain guidance and reduce potential organizational liability. Enforces and interprets policies and procedures with employees, as necessary. Develops a qualified and productive workforce. Orients new employees in a thorough manner to department and organizational operations and procedures. Offers opportunity for continuing education by sharing own knowledge, accessing internal opportunities, and considering external opportunities to support the continued development of department staff. Monitors and verifies the compliance of staff in regards to maintaining required licenses and certifications, as applicable. Assists with managing departmental financial operations. Maintains, develops, monitors and reports budgets, expenses, variances and strategic planning for department. Maintains timekeeping records and updates appropriately and accurately for department staff. Works with vendors and management, as appropriate, to negotiate best value purchases. Participates in annual budgeting planning process for areas of responsibility. 7. Performs other duties as assigned.

Why Choose Blu MedStaff? At Blu MedStaff, we truly value our nurses and are dedicated to supporting you every step of the way. Here's why you should join our team: Comprehensive Health: Enjoy access to extensive benefits, including medical, vision, dental, life insurance, and more, ensuring your well-being is our top priority. Complimentary Onboarding: We cover the costs of your onboarding process, including physicals and TITERS. With a dedicated Onboard Specialist, you can focus on patient care while we handle the details, helping you get started faster. 24/7 On-Call Support: Our experienced team is available around the clock, providing clinical support whenever you need it. You can rest easy knowing help is just a call away. Personalized Recruiter Matching: When you apply, you'll be matched with a specialized recruiter who understands your preferred location and specialty, making the process tailored to your needs. Additional Perks: Benefit from travel reimbursement, housing allowances, meals and incidentals, referral bonuses, and completion bonuses to enhance your overall experience. Quality Assurance: With the Joint Commission's Gold Seal of Approval for Health Care Staffing Services Certification, you can trust that you're part of a reputable organization committed to excellence. Join Blu MedStaff and take your nursing career to new heights, surrounded by a supportive community that truly cares about your success!

1. Provide day-to-day athletic training services to local school districts and businesses. Develop plans for providing athletic training coverage at all interscholastic athletic coverage for practices and events . Establish and maintain a budget for athletic training supplies/equipment. Establish daily hours of operation for the athletic training program (at schools and in the Wellness Center). Develop comprehensive venue and condition specific emergency action plans. Initiate and administer an athletic training student-aid program in accordance with the school's teams and activities guidelines and state law. Establish a working relationship with a designated team physician and community physicians. Establish a working relationship with school nursing staff. Complete (school systems) policies training to include: Blood Borne Pathogens Exposure Control Plan training and comply with the regulations therein. Maintain adequate medical records on all injuries and rehabilitation procedures. Comply with any and all policies regarding health care delivery as indicated by the school systems regulations. Develop coach's professional development for CPR/AED, Concussion, Heat Illness, Sudden Cardiac Death, etc. 2. Provides day-to-day supervision, orientation and programming for the wellness center. Accurately reviews all client paperwork as part of membership or program participation. Teaches safe and effective use of equipment and exercises, providing appropriate modifications and options. Designs, explains and evaluates all exercise programs to achieve optimal health outcomes. Maintains facility security and safety and reporting of equipment/facility maintenance problems. Designs, implements, and teaches exercise classes. Maintains cleanliness of facility and equipment. Responsible for opening and closing of facility. 3. Implements safe and effective exercise programs by utilizing established policy/procedures to assure achievement of goals for improved functional ability and prevention of deleterious effects, and weight loss. Conducts initial orientation of clients by preparing individual exercise prescriptions. Works directly with clients regarding programming and customer service to meet individual needs. Assists in the process of selling new program services and programs. 4. Develops and provides for patient/family education by utilizing established policy/procedures and modeling a healthy lifestyle to facilitate achievement of goals for clients enhanced psychosocial functioning, improved lifestyle modifications, and improved independence. Provides education to clients and families according to policy regarding exercise principles, lifestyle modifications, psychosocial issues, procedures/tests, and plans/follow-up. Accurately reports client's progress to appropriate disciplines via staff meetings, physician reports and daily communications with peers. Participates within multidisciplinary teams to develop educational materials and resources. Provides in-service education to peers or other disciplines, as approved. 5. Performs other duties as assigned.

Job Description 1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the LPN scope of practice. Performs complete admission evaluation. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions within the scope of practice for LPN-C. 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Works effectively with ancillary areas as part of the team approach to patient care. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriately manner. Completes patient and family education throughout the patient's visit. 3. Performs emergency treatment as required in accordance with LPN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at end of appointment. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for disposal of sharps and hazardous materials. 7. Performs other duties as assigned.

Job Description 1. Follows established departmental and SMC policies and procedures, objectives, quality control and performance improvement programs, safety, environmental, and infection control standards. Consistently performs test procedures following written procedures conforming to current standards and manufacturers recommendations. Reviews and verifies patient results prior to reporting and communicates critical values and other grossly abnormal results to the appropriate healthcare personnel in a timely manner, following established policies. Receives and/or collects specimens and labels them appropriately, maintaining specimen integrity until specimens are discarded following established policies and procedures for specimen retention. Performs supply inventory as assigned to prevent shortages in assigned work areas. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves. Follows proper procedures for disposal of sharps and hazardous materials. Cleans and maintains laboratory equipment as directed. 2. Maintains current knowledge and training on equipment and procedures. Performs required calibration, maintenance, and quality control of instruments and procedures. Notifies supervisor promptly of customer concerns, unsafe conditions, and malfunctioning instruments/test procedures. Maintains competence in computer skills pertaining to order entry, and laboratory computer system orders, collections, result entry, patient report retrieval, and report printing tasks. Attends required SMC and departmental safety, compliance, and infection control in-services. Maintains knowledge of coding and billing policies as they pertain to determination of medical necessity and federally mandated reimbursement. Enhances professional growth and development through participation in educational programs, current literature, and in-service meetings. Assesses educational needs of patients and provides patients with education of procedures, obtaining patient feedback to ensure their understanding. Adapts performance of procedures to accommodate unique needs of patients. 3. Performs and maintains documentation. Maintains required records, reports, and statistics, as directed. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge. Completes shift end check prior to leaving duty. 4. Performs other duties as assigned.

1. Executes a comprehensive review of all cases meeting criteria, coordinates and performs patient/customer interview to define needs, develops and implements a strategy to enable the patient/customer to meet their financial obligation to Shenandoah Medical Center in a mutually satisfactory manner. Advocates for patients and family members and acts as a liaison with insurance companies and other third parties to assist in obtaining insurance and other financial information to secure financial approval for services. Confirms payer sources with close attention to coordination of benefits, identifies which contract/plan will provide payment for planned care. Performs detailed financial screening of benefits. Determines benefit coverage to ensure that it meets the standards and explains the financial requirements to the patient or responsible party and arranges/collects appropriate payments per financial screening policy. Develops accurate point of service collections communication and facilitates the collection of these payments . 2. Maintains current knowledge of rules and regulations of industry and government programs, hospital financial and billing policies and educates patients, families, team members and other staff as necessary. Maintains extended knowledge base of payer and billing requirements for federal, state, local and commercial sources. Maintains and expands knowledge base of web-based applications used for determining eligibility. Participates in educational programs and in-service meetings to build upon current knowledge base. Maintains current, extended knowledge of hospital financial and billing policies. Acts as an educational resource for patients, families, the community and the hospital staff. 3. Acts as an advocate of behalf of patients and families to enable patients/families to take full advantage of services which may be available to them. Assists in locating resources and/or assistance programs for which uninsured/underinsured patients may be eligible. Informs patients and clinical teams of anticipated gaps and or lack of insurance coverage. Interviews patients and or family members in person: advises patient with regard to next steps or process for securing financial coverage. Assists patients and or family members in completing applications to applying for resources with external agencies or hospital financial assistance in an accurate and timely manner. Continues to serve as a point of contact for patients/families throughout the completion of processes. Keeps Manager apprised of exceptions, high grade complaints and issues in a timely manner. 4. Develops and maintains complete and accurate confidential patient financial records. Documents patient contacts and outcomes in the appropriate database in a thorough and timely manner. Follows HIPAA regulations and ensures that the confidentiality of patients' medical, personal, financial records, employee records and organizational records is maintained. Establishes and maintains excellent working relationships with representative from insurance companies, government entities, Social Services, Utilization Management and Patient Financial Services. 5. Performs Financial Clearance Verifies eligibility and benefits for each patient. Obtains prior authorization/pre-certification as required by payer. Creates patient financial estimate as required. Presents and completes patient waivers as required. Documents all financial clearance notes, authorization numbers, and patient correspondence. Scans into the EHR system all necessary financial clearance documents Works with Trac tool as required. 6. Communicates effectively. Maintains close communication with billing offices and collaborates to resolve any billing and reimbursement issues. Facilitates resolution of patient billing issues. Shows patience and maturity when challenged by pressure and time restraints in resolving patient inquiries. Serves as a representative of the hospital, displaying courtesy, tact, consideration and discretion in all interactions with patients, coworkers and the general public in accordance with the Corporate Mission, Vision and Principles Statement. 7. Performs other duties as assigned.

1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Clinic Nurse Manager regarding patient care issues in a timely and appropriately manner. Completes patient and family education. 3. Performs emergency treatment as required in accordance with RN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner . 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status, patient responses, and patient teaching. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, and using two patient identifiers. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves. 7. Performs other duties as assigned.

1. Manages department operations effectively and efficiently. Follows department procedures to ensure consistent and accurate processing. Works with other departments in providing services and resources. Participates in setting and achieving department goals and objectives. Identifies evidence base research to keep the program and policies current with industry standards. 2. Ensures nutrition services are provided in a safe, effective, and high-quality manner in accordance with the patient's medical care plan and attending physician's medical orders. Ensures accuracy of public information materials and activities. Reviews clinical record audits in a timely manner. Reports record audit results and may recommend actions to the department director. Develop, implement and evaluate individualized client care plans per policy. Documents all services in accordance with legal aspects and demonstrates appropriateness of all services. Nutrition care planning process is utilized in the provision of services including the assessment of needs; the development of nutrition diagnosis; patient-oriented goals; and individualized plan of care; and implementation of the plan of care; and the evaluations of response to services. 3. Promotes and encourages effective communication. Demonstrates effective communication skills to coordinate services with all members of the healthcare team. Exhibits positive conflict resolution. Utilizes effective decision-making and problem-solving skills. Participates in staff meetings, committee meetings and community activities showing efforts to promote communication and coordination of patient needs and concerns. Outlines and maintains clear lines of authority/communication. Cooperates with changes in policy/procedure in a positive manner. Maintains lines of authority/communication. Coordinates and cooperates with all local, state, and federal agencies. Coordinates with all local, state, and federal agencies as needed. Communicates with medical community and other community agency/resources on a regular, ongoing basis. Develops and provides community education related to nutrition, meal planning, diabetes and other topics. 4. Exhibits professional leadership attributes. Participates in performance improvement activities. Guides, directs, and delegates duties and responsibilities showing cooperation with others in the delivery of care. Demonstrates positive attitude and high morale by having a constructive attitude, good time management, and team building activities. Acts as a positive role model to promote team building. 5. Maintains compliance with all state and federal rules and regulations. Satisfactory state/federal survey reports will be maintained. Complies with infection control safety measures with instruction of same to patient and other staff. Participates in programs to maintain skill levels and perform new functions. Attends continuing education programs ensuring consistency with career objectives/needs. Reviews current professional literature and utilizes such to develop skills and performance. 6. Adheres to SMC policies and procedures. Maintains good attendance record and minimal overtime. Arrives at work on time and reports absences in accordance with agency policy. Adheres to agency dress code and is conscientious about personal hygiene. Maintains confidentiality of all patients, agency and co-worker information. Complies with all safety, fire, and infection control regulations. Maintains continuing education requirements by attending mandatory in-services and staff meetings as required. 7. Provides consultation to the hospital dietary staff and Long-Term Care programs. Develops short- and long-term goals and objectives in consultation with administration and consistent with hospital philosophy. Serves as a resource for long term care nutrition functions and activities to achieve objectives and comply with national, state and voluntary regulatory requirements. Establishes patient care standards and standards of nutrition practice. Establishes and implements policies and procedures for provision of quality nutrition care. Establishes and evaluates standards of nutrition performance to measure, evaluate, and enhance resident care and resident safety. Established quality improvement indicators, monitors outcomes & implements change processes to ensure quality patient/ resident care. Keeps Administrator informed of nutrition activities, needs, and problems. 8. Performs other duties as assigned.

1. Review and prepare medications to be dispensed for Pharmacist approval. Ensures correct selection of dosage, form, strength and quantity of medications for dispensing to the automated dispensing cabinet (Pyxis) or for use in compounding medications. Prepares unit dose medications with bar code labels for the automated dispensing cabinet (Pyxis). Labels medication according to regulatory guidelines with all appropriate information prior to pharmacist verification. Prepares intravenous (IV) medications for inpatient and outpatient use by using sterile aseptic technique as described by USP guidelines. Mixes pharmaceutical preparations, fills bottles with prescribed tablets and capsules, and creates labels for bottles.\ 2. Maintains appropriate medication stock levels based on patient care needs for the pharmacy and the patient care areas including determination of appropriate levels and ordering of products. Orders supplies and medications through the pharmacy wholesaler and other suppliers as deemed necessary. Monitors drugs closely to evaluate and establish appropriate stock levels. Restocks supplies and medications in the pharmacy Restocks medications in all Pyxis units and other areas as approved ]Delivers medications to ancillary departments upon request Monitors pharmaceutical inventory within the pharmacy and other areas Keeps the formulary up to date with the current stock and keeps it available for use. Monitors medication outdates in the pharmacy department, pyxis stations, and crash carts throughout the facility. 3.Triages questions in the form of customer service. Demonstrates excellent customer service and a pleasant demeanor during all communication with patients or health care professionals. Demonstrates ability to determine the level of expertise required to address the patient/health provider need to transfer/refer them to the desired individual. Consults with pharmacist on medication questions and relays information to patients and/or providers when appropriate. 4. Performs and maintains documentation. Documents all unit dose preparations Documents all compounded preparations according to USP guidelines Documents all medications dispensed to the automated dispensing cabinet (Pyxis) Maintains and stores all records in the pharmacy for the appropriate amount of time according to the Iowa State Board of Pharmacy and Drug Enforcement Agency regulations Handles all storage of CIII-CV records in accordance with the law Handles all storage of T3 statements in accordance with FDA regulations Handles all storage of records and invoices Files department records. 5. Provides administrative support for the Pharmacy department. Initiates phones calls, receives/screens/routes incoming visitors/calls. Schedules appointments for drug representatives. Schedules appointments for anticoagulation clinic patients Cleans equipment according to prescribed methods. Maintain and audit billed transactions for inpatient and outpatient medications Collect pharmacy charge sheets from ancillary departments Input charges for medications from ancillary departments Maintains NDC Crosswalk on Macrohelix for the 340B Program Audits patient visits on Macrohelix for the 340B Program 6. Performs other duties as assigned.

Job Description 1. Participates in core Nursing and Information Technology functions and assists with projects/training. Coordinates training, standard setting, reporting, forms customization, application maintenance, and updates related to the clinical software systems Provides assistance to the IT department during system maintenance, upgrades, and changes when time is permitted. Provides orientation and ongoing education on the EMR software to nursing staff and providers, with the ability to assist with other department training as needed. Works as a clinic nurse on a periodic basis to maintain clinical awareness and competency. Assists in the development, implementation and maintenance of clinical information systems modules, supplemental support systems, and responsible for related training of system users and medical staff. Allows for flexible scheduling to accommodate the needs of all shifts. 2. Communicates problems with the system to the vendor and tracks responses, ensuring a resolution. Coordinates and facilitates communication between the IT Department and end users as required. Serves as first line resource for clinical issues with appropriate resolution instructions. Collaborates effectively with vendor/clinical staff regarding application and workflow problems, and reports back findings in an appropriate time frame. Communicates clearly and concisely with all departments, and develops training as needed. 3. Maintains current knowledge of computerized documentation technology and ensuring documentation requirements are met. Maintains exceptional product knowledge and coordinate program to update all employees, including providers, on new features and existing functionality to ensure a smooth transition. Acts as a liaison to the medical staff to assess their needs and provide information and training. Maintains awareness of organizational policies, procedures, and regulatory requirements related to orders and clinical documentation, and contributes to policy and procedure development as warranted. Develops and maintains a quality improvement program for clinical information systems. Monitors, reports and collaborates with other departments to identify areas for improvement and efficiency. Completes documentation audits for applicable departments. 4. Assists in aspects of planning, design, development, implementation, maintenance and evaluation of clinical information system including the electronic medical record (EMR). Utilizes the knowledge and skills of clinical practice to determine clinical functions that are suitable for computer applications; apply clinical expertise to guide the evolution of clinical software implementation and help clinicians focus on personalized high-quality patient care in accordance with professional standards of practice. Provides leadership to increase nurse satisfaction and healthcare IT system adoption. Assists clinical staff in troubleshooting, building and maintaining templates or other features of the EMR to ensure patient safety and satisfaction. Works with interdisciplinary teams to define/redefine documentation requirements and practices. 5. Completes programming and alterations to the clinical documentation software. Maintains a broad knowledge of hardware, operating systems, applications, operation analysis and protocols. Understands how the EMR interacts globally so that improvements can be seen across all areas of the facility. 6. Participates in and promotes Continuous Quality Improvement (CQI). Maintains strong clinical knowledge of healthcare trends, policy, regulatory and compliance issues. Participates in the development of an compliance with HIPPA standards to maintain the security, privacy, confidentiality, and integrity of health information. Makes suggestions for nursing areas. Monitors HCAHP scores, reviews current processes and makes appropriate process changes to improve patient satisfaction scores. 7. Performs other duties as assigned.

Job Description 1. Meets or exceeds food service requirements by coordinating the operations within the Food Services Department. Ensures appropriate numbers of competent staff are available to meet food service needs. Ensures food service assignments are based on patient/resident needs and staff competency. Communicates with other healthcare team members and departments to meet food service requirements. Monitors adherence to policy and procedure to ensure safety of patients and staff. Assists in maintaining equipment for food services and reports malfunctioning equipment to appropriate personnel. Keeps management informed of food service and staff issues. Participates in planning meetings Completes reports/assessments as directed by Director/Registered Dietician 2. Problem-solves and makes decisions within areas of accountability by using a well-defined approach to ensure effective and efficient patient care. Prioritizes multiple unit activities in changing environment. Keeps patient/resident needs in the forefront when evaluating alternatives. Uses good judgment when making independent decisions. Negotiates effectively while maintaining positive relationships. Serves as a resource for staff in solving operations issues. Listens effectively and processes key information. Promotes trust with open and effective communication. Communicates organizational management decisions in a positive manner. Recognizes impacts of decisions made. Participates in quality and process improvement initiatives for the department. 3. Monitors performance of department staff by data collection, coaching, education and role modeling at the direction of management to ensure ongoing performance improvement. Provides immediate feedback to staff and management regarding performance issues. Complete performance appraisals. Provide department employee orientation. Role models positive professional characteristics. Contributes to professional growth of colleagues. Assists in preparation and participate in surveys and certifications. Recognizes, takes action and reports deficiencies in a timely manner. 4. Manages all aspects of department operations effectively and efficiently. Manages day-to-day operations, which includes problem solving issues and ensuring effective processing. Develops and documents department procedures to ensure consistent and accurate processing. Works with other departments in providing services and resources. Monitors workflow and departmental processes. Sets and achieves department goals and objectives. 5. Responsible for communication and training of policies related to food services department for Shenandoah Medical Center. Maintains familiarity with all personnel policies and keep staff informed of all changes in policy. Works closely with food service staff in all areas to monitor accuracy and productivity. Remains knowledgeable on how to operate all food service equipment and is able to train workers. Remains up-to-date with all safety equipment and devices, and trains food service workers in the use of safety equipment. Requisitions and orders supplies and equipment when needed. Responsible for compliance of all state, federal and life safety regulations. 6. Supervises and performs employee relations functions effectively to promote a positive work environment, influence retention and enhance communication. Develops, supports, and actively seeks activities and establishes an environment that promotes recognition and retention for employees. Communicates effectively and provides feedback to staff which may include department meetings, individual employee meetings, rounding, etc. Addresses employee issues in an effective and timely manner and keeps Senior Leader informed. Communicates with Senior Leader and HR regarding employee issues appropriately to obtain guidance and reduce potential organizational liability. Enforces and interprets policies and procedures with employees, as necessary. Develops a qualified and productive workforce. Orients new employees in a thorough manner to department and organizational operations and procedures. Offers opportunity for continuing education by sharing own knowledge, accessing internal opportunities, and considering external opportunities to support the continued development of department staff. Monitors and verifies the compliance of staff in regards to maintaining required licenses and certifications, as applicable. Assists with managing departmental financial operations. Maintains, develops, monitors and reports budgets, expenses, variances and strategic planning for department. Maintains timekeeping records and updates appropriately and accurately for department staff. Works with vendors and management, as appropriate, to negotiate best value purchases. Participates in annual budgeting planning process for areas of responsibility. 7. Performs other duties as assigned.

1. Performs a variety of radiographic procedures for radiographic diagnosis as requested by the healthcare provider. Provides radiological services by exemplifying the knowledge, skills, and abilities to perform a variety of radiographic procedures utilizing ionizing radiation for radiographic diagnosis. Assesses the patient determining their ability to comply with the physical requirements of the examination to minimize patient or examination problems. Enters proper technical parameters into the x-ray generating equipment to enhance visualization for best imaging per protocol. Performs various procedures in imaging areas such as: X-rays, and CT scans. Follows established protocols for administration of contrast media. Operates mobile x-ray equipment in emergency room and at patient bedside. 2. Prepares room and equipment for radiology exam. Disinfects all equipment before and after each patient contact. Follows infection control procedures. Maintains and restocks appropriate supplies. Follows established protocol in accordance with the requested procedure being conducted. Ensures all equipment is maintenance and in optimal function condition. Reports and follows up on equipment issues. 3. Prepares patient for procedures. Transports patient to and from Radiology department. Identifies patient appropriately. Validates the procedure to be performed with the patient and obtains necessary consent. Validates patient prep and medical history for exam ordered. Explains procedures to the patient effectively. Assists in performing first aid as needed. Anticipates and responds appropriately to the needs of the patient and his or her family . 4. Follows established radiation safety policies and procedures to protect patients and staff and performs in a manner that ensures patient safety. Minimizes retakes by selecting proper technical factors in the x-ray generating equipment according to exam protocol and patient condition. Utilizes radiation exposure reduction techniques such as proper collimation and lead shielding to minimize radiation exposure. Wears personal radiation monitoring device while on duty. Ensures visitors and staff are supplied with lead shielding or kept at a safe distance from the source of radiation. 5. Performs patient documentation and completes necessary office duties. Ensures patient reports are received in a timely manner for the health care provider. Ensures patient charges are accurately documented using the EHR system. Provides input and assists with maintaining department policies, procedures, and product information. Provides patient demographics and reports to hospital billing system. Ensures correct patient exam is filed so charges are accurate for billing. Documents accurate and ongoing assessments of patient status related to CT Scans. 6. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 7. Performs other duties as assigned.

1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the LPN scope of practice. Performs complete admission evaluation. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions within the scope of practice for LPN-C. 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Works effectively with ancillary areas as part of the team approach to patient care. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriately manner. Completes patient and family education throughout the patient's visit. 3. Performs emergency treatment as required in accordance with LPN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at end of appointment. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for disposal of sharps and hazardous materials. 7. Performs other duties as assigned.

Job Description 1. Performs emergency medical care in accordance with Emergency Medical Technician (EMT) certification. Administers additional care as indicated or directed. Reports verbally and in writing the observations and medical care of the patient in transit to receiving facility staff for purposes of records and diagnostics. Provides assistance to the receiving facility staff, as requested. Ensures compliance with infection control according to hospital policies and procedures. Assures that patient's rights to fair and equitable treatment, self-determination, individuality, privacy and property are followed. 2. Maintains ambulance in an efficient operating condition. Ensures that the ambulance is cleaned and kept in a neat orderly condition, in accordance with local, state and federal regulations. Decontaminates the interior of the vehicle after transport of the patient with contagious infection or hazardous materials exposure. Restocks and replaces used linens, blankets and other supplies, cleans all equipment following appropriate disinfecting procedures. Checks that all equipment is ready for the next run. 3. Assists as needed in the hospital. Transports patients as requested. Assists with basic patient care needs within the scope of the EMT certification. Teaches BLS Classes on a regular basis as needed minimum of 8 classes per year (required for full time EMT.) 4. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to physician orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Uses National Patient Safety Goals (for critical access hospitals) to ensure patient safety. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves. Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials. 5. Complies with the state and federal regulatory requirements related to the performance of Shenandoah Medical Center's operations and requirements of the SMC Compliance Program. Abides by Shenandoah Medical Center's Mission, Vision and Values which are defined by SMC and are readily available throughout the organization. Follows HIPAA regulations and ensures that the confidentiality of patients' medical, personal, financial records, employee records, and organizational records is maintained. Adheres to the Corporate Compliance Policy. Follows all Safety and Infection Control Procedures (including but not limited to: Annual In-Services for Asbestos, Emergency Evacuation, Fire Prevention, Hazardous Materials, Hazardous Waste Emergency Response, Lead, Medical Surveillance, Process Safety Management, Safety Committee) Considers the impact of regulations such as Critical Access Hospital requirements, along with Federal and State of Iowa regulations and discusses concerns appropriately to ensure compliance. 6. Performs other duties as assigned.

Job Description 1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the LPN scope of practice. Performs complete admission evaluation. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions within the scope of practice for LPN-C. 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Works effectively with ancillary areas as part of the team approach to patient care. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriately manner. Completes patient and family education throughout the patient's visit. 3. Performs emergency treatment as required in accordance with LPN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at end of appointment. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for disposal of sharps and hazardous materials. 7. Performs other duties as assigned.

Job Description 1. Executes a comprehensive review of all cases meeting criteria, coordinates and performs patient/customer interview to define needs, develops and implements a strategy to enable the patient/customer to meet their financial obligation to Shenandoah Medical Center in a mutually satisfactory manner. Advocates for patients and family members and acts as a liaison with insurance companies and other third parties to assist in obtaining insurance and other financial information to secure financial approval for services. Confirms payer sources with close attention to coordination of benefits, identifies which contract/plan will provide payment for planned care. Performs detailed financial screening of benefits. Determines benefit coverage to ensure that it meets the standards and explains the financial requirements to the patient or responsible party and arranges/collects appropriate payments per financial screening policy. Develops accurate point of service collections communication and facilitates the collection of these payments . 2. Maintains current knowledge of rules and regulations of industry and government programs, hospital financial and billing policies and educates patients, families, team members and other staff as necessary. Maintains extended knowledge base of payer and billing requirements for federal, state, local and commercial sources. Maintains and expands knowledge base of web-based applications used for determining eligibility. Participates in educational programs and in-service meetings to build upon current knowledge base. Maintains current, extended knowledge of hospital financial and billing policies. Acts as an educational resource for patients, families, the community and the hospital staff. 3. Acts as an advocate of behalf of patients and families to enable patients/families to take full advantage of services which may be available to them. Assists in locating resources and/or assistance programs for which uninsured/underinsured patients may be eligible. Informs patients and clinical teams of anticipated gaps and or lack of insurance coverage. Interviews patients and or family members in person: advises patient with regard to next steps or process for securing financial coverage. Assists patients and or family members in completing applications to applying for resources with external agencies or hospital financial assistance in an accurate and timely manner. Continues to serve as a point of contact for patients/families throughout the completion of processes. Keeps Manager apprised of exceptions, high grade complaints and issues in a timely manner. 4. Develops and maintains complete and accurate confidential patient financial records. Documents patient contacts and outcomes in the appropriate database in a thorough and timely manner. Follows HIPAA regulations and ensures that the confidentiality of patients' medical, personal, financial records, employee records and organizational records is maintained. Establishes and maintains excellent working relationships with representative from insurance companies, government entities, Social Services, Utilization Management and Patient Financial Services. 5. Performs Financial Clearance Verifies eligibility and benefits for each patient. Obtains prior authorization/pre-certification as required by payer. Creates patient financial estimate as required. Presents and completes patient waivers as required. Documents all financial clearance notes, authorization numbers, and patient correspondence. Scans into the EHR system all necessary financial clearance documents Works with Trac tool as required. 6. Communicates effectively. Maintains close communication with billing offices and collaborates to resolve any billing and reimbursement issues. Facilitates resolution of patient billing issues. Shows patience and maturity when challenged by pressure and time restraints in resolving patient inquiries. Serves as a representative of the hospital, displaying courtesy, tact, consideration and discretion in all interactions with patients, coworkers and the general public in accordance with the Corporate Mission, Vision and Principles Statement. 7. Performs other duties as assigned.