Summary GENERAL SUMMARY: The Mammographer performs mammography procedures under the supervision of a qualified physician. Uses x-ray technology and techniques to assist in the screening and diagnosis of patient medical problems for patients throughout the age continuum. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs all types of mammography studies to include screening, diagnostic and interventional procedures; practices radiation safety for patients, staff and self. 3. *Uses sterile technique as required. 4. *Optimally demonstrates patient anatomy through proper positioning and selection of technical factors. 5. *Competently operates all mammography equipment and support systems to include HIS, RIS, Scheduling System, PACS, performs and evaluates images for technical quality. 6. *Adheres to all state and federal regulatory requirements and accreditation (American College of Radiology) requirements; provides proper documentation for regulatory and accreditation requirements. 7. *Utilizes department computer systems and PACS to review patient history and provide accurate documentation of studies. 8. *Properly cares for and images patients of all ages; maintains patient confidentiality. 9. *Coordinates exams within the department and with other departments to provide expedient and complete care; communicates with medical staff, coworkers, patients, families, and other hospital staff to assure quality patient care. 10. *Handles telephone calls for scheduling, coordination, or questions with courtesy and accuracy. 11. *Participates in the departments quality improvement plan as required. 12. *Cleans, disinfects and maintains equipment as necessary; notifies supervisor of equipment problems and calls appropriate service vendors as needed. 13. *Keeps area properly supplied. 14. *Accesses and administers drugs and biologicals that are pertinent to essential job functions in accordance with Medical Center procedures. EDUCATION AND EXPERIENCE: Graduate of a school of radiologic technology with current certification by the American Registry of Radiologic Technologists (ARRT) required. ARRT certification in mammography required within six months of eligibility. Valid state medical radiographer license required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Read Less

Summary GENERAL SUMMARY: Functions as a member of the multidisciplinary team providing a safe environment for all age groups of surgical patients. Assists the perioperative nurse with patient care, prepares and maintains supplies in the operating room (OR), ensures that procedure preparations are based on individual patients and anticipates the needs of the surgeon. Provides guidance to Surgical Technologist I and Surgical Technologist Pathways employees, as needed. Qualified to work on all cases, as assigned by the department leadership. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Functions in the scrub role by preparing, organizing, and anticipating needed instruments, supplies, and equipment for safe patient care and operative procedure. 3. *Will not first assist with any procedure; will not do any incision closures. 4. *May apply skin staples when skin edges have been approximated by credentialed provider. 5. *May apply skin sealant and steri-strips as part of the dressing after skin has been closed. 6. *Defines and practices aseptic technique and infection control principles as they apply to the OR. 7. *Safely and efficiently passes surgical instruments and supplies in the operating room (OR) and labor and delivery room (LDR). 8. *Properly identifies, preserves and manages tissue and fluid specimens and cultures. 9. *Manages supplies, instruments and equipment appropriately according to Medical Center procedure. 10. *Assists the nurse in perioperative care of the patient including transporting and positioning 11. *Counts/preps surgical instruments and supplies. 12. *Delivers medications (drugs or biologicals) received in the surgical suite to the appropriate operating room via case cart or medication cart. 13. *Handles and prepares medication for use on the sterile field in the operating room under the direct supervision of a Registered Nurse and physician. 14. Participates in continuous quality improvement measures to achieve positive patient outcomes. 15. Provides patient care in accordance with patients rights. 16. Participates and practices safety through active prevention and precautions. 17. Ensures personal/visitor safety through measures of prevention and universal precautions. 18. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 19. Participates in meetings, committees and department projects as assigned. 20. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of asepsis and sterile technique. 2. Knowledge of standard and transmission-based precautions. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in holding retractors and cutting sutures. 5. Ability to practice proper body mechanics to ensure personal and patient safety. 6. Ability to maintain a sterile surgical field. 7. Ability to perform accurate sponge, sharp and instrument counts. 8. Ability to communicate effectively both verbally and in writing. 9. Ability to operate and maintain relevant surgical equipment. 10. Ability to consistently adhere to organizational and departmental safety and infection control procedures. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to effectively perform work under stressful and in emergent situations. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a Surgical Technology program or Surgical Technologist certification required. Prior experience working as a Surgical Technologist desired. OTHER CREDENTIALS / CERTIFICATIONS: Certification in Basic Life Support (CPR) required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects. Read Less

Summary GENERAL SUMMARY: Performs interventional radiology and invasive cardiology procedures under the supervision of a qualified physician. Uses radiologic technology and techniques to assist in the diagnosis of patient medical problems for patients throughout the age continuum. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Assists Interventional Radiologist or Cardiologist in all types of procedures performed with angiography, fluoroscopy and ultrasound. 3. *Practices radiation and laser safety for patients, staff and self. 4. *Uses sterile technique as required. 5. *Optimally demonstrates patient anatomy through proper positioning and selection of technical factors. Records, analyzes and documents clinical patient information; recognizes and communicates arrhythmias; monitors arterial and/or venous pressure lines. 6. *Functions in the first scrub role by preparing, organizing and anticipating needed instruments, supplies and equipment for safe patient care for interventional radiology and invasive cardiology procedures. 7. Competently operates all radiology equipment and support systems to include EMR, Scheduling System and PACS. 8. *Utilizes hospital and department computer systems, files and PACS to review patient history and to provide accurate documentation of studies to include patient clinical information. 9. *Properly cares for and images patients of all ages; maintains patient confidentiality. 10. *Coordinates exams within the department and with other departments to provide expedient and complete care; communicates with medical staff, coworkers, patients, families and other hospital staff to ensure quality patient care; shares pertinent information regarding patient conditions with physicians, nurses and other professional staff as needed for patient care. 11. *Handles telephone calls for scheduling, coordination or questions with courtesy and accuracy. 12. Provides information to patients and families to reduce anxiety and convey an attitude of acceptance, sensitivity and caring. 13. *Participates in the departments quality improvement plan as required. Initiates problem solving and conflict resolution skills to foster effective work relationships with peers. 14. *Cleans, disinfects and maintains equipment as necessary; notifies supervisor of equipment problems and calls appropriate service vendors as needed. 15. *Keeps work area properly supplied. 16. Assists with departmental orientation and student clinical education as directed. 17. *Accesses and administers drugs and biologicals that are pertinent to essential job functions in accordance with Medical Center procedures. 18. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 19. Participates in meetings, committees and department projects as assigned. 20. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patients growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Knowledge of radiologic positioning, use of technical factors, and radiation safety practices 4. Knowledge of federal and state regulations related to radiography. 5. Knowledge of anatomy and pathophysiology related to interventional radiology and invasive cardiology procedures. 6. Knowledge of techniques and supplies required for interventional procedures. 7. Skill in operating radiologic equipment, image capture devices, PACS, and other related systems. 8. Ability to react appropriately and perform work effectively under stressful and emergent situations. 9. Ability to work in a fast-paced environment related to changing patient conditions. 10. Ability to communicate effectively both verbally and in writing. 11. Ability to perform crucial conversations with desired outcomes. 12. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 13. Ability to problem solve and engage independent critical thinking skills. 14. Ability to maintain confidentiality relevant to sensitive information. 15. Ability to prioritize work demands and work with minimal supervision. 16. Ability to practice proper body mechanics to ensure personal and patient safety. 17. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduate from a school of radiologic technology with current certification or eligibility for certification by the American Registry of Radiologic Technologists (ARRT) required. Valid Nebraska state medical radiographer license required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Read Less

Summary GENERAL SUMMARY: The Department of Pharmacy has the responsibility for the implementation and coordination of drug control in the process of providing pharmaceutical care for patients of all ages within the Medical Center. The Clinical Pharmacist has the direct responsibility for the provision of quality and timely care to the patients of the Medical Center. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Utilizes and maintains patient profiles; monitors drug therapy for efficacy, drug interactions, adverse drug reactions, contraindications, allergies, sensitivities, and cost; practices in a proactive, self-directed manner. 3. *Ensures that medications and combinations of medications dispensed constitute rational drug therapy; if questions arise regarding the rational nature of drug therapy, the Staff Pharmacist shall contact the appropriate health professional(s) in the course of patient care. 4. Participates in Pharmacy Department and Medical Center programs which evaluate the use of pharmaceuticals in the course of patient care. 5. *Encourages prescribers and other health professionals to use the Medical Center formulary; maintains control of the formulary system by contacting prescribers and other health professionals when a non-formulary drug is ordered and suggests appropriate formulary alternatives. 6. *Performs pharmacokinetic dosage calculations and evaluations as determined by the therapeutic needs of the patient. 7. Assists in the orientation, training, and assessment of Department personnel. 8. *Is accountable for the timely, safe and accurate distribution of medications, including the frequent use of professional judgment with regard to medication acquisition, storage, packaging, distribution and use. 9. *Is accountable for the transcription and evaluation of physician medication orders, preparation of patient specific unit dose medications, preparation of sterile admixture solutions, extemporaneous compounding, controlled substance distribution and outpatient medication preparation/dispensing. 10. *Clinically supervises pharmacy technicians throughout their shift to ensure the completion of assigned tasks; responsible for the tasks completed by the pharmacy technician. 11. *Adheres to safety and security procedures to promote a safe and secure environment. 12. *Compounds and dispenses medication orders accurately using proper labeling and documentation according to Pharmacy policies and procedures, State law and Federal law. 13. *Provides accurate drug information regarding drug therapy indications, dosage, administration, adverse effects, interactions, IV compatibility and formulary recommendations to physicians, nurses, patients, and other health professionals. 14. Participates, as requested, in Department and Medical Center programs which evaluate the use of pharmaceuticals in the course of patient care. 15. *Prioritizes workload and clinical interventions and assists Department and Medical Center staff as needed to ensure that optimal patient care is provided. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patients growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of hospital pharmacy drug distribution systems including unit dose, sterile products preparation and floor stock distribution methods. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in the assessment of the safety, efficacy, and appropriateness of pharmaceuticals prescribed for patients. 5. Skill in mathematical computations required for the preparation, distribution and monitoring of pharmaceuticals 6. Ability to communicate effectively both verbally and in writing. 7. Ability to perform crucial conversations with desired outcomes. 8. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 9. Ability to problem solve and engage independent critical thinking skills. 10. Ability to maintain confidentiality relevant to sensitive information. 11. Ability to prioritize work demands and work with minimal supervision. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduate of a college of pharmacy required. Pharmacist licensure in the State of Nebraska required. Minimum of two (2) years experience in institutional pharmacy environment preferred. Advanced education or training preferred Read Less

Summary GENERAL SUMMARY: Responsible for meeting patients priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patients presenting problems/needs in accordance with Bryan Healths procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patients plan of care based on the diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patients response to and effectiveness of interventions. 8. *Evaluates patients progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Facilitates patients transition to the next level of care. 11. *Includes family or significant others in the care of the patient as appropriate. 12. *Documents patient care and related information according to Bryan Health procedures for documentation. 13. *Provides care in conjunction with other members of the interdisciplinary team. 14. *Facilitates patients transition to the next level of care. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to age-specific competencies relative to patients growth and developmental needs and annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both orally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPNs and unlicensed professionals. 6. Ability to supervise, provide instruction and evaluate the work of subordinate patient care staff. 7. Ability to maintain confidentiality of patient information. 8. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 9. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 10. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 11. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Read Less

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patients priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patients presenting problems/needs in accordance with Bryan Medical Centers procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patients plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patients response to and effectiveness of interventions. *Evaluates patients progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patients transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Read Less

Summary GENERAL SUMMARY: The Bariatric Office LPN assists physician with examinations and procedures to serve the medical needs of bariatric patients in a professional, confidential and caring manner. Coordinates the flow of patients, phone calls, lab work and supplies to facilitate quality patient care and patient satisfaction. Facilitates access to medical center services through use of a computer based scheduling system or telephonic communications to meet customer needs. Obtains medical necessity/diagnosis, patient demographic and financial information and documents pre-certification, authorization and referral information appropriately. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Greets patient, collects subjective and objective data and contributes to the assessment and re-assessment of the patient; documents appropriately in the patient chart; assists the physician with all examinations and procedures. 3. *Retrieves messages and responds to calls from patients, pharmacies, hospitals and other medical offices via telephone and computer in a timely manner and as directed by the physician. 4. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the physician and undue waiting for patients. 5. *Keeps exam rooms clean, disinfected and stocked with necessary supplies; maintains a neat, organized and safe environment for the patients and staff. 6. *Schedules inpatient/outpatient diagnostic and therapeutic tests/procedures; secures required patient demographic information including applicable physicians, medical necessity/diagnosis and pertinent clinical information as related to the procedure being scheduled; documents pre-certification/authorization/referral information when applicable. 7. *Explains tests/procedures and preparation as needed for adequate patient education. 8. *Reviews outpatient orders from the physician and/or physician staff; uses clinical judgment to review and follow-up, on appropriateness, and completeness, of physician orders as they relate to test or procedure ordered. 9. *Responsible for compliance with OSHA and safety plans of the practice. EDUCATION AND EXPERIENCE: Graduation from a professional nursing program required. Current license to practice as a Licensed Practical Nurse (LPN) in the State of Nebraska required. Prior medical office experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Current Basic Life Support (CPR) certification required. Read Less

Summary GENERAL SUMMARY: The Speech Language Pathologist is responsible for identifying patient care needs and priorities for care through evaluation, assessment, planning, providing treatment and/or delegating care for patients with speech, language, cognitive swallowing, or voice disorders. This process focuses on patient/family needs and assessing the patients response to care and progress toward outcomes. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs and documents an initial patient evaluation and assesses the data to identify problems. 3. *Establishes, documents, and provides a plan of care with SMART (specific, measurable, attainable, realistic, timely) goals based on evaluation of the examination data and patient needs. 4. *Provides or delegates and supervises speech language pathology patient interventions in a safe, predictable manner consistent with the established evaluation and the plan of care. 5. *Provides and documents patient/family education regarding current condition and plan of care, including home program/discharge instructions. 6. *Performs and documents patient re-examination, re-evaluates the data, modifies and documents the plan of care. 7. *Communicates relevant patient care information to other health care professionals. 8. Participates in personal and professional development by attending and/or presenting inservices (required, voluntary), department staff meetings, seminars, community education programs, and seeking ongoing developmental and educational opportunities. 9. *Maintains clinical competencies per department guidelines. 10. Uses quality improvement processes, programs or outcomes to help improve department operations. 11. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of the theory and practice of speech language therapy. 2. Knowledge of statistics and research design sufficient to understand and interpret the professional literature. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to apply team concepts and take initiative while working cooperatively with coworkers. 5. Ability to clinically supervise, appropriately delegate responsibility and maintain required State and Centers for Medicare and Medicaid Services (CMS) required supervision criteria for PT/OT Technicians, support staff and students in the provision of speech language therapy activities. 6. Ability to communicate effectively both verbally and in writing. 7. Ability to work in a fast-paced environment related to changing patient needs and patient volumes including working with patients with acute, subacute, chronic and complex disease processes and those who are dying. 8. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments. 9. Ability to proficiently and effectively evaluate, assess and treat a variety of patient population groups including pediatric, adolescent, adult and geriatric age groups. 10. Ability to treat and work with patients of diverse cultural and socioeconomic backgrounds. 11. Ability to prioritize work demands and work with minimal supervision. 12. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 13. Ability to react appropriately and perform work under stressful and in emergency situations. 14. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a Council of Academic Accreditation for Audiology and Speech Pathology Masters degree level program of Speech Language Pathology required. Current licensure or eligibility for licensure in Nebraska required. Current Certificate of Clinical Competence (CCC) from American Speech and Hearing Association (ASHA) or plan for clinical fellowship completion required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as light work requiring exertion up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Read Less

Summary GENERAL SUMMARY: The Staff Registered Nurse (RN) is responsible for meeting patients priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patients presenting problems/needs in accordance with Bryan Medical Centers procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patients plan of care based on the diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patients response to and effectiveness of interventions. 8. *Evaluates patients progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family or significant others in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Facilitates patients transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team members practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Performs other related duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to age-specific competencies relative to patients growth and developmental needs and annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Ability to communicate effectively both orally and in writing. 4. Ability to supervise, provide instruction and evaluate the work of subordinate patient care staff. 5. Ability to maintain confidentiality of patient information. 6. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 7. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 8. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. NOTE: See Staff RN Addendum A for any additional credentials and certifications required for practice area. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or up to 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) Read Less

Summary GENERAL SUMMARY: The Department of Pharmacy has the responsibility for the implementation and coordination of drug control in the process of providing pharmaceutical care for patients of all ages within the Medical Center. The Clinical Pharmacist has the direct responsibility for the provision of quality and timely care to the patients of the Medical Center. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Utilizes and maintains patient profiles; monitors drug therapy for efficacy, drug interactions, adverse drug reactions, contraindications, allergies, sensitivities, and cost; practices in a proactive, self-directed manner. 3. *Ensures that medications and combinations of medications dispensed constitute rational drug therapy; if questions arise regarding the rational nature of drug therapy, the Staff Pharmacist shall contact the appropriate health professional(s) in the course of patient care. 4. Participates in Pharmacy Department and Medical Center programs which evaluate the use of pharmaceuticals in the course of patient care. 5. *Encourages prescribers and other health professionals to use the Medical Center formulary; maintains control of the formulary system by contacting prescribers and other health professionals when a non-formulary drug is ordered and suggests appropriate formulary alternatives. 6. *Performs pharmacokinetic dosage calculations and evaluations as determined by the therapeutic needs of the patient. 7. Assists in the orientation, training, and assessment of Department personnel. 8. *Is accountable for the timely, safe and accurate distribution of medications, including the frequent use of professional judgment with regard to medication acquisition, storage, packaging, distribution and use. 9. *Is accountable for the transcription and evaluation of physician medication orders, preparation of patient specific unit dose medications, preparation of sterile admixture solutions, extemporaneous compounding, controlled substance distribution and outpatient medication preparation/dispensing. 10. *Clinically supervises pharmacy technicians throughout their shift to ensure the completion of assigned tasks; responsible for the tasks completed by the pharmacy technician. 11. *Adheres to safety and security procedures to promote a safe and secure environment. 12. *Compounds and dispenses medication orders accurately using proper labeling and documentation according to Pharmacy policies and procedures, State law and Federal law. 13. *Provides accurate drug information regarding drug therapy indications, dosage, administration, adverse effects, interactions, IV compatibility and formulary recommendations to physicians, nurses, patients, and other health professionals. 14. Participates, as requested, in Department and Medical Center programs which evaluate the use of pharmaceuticals in the course of patient care. 15. *Prioritizes workload and clinical interventions and assists Department and Medical Center staff as needed to ensure that optimal patient care is provided. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patients growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of hospital pharmacy drug distribution systems including unit dose, sterile products preparation and floor stock distribution methods. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in the assessment of the safety, efficacy, and appropriateness of pharmaceuticals prescribed for patients. 5. Skill in mathematical computations required for the preparation, distribution and monitoring of pharmaceuticals 6. Ability to communicate effectively both verbally and in writing. 7. Ability to perform crucial conversations with desired outcomes. 8. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 9. Ability to problem solve and engage independent critical thinking skills. 10. Ability to maintain confidentiality relevant to sensitive information. 11. Ability to prioritize work demands and work with minimal supervision. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduate of a college of pharmacy required. Pharmacist licensure in the State of Nebraska required. Minimum of two (2) years experience in institutional pharmacy environment preferred. Advanced education or training preferred. Read Less

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patients priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patients presenting problems/needs in accordance with Bryan Medical Centers procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patients plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patients response to and effectiveness of interventions. *Evaluates patients progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patients transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Read Less

Summary GENERAL SUMMARY: Assists providers with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential and caring manner. Coordinates the flow of patients, phone calls, lab work and nurse visits to facilitate quality patient care and customer service goals. Provides professional care within the educational background of the Medical Assistant and in compliance with any applicable licensure/certification requirement and organization policy and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit and list of medications from patients and prepares patient for visit. 5. *Assists the medical provider with all examinations and procedures. 6. Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 7. Schedules follow-up procedure/appointments and specialty appointments. 8. Updates patient demographics and immunization forms as needed. 9. Administers immunizations and medications as directed by medical provider. 10. Performs patient call processing as needed. 11. Assists with front desk duties as needed. 12. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 13. Participates in meetings, committees and department projects as assigned. 14. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for Medical Assistant certification. 2. Knowledge of OSHA and HIPPA requirements. 3. Knowledge of healthcare processes and procedures in a medical office environment. 4. Knowledge of computer hardware equipment and software application relevant to work functions. 5. Knowledge of quality metrics. 6. Skill in organizing work to achieve clinic goals and meet patient/medical provider needs. 7. Ability to communicate effectively both orally and in writing with all patients, families, clients and staff. 8. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 9. Ability to work as a team member. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. Ability to integrate new work processes and adapt to change. 14. Ability to exercise courtesy, tact and professionalism. 15. Ability to work in a fast-paced environment relevant to changing patient needs. 16. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA) or Registered Medical Assistant (RMA) required. Graduation from a Medical Assistant (MA) program preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or up to 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects including the human body. Ability to assist 100+ pound patients to exam tables and push wheelchair bound patients. Exposure to blood, waste, body fluids, communicable diseases, and aerosolized antiviral medications. Read Less

Summary GENERAL SUMMARY: The Care Transitions RN conducts day-to-day activities for the clinical, psychosocial and utilization coordination of the patients hospital experience. Proactively consults with the interdisciplinary team which includes but is not limited to hospital patient care staff, physicians, patient support and family and community resources to assure a smooth transition for the patient through appropriate levels of care in order to facilitate quality outcomes. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Utilizes clinical skills to create and update personalized transitional care plans for patients. *Performs transition planning activities at onset and throughout the patients hospitalization. *Collaborates with the patients provider and other healthcare team members in managing the patients length of stay and determining the appropriate level of care for transition planning. *Assists in identifying need for supportive counseling or post discharge extended psychosocial therapy and consults with attending Physician for referral to appropriate provider. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. Basic Life Support (CPR) certification required. ACUTE REHABILITATION ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Responsible for the early identification of potential patients through interdisciplinary team members and medical record review. Provides education to patients, family and support members, internal and external referral sources on Rehab program benefits and services; coordinates tours of facility when requested . Performs utilization review activities, including preadmission screening, insurance verification for benefits, medical necessity reviews, denial and appeals and coordinates admissions with admitting physicians and staff. Serves as an internal and external resource regarding Medicare/Medicaid rules, regulations and policies; 3 rd party and managed care contracts, and authorization for post-acute services. EMERGENCY DEPARTMENT ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Collaborates with the ED physicians, admitting physicians, and Bed Management to assist in determining appropriate bed status/classification for all patients. Completes medical necessity reviews utilizing approved evidence based guidelines/criteria for patients being admitted to the hospital from all portals of entry, including but not limited to: ED admissions, direct admissions, hospital to hospital transfers, post procedure admissions, and surgical admissions. Completes high risk screening for discharge planning and coordinates with social work and healthcare partners for potential post-acute needs. Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3 rd party and managed care contracts; discharge planning; and length of stay. UTILIZATION MANAGEMENT ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Performs utilization review activities, including concurrent and retrospective reviews as required. Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3 rd party and managed care contracts; discharge planning; and length of stay. Read Less

Summary GENERAL SUMMARY: Responsible for the initiation of respiratory therapy and diagnostic procedures, especially in difficult and/or unusual situations. Performs highly complex and non-traditional procedures and assists the physician with same. Responsible for providing care to infant, pediatric, adult and geriatric patients and for providing education to families and patients regarding respiratory care modalities PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on pulmonary conditions including moderate sedation. 3. *Provides basic and advanced ventilator management and assessment to include all modes and settings on all models, including VDR and HFOV. 4. *Develops plan for the delivery of respiratory care as directed by physician(s) or protocols per patient assessment. 5. *Advises physicians regarding therapy options as patient condition warrants. 6. *Monitors and administers respiratory care modalities to patients; identifies contra-indications and patient response to therapy; records therapy and outcomes in the patients medical record. 7. *Assists and supervises in emergency resuscitation to include intubations, RSI and airway management. 8. *Performs airway management to include trach care, endotracheal and trach tube changes and other trach procedures; performs protective tip tracheal aspirate. 9. *Supervises airway maintenance during intra-facility patient transport. 10. *Initiates hemodynamic monitoring to include insertion of arterial line catheters and associated ongoing maintenance of lines/sites. 11. Takes the charge pager to accept calls and pages incoming to the department. Acts as a clinical resource for others assigned to the shift. 12. *Performs as an active member of the Rapid Response Team. 13. Gathers equipment and supplies to assist physicians with fiberoptic pulmonary procedures, to include therapeutic bronchoscopy. 14. Assigns and ensures staffing and workload assignments meet the established requirements for maximum and minimum productivity levels. 15. Follows current infection control guidelines for equipment cleaning and patient care. 16. Performs and downloads ECGs. 17. *Performs respiratory care discharge planning. 18. Provides disease/process-specific patient/family education. 19. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 20. Participates in meetings, committees and department projects as assigned. 21. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patients growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of basic and advanced respiratory equipment. 3. Knowledge of arterial punctures and ABG analysis. 4. Knowledge of computer hardware equipment and software application relevant to work functions. 5. Skill in the respiratory care of neonate, infant, pediatric, adolescent, adult and geriatric patients. 6. Ability to exercise initiative and judgment in administering therapy and/or other techniques and skills. 7. Ability to monitor and interpret cardiac dysrhythmias. 8. Ability to establish and maintain arterial catheters and appropriate monitoring equipment. 9. Ability to establish and maintain monitoring equipment for hemodynamic monitoring. 10. Ability to oversee the work of co-workers and students, provide orientation and appropriate instruction in a positive manner. 11. Ability to provide airway management in emergent and non-emergent situations. 12. Ability to work in a fast-paced environment related to changing patient needs including working with patients with acute, chronic and complex disease processes and those who are dying. 13. Ability to establish and maintain effective professional working relationships with all levels of personnel, medical staff, volunteer and ancillary departments including diverse patient populations. 14. Ability to prioritize work demands and work with minimal supervision. 15. Ability to communicate effectively both verbally and in writing. 16. Ability to maintain confidentiality relevant to sensitive information. 17. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduate of an AMA program of Respiratory Care required. Must be licensed to practice respiratory care in the state of Nebraska. Registration by the National Board for Respiratory Care (NBRC) as a Registered Respiratory Therapist (RRT) required. Minimum of two (2) years experience as a Respiratory Therapist is preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Provider (NRP) and Pediatric Advanced Life Support (PALS) certifications required. Read Less

Summary GENERAL SUMMARY: Responsible for facilitating access to Medical Center services. Utilizes effective communication and documentation with physicians, physician staff, health care facilities, patients and patient representatives to collect and analyze pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delayed/cancelled procedures. Provides exemplary customer service and interacts in a professional, courteous manner with co-workers, physicians, patients and the public. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedure(s) scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history. 3. *Integrates physical, mental and cultural considerations in scheduling of patient procedure(s), coordinating services to ensure the Medical Center is patient ready upon customer arrival. 4. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedure(s); clearly communicates instructions to patient and/or patient representative. 5. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedure(s). 6. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment /critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedure(s) ordered. 7. *Receives and documents verbal physician orders. 8. Screens/determines appropriateness of level of care and admission status; notifies appropriate department(s) based on assessment of patient needs. 9. Enters order sets for procedures while coordinating with physician offices and performing departments. Reviews for accuracy to ensure all orders needed are entered and available. 10. Documents pre-certification/authorization/referral information when applicable. 11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due. 12. *Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedure(s) build. 13. *Responsible for preceptoring and /or resourcing of peers. 14. *Assesses employee competencies and level of performance; cross trains employees into specialized areas and documents training. 15. Collaborates with management to plan and communicate changes to the work group. 16. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Current Registered licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years nursing experience required. Experience with hospital/health operations and general background in all areas of nursing practice preferred. Read Less

Summary Responsible for facilitating access to Medical Center services. Utilizes effective communication and documentation with physicians, physician staff, health care facilities, patients and patient representatives to collect and analyze pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delayed/cancelled procedures. Provides exemplary customer service and interacts in a professional, courteous manner with co-workers, physicians, patients and the public. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedure(s) scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history. 3. *Integrates physical, mental and cultural considerations in scheduling of patient procedure(s), coordinating services to ensure the Medical Center is patient ready upon customer arrival. 4. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedure(s); clearly communicates instructions to patient and/or patient representative. 5. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedure(s). 6. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment /critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedure(s) ordered. 7. *Receives and documents verbal physician orders. 8. Screens/determines appropriateness of level of care and admission status; notifies appropriate department(s) based on assessment of patient needs. 9. Enters order sets for procedures while coordinating with physician offices and performing departments. Reviews for accuracy to ensure all orders needed are entered and available. 10. Documents pre-certification/authorization/referral information when applicable. 11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due. 12. *Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedure(s) build. 13. *Responsible for preceptoring and /or resourcing of peers. 14. *Assesses employee competencies and level of performance; cross trains employees into specialized areas and documents training. 15. Collaborates with management to plan and communicate changes to the work group. 16. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Current Registered licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years nursing experience required. Experience with hospital/health operations and general background in all areas of nursing practice preferred. Read Less

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patients hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patients hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patients and hospitals financial well-being. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. 4. *Collaborates with the patients provider and other healthcare team members in managing the patients length of stay and determining the continuing medical necessity of continued stays. 5. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3rd party and managed care contracts; discharge planning; and length of stay. 8. Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 12. Participates in meetings, committees and department projects as assigned. 13. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patients growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities, i.e., CMS, CARF, FIM (TM). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to perform crucial conversations with desired outcomes. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Read Less

Summary Provides direct patient care to pediatric through geriatric patient populations. Assesses, plans, implements and evaluates the care of patients undergoing endoscopic procedures. Communicates with physicians and/or anesthesia providers continuously and as needed about patient condition. Assists with procedures. Assists with maintaining equipment and inventory. Participates in performance improvement and CQI activities Coordinates and supervises patient care. Demonstrates ability to perform head-to-toe preprocedure assessment on all patients and reassesses intraprocedure and post procedure as needed. This includes pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ability to perform waived testing (point-of-care testing) per Clinical Laboratorys and the patient care units policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Electronic documentation meets current standards and policies. Demonstrates ability to formulate an individualized plan of care as indicated and evaluates for effectiveness. Demonstrates an ability to assist physicians in performing procedures in the Endoscopy Department. Demonstrates knowledge of medications and IV fluids and their correct administration based on age of the patient and patients clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan based on identified patient learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate, from pre-op to discharge. Provides patient with explanation and verbal reassurance consistently. Identifies physical symptoms and changes and takes appropriate action in a timely manner. Ensures Pre-op Checklist is complete (HP present, informed consent signed, test results present, surgical site identified, etc.) before the endoscopy procedure begins. Demonstrates knowledge in all areas of care specific to the Endoscopy Department Demonstrates knowledge of cardiac monitoring and can identify dysrhythmias. Makes decisions reflecting knowledge of facts, knowledge of diseases/conditions, care required and good judgment. Treats patients and their families with respect and dignity. Practices good guest relations. Identifies and addresses psychosocial needs of patient and family. Communicates appropriately with nurse manager, charge RN, coworkers and physicians. Consults other departments, as needed and as appropriate, to provide for an interdisciplinary approach to the patients needs. Demonstrates ability to be flexible, organized and function under stressful situations. Utilizes initiative, strives to maintain a steady level of productivity; self starter, compatible and supportive; a team player. Manages and operates equipment safely and correctly. Meets current documentation standards and policies and completes within the shift. Carries out medical and surgical asepsis during treatments and special procedures. Maintains an environment that provides the patient and family with feelings of safety and security. Assists with orienting new staff members to the department. Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollement in a BSN program preferred. Current Registered Nurse licensure in the State of Nebraska. Current BLS Certification. Current ACLS Certification. Two (2) years of experience in nursing preferred. At least one (1) year of experience in endoscopy preferred. Read Less

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patients presenting problems/needs in accordance with Bryan Medical Centers procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patients plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patients response to and effectiveness of interventions. 8. *Evaluates patients progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patients transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team members practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPNs and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Read Less

Summary The Staff Registered Nurse (RN) is responsible for meeting patients priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. *Initiates assessment and reassessment based on the patients presenting problems/needs in accordance with BryanLGH Medical Centers procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patients plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patients response to and effectiveness of interventions. *Evaluates patients progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to BryanLGH Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patients transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) is required. Read Less