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Required Skills

• CLINICAL JUDGEMENT – Clinical reasoning, which includes decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines.
• Demonstrates the ability to assess the full scope of patient needs, using the nursing process on a continuous basis.
• Utilizes past nursing experience to anticipate problems while seeking out multi-disciplinary collaboration with comfort, when necessary.
• Recognizes patterns and trends that may predict the direction of illness.
• CARING PRACTICES:  Nursing activity that create a compassionate, supportive, and therapeutic environment for patients/families and staff.  Working on another’s behalf and representing the concerns of the patient/family and nursing staff; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting.
• Promotes safety throughout patient’s and family’s transitions along the healthcare continuum.
• Actively anticipates and monitors patient and family changes, responds appropriately.
• Effectively resolves patient complaints.
• Engages all patients in a personalized, compassionate manner.
• COLLABORATION/SYSTEMS THINKING – Working with others (e.g., patients, families, healthcare providers) in a way that promotes/encourages each person’s contribution toward achieving optimal/realistic patient/family goals.  Involves intra-and inter- disciplinary work with colleagues and community.  Body of knowledge and tools that allow the nurse to manage whatever Environmental and system resources exist for the patient/family and staff, within or across healthcare and non-healthcare systems.
• Consults and coordinates with team members to assess, plan, implement and evaluate patient care plans.
• Actively utilizes evidence-based practice and customer service data to improve caring practices.
• Effectively plans and communicates patient care plans.
• Facilitates active involvement of others in team meetings regarding patient care and/or practice issues.
• Seeks out opportunities to be taught, coached, and mentored.
• Recruits diverse resources when appropriate to optimize patient outcomes.
• Serves as a resource to department and patient/family.
• RESPONSE TO DIVERSITY – The sensitivity to recognize, appreciate and incorporate differences into the provision of care.  Differences may include, but are not limited to, cultural differences, personalities, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values.
• Integrates cultural differences into patient/family care; incorporates appropriate alternative therapies.
• Tailors healthcare culture to meet the diverse needs and strengths of each patient/family. 
• FACILITATION OF LEARNING – The ability to facilitate learning for patients/families, nursing staff, other members of the healthcare team, and community.  Include both formal and informal facilitation of learning.
• Develops and modifies patient/family education programs throughout delivery of care, collaborating and incorporating all healthcare providers’ and educational plans.
• Provides individualized care.
• Evaluates patient’s understanding by observing behavior changes throughout plan of care.
• Sets patient-driven goals for education.
• Work toward achieving Bachelor of Science in Nursing degree.
• CLINICAL INQUIRY (INNOVATOR/EVALUATOR) – The ongoing process of questioning and evaluating practice and providing informed practice.  Creating practice changes through research utilization and experimental learning.
• Adapts standards of care to serve particular patient populations.
• Seeks out advice to improve patient care.
• Evaluates current practices based on patient responses, analysis of literature, research, and education.
• Incorporates evidence based practice into care delivery.
• Actively pursues continuing educational opportunities.
• Performs other duties as assigned.

Required Skills

1. Performs duties in capacity of “scrub” technologist as prescribed by hospital policies and procedures.

• Sets room for a routine, uncomplicated procedure with supplies and equipment in 5-15 minutes.
• Sets room for complicated or multi-procedure case requiring many special supplies in 30 minutes.
• Assists circulator in checking equipment.
• Assists circulator in obtaining supplies prior to bringing patient to room.
• Has basic knowledge of instrumentation and its appropriate use.
• Checks instrumentation regarding cleanliness, function, correct number of pieces, and completeness of tray.
• Allows adequate time for preparation of supplies and counting (i.e., routine case 15 minutes, complicated case 30-40 minutes).
• Has basic knowledge of surgical procedures.
• Organizes and maintains a neat, clean mayo, instrument, and back tables.
• Attempts reasonable anticipation of sequence of instrumentation.
• Properly identifies medication.
• Handles floor stock medications or medications delivered from pharmacy directly or through the pneumatic tube station. Relocate these medications, in original containers, to designated secure storage locations or delivers directly to appropriate licensed staff.
• Keeps track of sponges, needles, and instruments during procedure at all times.
• Relays accurate identification of specimens and cultures.
• Organizes and assists in end-of-case clean up.
• Separates sharp and delicate instruments during clean up.
• Assists in pulling cases.

1. Assists in maintenance of safe environment for patients and staff.

• Has knowledge and applies principles of good aseptic practice (i.e., appropriate scrub length, OR attire, proper gowning, gloving, and draping methods).
• Checks sterile supplies for proper packaging and dating.
• Actively assists in recognizing and reporting breaks in sterile technique.
• Requests assistance of Sterile Processing personnel in preparation of instruments for immediate reuse.
• Follows protocol for universal blood- and body-fluid precautions at all times.
• Prevents loss of instruments by thorough search of drapes before they are discarded.

1. Assists in the orderly function of the OR.

• Demonstrates flexibility in a team effort (i.e., takes required supplies from circulator when offered).
• Checks room for and puts away excess supplies and equipment.
• Takes initiative and seeks appropriate opportunities to update and maintain surgical skills (i.e., requests certain cases and attends inservices).
• Assists in checking to-follow cases for completeness and accuracy.
• Assists in orientation of new personnel.
• Actively participates in checking and maintaining assignment by participating as a permanent team member.
• Participates in updating surgeon’s preference list.
• Reports to assigned room on time.
• Understands and follows disaster plan.
• Follows hospital/unit policies, procedures, and behavioral expectations.
• Uses designated lines of communication and authority.
• Willingly assists co-workers to facilitate patient care.
• Attends 65 percent or a minimum of 6 unit staff meetings per year, whichever number is greater. Seeks excused absences by OR director or specialty supervisor when needed.  Reviews and signs minutes.
• Attends or participates in JCAHO and other mandatory inservices.

1. Initiates appropriate intraoperative behaviors unique to first assistant, if trained to do so.

• Provides hemostasis to reduce potential for post-operative infection and potential for fluid volume deficit by clamping and/or ligating vessels, using electrosurgical cautery, applying direct pressure, applying chemical agents that promote coagulation, and other means as directed by surgeon.
• Provides exposure of the operative site through the appropriate use of retractors and other instruments and through suctioning and sponging.
• Uses surgical instrumentation skillfully in ways consistent with their design and purpose as directed by the surgeon.
• Handles all variety of tissue appropriately to reduce potential for injury or compromised blood supply.
• Sutures skillfully all varieties of tissue with the appropriate suture materials and suturing techniques.

1. Performs other duties as assigned.

Required Skills

Greets patients/family members and offers assistance.

Completes all steps of pre-registration/registration including patient interview, collects insurance information, obtains photo identification and signatures for consent and distributes required patient information.

Coordinates accurate patient data collection to verify insurance eligibility and determines financial obligation, which may include collection of copayments.

Ensures compliance with all applicable HIPAA, Joint Commission, CDC, TMH and state and federal statues, providing required associated literature to patients at all PAS access points.

Responds to all emergency procedures.

Pushes/Assists patients in wheelchairs to the location of the service they need.

Communicates with co-workers and Manager on follow-up or concerns.

Demonstrates an ability to be flexible, organized and function well in a stressful situation.

Prioritizes the order of assisting patients based on the most critical patients first.

Assists with training of new personnel.

Maintains a professional demeanor at all times and demonstrates respect towards all patients, customers, peers and leadership.

Demonstrates an ability to be flexible, willing to work alternative shifts and cover call-ins as needed. May be required to work night or weekend shifts.

Demonstrates superior patient relations and interpersonal skills; demonstrates and appropriate level of mental and emotional tolerance and even temperament when dealing with staff, patients and general public, using tact, sensitivity and sound judgment; promotes a positive work environment and contributes to the overall team efforts of the department and organization.

Communicates the mission, vision and goals of the organization and department.

Demonstrates understanding of department policies and procedures.

Arranges self-directed learning and participates in continuing education on an annual basis.

Performs other job related duties and special projects as assigned by the Manager.

Required Skills

1. Assesses patient’s health status through interview, observation and physical assessment skills.

1. Develops an individualized plan of care with specific goals and target date in collaboration with the patient, family, provider and other members of the health care as appropriate.

1. Implements appropriate interventions identified in the plan of care to move the patient toward established goals or outcomes.

1. Systematically evaluates and documents patient’s progress to expected outcomes / goals on an ongoing basis throughout the shift and modifies plan of care based on patient’s responses to expected outcomes.

1. Completes documentation in the patient medical record accurately and in a timely manner

1. Demonstrated technical knowledge and skill to safely utilize patient care equipment.

1. Prioritizes work based on changes in the patient condition, changes in assignments and unanticipated interruptions.

1. Collaborates with the health care team to organize tasks and activities from the patient’s admission through discharge. Delegates tasks and activities to other members in the health care team using appropriate

1. Performs all nursing care activities using techniques to promote safety, reduce risks, and follows policies and procedures.

1. Acts as an advocate for the patient with families, physicians and other healthcare team members.

1. Adapts teaching strategies passed on the patient’s response, readiness to learn and level of comprehension.

1. Implements cultural, age-specific gender and developmental factors into patient/family education about health concerns, disease specific conditions, self-care and long-term management of chronic conditions.

1. Promptly follow up on patient’s/ family requests/concerns

1. Provides care to all age groups as defined by nursing standards on each unit. Uses age appropriate communication techniques. 

1. Perform tactics to support great patient experience and lead others to support initiatives in patient experience.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

• Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction. Communicates patients’ needs through the tasking mechanism of the electronic health record. Accountable for achieving quality and patient satisfaction standards, including anticipating patient needs, grievances, and service recovery. 
• Schedules, reschedules and coordinates patient appointments. Reviews new patient requests.  Appropriately triages patients in urgent/emergency situations over phone or in person.  Monitors patient flow through reception and works with team to minimize and notify patients of waits and delays.  Schedules interpreters if needed.
• Responsible for accurate registration of patient demographics and insurance. Utilizes a variety of external websites to confirm patient’s eligibility.  Determines appropriate copay, registration conversation, and insurance to bill based on appointment type.  Collects patient financial responsibility at the time of registration, including current and past due balances   Determine and provide age appropriate documentation to be completed by each patient.  Obtains and validates proper consent for patient treatment.   
• Assists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits. Reviews and corrects demographics/insurance errors.  Assists in the clinic’s overall financial performance by monitoring accounts for bad debt balances, pre-payment requirements, and patient portions at the time of service, and other old balances. 
• Responsible for several tasks related to the paper flow through office. This may include, but is not limited to; working with incoming mail and faxed correspondence.  Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits, if requested. 
• Performs opening and close of day activities. This may include running various reports, cash management, and completing required work lists.
• Complies with all reimbursement rules and regulations, including Corporate Compliance and HIPAA. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards. 
• Manages task lists within the electronic health record.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Perform cleaning and disinfecting of all assigned areas of the facility; including Transitional Care, Acute Care, Emergency Department, Surgery, Ancillary Departments and office areas.

1. Maintain the ability to follow a daily detailed schedule of tasks/areas within assignment.

1. Understand importance of complete cleaning and disinfecting of high touch areas in patient rooms to achieve high-level disinfection.

1. Utilize proper infection control practices in accordance with hospital and departmental policy.

1. Monitor the condition of the equipment and supplies to ensure safe and efficient operations of the department.

1. Initiate hospital procedure regarding employee/patient incident reports.

1. Participate in continuing education; meet requirements for all mandatory inservices.

1. Promotes health and safety in the work environment.

1. Actively participates in competency assessment process.

1. Perform other duties as assigned.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

In addition to the Essential Functions and Qualifications listed above, to perform the job successfully an individual must also possess the following General Skill Requirements.

• Adaptability – Adapts to changes in the work environment; Manages competing demands; Accepts criticism and feedback; Changes approach or method to best fit the situation; ability to work with frustrating situations; work under pressure and on an irregular schedule such as unscheduled overtime, unanticipated changes in work pace; Works with numerous distractions.
• Attendance and Punctuality – Schedules time off in advance; Begins working on time; Keeps absences within guidelines; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Communications – Expresses ideas and thoughts verbally; Expresses ideas and thoughts in written form; Exhibits good listening and comprehension; Keeps others adequately informed; Selects and uses appropriate communication methods.
• Cooperation – Establishes and maintains effective relations; Exhibits tact and consideration; Displays positive outlook and pleasant manner; Offers assistance and support to co-workers; Works cooperatively in group situations; Works actively to resolve conflicts.
• Job Knowledge – Competent in required job skills and knowledge; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Requires minimal supervision; Displays understanding of how job relates to others; Uses resources effectively.
• Judgment – displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions; ability to work with and maintain confidential information.
• Problem solving – Identifies problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Resolves problems in early stages; Works well in group problem solving situations.
• Quality – Demonstrates accuracy and thoroughness; Displays commitment to excellence and DMH CARES values. Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly; Achieves established goals.
• Concentration – Maintains attention to detail over extended period of time; continually aware of variations in changing situations.
• Supervision – ability to perform work independently or with minimal supervision; ability to assign and/or review work; train and/or evaluate other employees.

Required Skills

1. Generates, screens and interviews candidates. Reviews resumes, creates job offers and negotiates and employs all related employment details.

1. Partners with leadership to create a performance profiles and develop related sourcing and recruitment strategies. Develops interview formats that support recruiting strategies.

1. Develops and maintains strong relationships with applicants and leadership. Serves as a talent advisor by sharing trends, making recommendations, and ensuring timely communications.

1. Conducts performance based interviews and evaluates candidate employment suitability. Makes evidence-based recommendations to leaders regarding hires.

1. Serves as a MHS brand ambassador to candidates and uses a sales-focused approach to establish relationships with candidate pools, ensuring timely communication.

1. Inputs and/or maintains information into the applicant tracking system. Uses system data to prioritize work and shape recruitment strategies. Provides training & assistance to system users.

1. Participates in identifying proactive sourcing methods for positions, tracks and evaluates source effectiveness, and adjusts strategies as needed. Maintains confidential information safe and secure.

1. Assists in creating recruitment materials and identifying marketing opportunities to reach candidates.

1. Maintains and relays knowledge of recruitment, particularly information essential to candidates.

1. Develops strong networks by cultivating relationships inside and outside the organization; fosters collaboration to enable effective completion of business objectives.

1. Maintains development through continuing education, seminars, workshops and professional affiliations.

1. Serves as resource person on committees, task forces, meetings and activities to assist the hospital and system achieve strategic objectives.

1. Performs other related work as required or requested.

Required Skills

• Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction. Communicates patients’ needs through the tasking mechanism of the electronic health record. Accountable for achieving quality and patient satisfaction standards, including anticipating patient needs, grievances, and service recovery.

• Schedules, reschedules and coordinates patient appointments. Reviews new patient requests.  Appropriately triages patients in urgent/emergency situations over phone or in person.  Monitors patient flow through reception and works with team to minimize and notify patients of waits and delays.  Schedules interpreters if needed.

• Responsible for accurate registration of patient demographics and insurance. Utilizes a variety of external websites to confirm patient’s eligibility.  Determines appropriate copay, registration conversation, and insurance to bill based on appointment type.  Collects patient financial responsibility at the time of registration, including current and past due balances   Determine and provide age appropriate documentation to be completed by each patient.  Obtains and validates proper consent for patient treatment.   

• Assists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits.  Reviews and corrects demographics/insurance errors.  Assists in the clinic’s overall financial performance by monitoring accounts for bad debt balances, pre-payment requirements, and patient portions at the time of service, and other old balances.

• Responsible for several tasks related to the paper flow through office. This may include, but is not limited to; working with incoming mail and faxed correspondence.  Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits, if requested.

• Performs opening and close of day activities. This may include running various reports, cash management, and completing required work lists.

• Complies with all reimbursement rules and regulations, including Corporate Compliance and HIPAA. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards.

• Manages task lists within the electronic health record.

• Demonstrates support for and participates in accomplishing team goals and objectives.

• Performs other related work as required or requested.

Required Skills

• Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction. Communicates patients’ needs through the tasking mechanism of the electronic health record. Accountable for achieving quality and patient satisfaction standards, including anticipating patient needs, grievances, and service recovery.

• Schedules, reschedules and coordinates patient appointments. Reviews new patient requests.  Appropriately triages patients in urgent/emergency situations over phone or in person.  Monitors patient flow through reception and works with team to minimize and notify patients of waits and delays.  Schedules interpreters if needed.

• Responsible for accurate registration of patient demographics and insurance. Utilizes a variety of external websites to confirm patient’s eligibility.  Determines appropriate copay, registration conversation, and insurance to bill based on appointment type.  Collects patient financial responsibility at the time of registration, including current and past due balances   Determine and provide age appropriate documentation to be completed by each patient.  Obtains and validates proper consent for patient treatment.   

• Assists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits.  Reviews and corrects demographics/insurance errors.  Assists in the clinic’s overall financial performance by monitoring accounts for bad debt balances, pre-payment requirements, and patient portions at the time of service, and other old balances.

• Responsible for several tasks related to the paper flow through office. This may include, but is not limited to; working with incoming mail and faxed correspondence.  Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits, if requested.

• Performs opening and close of day activities. This may include running various reports, cash management, and completing required work lists.

• Complies with all reimbursement rules and regulations, including Corporate Compliance and HIPAA. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards.

• Manages task lists within the electronic health record.

• Demonstrates support for and participates in accomplishing team goals and objectives.

• Performs other related work as required or requested.