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Required Skills

Principal Duties & Responsibilities: 

Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

• Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
• Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
• Assures that linens are dry, wrinkle free and that patient is comfortable.
• Provides handwashing opportunity before and after meals, toileting, etc.

Activity:

• Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.

Nutrition:

• Serves and collects food trays and nourishments. Records percentage of diet intake.
• Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
• Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.

Elimination:

• Provides bed pan/urinal. Performs perineal care.
• Performs bladder catheter care and discontinues bladder catheter as directed.
• Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
• Records output. Reports deviations from normal.

Other related needs:

• Assists with post-mortem care.
• Assists with admission, transfer and discharge of patients.
• Promptly responds to patient call light or requests (usually in less than ten minutes).

Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

• Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

• Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

• Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
•  
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
•  
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
•  
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.
•  

Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

• Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

Performs other related work as required or requested.

Required Skills

1. Responsible for providing and coordinating comprehensive care for post-operative patients of all age groups.

1. Must use sound judgment and advanced assessment skills to evaluate pain, N/V, body temperature and/or trouble breathing.

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

Revised:   6/19/2017

                  10/2018

                  08/2020

Required Skills

Professional Nursing Care

• Age appropriate assessment.
• Data analysis to identify nursing problems.
• Defines individualized patient outcomes.
• Develops an interdisciplinary, individualized plan of care in partnership with patients and families.
• Implements specified interventions to attain expected outcomes.
• Evaluates the patient’s progress toward attainment of outcomes, revising the plan when indicated.

Supervision and Delegation

• Delegates patient care tasks to LPNs and unlicensed assistive personnel based on job description, individual capability and patient needs.
• Communicates patient status and caregiver performance expectations.
• Appropriately supervises performance of LPNs and unlicensed assistive personnel.
• Directs performance improvement for LPNs and unlicensed assistive personnel.
• Builds teamwork when supervising and delegating to others.

 Communication and Collaboration

• Demonstrates effective interpersonal skills.
• Uses therapeutic communication techniques.
• Demonstrates assertiveness.
• Communicates relevant patient information to other members of the health team.
• Documents patient care according to Memorial policies and procedures. .
• Ensures appropriate implementation of physician’s orders.
• Accesses electronic data to facilitate patient care.
• Creates and maintains a collaborative work environment.
• Participates in interdisciplinary planning and decision making.
• Precepts new nursing employees and/or nursing students.

 Quality and Safety

• Identifies and resolves safety risks.
• Participates in continuous quality improvement.
• Participates in the periodic review and revision of policies, procedures, and standards of care.
• Complies with all safety policies.

 Professional Accountability

• Demonstrates ethical decision making.
• Advocates for patients and families.
• Appropriately follows the chain of command.
• Adheres to the Memorial Health System Behavioral Standards.
• Develops annual plan for own professional development.
• Participates in community health initiatives.
• Participates in community organizations.
• Contributes to nursing research activities and applies findings in clinical practice.
• Participates in nurse peer review process.

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

Essential Functions and Job Duties

• 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.

Recruiter:

Jessica Brown, Senior Talent Acquisition Partner

brown.jessica@mhsil.com 

Required Skills

• Ensures sterile environment and applies sterile and safe techniques.
• Assists in preparation and draping of the patient.
• Assists with operating room setup.
• Wears lead aprons during radiological surgical procedure. Always wears eye protection and personal protection equipment/uses hands free zone.
• Reports unsafe conditions.
• Disassembles and decontaminates instruments/supplies.
• Performs as a scrub nurse or assistant, anticipating surgeon’s needs throughout.
• Plans for procedures by reviewing case cart and resource map.
• Sets up and passes instruments, sutures and supplies during surgical procedures.
• Identifies specimens with the surgeon and the circulating nurse, places in appropriate container that is properly labeled. Transports specimen to appropriate lab pickup area.
• Transports surgery patients as needed.
• Utilizes supplies and equipment in cost-effective manner.
• Maintains adequate supplies/par levels for assigned specialty items (i.e. mesh, staplers, special suture, and ortho systems).
• Updates resource maps on an ongoing basis.
• Collaborates with RN for correct sponge, needle, and instrument count.
• Achieves goals identified at previous annual or 90 day evaluation.
• Maintains proficiency in specialties and flexibility in all other areas.
• Attends meetings and in-services to further self-growth.
• Completes required Computer Based Learnings (CBL’S) on NetLearning
• Seeks information from literature and resource persons for all specialties.
• Maintains requirements for certification.
• Assists in instructing staff, students, and new employees.
• Adheres to departmental/DMH policies.
• Performs other duties as assigned.
• Regular attendance and punctuality.
• Unscheduled hours and weekly stay-lates.
• Participation in 24-hour call rotation.

Required Skills

1. Receives and examines daily listings for assigned billing claims and determines which require further analysis and action.

1. Investigates assigned billing claims with incomplete/incorrect information and resolves the more complex problems or errors to ensure complete and compliant information accompanies the claim.

1. Prioritizes claims based on specified criteria and files the claim, either electronically or via paper claim. Ensures careful adherence to insurance guidelines, timeliness, accuracy, and processing procedures.

1. Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.

1. Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.

1. Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.

1. Communicates and resolves issues with a variety of internal and external sources regarding medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.

1. Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted.

1. Identifies and researches the appropriateness of late charges and, as necessary, adjusts the charge / patient account based on research findings

1. Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.

1. Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.

1. Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.

1. May assist with special projects, analyses, or audits.

1. As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.

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

1. In collaboration with supervising physician(s), practices within professional scope and current standards to assess, diagnose, and treat patients.

1. Follows protocols according to supervising physician’s direction, which includes encouraging the patient to follow up with their primary care physician accordingly. Partners with the physician(s) to promote effective patient care. Provides to physician visit documentation and associated testing for review and signature. Effectively communicates with physician when needing clarification when deviating from protocol and prior to ordering costly tests, treatments, or referrals.

1. Completes thorough and timely documentation according to standards put forth by Medicare, Medicaid, and other relevant payer sources, as well as MHS policies pertaining to medical records.

1. Coordinates the resources required by the patient.

1. Collaborates, as needed, with other health care professionals, patient advocates, teachers, and family counselors in the formulation and initiation of a health care plan for patients. Routinely evaluates the plan and modifies the plan to improve outcomes.

1. Assumes responsibility for the development, implementation, and evaluation of plans for adherence to evidence-based quality indicators.

1. Serves as a clinical consultant to other healthcare professionals.

1. Reviews and utilizes current literature and research findings relevant to the health care of patients and their families.

1. Assists with implementing research findings and monitoring the impact on patient care outcomes.

1. Utilizes available data to analyze performance and develop plans to improve outcomes.

1. Works to further establish advanced clinical expertise and skills with regards to their specialty area.

1. Assists with the development, implementation, and evaluation of educational activities specific to their specialty area.

1. Maintains an active role in community and professional programs.

1. Assists in meeting financial goals related to revenue and expense. Maintains productivity according to budget. Communicates when expected volumes are not met or when opportunities exist to improve productivity or decrease cost.

1. Assists in meeting customer service goals by delivering care in a manner consistent with a high level of patient satisfaction. Reviews survey results and looks for ways to improve.

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

1. Performs other related work as required or requested.

Required Skills

1. Greets customers via telephone and determines nature of inquiry. Assists customers as necessary or refers them to internal or external sources.
2. Reviews and prepares past due accounts for collection. Ensures appropriate collection code used for such accounts. Maintains appropriate information needed for Medicare Bad Debt.
3. Assists patients with Financial Assistance applications and bank loans in a timely manner.
4. Researches all sources of potential financial assistance based on the specifics of each application. This may include Medicare, Medicaid, Financial Assistance, bank loans, COBRA, etc.
5. Requests and ensures the receipt of all pertinent information and supplemental documentation for the processing of financial assistance applications. Processes applications and monitors status to ensure an expedient decision involving each case, generating approval/denial letters.
6. Responds to all mail inquiries or requests in a timely manner.
7. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Sets up and reviews terms accounts according to policy and procedure.
2. Identifies self pay accounts at time of service, reviews for potential discounts and/or financial assistance and works with patient regarding payment options.
3. Corresponds with collection agencies regarding payments and other situations with accounts including: review and report of bad debt payments, and review and approval of suit authorizations.
4. Receives reviews and prepares accounts for bankruptcy purposes.
5. Monitors estates and files appropriate paper work when needed.
6. Reviews settlement offers and approves as appropriate.
7. Researches and resolves complex issues associated with patient accounts. As applicable, identifies, documents, and reports problematic trends to leadership.
8. Prepares and monitors monthly contract account.
9. Reviews nursing home correspondence for potential care overlap and the appropriateness of billing Medicare vs. the nursing facility. Ensuring proper billing of those accounts.
10. Identifies opportunities for account consolidation and takes the necessary steps to combine appropriate accounts.
11. Processes and track all payroll deduct activity
12. Processes credit card transaction payments on accounts.
13. 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. Assists healthcare providers with the patient care process in person, and over the telephone. Practices within scope and current standards of care. Responsible for customer satisfaction.

1. Provides direct patient care that may include working with patients of all ages, in person and over the phone, completing tasks involving the use of assessment, planning, intervention and evaluation skills, and administration of prescribed medications and treatments. All patient care is provided under the direct supervision of the physician and/or mid-level provider.

1. Documents according to scope and current standard of care.

1. Accountable for achieving quality standards. Assists in various aspects of patient flow process including, but not limited to performing front office reception and billing office duties, securing/stocking necessary supplies, preparing exam room and patient for examination, assisting the provider with the exam or procedure, and cleaning/disinfecting exam/treatment area after use, performing various laboratory duties.

1. Responsible for several tasks related to the paper flow through office. This aspect may include, but is not limited to, working with incoming mail and faxed correspondence, assisting in scanning correspondence and paper medical records and conducting quality assurance.   

1. Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing. May perform EKG’s/rhythm strips, spirometry, pulse oximetry, nebulizers, as well as other testing outlined by the provider. 

1. Complies with all clinic policies and procedures including, but not limited to blood borne pathogens, chemical safety, laboratory, administrative, and corporate compliance. Applies the Minimum Necessary Standard when accessing protected health information. 

1. Assists in the clinic financial performance in ways which may include, depending on setting: careful use of resources including supplies, equipment, and time; assisting in the collection of upfront copays; ensuring that patients present for check-out; noting when contact or insurance information does not appear current or correct; following policy related to bad debt situations. Obtains appropriate insurance referrals and pre-certifications. 

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

1. Performs other related work as required or requested.

*For questions, please email Rapps.Nick@mhsil.com*

Required Skills

Essential Functions and Job Duties

• Performs assessment (chest auscultation, need for therapy, ABG results) on assigned patients as ordered by a physician; demonstrates accurate assessment skills in relation to age of patient.

• Establishes priorities and plan of care based on assessment.

• Provides care according to respiratory standards of practice.

• Documents tolerance to treatments and patient variances; revises plan of care to achieve optimal patient outcomes.

• Completes all annual educational requirements; demonstrates competency in respiratory areas, including assessment, 02 administration, patient ventilators, treatment, medications, etc.

• Documents care; completes CQI projects.

• Participates in continuing education and development of department staff by providing inservices and acting as a resource to staff in a specific specialty area of respiratory care (i.e. ventilator management)

• Performs other duties as assigned.