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Careers

Join Our Team

Together, we can make a difference.

Working at Lexington Regional Health Center is all about making a difference in the lives of our patients. We’re proud to provide the highest quality of care by always placing patients first. That care comes from our dedicated staff who is passionate about serving others. Are you ready to join us? Apply today!

Competitive pay

LRHC strives to stay competitive on wages and continually evaluates the current market

Medical Insurance

  • Blue Cross Blue Shield of Nebraska.
  • $1000 or $1500 deductible
  • 4 TIERS OF COVERAGE AVILABLE
    • EMPLOYEE ONLY
    • EMPLOYEE AND SPOUSE
    • EMPLOYEE AND CHILDREN
    • FAMILY

Vision & Dental Insurance

  • Ameritas/VSP
  • 4 tiers of coverage avilable
    • Employee only
    • Employee and spouse
    • Employee and children
    • Family

Life insurance & Long-Term Disability

  • UNUM
  • Life insurance
  • Long-term disability insurance
  • Both paid 100% by LRHC

Paid time off & extended sick leave

  • Paid time off (PTO) available on hire date
  • Extended sick leave (ESL) available after 6 months of hire
    • Full-time employees have 3 wellness days available per calendar year
    • Part-time employees have 2 wellness day available per calendar year

Qualifying Student Loan & Tuition Reimbursement

Do you have student loans? Are you interested in furthering your education?

Talk with HR about various opportunities

Employee assistance program

  • Employee Assistance Program
  • 6 free counseling sessions available to you or anyone in your household per year, per person
  • LRHC providers or outside contracted providers

Retirement plans

  • Principal
  • 457b deferred compensation plan – funded 100% by employee
  • 401a profit sharing plan – funded by 100% by LRHC

Voluntary

  • AFLAC
  • Accident, cancer, critical illness, dental, hospital, life, short-term disability, & vision
  • Funded 100% by employee

Language Learning App

Language learning app, users can pick the language they would like to learn, usinging four conversation skills – vocabulary, pronunciations, grammar, and culture.

Wellness Benefits

  • YMCA membership
    • Employee and family memberships available
  • Vitality Health App
    • earn incentives by engaging in various health challenges

Medical and Dependent Care Flexible Spending Accounts (FSA)

  • Flexible Spending Accounts
    • Medical
    • Dependent care $250 funded by LRHC
    • Pre-tax dollars deducted via payroll for qualifing expenses based on IRS annual limits

If you are interested in applying for a position, please click the ‘apply now’ button below.

For more information, please contact Human Resources:

Jill Denker, Chief Human Resource Officer at (308) 324-8581 or email jdenker@lexrhc.org

Mandy Sand, Director of Talent and Workforce Engagement at (308) 324-1652 or email msand@lexrhc.org

To apply for this position please contact Lexington Regional Health Center Human Resource Office. Thanks!

Lexington Regional Health Center

Title: Chief Executive Officer

Effective Date: August 12, 2021

Supervisor: Board of Directors

Department: Administration

FLSA Status: Exempt

Principle duties and responsibilities

  1. Assesses the overall health care environment and interprets or translates the data into meaningful planning information to be used by the Board of Directors and the Leadership Team in any strategic planning. Organizational direction will be conducted in collaboration with the board, medical staff and the senior leaders recognizing changes within the broader health care landscape and among populations residing in the service area. Strategic execution and operations will be accomplished through allocation of resources, leadership of employees and in coordination and collaboration with the medical staff. Key indicators of success will be identified to measure organizational performance on an on-going basis.
  2. Communicates, clarifies, interprets and operationalizes the mission and values of the hospital with all constituencies including, but not limited to, the Board of Directors, Medical Staff, Leadership staff, employees, patients, visitors and the community in general.
  3. Directs the development and implementation of strategic planning activities including assessment of the environment, drafting of necessary strategies, goal objectives and plans, and the development and implementation of an appropriate organizational structure.
  4. Establishes and implements systems to monitor organizational performance against goals and objectives, including financial and clinical goals; assures performance is continuously improved through the application of sound, current quality improvement philosophies, tools and techniques.
  5. Provides for the implementation of organized management and administrative functions throughout the hospital including the establishment of clear lines of responsibility and accountability within and between departments.
  6. Assures the establishment and implementation of communication systems and methods between and among all organizational departments, the medical community, the governing body and the community in general.
  7. Implements systems and processes that assure compliance with all regulations governing health care delivery and the rules of accrediting and licensing bodies; assures the continuous monitoring of operations and programs and the implementation of changes where necessary to meet or exceed these requirements.
  8. Assures the establishment of systems and processes necessary to safeguard the physical, financial and human resources of the organization; assures operating units have the resources (staffing, space, supplies and equipment) necessary in the provision of quality care; implements sound administrative/management practices and continuous quality assessment and improvement methods and techniques to assure the highest quality of services possible are delivered within reasonable cost parameters.
  9. Assures maintenance of active communications with all external and internal constituencies; continuously assesses the environment to establish linkages with related organizations that are complementary and consistent with the mission and strategic needs of the organization.
  10. Assures the development and implementation of Human Resources systems and processes that assure departments are staffed appropriate to their workloads, that reasonable qualifications/standards are established for each position and that staff are assessed regularly to assure that they are competent to perform their duties.
  11. Assumes role and responsibility of the Chief Financial Officer, Chief Operating Officer, Chief Nursing Officer, Chief Strategy Officer, Executive Assistant, Executive Director of Human Resources and Physician Liaison, Chief Medical Officer, Executive Directors of Anesthesia, Director of Radiology, Executive Director of Ancillary Services.
  12. Ensure patients and visitors follow current infection control guidelines.
  13. Responsible for ensuring the environment meets appropriate governing body standards.
  14. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  16. Regular attendance at the assigned work location is required.
  17. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Knowledge of healthcare systems and hospital operations, individual and group behaviors, budgeting and financial management practices as is typically acquired through the completion of a Bachelor’s Degree in Business Administration or a similar program; A Master’s degree in a Health Care related field is preferred.
  2. Ability to make strategic, operational and administrative decisions in response to emerging conditions and environmental circumstances, knowledge of hospital administrative policies, philosophies and principles, knowledge of customer service philosophies and practices as is typically acquired through five years of progressive management experience in a healthcare leadership role and three years in a senior management healthcare role with broad exposure to all related areas of responsibility.
  3. Ability to interpret, communicate and operationalize organizational mission and value concepts to a wide range of organizational and community representatives.
  4. Attention to detail preparing materials for the Board of Directors, addressing patient care issues, resolving conflicts, negotiating contracts, recruiting providers, etc.
  5. Analytical skills to analyze and interpret hospital’s financial performance, monitor and ensure compliance with regulatory requirements, etc.
  6. Ability to stay current on ongoing health care trends, health care legislation and regulatory standards.
  7. Ability to direct, counsel and evaluate employee work and performance.
  8. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, voluntary and ancillary departments.
  9. Ability to balance and prioritize diverse management and administrative responsibilities.
  10. Ability to lead multi-disciplinary teams and work as a team member.
  11. Ability to develop written policies and procedures, memoranda and performance evaluations with measurable behaviors.
  12. Advanced communication skills to present pertinent information and create/maintain effective working relationships with numerous audiences, including Board of Directors, medical staff, management personnel, volunteers, employees, patients, community members, etc.
  13. Ability to effectively communicate with individuals from diverse backgrounds. Ability to communicate effectively both verbally and in writing.
  14. Ability to make professional and administrative decisions within the framework of the hospital’s mission, policies, legal and regulatory requirements.
  15. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  16. Ability to complete reports and correspondence at a professional level.
  17. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  18. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Spends up to 75% of shift sitting whether completing deskwork or in meetings. Required to ambulate up to 500 feet at one time within facility for attending meetings. Required to file paperwork, including lifting cost report files weighing up to 20 pounds to place in storage cabinets and transporting cost report files up to 500 feet within office and facility. Will help set up hospital events, requiring transporting totes of supplies weighing up to 40 pounds distances of up to 100 feet.

Management responsibilities

  1. Responsible for the Chief Financial Officer, Chief Operating Officer, Chief Nursing Officer, Chief Strategy Officer, Executive Assistant, Executive Director of Human Resources and Physician Liaison, Chief Medical Officer, Executive Directors of Anesthesia, Director of Radiology, Corporate Compliance Officer, Executive Director of Ancillary Services.

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

 

Lexington Regional Health Center

Title: Accounts Payable Coordinator

Supervisor: Director of Finance

Department: Accounts Payable

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Reviews information to match vendor invoices to purchase orders, executed agreements, and packing slips. Ensures information is appropriately allocated to the general ledger and inventory received is accurate.
  2. Prepares accounts payable batches and submits them to the Director of Finance or CFO for review. Once approved, generates payments, and obtains signatures from authorized signers.
  3. Reconciles payment lists to vendor statements. Attends to refund and credit requests by preparing written statements to vendors as necessary.
  4. Sets up new vendors as needed and maintains the vendor listings. Ensures vendors have a W-9 on file and that payment addresses are up to date.
  5. Answers questions and addresses requests from department directors.
  6. Pulls invoices and files as needed.
  7. Meets with Supply Chain staff to address discrepancies as needed.
  8. Works closely with finance staff to make sure Lexington Regional Health Center has all general ledger codes needed for existing and new departments.
  9. Assists with scanning vouchers into accounts payable system. Files paper copies of paid vouchers in folders organized by fiscal year.
  10. Issues W-9s upon request, as well as Form 13s (sales tax exemption) and Form 17s (contractor assignments).
  11. Produces and evaluates reports from accounts payable system to run 1099s at year-end.
  12. Evaluates accounts payable reports when needed by a specific department.
  13. Prepares and reports Nebraska sales and use tax monthly.
  14. Processes and completes the unclaimed property submissions for Lexington Regional Health Center on an annual basis.
  15. Organizes fiscal year-end files and creates new fiscal year files.
  16. Ensures patients and visitors follow current infection control guidelines.
  17. Responsible for ensuring the environment meets appropriate governing body standards.
  18. Duties could include blood exposure and risk to bloodborne pathogens (e.g.: lacerations, handling of blood-contaminated items, etc.).
  19. Maintains patient and staff safety using patient safety tools (Teamstepps, Just Culture, etc.).
  20. Regular attendance at the assigned work location is required.
  21. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Attention to detail and organizational skills are required. Written and oral communication skills are necessary. Analytical skills and problem solving are required. Requires basic ability to use computer and office equipment to carry out duties such as paying vendors, maintaining documentation, etc. This is typically acquired through completion of a high school diploma or GED.
  2. Basic Life Support certification via American Heart Association required within six months of hire.
  3. Two years of accounting experience and/or accounting certificate is required.
  4. Ability to use basic arithmetic skills daily for up to 90% of work time.
  5. Analytical skills necessary to troubleshoot problems in processing the accounts payable run and balancing large vendor accounts.
  6. Ability to maintain strict confidentiality regarding protected and sensitive information.
  7. Ability to complete reports and correspondence at a professional level.
  8. Ability to immediately respond to common inquiries and complaints from patients, employees, vendors, and regulatory agencies.
  9. Ability to effectively communicate with individuals from diverse backgrounds.
  10. Successful completion of required knowledge and training on standard precaution protocols and when to apply them during principle duties and responsibilities.

Working conditions

  1. Works in a well-lighted and ventilated office setting. Minimal exposure to cleaning and job-related chemicals. Minimal exposure to excessive dust, temperature, etc. Occasional exposure to loud noises.
  2. Spends up to 65% of shift sitting to complete paperwork and computer work. Rest of shift is spent checking files to be placed into cabinets and boxes for storage. Boxes that weigh up to 28 pounds are stacked to be filled with files. Currently 12 boxes are used and stacked 3 across on the floor with 4 stacks 3 boxes high. Boxes are 10 inches in height, so are to be placed on floor, 10 inches high, 20 inches high, and 30 inches high. File cabinets are utilized from floor level up to 51 inches in height; stacks of files weighing up to 6 pounds transferred from desk or boxes to cabinets and are transported short distances up to 15 feet. Check stock is placed at the 51-inch-high shelf in cabinet; carrying up to 5 stacks at once weighs 16 pounds to be placed into cabinet.

Management responsibilities

  1. None

Approvals

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Accounts Receivable Clerk

Supervisor: Business Office Supervisor

Department: Business Office

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Gathers and sorts Business Office mail daily and gives to Business Office staff according to each person’s jobs responsibilities. Posts manual and electronic payments received to patient’s accounts daily.
  2. Establish payment plans with patients in accordance with hospital policies and procedures.
  3. Assist patients in completion of financial assistance applications.
  4. Scans explanations of benefits to index into each patient’s account. Verifies explanation of benefits with Patient Financial Advocate if in question.
  5. Sets up payment plans with patients over the phone and in person within established parameters. Refers difficult situations to the Director of Financial Services to discuss other options.
  6. Audits petty cash drawers in various departments throughout the facility. Informs department director of any short or long petty cash drawers. Records information in Accounts Receivable monthly audit file.
  7. Balances deposit slip with receipts daily.
  8. Balances the Cash Flow Sheet with the deposit slip and the receipts posted for the day.
  9. Performs admissions, discharges and transfers as needed.
  10. Posts cash, check, and credit card payments to patient’s accounts and applies adjustments when applicable.
  11. Answers phone calls via the switchboard and routes them appropriately throughout the facility.
  12. Registers patients if Admission Clerks are busy.
  13. Ensure patients and visitors follow current infection control guidelines.
  14. Responsible for ensuring the environment meets appropriate governing body standards.
  15. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  16. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  17. Regular attendance at the assigned work location is required.
  18. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read, write, and use standard office equipment and computer software as is typically acquired through the completion of a high school diploma or equivalent.
  2. Individual must be 19 years of age in order to sign legal documents.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements and governmental regulations.
  5. Ability to perform basic accounting and cash auditing to ensure balancing processes have been used.
  6. Basic Life Support certification via American Heart Association required within six months of hire.
  7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  8. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  9. Analytical skills and attention to detail up to 90% of time when processing payments, setting up payment plans, answering patient’s inquiries, etc.
  10. Ability to complete reports and correspondence at a professional level.
  11. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  12. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  13. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Required to spend significant amounts of time at a desk both writing and on a computer, 95% of work time. Requires fine motor coordination up to 70% of work time. Boxes weighing up to 36 pounds are filled with paper and are required to be filled and transported from floor to 36 inch countertop for storage. These boxes are then transported using a dolly cart approximately 250 feet. A 50 pound box of printer paper is required to be emptied from countertop to cupboard below, each ream of paper weighing 5 pounds.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Admission PBX Clerk

Supervisor: Business Office Supervisor

Department: Business Office

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Registers patients and enters their information into the system accurately and promptly while demonstrating care, courtesy and confidentiality with each patient.
  2. Ensures patient’s consent is signed, message from Medicare is documented (if applicable), Medicare Questionnaire is completed (if applicable), and the patient receives a copy of the Patient Bill of Rights, Payment Policies and HIPAA Privacy (Health Insurance Portability and Accountability).
  3. Establishes payment plans with patients in accordance with hospital policies and procedures.
  4. Assists patients in completion of financial assistance applications.
  5. Transfers and dismisses patients appropriately.
  6. Reviews and verifies incomplete Medicare Secondary Payer (MSP) forms daily and follows-up with appropriate register clerks.
  7. Answers phone calls via the switchboard and routes them appropriately throughout the facility.
  8. Answers patients’ inquiries regarding their accounts. Helps patients combine their accounts and set up payment arrangements.
  9. Processes cash, check, or credit card payments in person and over the phone.
  10. Registers patients and enters their information into the system accurately and promptly while demonstrating care, courtesy and confidentiality with each patient.
  11. Ensures patient’s consent is signed, message from Medicare is documented (if applicable), Medicare Questionnaire is completed (if applicable), and the patient receives a copy of the Patient Bill of Rights, Payment Policies and HIPAA Privacy (Health Insurance Portability and Accountability).
  12. Establishes payment plans with patients in accordance with hospital policies and procedures.
  13. Assists patients in completion of financial assistance applications.
  14. Transfers and dismisses patients appropriately.
  15. Reviews and verifies incomplete Medicare Secondary Payer (MSP) forms daily and follows-up with appropriate register clerks.
  16. Answers phone calls via the switchboard and routes them appropriately throughout the facility.
  17. Answers patients’ inquiries regarding their accounts. Helps patients combine their accounts and set up payment arrangements.
  18. Processes cash, check, or credit card payments in person and over the phone.
  19. Ensure patients and visitors follow current infection control guidelines.
  20. Responsible for ensuring the environment meets appropriate governing body standards.
  21. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  22. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  23. Regular attendance at the assigned work location is required.
  24. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read and write, basic accounting and computer knowledge as is typically acquired through the completion of a high school diploma or equivalent.
  2. Individual must be 19 years of age in order to sign legal documents.
  3. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations, keep up on federal and state rules and regulations, provide excellent customer services and use standard office equipment as is typically acquired through one year of work experience.
  4. Basic Life Support certification via American Heart Association required within six months of hire.
  5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  6. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  7. Ability to complete reports and correspondence at a professional level.
  8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  9. Ability to effectively communicate with individuals from diverse backgrounds.
  10. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  11. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Spends significant amounts of time at a desk both writing and on a computer, up to 95% of work time. Requires fine motor coordination up to 70% of work time. Boxes weighing up to 36 pounds are filled with paper and are required to be filled and transported from floor to 36 inch countertop for storage. These boxes are then transported using a dolly cart approximately 250 feet. A 50 pound box of printer paper is required to be emptied from countertop to cupboard below, each ream of paper weighing 5 pounds.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Admission Clerk

Date: August 1, 2021

Supervisor: Clinic Administrator

Department: Family Medicine Specialists

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Accurately screen and register patients ensuring all demographic, relationship, and insurance information is entered into the system accurately and promptly while demonstrating care, courtesy and confidentiality with each patient.
  2. Ensure patient’s consent is signed, message from Medicare is documented (if applicable), Medicare Questionnaire is completed (if applicable), and the patient receives a copy of the Patient Bill of Rights, Payment Policies and HIPAA Privacy (Health Insurance Portability and Accountability).
  3. Review and manage work queues including Eligibility, Medicare Secondary Payer Questionnaire Completion, Incomplete Verification, and Registration Error/Follow-up.
  4. Answer phone calls and assist or route the caller appropriately throughout the facility.
  5. Processes cash, check, or credit card payments in person and over the phone.
  6. Post payments to patients’ accounts, and balance cash drawer at the end of each shift.
  7. Follow up with patients for additional information for successful submission of insurance claim.
  8. Ensure patients and visitors follow current infection control guidelines.
  9. Responsible for ensuring the environment meets appropriate governing body standards.
  10. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  11. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  12. Regular attendance at the assigned work location is required.
  13. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read and write, basic accounting and computer knowledge as is typically acquired through the completion of a high school diploma or equivalent.
  2. Individual must be 19 years of age in order to sign legal documents.
  3. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations, keep up on federal and state rules and regulations, provide excellent customer services and use standard office equipment as is typically acquired through one year of work experience.
  4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  5. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  6. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  7. Ability to effectively communicate with individuals from diverse backgrounds.
  8. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  9. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Spends significant amounts of time at a desk both writing and on a computer, up to 95% of work time. Requires fine motor coordination up to 70% of work time. Boxes weighing up to 36 pounds are filled with paper and are required to be filled and transported from floor to 36 inch countertop for storage. These boxes are then transported using a dolly cart approximately 250 feet. A 50 pound box of printer paper is required to be emptied from countertop to cupboard below, each ream of paper weighing 5 pounds.
  3. Worker spends majority of day completing desk/computer work, sitting up to 90% of day. 10% of day is spent away from desk assisting areas as needed. Up to 30 pounds is required to be transferred around the clinic, specifically lifting and carrying a box of printer paper that weighs 30 pounds, lifting up to a counter top height of 36 inches. Normally, the box will be lifted or carried short distances for storage, but if seeking the box from Materials Management in the supply storage, worker may carry the 30-pound box of paper up to 620 feet back to Family Medicine Specialists. Worker is required to store supplies into cupboards with shelf height 16 inches and reaching at least 12 inches within cupboard.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Admissions and Accounts Representative

Date: September 27, 2021

Supervisor: Director of Financial Services

Department: Business Office

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Registers patients and enters their information into the system accurately and promptly while demonstrating care, courtesy and confidentiality with each patient.
  2. Ensures patient’s consent is signed, message from Medicare is documented (if applicable), Medicare Questionnaire is completed (if applicable), and the patient receives a copy of the Patient Bill of Rights, Payment Policies and HIPAA Privacy (Health Insurance Portability and Accountability).
  3. Establishes payment plans with patients in accordance with hospital policies and procedures.
  4. Assists patients in completion of financial assistance applications.
  5. Transfers and dismisses patients appropriately.
  6. Reviews and verifies incomplete Medicare Secondary Payer (MSP) forms daily and follows-up with appropriate register clerks.
  7. Answers phone calls via the switchboard and routes them appropriately throughout the facility.
  8. Answers patients’ inquiries regarding their accounts. Helps patients combine their accounts and set up payment arrangements.
  9. Processes cash, check, or credit card payments in person and over the phone.
  10. Scan all documents to appropriate file as needed.
  11. Ensure patients and visitors follow current infection control guidelines.
  12. Responsible for ensuring the environment meets appropriate governing body standards.
  13. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  14. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  15. Regular attendance at the assigned work location is required.
  16. The above functions will be performed in both the business office and outpatient departments.
  17. Serves as a backup to the Accounts Receivable Clerk.
  18. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read and write, basic accounting and computer knowledge as is typically acquired through the completion of a high school diploma or equivalent.
  2. Individual must be 19 years of age in order to sign legal documents.
  3. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations, keep up on federal and state rules and regulations, provide excellent customer services and use standard office equipment as is typically acquired through one year of work experience.
  4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  5. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  6. Ability to complete reports and correspondence at a professional level.
  7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  8. Ability to effectively communicate with individuals from diverse backgrounds.
  9. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  10. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Spends significant amounts of time at a desk both writing and on a computer, up to 95% of work time. Requires fine motor coordination up to 70% of work time. Boxes weighing up to 36 pounds are filled with paper and are required to be filled and transported from floor to 36 inch countertop for storage. These boxes are then transported using a dolly cart approximately 250 feet. A 50 pound box of printer paper is required to be emptied from countertop to cupboard below, each ream of paper weighing 5 pounds.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health CenterTitle: Medical Coder

Effective Date: August 14, 2020

Supervisor: Director of Health Information Management

Department: Health Information Management

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Review medical records to assign accurate diagnostic and procedure codes to patient records, which will play a key role in determining reimbursement and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing.
  2. Responsible for coding specific areas of the organization as assigned. May have the potential to transition to a work from home position based on the needs of the organization after on-site orientation and training has been established.
  3. Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes.
  4. Collaborate with the various departments to ensure proper charging and billing for maximum reimbursement.
  5. Interact with providers regarding documentation and selection of procedure codes and Evaluation/Management levels.
  6. Participate in continuing education activities to enhance knowledge and skills and maintain credentials.
  7. Work in collaboration with other Health Information Management employees to collaborate workflow.
  8. Ensure patients and visitors follow current infection control guidelines.
  9. Responsible for ensuring the environment meets appropriate governing body standards.
  10. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  11. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  12. Regular attendance at the assigned work location is required.
  13. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations. Ability to use standard office equipment and computer software proficiently. This is typically acquired through the completion of a high school diploma or equivalent.
  2. AHIMA, AAPC, RHIA, or RHIT credentials preferred but not required. Minimum of 2 years previous coding experience required. Will consider education in a qualified coding program in lieu of credentials or previous experience.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Ability to complete reports and correspondence at a professional level.
  5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  6. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  8. Ability to effectively communicate with individuals from diverse backgrounds.
  9. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  10. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Subject to frequent interruptions.
  3. Requires auditory ability sufficient to hear the telephone with typical hearing-impaired enhancements and to hear normal conversations typical in an office setting.
  4. Requires vision sufficient enough to read a computer screen with typical vision-impaired enhancements and to read entries made into the medical record.
  5. Requires significant time at a desk both writing and on a computer, up to 90% of work time. Requires fine motor coordination 70% of work time. Workers are required to transport up to 8 pound stacks of paper to be placed on various shelf heights, from 13 inches from floor, up to 73 inches from floor 5% of work time. Workers are required to remove a shred paper bag from its enclosure, which weighs up to 90 pounds, and requires 2 people to remove and transport the bag 15 feet; this is completed approximately 1 time per month.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties, and skills required.

Lexington Regional Health Center

Title: Certified Medical Assistant

Effective Date: October 24, 2021

Supervisor: Chief Nursing Officer

Department: Family Medicine Specialists

FLSA Status: Non-exempt

Principle duties and responsibilities

1. Under the direction of a licensed provider, takes responsibility of duties related to patient care in the ambulatory clinical environment.

2. Communicates with the healthcare team.

3. Demonstrates competency in all skills areas related to patient care. Organizes patient care activities based on assessment findings. Reports findings to provider.

4. Prepares the room for the patient, takes the patient’s history and performs a full set of vital signs on the patient.

5. Assists the provider in procedures and respects aseptic technique and infection control.

6. Draws and delivers immunizations following current CDC recommendations.

7. Assists in efficient flow of traffic and ensures a safe environment for the patient and visitor.

8. Demonstrates problem solving skills as they relate to patient care activities and provides guidance and acts as a role model for the healthcare team.

9. Obtains and manages specimens including labeling, obtaining order and transport.

10. Provides appropriate patient education and community resources as directed.

11. Confirms and clarifies written and verbal orders prior to implementation.

12. Identifies self learning needs related to job description and seeks out appropriate resources to meet learning needs.

13. Participates in staff meetings by providing constructive input and facilitating problem solving.

14. Identifies opportunities for performance improvement and provides input for the development of solutions.

15. Performs related and delegated tasks, which includes requests for prescription refills, taking and relaying messages, directing patient flow and running errands.

16. Ensures that soiled linen, needle containers and potentially infectious waste are appropriately disposed and removed from the clinic and exam area according to the infection control guidelines.

17. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)

18. Responsible for safe bagging and disposal of biohazardous waste.

19. Responsible for proper collection, storage and labeling of biological specimens.

20. Responsible for ensuring the environment meets appropriate governing body standards.

21. Ensure patients and visitors follow current infection control guidelines.

22. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).

23. Regular attendance at the assigned work location is required.

24. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Knowledge and understanding of patient care and practice. Knowledge of the growth and development of a variety of patients in order to meet the health care needs of the neonate, pediatric, adult and geriatric patient. Knowledge of reading, spelling, grammar, writing, math and computer operation as is typically acquired through the completion of an accredited Medical Assistant training program and high school diploma or equivalent.

2. Current Certification as a Medical Assistant by an approved national examination agency.

3. Current Basic Life Support certification via American Heart Association required.

4. Ability to maintain strict confidentiality with regard to protected and sensitive information.

5. Ability to complete reports and correspondence at a professional level.

6. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.

7. Ability to effectively communicate with individuals from diverse backgrounds.

8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature etc.

2. Spends up to 60% of day completing desk work in the office and the other 40% spent completing patient care related work. Required to assist with patient transfers, lifting up to 35 pounds for a stand pivot transfer 1-2 times per week. Helps transport patients via wheelchair to radiology or lab within the hospital; wheelchair requires up to 21 pounds of horizontal force up incline outside for a distance of 25 feet and 13 pounds of horizontal force on flat surfaces within hospital and FMS up to 200 feet in distance 3-4 times per day. Required to assist with patient care to take vitals and help handle babies of various weights, amongst various other upper extremity gross motor functions related to patient care, spending up to 5 minutes completing tasks per patient, with up to 20 patients a day. Required to help assist in the event of emergency situations, including performing CPR, which may require getting onto floor to assist.

3. Helps transport patients via wheelchair to within the hospital, from Family Medicine Specialists to Laboratory, Radiology, or onto the inpatient floor with room 28 the furthest room to push. Worker will transport a patient via wheelchair up to 820 total feet through the mound, requiring 40 horizontal force pounds to push. There is an incline from the mound to the hospital to be aware of when pushing the wheelchair.

4. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.

5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Nursing Assistant

Effective Date: August 7, 2020

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle Duties and Responsibilities

  1. Participates in general patient care providing ADLS, vital sign monitoring as ordered by provider, and other duties as delegated by licensed nursing staff.
  2. Communicates with nurses in regard to patients’ needs and assigned duties within their scope of practice.
  3. Maintains medical record documentation. Records all care information concisely, accurately and completely in a timely manner in the appropriate format and on the appropriate forms.
  4. Ensures patient care areas are adequately stocked with supplies.
  5. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  6. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care.
  7. Participates in shared governance committee.
  8. Communicates with multidisciplinary team to ensure patient centered holistic care.
  9. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  10. Responsible for safe bagging and disposal of biohazardous waste.
  11. Responsible for proper collection, storage and labeling of biological specimens.
  12. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  13. Ensure patients and visitors follow current infection control guidelines.
  14. Regular attendance at the assigned work location is required.
  15. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read, write and use basic computer and office equipment skills to carry out duties as assigned as is typically acquired through the completion of 10th grade in high school or individual turning 16 years old.
  2. Basic Life Support certification via American Heart Association required within six months of hire.
  3. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  4. Ability to complete reports and correspondence at a professional level.
  5. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
  6. Ability to effectively communicate with individuals from diverse backgrounds.
  7. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. May spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent sitting for appropriate work completion. Transferring patients frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers or if transferring above the 35 pounds. 17 pound commodes are carried to patient specific rooms up to 200 feet. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Hospital beds require 60 horizontal force pounds to move bed 2 feet or to initiate movement and require 40 horizontal force pounds up to 200 feet to transport patient from room to room, many times completing with 2 person assist. Getting onto floor or crawling may be required to assist in cleaning up messes made in patient rooms.
  2. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  3. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Director of Health Information Management

Supervisor: Chief Financial Officer

Department: Health Information Management

FLSA Status: Exempt

Principle duties and responsibilities

  1. Coordinate reimbursement functions and activities with Financial Services. Review unbilled charts and route charts to appropriate coders. Follow-up on outliers preventing the coding of a chart. Interact with multiple departments within the organization and other facilities. Work closely with billing to ensure proper reimbursement, and time follow-up on denied encounters.
  2. Assign appropriate diagnostic and procedure codes to patient records.
  3. Review medical records for completeness and medical necessity. This includes ensuring all necessary documentation is completed and all required fields have been signed. Electronic deficiencies are applied when necessary.
  4. Exercise responsibility for HIPAA Compliance Plan related to the Privacy Standards and serve as the designated officer to receive complaints, conduct investigations, and educate workforce on such standards.
  5. Respond to subpoenas and court orders for copies of protected health information in accordance with HIPAA privacy regulations. This includes the ability to analyze authorizations for HIPAA compliance and a working knowledge of what medium to release records on.
  6. Submit weekly and monthly reports to various organizations in accordance with state and federal regulations.
  7. Prepare, coordinate and attend the monthly Medical Staff meeting and record meeting minutes.
  8. Serve on various committees as assigned.
  9. Develop an annual budget for the Health Information Management Department and ensure that budgetary expectations are met.
  10. Review and update, as needed, the Health Information Management and HIPAA Privacy policies and procedures to ensure legal compliance and the effective operation of Lexington Regional Health Center, and communicate updates to employees.
  11. Assume role and responsibility of Assistant Director of Health Information Management, coders and clerks.
  12. Ensure patients and visitors follow current infection control guidelines.
  13. Responsible for ensuring the environment meets appropriate governing body standards.
  14. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  15. Work in collaboration with the Director of Financial Services and Chief Financial Officer.
  16. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  17. Regular attendance at the assigned work location is required.
  18. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations. Ability to use standard office equipment and computer software proficiently. This is typically acquired through the completion of an Associate Degree with credentials of RHIA or RHITT to ensure a working knowledge of the parts of a medical record and the rules and regulations imposed on the health information management field of health care.
  2. Basic Life Support certification via American Heart Association required within six months of hire.
  3. Five years experience in the health information management field required.
  4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  5. Ability to complete reports and correspondence at a professional level.
  6. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  8. Ability to effectively communicate with individuals from diverse backgrounds.
  9. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  10. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Subject to frequent interruptions.
  3. Requires auditory ability sufficient to hear the telephone with typical hearing-impaired enhancements and to hear normal conversations typical in an office setting.
  4. Requires vision sufficient enough to read a computer screen with typical vision-impaired enhancements and to read entries made into the medical record.
  5. Requires significant time at a desk both writing and on a computer, up to 90% of work time. Requires fine motor coordination 70% of work time. Workers are required to transport up to 8 pound stacks of paper to be placed on various shelf heights, from 13 inches from floor, up to 73 inches from floor 5% of work time. Workers are required to remove a shred paper bag from its enclosure, which weighs up to 90 pounds, and requires 2 people to remove and transport the bag 15 feet; this is completed approximately 1 time per month.

Management responsibilities

  1. Responsible for the Health Information Management Assistant Director, medical coders and clerks.

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties, and skills required.

Lexington Regional Health Center

Title: Certified Nursing Assistant

Effective date: October 24, 2021

Supervisor: Chief Nursing Officer

Department: Family Medicine Specialists

FLSA Status: Non-exempt

Principle duties and responsibilities

  1. Responsible under the direction of licensed provider to assist the professional staff by performing various activities and related non-professional services:
  2. Moves patients throughout the clinic for care
  3. Completes and documents vital signs
  4. Sets-up for procedures
  5. Cleans rooms and equipment between patient use
  6. Cleans nursing areas
  7. Files information
  8. Takes phone calls / messages

 

  1. Reports any pertinent information to the nurse or provider in a timely manner. Information can be passed on either verbally, electronically or in writing depending on the provider’s preference.
  2. Obtains and manages specimens including labeling, proper order forms and transport of specimen.
  3. Transportation of patients to various hospital departments via wheelchair or per pedis dependent on patient’s need.
  4. Maintain patient privacy as much as possible during patient interaction:
  5. Helps patient cover themselves prior to and following a procedure
  6. Knocks and waits for acknowledgement prior to entering a room

 

  1. Maintains and uses principles of aseptic technique/infection control. Ensures rooms are cleaned between patients, washes hands between patient contacts.
  2. Communicates with Nursing supervisor regarding need for supplies.
  3. Logs refrigerator temperature in electronic quality management system on designated day.
  4. Checks for outdated supplies daily and reports findings to nursing supervisor.
  5. Answers telephone and returns calls to pharmacies, patients and staff.
  6. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  7. Responsible for safe bagging and disposal of biohazardous waste.
  8. Responsible for proper collection, storage and labeling of biological specimens.
  9. Responsible for ensuring the environment meets appropriate governing body standards.
  10. Ensure patients and visitors follow current infection control guidelines.
  11. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  12. Regular attendance at the assigned work location is required.
  13. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Knowledge and understanding of patient care and practice. Knowledge of the growth and development of a variety of patients in order to meet the health care needs of the neonate, pediatric, adult and geriatric patient. Knowledge of reading, spelling, grammar, writing, math and computer operation as is typically acquired through the completion of a Certified Nursing Assistant Program and high school diploma or equivalent.
  2. Must hold a current active Certified Nursing Assistant certification from the State of Nebraska.
  3. Current Basic Life Support certification via American Heart Association required.
  4. Ability to communicate with individuals from diverse backgrounds.
  5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  6. Ability to complete reports and correspondences at a professional level.
  7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Will spend up to 60% of day completing desk work in the office and the other 40% spent completing patient care related work. Required to assist with patient transfers, lifting up to 35 pounds for a stand pivot transfer 1-2 times per week. Helps transport patients via wheelchair to radiology or lab within the hospital; wheelchair requires up to 21 pounds of horizontal force up incline outside for a distance of 25 feet and 13 pounds of horizontal force on flat surfaces within hospital and Family Medicine Specialists up to 200 feet in distance 3-4 times per day. Required to assist with patient care to take vitals and help handle babies of various weights, amongst various other upper extremity gross motor functions related to patient care, spending up to 5 minutes completing tasks per patient, with up to 20 patients a day. Required to help assist in the event of emergency situations, including performing CPR which may require getting onto floor to assist.
  3. Helps transport patients via wheelchair to within the hospital, from Family Medicine Specialists to Laboratory, Radiology, or onto the inpatient floor with room 28 the furthest room to push. Worker will transport a patient via wheelchair up to 820 total feet through the mound, requiring 40 horizontal force pounds to push. There is an incline from the mound to the hospital to be aware of when pushing the wheelchair.
  4. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Health Information Management Clerk

Effective Date: August 14, 2020

Supervisor: Director of Health Information Management

Department: Health Information Management

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Prepare charts for scanning and scan charts into electronic medical record system, sorting charts by documents and placing them in chronological order.
  2. Review medical records for completeness. This includes ensuring all necessary documentation is completed and all required fields have been signed. Electronic deficiencies are applied when necessary.
  3. Respond to requests for copies of protected health information in accordance with HIPAA privacy regulations. This includes the ability to analyze authorizations for HIPAA compliance and a working knowledge of what medium to release records on.
  4. Answer main office telephone.
  5. Collect and enter data for birth certificates.
  6. Collect and enter data for death certificates.
  7. Work in collaboration with other Health Information Management employees.
  8. Abstract information from the medical record for chart review.
  9. Monitor deficiencies and notify visiting specialists if they have deficiencies for completion.
  10. Ensure patients and visitors follow current infection control guidelines.
  11. Responsible for ensuring the environment meets appropriate governing body standards.
  12. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  13. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  14. Regular attendance at the assigned work location is required.
  15. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to use standard office equipment and computer software proficiently. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations. This is typically acquired through the completion of a high school diploma or equivalent.
  2. At least one year of experience in the health information management field is preferred. This ensures a working knowledge of the parts of a medical record and the rules and regulations imposed on the health information management field of health care.
  3. Medical terminology knowledge preferred.
  4. Basic Life Support certification via American Heart Association required within six months of hire.
  5. Ability to complete reports and correspondence at a professional level.
  6. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  7. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  9. Ability to effectively communicate with individuals from diverse backgrounds.
  10. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  11. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Subject to frequent interruptions.
  3. Requires auditory ability sufficient to hear the telephone with typical hearing-impaired enhancements and to hear normal conversations typical in an office setting.
  4. Requires vision sufficient enough to read a computer screen with typical vision-impaired enhancements and to read entries made into the medical record.
  5. Requires significant time at a desk both writing and on a computer, up to 90% of work time. Requires fine motor coordination 70% of work time. Workers are required to transport up to 8 pound stacks of paper to be placed on various shelf heights, from 13 inches from floor, up to 73 inches from floor 5% of work time. Workers are required to remove a shred paper bag from its enclosure, which weighs up to 90 pounds, and requires 2 people to remove and transport the bag 15 feet; this is completed approximately 1 time per month.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties, and skills required.

Lexington Regional Health Center
Title: Information Technology Support Technician

Date: March 18, 2021

Supervisor: Chief Strategy Officer

Department: Information Technology

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Installs, upgrades and configures: printing, directory structures, rights, security and software on file servers.
  2. Establishes network users, user environments, directories, and security for systems being installed including assigning employee passwords for computer access.
  3. Provides users with technical support to isolate and diagnose common problems and trains employees as appropriate.
  4. Responds to the needs and questions of users concerning their access of resources on the system.
  5. Writes detailed descriptions of user needs, program functions and steps required to develop or modify computer program.
  6. Monitors the computer helpdesk and records detailed descriptions of steps required to solve each issue.
  7. Trains personnel in departments as system functions are expanded throughout the facility.
  8. Interacts with patients and employees to provide support and assistance as needed.
  9. Confers with Department Director to plan data security for new or modified software and hardware, discussing issues such as employee data access needs and risk of data loss or disclosure.
  10. Reviews employee violations of computer security procedures recorded by computer and reports violations to Department Director to ensure that violation is not repeated.
  11. Performs preventive maintenance and care to department equipment.
  12. Repairs or calls vendor support, when needed, for maintenance and documents all maintenance performed.
  13. Completes special projects as assigned by the Chief Information Officer and keeps detailed records of the progress of each project.
  14. Helps Department Director review department policies and procedures.
  15. Enters restricted access areas, without supervision, to perform assigned work.
  16. Ensure patients and visitors follow current infection control guidelines.
  17. Responsible for ensuring the environment meets appropriate governing body standards.
  18. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  19. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  20. Regular attendance at the assigned work location is required.
  21. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read, write and perform basic math and computer operations as is typically acquired through the completion of a high school diploma or equivalent.
  2. Basic Life Support certification via American Heart Association required within six months of hire.
  3. Ability to read, write, verify, utilize, understand, trace, tender, tabulate, systemize, submit, study, organize, sort, scan, process, post, participate, move, locate, investigate, formulate, examine, draft, correspond, decide, classify and assemble materials, instructions and equipment as is typically acquired through the completion of 1-2 years’ experience in a related field.
  4. Ability to act with utmost courtesy and tact and welcome all individuals who present themselves to the facility.
  5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  6. Ability to complete reports and correspondence at a professional level.
  7. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  9. Ability to effectively communicate with individuals from diverse backgrounds.
  10. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  11. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a well-lighted and ventilated work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Spends up to 60% of shift seated to complete various tasks, such as networking or desk related work. The other 40% of shift is spent wiring new areas, distributing new equipment, and ambulating around facility to work on equipment or trouble shoot problems. Employee will run wire around facility, which will require reaching overhead while on a ladder to access the ceiling and crawling up to 50 feet in the crawlspace. Box of wire/cable weighs 35 pounds and will need be transported up to 500 feet to specific areas to begin running the wire. Servers weighing 41 pounds are installed onto racks from 3 inches to 74 inches high. 20 pound switches are transported throughout hospital to appropriate IT rooms. 61 pound battery is transported on a cart 500 feet requiring 15 pounds of horizontal force. Battery is to be lifted off cart to floor level for installation of battery, which may take 2 person assist. Phones and other equipment weighing 3-5 pounds are placed on shelves up to 85 inches high or more if needed, using a step stool to access these heights. Printers are required to be changed out and transported back to IT department on wheeled carts.

Management responsibilities

  1. None

The above is intended to describe the general content of the requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. In no way does this job description, implied or otherwise.

Description

Lexington Regional Health Center

Title: Licensed Practical Nurse

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Administers patient centered nursing care as outlined in scope of practice including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc.
  2. Delegates through the appropriate scope of practice.
  3. Communicates with providers in regard to patient status, results of diagnostic tests, changes in assessments, etc.
  4. Prepares patients for and assists with exams and treatments.
  5. Maintains medical record documentation to accurately reflect care administered and patient’s condition. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms.
  6. Provides holistic support to patients and patient designated support system.
  7. Educates patients and designated support system on preventative measures, disease management, health care management while at home, etc.
  8. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care.
  9. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  10. Responsible for safe bagging and disposal of biohazardous waste.
  11. Responsible for following safe-injection practices.
  12. Responsible for proper collection, storage and labeling of biological specimens.
  13. Responsible for ensuring the environment meets appropriate governing body standards.
  14. Ensure patients and visitors follow current infection control guidelines.
  15. Supervises less skilled nursing healthcare personnel.
  16. Evaluates and implements patient care plans.
  17. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  18. Participates in shared governance committee.
  19. Communicates with multidisciplinary team to ensure patient centered holistic care.
  20. Regular attendance at the assigned work location is required.
  21. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients’ health care needs as is typically acquired through the completion of a Licensed Practical Nursing degree from an accredited school.
  2. Must hold a current active Licensed Practical Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  5. Ability to complete reports and correspondence at a professional level.
  6. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
  7. Ability to effectively communicate with individuals from diverse backgrounds.
  8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. May spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent completing paperwork or computer work for documentation. Transferring patients occasionally to frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers above the 35 pounds. 17 pound commodes are carried to patient specific rooms up to 200 feet. Transporting patient recliners from room to room up to 150 feet is completed. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Hospital beds require 60 horizontal force pounds to move bed 2 feet or to initiate movement and require 40 horizontal force pounds up to 200 feet to transport patient from room to room, many times completed by 2 person assist. Acute care shelves are to be stocked, reaching 17 inches from floor up to 83 inches high, which may require use of a step stool to reach appropriate heights. IV bags weighing 7 pounds are lifted up to variable heights overhead to be attached to IV poles. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Chest tube tray in ER weighing 8 pounds is used in appropriate situations, transported up to 200 feet from ER to patient room. Auto CPR device weighs 25 pounds and is used in emergency situations to be transported up to 200 feet from ER to patient room. In emergency situations, nurse may be required to get onto floor to perform CPR or other emergent patient care. Crawling or getting onto floor may be required to clean up messes made in patient rooms as well.
  2. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  3. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Maintenance Technician

Supervisor: Director of Plant Operations

Department: Plant Operations

FLSA: Non-exempt

Principle duties and responsibilities

  1. Consults readily with the Director of Plant Operations to ascertain and determine the optimal mechanism to achieve possibly complex repairs.
  2. Maintains and inspects heating, cooling, plumbing, water, gas, electrical and mechanical equipment (change filters and belts, clean coils, grease pumps, etc.).
  3. Takes care of grounds in general of all health center owned properties including snow removal, sprinkler repair, trash pick-up, weed control, tree trimming, etc.
  4. Accompanies all inspectors, surveyors and contractors, etc. during reviews and/or repairs of physical and non-clinical equipment.
  5. Keeps accurate maintenance records of work performed.
  6. Keeps equipment manuals of new equipment up to date by contacting vendors for updates, conducting computer searches for updates, etc.
  7. Transports linen, food carts, etc. to and from various health center properties.
  8. Ensure patients and visitors follow current infection control guidelines.
  9. Responsible for ensuring the environment meets appropriate governing body standards.
  10. Responsible for safe bagging, disposal and packaging of biohazardous waste.
  11. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  12. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  13. Regular attendance at the assigned work location is required.
  14. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read equipment manuals, contractor agreements and maintenance documents at a level typically acquired through the completion of a high school diploma or equivalent.
  2. Current Nebraska driver’s license is required.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Two years experience and/or specialized training in the maintenance, operation, repair, and inspection of institutionalized heating, cooling, plumbing, water, gas, electrical and mechanical systems and equipment is preferred.
  5. Ability to maintain, repair, and inspect health center and owned properties, equipment and vehicles with reasonable effectiveness, meaning that certain complex and sophisticated repair work may be relevant to maintenance service contract or beyond the scope of maintenance personnel capability.
  6. Ability to operate all types of machinery, health center equipment and operating systems such as generators, boilers, air conditioning, alarm panels, etc.
  7. Analytical ability to evaluate all aspects of the physical plant and equipment owned by Lexington Regional to determine need for maintenance and/or repair.
  8. Ability to carry out detailed written and oral instructions.
  9. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  10. Ability to complete reports and correspondence at a professional level. Communication skills necessary to be able to complete maintenance reports, prepare letters to vendors, follow detailed written and oral instruction and to discuss maintenance issues with contractors.
  11. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
  12. Ability to effectively communicate with individuals from diverse backgrounds.
  13. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Worker completes various activities to help maintain hospital. Worker will help transferring loads from loading dock, such as moving 52-pound printer paper boxes, transferred with a 2 wheeled dolly cart, and restacked boxes onto pallet 25 feet away from dock. Extra pallets are removed from loading dock, weighing 38 pounds, carried 25 feet to step down into truck box to stack. 5 gallon buckets are carried 1 in each hand, weighing 48 pounds, carried down 12 stairs, approximately 50 feet to be stacked in boiler room; this task is completed with 10-15 buckets occasionally each month. Air canisters are to be transported to surgery area approximately 200 feet, with the heaviest canister weighing 20.5 pounds. Lunch carts are used to transport meals to Shackley and to Health and Fitness Center, requiring 10 pounds of horizontal force of distances up to 100 feet. Ladders are used to access equipment and to reach areas that need tended. Various hand tools are used for various reasons during worker’s shift. Folding tables weighing 27 pounds are to be transported from maintenance office area to FMS clinic, up to 800 feet in distance. Tasks during each day are variable and inconsistent, but increased forces and weights may be required to be transported or moved from different areas in hospital. A laundry cart is transferred between different departments up to 250 feet requiring 20 horizontal force pounds to push/pull.
  2. Exposure to electrical, temperature, chemical and other hazards related to the physical plant for up to 50% of work time when diagnosing repairs needed, conducting repairs, etc. Appropriate safety precautions, such as wearing goggles, breathing apparatus, boots, etc., and/or using portable lighting, ensuring adequate ventilation, etc. must be used to minimize risk of injury.
  3. Ability to work in all weather conditions. Exposure to extremes in temperatures for up to 50% of work time when making necessary repairs, inspecting work on the grounds, reviewing progress on construction projects, etc.
  4. Direct exposure to body substances on contaminated surfaces such as patient equipment, environment of care such as filter changes to air-handling unit and negative pressure unit, and construction and renovation. Risk of exposure to bio-film during various tasks, such as plumbing.

Management Responsibilities

  1. None

Job descriptions statements are intended to describe the general nature and level of work being performed by the employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Medical Laboratory Technician – MLT

Supervisor: Director of Laboratory

Department: Laboratory

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Collects blood samples from infants, children, adults and geriatrics.
  2. Performs laboratory tests per providers’ orders. Enters test results into the computer system.
  3. Performs specimen testing.
  4. Processes specimens according to testing requirements: centrifuge, separate, protect from light, refrigerate or freeze samples to prepare them for testing.
  5. Performs laboratory testing on patients following standard operating procedures.
  6. Performs drug screen collections and breath alcohol testing according to Department of Transportation (DOT) training; performs DNA collections.
  7. Analyzes test results to ensure quality, using factors independent to each test: sex, age, specimen quality/handling, instrument performance, patient history, race.
  8. Faxes or mails results to the appropriate care provider.
  9. Assist patients, care providers, nurses and others with questions concerning lab testing, requirements, results, etc.
  10. Performs maintenance and quality control following procedures to properly clean and maintain instruments and ensures proper functioning.
  11. Answers laboratory questions from patients and care providers.
  12. Schedules laboratory collections for patients.
  13. Notifies supervisor when inventory needs to be ordered. Puts away, rotates and restocks supplies as necessary.
  14. Performs laboratory tests for Corporate Wellness health screenings and school visits as necessary.
  15. Ensure patients and visitors follow current infection control guidelines.
  16. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: collection of blood specimens, handling of specimens for culture and anatomical specimens, etc.)
  17. Responsible for following safe-blood collection practices.
  18. Responsible for safe bagging and disposal of biohazardous waste.
  19. Responsible for ensuring the environment meets appropriate governing body standards.
  20. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  21. Regular attendance at the assigned work location is required.
  22. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to understand and follow laboratory testing procedures for each test performed, evaluate test results for pre-analytical failures or instrument malfunction, and analyze each test result for accuracy. Phlebotomy skills and working with various instrumentation, computer systems and Laboratory Information Systems as is typically acquired through the completion of an Associate’s Degree as Medical Laboratory Technician.
  2. Certification through ASCP or equivalent agency required.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Ability to understand and follow Laboratory testing procedures for each test performed.
  5. Ability to understand and follow hospital-wide and laboratory-specific policies.
  6. Ability to understand and follow laboratory testing procedures for each test performed.
  7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  8. Ability to complete reports and correspondence at a professional level.
  9. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  10. Ability to effectively communicate with individuals from diverse backgrounds, explaining specimen collection and/or testing that will be performed.
  11. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Occasionally exposed to unpleasant specimens and odors up to 10% of the time.
  3. May be exposed to blood-borne pathogens up to 90% of the time, personal protective equipment must be worn when drawing or working with specimens.
  4. Performs up to 90% of shift being able to access countertop 40 inches high for work activities, drawing blood, and transporting material around facility. Rest of shift is seated to complete desk related work. During blood draws, will need to access the patient by bending, squatting, or getting into other positions to achieve the draw, 15-20 draws per day on average. A wheelchair is pushed to help maneuver patient into room, requiring 40 horizontal force pounds 50 feet. Lab tray cart is pushed onto hospital patient floor requiring 5 horizontal force pounds up to 300 feet in distance. A lab tray weighing 6 pounds is transported 50 feet from lab to Urgent Care or Emergency Room for draws. Required to access shelves at heights from 5 inches from floor up to 86 inches high for supplies ranging up to an 8 pound box at 82 inches high and a 46 pound Isoton fluid box 7 inches from floor. A 2-step stool can be used to access high shelves. May help with transporting supplies for health fairs completed outside of facility, transporting totes weighing 25 pounds a distance of 150 feet. In an emergency, may need to catch a patient if he or she begins to faint during a blood draw.
  5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Nuclear Medicine RN

Effective Date: October 25, 2023

Supervisor:  Director of Outpatient Services

Department:  Outpatient Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Collaborates with Centralized Scheduling for prior authorization and scheduling of patients for nuclear stress tests.
  2. Contacts patient before the test to communicate and ensures patient follows pretest instructions by explaining that the measures are necessary for a safe and successful procedure and that violation may result in test cancellation or postponement.
  3. Informs patient of procedure guidelines and explains all aspects of the procedure with patient and family members/caregivers as necessary.
  4. Verifies ordered tests, drugs needed to perform tests, and obtains appropriate consent.
  5. Performs and reviews EKG’s and vital signs.
  6. Performs an IV start; administers IV medications and monitors patient response for any side effects to pharmaceuticals given for stress test.
  7. Enter patient charges at the end of each shift.
  8. Stocks procedure room with supplies needed for testing.
  9. Educates patients/family members/care givers, when appropriate and needed, by way of verbal, phone and/or written information.
  10. Communicates patient’s status to the referring provider, cardiologist and/or primary care provider.
  11. Delegates through the appropriate scope of practice.
  12. Maintains medical record documentation to accurately reflect care administered and patient’s condition. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms.
  13. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (e.g.: lacerations, handling of blood-contaminated specimens, etc.)
  14. Responsible for safe bagging and disposal of biohazardous waste.
  15. Responsible for following safe-injection practices.
  16. Responsible for proper collection, storage, and labeling of biological specimens.
  17. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  18. Responsible for ensuring the environment meets appropriate governing body standards.
  19. Ensure patients and visitors follow current infection control guidelines.
  20. Regular attendance at the assigned work location is required.
  21. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients’ health care needs as is typically acquired through the completion of an Associate’s or Bachelor’s degree in Nursing from an accredited school. Bachelor’s degree preferred.
  2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
  3. Current Basic Life Support and Advanced Cardiac Life Support certifications required within six months of hire and/or orientation.
  4. 1 year of RN experience preferred.
  5. Requires a working knowledge of cardiology and cardiac health.
  6. Ability to maintain strict confidentiality regarding protected and sensitive information.
  7. Analytical skills necessary to evaluate patient conditions and carry out complex patient care procedures during work time while doing tasks such as: developing an exercise prescription, performing stress tests, and working with complex patients with multiple comorbidities.
  8. Ability to use standard office equipment and software proficiently.
  9. Ability to attend to fine detail when reading, analyzing, and interpreting reports, general business directives, policy and procedure statements, and governmental regulations.
  10. Ability to complete reports and correspondence at a professional level.
  11. Interpersonal skills necessary to immediately and appropriately respond to common inquiries and complaints from patients, employees, and regulatory agencies; to demonstrate compassion during difficult times for patients and families; to show support for employees; etc.
  12. Ability to effectively communicate with individuals from diverse backgrounds, varying educational levels, and occasionally unpleasant personalities.
  13. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  14. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principal duties and responsibilities.

 

Working conditions

  1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Exposure to infection and/or contagious diseases for up to 15% of work time when working with patients.
  3. Patient transferring required during routine care and emergencies, up to 35 pounds, 10% of work time. Patient transportation in wheelchair/wheeled chair 40 horizontal force pounds up to 300 feet 5% of work time.  Demonstration of patient specific exercise 40% of work time, transferring up to 10-pound dumbbells to be utilized for exercise.  Recording of vital signs and managing patient lines/leads for proper patient care 35% of work time.  Stacking and managing inventory among other clerical work 10% of work time, including transporting and stocking materials up to 20 pounds.
  4. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

 

Management Responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title.  They are not intended to be a complete list of all responsibilities, duties and skills required.

 

 

 

Description

Lexington Regional Health Center

Title: Registered Nurse-OB

Effective Date: September 10, 2020

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Administers patient-centered nursing care as outlined in the scope of practice for obstetric and neonate patients including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc.
  2. Evaluates and manages the labor, postpartum and neonate period including preparation and coordination of delivery.
  3. Evaluates and interprets the labor strip and recognizes the non-reassuring fetal and maternal assessments.
  4. Maintains medical record documentation to accurately reflect care administered and patient’s condition. Records all care information concisely, accurately and completely in a timely manner in the appropriate format and on the appropriate forms.
  5. Provides holistic support to patients and patient designated support system.
  6. Educates patient and designated support system, and/or persons caring for neonate post-discharge while ensuring appropriate bonding to include health care management while at home, care of the neonate, etc.
  7. Manages basic life support needs and stabilizes patients until the attending physician is available based upon nursing standards and protocols.
  8. Floats among various nursing areas where qualified and competent.
  9. Delegates duties through the appropriate scope of practice.
  10. Communicates with providers in regard to patient’s status, results of diagnostic tests, changes in assessments, etc.
  11. Prepares patients for and assists with exams and treatments.
  12. Supervises less skilled nursing healthcare personnel.
  13. Evaluates and implements patient care plans.
  14. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  15. Responsible for safe bagging and disposal of biohazardous waste.
  16. Responsible for following safe-injection practices.
  17. Responsible for ensuring the environment meets appropriate governing body standards.
  18. Responsible for proper collection, storage and labeling of biological specimens.
  19. Ensure patients and visitors follow current infection control guidelines.
  20. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.)
  21. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care.
  22. Participates in shared governance committee.
  23. Communicates with a multidisciplinary team to ensure patient-centered holistic care.
  24. Regular attendance at the assigned work location is required.
  25. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients’ health care needs as is typically acquired through the completion of an Associate’s or Bachelor’s degree in Nursing from an accredited school. Bachelor’s degree preferred.

 

  1. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
  2. BLS, ACLS, and PALS required within 6 months of hire and/or orientation.
  3. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  4. Ability to complete reports and correspondence at a professional level.
  5. Ability to immediately respond to common inquiries and complaints from patients, employees, and regulatory agencies.
  6. Ability to effectively communicate with individuals from diverse backgrounds.
  7. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Nurses in the OB, Charge, and ER jobs are required to be able to fulfill job duties in these three areas. Worker may spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent completing paperwork or computer work for documentation. Transferring patients occasionally to frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers above the 35 pounds. Nursing COW, which is occasionally utilized for documentation, requires 15 horizontal force pounds to maneuver cart 200 feet at one time. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Hospital beds require 60 horizontal force pounds to move bed 2 feet or to initiate movement and require 40 horizontal force pounds up to 200 feet to transport patient from room to room, many times completed by 2 person assist. Shelves are required to be stocked: OB from 17 inches from floor up to 73 inches high, Acute Floor from 17 inches to 83 inches high, and ER from 4 inches off floor to 77 inches high. A step stool may be required to reach the highest shelves. IV bags weighing 7 pounds are lifted up to variable heights over head to be attached to IV poles. OB bassinets and mobile scale are used for babies, requiring up to 10 horizontal force pounds for movement 2-3 times per shift. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Chest tube tray in ER weighing 8 pounds is used in appropriate situations, transported up to 200 feet from ER to patient room. Auto CPR device weighs 25 pounds and is used in emergency situations to be transported up to 200 feet from ER to patient room. In emergency situations, nurse may be required to get onto floor to perform CPR or other emergent patient care.
  2. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  3. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Occupational Therapist

Supervisor: Director of Rehabilitation Services

Department: Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Evaluates and reevaluates patient to determine limitations in order to establish plan of care and modifies as patient status requires.
  2. Administers occupational therapy procedures and modalities for the purpose of achieving treatment plan objectives.
  3. Reviews patient medical history to determine contraindications and precautions with modalities/interventions.
  4. Establishes therapeutic exercise program based on patient limitations to maintain or improve patient’s functional status.
  5. Fabricates orthotics as ordered by provider to facilitate healing, enhance protection and optimize function as patient condition warrants.
  6. Completes activities of daily living training and therapeutic activities to enhance patient safety and optimize independence as patient condition allows.
  7. Documents evaluation, reevaluation, recertification and daily progress notes on paper forms, electronically or by dictation to record subjective, objective, assessment and plan.
  8. Educates patient and family/caregivers on condition, plan of care and home program to enhance therapist-patient relationship, optimize patient compliance and facilitate optimum results.
  9. Transports self to different clinic locations to complete treatment plan on patients.
  10. Communicates patient status to referring provider, case managers or interdisciplinary team to enhance quality and transition of care.
  11. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  12. Responsible for safe bagging and disposal of biohazardous waste.
  13. Responsible for following safe-injection practices.
  14. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  15. Ensure patients and visitors follow current infection control guidelines.
  16. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  17. Regular attendance at the assigned work location is required.
  18. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to use standard office equipment and software proficiently, read and analyze general business directives, policy and procedure statements, and governmental regulations as is typically acquired through the completion of an Occupational Therapy degree obtained from an accredited occupational therapy school.
  2. Must hold a current active Occupational Therapy license issued by the Nebraska Board of Occupational Therapy Examiners.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Eligible after first year of employment to participate in serving as a clinical facilitator for occupational therapist and/or occupational therapist assistant clinical internships.
  5. Attention to detail up to 80% of time when performing evaluations, utilizing specialty testing for differential diagnosis, establishing treatment plan, reviewing outcomes data and progressing/modifying plan of care.
  6. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels in order to perform evaluation and establish plan of care, taking into consideration cultural differences.
  7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  8. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  9. Ability to complete reports and correspondence at a professional level.
  10. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  11. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  12. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Occasional exposure up to 80% of time to infection and/or contagious diseases when working with patients.
  3. May require performing therapy services in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assisted living facility, school environment. May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
  4. Patient transferring required during routine care and emergencies, up to 35 pounds, 10-20% of work time. Patient transportation in wheelchair 40 horizontal force pounds up to 300 feet 1% of work time. Moving of inpatient bed to help patient transferring for safe and appropriate care up to 60 horizontal force pounds 1-2 feet 5% of work time. Transportation of laundry, equipment, and patient charts in lock box per patient privacy regulations up to 20 pounds for laundry and equipment and up to 25 pounds for patient chart lock box into vehicle, 1% of work day up to 2x/day. Outpatient care requiring transferring various weights to be utilized for specific exercise up to 10 pounds, 35% of time. Outpatient care requiring body positioning to apply various manual therapy techniques, ambulating various distances for gait training, patient care, and miscellaneous activities, and requiring reaching in various directions to demonstrate exercise, clerical work, and to provide manual contact cues, up to 60% of work time. Various positions and mechanics are used for proper control and safety for therapist and patient to prevent injury.
  5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Registered Nurse

Effective Date: October 24, 2021

Supervisor: Director of Outpatient Services

Department: Outpatient Services

FSLA Status: Non-Exempt

Principle duties and responsibilities

  1. Organizes, prepares and conducts clinics for visiting specialists in the outpatient setting. Schedules visiting specialists and helps supervisor with coordination of those clinics. Provides input on clinic logistics to supervisor in order to assure adequate facilities and staffing to accommodate visiting specialty physicians in the clinic setting.
  2. Communicates directly with the scheduling staff, the Pre-op Teaching Nurse, the Surgery Department and the Nursing Supervisor to provide coordination of services to ensure excellent care for the outpatient client.
  3. Provides efficient, patient-centered care in the outpatient clinic setting, operating within the accepted scope of practice for a Registered Nurse.
  4. Works with specialty physicians and their staff to identify necessary medical equipment and supplies to conduct efficient clinic services. Communicates these needs to supervisor.
  5. Serves as a liaison and advocate for the patient, communicating between the visiting specialty physicians and the primary care providers when necessary.
  6. Works to ensure that the Specialty Clinic patient’s questions and requests are sufficiently addressed. Communicates to the supervisor if patient or physician concerns or conflicts arise.
  7. Works to promote the visiting specialists’ and hospital’s services to the region.
  8. Represents the facility accurately, honestly, and acts with integrity and in the best interest of the facility while practicing by the mission and vision.
  9. Maintains harmonious relationships within the department and among coworkers, providing support and assistance to co-workers to ensure quality patient care.
  10. Delegates through the appropriate scope of practice.
  11. Communicates with providers in regard to patient status, the result of diagnostic tests, changes in assessments etc.
  12. Prepares patients for and assists with exams and treatments.
  13. Supervises less skilled nursing healthcare personnel.
  14. Follows all facility policies and procedures.
  15. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  16. Responsible for safe bagging and disposal of biohazardous waste.
  17. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  18. Responsible for proper collection, storage and labeling of biological specimens.
  19. Ensure patients and visitors follow current infection control guidelines.
  20. Responsible for following safe-injection practices.
  21. Maintain patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.).
  22. Communicates with multidisciplinary team to ensure patient-centered holistic care.
  23. Serves on the shared governance committee.
  24. Regular attendance at the assigned work location is required.
  25. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Knowledge and understanding of nursing theory and practice, including pharmacological agents and the ability to administer all medications – oral, subcutaneous, intramuscular and intravenous. Knowledge of the growth and development of a variety of patients in order to meet the health care needs of the neonate, pediatric, adult and geriatric patient. Knowledge of reading, spelling, grammar, writing, math and computer operation as is typically acquired through the completion of a Registered Nurse Degree or Bachelor’s degree in Nursing from an accredited school.
  2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act
  3. Current Basic Life Support via American Heart Association required.
  4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  5. Ability to complete reports and correspondence at a professional level.
  6. Ability to immediately respond to common inquiries and complaints from patients, employees, and regulatory agencies.
  7. Ability to effectively communicate with individuals from diverse backgrounds.
  8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal patient care environment with little exposure to excessive noise, dust, temperature, etc.
  2. Worker may spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent completing paperwork or computer work for documentation. Transferring patients occasionally to frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers above the 35 pounds. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Shelves are required to be stocked from 4 inches off floor to 77 inches high and a step stool may be required to reach the highest shelves. IV bags weighing 7 pounds are lifted up to variable heights over head to be attached to IV poles. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Auto CPR device weighs 25 pounds and is used in emergency situations to be transported up to 200 feet from ER to patient room. In emergency situations, nurse may be required to get onto floor to perform CPR or other emergent patient care.
  3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

The above is intended to describe the general content of the requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. In no way does this job description, constitute a contract, implied or otherwise.

Lexington Regional Health Center

Title: Physical Therapist

Effective Date: July 19, 2020

Supervisor:  Director of Rehabilitation Services

Department:  Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Evaluates and reevaluates patient to determine limitations in order to establish plan of care and modify as patient status requires.
  2. Administers physical therapy procedures and modalities for the purpose of achieving treatment plan objectives.
  3. Reviews patient’s medical history to determine contraindications and precautions with modalities/interventions.
  4. Establishes therapeutic exercise program and progress based on patient limitations to maintain or improve patient’s functional status.
  5. Transfers patient from various surface areas with assistance levels depending on patient status to complete treatment session and enhance patient independence with transfers.
  6. Supervises Physical Therapist Assistant in treating patients and adjusting plan of care as needed.
  7. Documents evaluations, reevaluations, recertifications and daily progress notes on paper forms, electronically or by dictation to record subjective, objective, assessment and plans.
  8. Educates patient and family/caregivers on condition, plan of care and home program to enhance therapist-patient relationship, optimize patient compliance and facilitate optimum results.
  9. Completes charges accurately to reflect services provided to patient and submits in a timely manner.
  10. Transports self to different clinic locations to complete treatment plan on patients.
  11. Communicates patient’s status to referring provider, case managers or interdisciplinary team to enhance quality and transition of care.
  12. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  13. Responsible for safe bagging and disposal of biohazardous waste.
  14. Responsible for following safe-injection practices.
  15. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  16. Ensure patients and visitors follow current infection control guidelines.
  17. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  18. Regular attendance at the assigned work location is required.
  19. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to use standard office equipment and software proficiently, read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations as is typically acquired through the completion of a Bachelor’s, Master’s or Doctorate degree in Physical Therapy from an accredited school.
  2. Must hold a current active Physical Therapy license issued by the Nebraska Board of Physical Therapy Examiners.
  3. Eligible after first year of employment to participate in serving as a clinical facilitator for physical therapist and/or physical therapy assistant clinical internships.
  4. Basic Life Support certification via American Heart Association required within six months of hire.
  5. Attention to detail up to 80% of the time when performing evaluations, utilizing specialty testing for differential diagnosis, establishing treatment plan, reviewing outcomes data and progressing/modifying plan of care.
  6. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels in order to perform evaluation and establish plan of care, taking into consideration cultural differences.
  7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  8. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  9. Ability to complete reports and correspondence at a professional level.
  10. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  11. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  12. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Occasional exposure up to 80% of the time to infection and/or contagious diseases when working with patients.
  3. May require performing therapy services in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assisted living facility, school environment.  May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
  4. Patient transferring required during routine care and emergencies, up to 35 pounds, 10-20% of work time. Patient transportation in wheelchair 40 horizontal force pounds up to 300 feet 1% of work time. Moving of inpatient bed to help patient transferring for safe and appropriate care up to 60 horizontal force pounds 1-2 feet 5% of work time. Transportation of laundry, equipment, and patient charts in lock box per patient privacy regulations up to 20 pounds for laundry and equipment and up to 25 pounds for patient chart lock box into vehicle, 1% of work day up to 2x/day. Outpatient care requiring transferring various weights to be used for specific exercise up to 10 pounds, 35% of time. Outpatient care requiring body positioning to apply various manual therapy techniques, ambulating various distances for gait training, patient care, and miscellaneous activities, and requiring reaching in various directions to demonstrate exercise, clerical work, and to provide manual contact cues, up to 60% of work time. Various positions and mechanics are used for proper control and safety for therapist and patient to prevent injury.
  5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

 

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center
Title: Physical Therapist Assistant

Effective Date: October 24, 2021

Supervisor:  Director of Rehabilitation Services

Department:  Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Administers physical therapy procedures and modalities for the purpose of achieving treatment plan objectives.
  2. Reviews patient’s medical history to determine contraindications and precautions with modalities/interventions.
  3. Supervises patient with therapeutic exercise program and progress as patient status allows and per Physical Therapist established plan of care.
  4. Transfers patient from various surface areas with assistance levels depending on patient status to complete treatment session and enhance patient independence with transfers.
  5. Documents progress notes on paper forms, electronically or by dictation to record subjective, objective, assessment and plans.
  6. Completes charges for patient’s session and submits in a timely manner.
  7. Educates patient and family/caregivers on condition, plan of care and home program to enhance therapist-patient relationship, optimize patient compliance and facilitate optimum results.
  8. Transports self to different clinic locations or for Home Health visits to complete treatment plan on patients.
  9. Communicates patient status updates to physical therapist, referring provider, case managers or interdisciplinary team to enhance quality and transition of care.
  10. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  11. Responsible for safe bagging and disposal of biohazardous waste.
  12. Responsible for following safe-injection practices.
  13. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  14. Ensure patients and visitors follow current infection control guidelines.
  15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  16. Regular attendance at the assigned work location is required.
  17. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to use standard office equipment and software proficiently, read and analyze general business directives, policy and procedure statements, and governmental regulations as is typically acquired through the completion of an associate’s degree from an accredited physical therapy assistant school.
  2. Must have a current Physical Therapist Assistant license issued by the Nebraska Board of Physical Therapy Assistant Examiners.
  3. Eligible after first year of employment to participate in serving as a clinical facilitator for physical therapy assistant clinical internships.
  4. Current Basic Life Support certification via American Heart Association required within six months or hire and/or orientation.
  5. Attention to detail when providing therapy to patient, monitoring patient’s response to treatment plan, performing modalities of choice and recording outcomes data.
  6. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels in order to carry out treatment plans established by physical therapist, taking into consideration cultural differences.
  7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  8. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  9. Ability to complete reports and correspondence at a professional level.
  10. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  11. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  12. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Occasional exposure up to 80% of the time to infection and/or contagious diseases when working with patients.
  3. May require performing therapy services in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assisted living facility, school environment.  May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
  4. Patient transferring required during routine care and emergencies, up to 35 pounds, 10-20% of work time. Patient transportation in wheelchair 40 horizontal force pounds up to 300 feet 1% of work time. Moving of inpatient bed to help patient transferring for safe and appropriate care up to 60 horizontal force pounds 1-2 feet 5% of work time. Transportation of laundry, equipment, and patient charts in lock box per patient privacy regulations up to 20 pounds for laundry and equipment and up to 25 pounds for patient chart lock box into vehicle, 1% of work day up to 2x/day. Outpatient care requiring transferring various weights to be used for specific exercise up to 10 pounds, 35% of time. Outpatient care requiring body positioning to apply various manual therapy techniques, ambulating various distances for gait training, patient care, and miscellaneous activities, and requiring reaching in various directions to demonstrate exercise, clerical work, and to provide manual contact cues, up to 60% of work time. Various positions and mechanics are used for proper control and safety for therapist and patient to prevent injury.
  5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Office Assistant

Supervisor: Director of Rehabilitation Services

Department: Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Greets patients upon entering facility and issues identification bracelet.
  2. Completes registration of new patient including: consent form, medical history form, Medicare Questionnaire (if applicable), demographic form and computer submission.
  3. Prints off daily schedule from hospital’s computer software scheduler and posts in front office.
  4. Assists Rehabilitation Services Aide as needed in cleaning treatment rooms/mats/tables, exercise equipment and aquatic facility following patient treatment sessions to ensure proper hygiene and maintain infection control guidelines.
  5. Schedules patient in hospital’s computer software scheduler per therapist’s request.
  6. Answers telephone to assist patients with scheduling, rescheduling, or directing phone calls to appropriate person/department.
  7. Faxes evaluations, recertifications, and progress letters to providers as instructed by therapists.
  8. Delivers outgoing mail and interdepartmental mail to hospital daily.
  9. Contacts insurance companies to verify eligibility and limitations for therapy services.
  10. Audits and tracks therapy cap amounts, insurance limitations and workman’s compensation limitations to ensure compliance.
  11. Collects payments for therapy services including copay amounts based on insurance requirements.
  12. Completes monthly Rehabilitation Services statistics and submits to department director.
  13. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  14. Ensure patients and visitors follow current infection control guidelines.
  15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  16. Regular attendance at the assigned work location is required.
  17. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to use standard office equipment and software proficiently, read and write as is typically acquired through the completion of a high school diploma or equivalent.
  2. Basic Life Support certification via American Heart Association required within six months of hire.
  3. Attention to detail up to 90% of the time when entering patient personal/insurance information for registration purposes, organizing charts, tracking evaluations, contacting insurance providers to preauthorize therapy services, collecting/tracking copays and ensuring front office process flow.
  4. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels in order to assist with checking in and registering the patient, obtaining personal information for registration purposes and communicating with the patient when attending therapy sessions, taking into consideration cultural differences.
  5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  6. Ability to solve problems independently and confidently by applying analytical and logical thinking.
  7. Ability to read and analyze general business directives, policy and procedure statements, and governmental regulations.
  8. Ability to complete reports and correspondence at a professional level.
  9. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  10. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  11. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Occasional exposure up to 50% of the time to infection and/or contagious diseases when working with patients.
  3. May require performing therapy duties in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assistive living facility, school environment. May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
  4. Requires filing patient forms into charts 40% of day. Helps stock and maintain inventory of office supplies in front office cabinets and cupboards up to 5 pounds of supplies 10% of work time. Requires 70% of work time at desk or in front of computer for various paperwork, clerical, and billing, among other duties. Ambulation up to 200 feet for one instance of retrieving charts or to discuss information with therapist 10% of work time.
  5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Prior Authorization Specialist

Effective Date: November 29, 2023

Supervisor: Informatics System Coordinator

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Contacts insurance carriers to verify patient’s insurance eligibility, benefits & medical necessity.
  2. Obtains clinical information (including but not limited to medical history, relevant labs and diagnostic testing) necessary to complete the Prior Authorization.
  3. Confirm accuracy of Current Procedural Terminology (CPT) and standards as defined by the current International Classification of Diseases (ICD).
  4. Ensure the provider order includes a payable diagnosis code according to the insurance company.
  5. Views the insurance companies’ guidelines for medical necessity by navigating the websites.
  6. Verifies that the patient meets the medical necessity guidelines as outlined by the patient’s insurance company.
  7. Requests additional required documentation from providers.
  8. Initiates, tracks and obtains pre-authorization from third-party payers within 48 hours of receiving the order.
  9. Documents the case status, actions and outcomes in the patient’s Electronic Medical Record.
  10. Communicates any insurance changes or trends among the team.
  11. Maintains a level of productivity as defined by the department director.
  12. Prioritizes incoming authorization requests according to urgency.
  13. Manages multiple authorization requests at once.
  14. Schedules Peer to Peer (P2P) reviews for the providers as needed.
  15. Initiates appeals for denied authorizations.
  16. Responds to clinic and provider questions regarding payer medical policy guidelines.
  17. Contacts patients to discuss authorization status and schedules a Pre-Admission visit with the Nurse Educator for all surgery cases.
  18. Serves as a liaison with patients and their families, supports departments, etc. to adequately plan for the patient’s care.
  19. Communicates scheduling and authorization concerns to supervisor.
  20. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  21. Responsible for ensuring the environment meets appropriate governing body standards.
  22. Ensure patients and visitors follow current infection control guidelines.
  23. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.).
  24. Serves on various committees as assigned.
  25. Regular attendance at the assigned work location is required. May have the potential to transition to a work from home position based on the needs of the organization after on-site orientation and training has been established.
  26. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read, write and use basic computer and office equipment skills as is typically acquired through the completion of a high school diploma or equivalent.
  2. Experience in a hospital, physician’s office or authorization department is preferred.
  3. Advanced communication skills to respond to inquiries from Insurance companies and Workers’ Compensation companies.
  4. Understanding of the importance of authorization and its direct impact on the facility’s Revenue Cycle.
  5. Understanding of payer Medical Policy Guidelines & utilizing theses guidelines to manage authorizations effectively.
  6. Basic understanding of Human Anatomy and Medical Terminology.
  7. Detail oriented with above average organizational skills.
  8. Ability to multi-task, expect interruptions and remain focused while managing a high-volume, time-sensitive workload.
  9. Must be willing to learn the facility’s Electronic Medical Record.
  10. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  11. Ability to complete reports and correspondence at a professional level.
  12. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies in collaboration with supervisor and administration.
  13. Ability to effectively communicate with individuals from diverse backgrounds.
  14. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature etc.
  2. Sitting, walking, and/or standing for up to 90% of work time when doing Utilization Review, Preauthorizing Orthopedic and Urology surgeries and Mental Health Assessments, etc. Up to 20% of work time may push items weighing up to 50 pounds when assisting nursing staff if needed.
  3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Radiology Administrative Assistant

Effective Date: October 24, 2021

Supervisor: Director of Radiology

 

Department: Radiology

FLSA Status: Non-exempt

 

Principle duties and responsibilities

  1. Greets patients upon arrival to the department and enters orders upon arrival as needed.
  2. Communicates effectively in person and on the phone with patients and providers to schedule procedures. Asks the patient appropriate questions relating to the procedure, insurance and health history.
  3. Reviews daily schedule and provides Radiology staff with necessary reports and screening forms.
  4. Provides patients and providers with images and reports as requested. Organizes records of exams being sent to outside facilities.
  5. Forwards calls and messages to the appropriate individuals in an effort to maximize patient care and workflow.
  6. Ensure patients and visitors follow current infection control guidelines.
  7. Responsible for ensuring the environment meets appropriate governing body standards.
  8. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  9. Regular attendance at the assigned work location is required.
  10. Performs all other duties as assigned.

 

Minimum knowledge, skills, and abilities

  1. Requires a basic knowledge of reading, writing, spelling and mathematics. Basic computer skills are also required. This is typically acquired through the completion of a high school diploma or equivalent.
  2. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  3. Ability to complete reports and correspondence at a professional level.
  4. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  5. Ability to effectively communicate with individuals from diverse backgrounds. Ability to communicate effectively and positively with patients, visitors, hospital personnel vendors and all customers that present to the facility.
  6. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

 

Working conditions

  1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Spends up to 90% of shift completing paperwork/computer work, answering the phone, and greeting patients while the remaining 10% may be spent walking to various departments throughout the facility delivering reports, getting mail, assisting patients to other destinations, etc.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

 

Lexington Regional Health Center

Title: Registered Dietitian

Effective Date: October 24, 2021

Supervisor: Director of Rehabilitation Services

 

Department: Dietary

FLSA Status: Exempt

 

Principle duties and responsibilities

  1. Coordinates all phases of nutrition care including nutrition assessment, care planning, monitoring, education and counseling of hospitalized patients. Provides nutrition services and medical nutrition therapy integrated with the patient’s medical goals. Evaluates, interprets, monitors and documents the nutritional status and nutritional needs of hospitalized patients in a timely manner and by using established standards of care and practice guidelines.
  2. Assures patient diet orders are appropriate. Approves and changes patient menus as needed to meet specific nutritional needs. Visits patients during rounding to evaluate the quality of food served, obtains food preferences and discusses any diet restrictions.
  3. Coordinates all phases of nutrition care including nutrition assessment, care planning, monitoring, education and counseling of outpatients using established standards of care and practice guidelines.
  4. Provides nutrition education to outpatients enrolled in the Medically Managed Program (MMP).
  5. Coordinates weight management programs for hospital employees and community members.
  6. Provides nutrition education to outpatients in the diabetes self management program. Accurately documents visits and statistics, as well as maintains 15 hours of diabetes continuing education per year to maintain ADA accreditation.
  7. Provides educational in-services and lunch and learn presentations to hospital staff and community to increase knowledge of nutrition and wellness.
  8. Develops, reviews, updates and implements educational materials to meet the needs of patients and professionals.
  9. Consults with Dietary Manager in directing the planning, organizing, developing and overall operation of the Dietary department which provides dietary services for all patient care activities of the hospital. Coordinates all dietary records, policies, and practices as required by federal and state law and by regulatory agencies and commissions.
  10. Assures the authority, responsibility, and accountability of directing the food service department and departmental compliance with Quality Management (QM) and accreditation standards. Develops overall QM program for the dietary department and submits quality reports as necessary.
  11. Performs sanitation checks and other quality tasks in the dietary department. Coordinates with Dietary Manager to lead monthly department meetings.
  12. Presents educational presentations to community groups to increase knowledge of nutrition and wellness.
  13. Ensure patients and visitors follow current infection control guidelines.
  14. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens.
  15. Responsible for ensuring the environment meets appropriate governing body standards.
  16. Serves on various committees as assigned.
  17. Assumes role and responsibility of Dietary Manager.
  18. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  19. Regular attendance at the assigned work location is required.
  20. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Knowledge of nutrition and dietary management in order to provide nutritional care to patients as is typically acquired through the completion of an accredited dietetics program which includes a Bachelor of Science degree or higher and Academy of Nutrition and Dietetics (AND) approved dietetic internship program.
  2. Must have RD credentials acquired by passing the Commission on Dietetic Registration (CDR) exam. Must have current Medical Nutrition Therapy license for the State of Nebraska. Member of the Academy of Nutrition and Dietetics preferable.
  3. Ability to assess nutritional status of pediatric/adolescent, adult, and geriatric patients and prescribe and plan appropriate nutritional care as is typically acquired through two years experience as a clinical dietitian.
  4. Basic Life Support certification via American Heart Association required within six months of hire.
  5. Advanced written and oral communication skills necessary to converse in an effective and positive manner with patients, hospital employees, physicians, visitors and the community.  Ability to effectively communicate with individuals from diverse backgrounds.
  6. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  7. Ability to complete reports and correspondence at a professional level.
  8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  9. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  2. Spends 50% of shift sitting for desk work, and the other 50% of shift completing patient care, such as patient education in hospital rooms. Inpatient consultations are in patient rooms, which require ambulating up to 300 feet from office to room and furthest ambulation distance of 500 feet for navigating facility. Assists with patient transportation in wheelchairs as necessary requiring 40 horizontal force pounds of up to 100 feet. Travels frequently for community outreach, speaking, and educational engagements. Transports own supplies while travelling, with a box weighing up to 25 pounds, transporting approximately 100 feet to/from facility. Office work requires lifting up to 6 pounds from 4 inch to 81 inch high storage. Assists with Medical Management Program to help provide education. In emergency situations, required to transfer to floor for assisting patients.
  3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

 

Management responsibilities

  1. Dietary Manager

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Description

Lexington Regional Health Center

Title: Registered Nurse

Effective Date: September 11, 2020

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Administers patient centered nursing care as outlined in scope of practice including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc.
  2. Delegates through the appropriate scope of practice.
  3. Communicates with providers in regard to patient status, results of diagnostic tests, changes in assessments, etc.
  4. Prepares patients for and assists with exams and treatments.
  5. Maintains medical record documentation to accurately reflect care administered and patient’s condition. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms.
  6. Provides holistic support to patients and patient designated support system.
  7. Educates patients and designated support system on preventive measures, disease management, health care management while at home, etc.
  8. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care.
  9. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  10. Responsible for safe bagging and disposal of biohazardous waste.
  11. Responsible for following safe-injection practices.
  12. Responsible for ensuring the environment meets appropriate governing body standards.
  13. Responsible for proper collection, storage and labeling of biological specimens.
  14. Ensure patients and visitors follow current infection control guidelines.
  15. Supervises less skilled nursing healthcare personnel.
  16. Evaluates and implements patient care plans.
  17. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  18. Participates in shared governance committee.
  19. Communicates with multidisciplinary team to ensure patient centered holistic care.
  20. Regular attendance at the assigned work location is required
  21. Performs all other duties as assigned

Minimum knowledge, skills, and abilities

  1. Knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients’ health care needs as is typically acquired through the completion of an Associate’s or Bachelor’s degree in Nursing from an accredited school. Bachelor’s degree preferred.
  2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
  3. Basic Life Support certification via American Heart Association required within six months of hire. BLS, ACLS, and PALS required within six months of hire and/or orientation.
  4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  5. Ability to complete reports and correspondence at a professional level.
  6. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
  7. Ability to effectively communicate with individuals from diverse backgrounds.
  8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. May spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent completing paperwork or computer work for documentation. Transferring patients occasionally to frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers above the 35 pounds. Nursing COW, which is occasionally utilized for documentation, requires 15 horizontal force pounds to maneuver cart 200 feet at one time. 17 pound commodes are carried to patient specific rooms up to 200 feet. Transporting patient recliners from room to room up to 150 feet is completed. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Hospital beds require 60 horizontal force pounds to move bed 2 feet or to initiate movement and require 40 horizontal force pounds up to 200 feet to transport patient from room to room, many times completed by 2 person assist. Acute care shelves are to be stocked, reaching 17 inches from floor up to 83 inches high, which may require use of a step stool to reach appropriate heights. IV bags weighing 7 pounds are lifted up to variable heights overhead to be attached to IV poles. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Chest tube tray in ER weighing 8 pounds is used in appropriate situations, transported up to 200 feet from ER to patient room. Auto CPR device weighs 25 pounds and is used in emergency situations to be transported up to 200 feet from ER to patient room. In emergency situations, nurse may be required to get onto floor to perform CPR or other emergent patient care. Crawling or getting onto floor may be required to clean up messes made in patient rooms as well.
  2. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  3. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Description

Lexington Regional Health Center

Title: Respiratory Therapist

Supervisor: Director of Respiratory Services

Department: Respiratory Therapy

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Assesses and administers respiratory services while utilizing appropriate therapies to treat patients with deficiencies of the cardiopulmonary system, by prescription or approved protocol under the supervision of the patient’s Medical Provider and Director of Respiratory Services.
  2. Administers respiratory therapies such as: nebulizer treatments, oxygen therapy, inhaled medications, bronchial hygiene therapy, lung volume expansion therapy, etc. Reacts to patient’s status changes and emergency situations appropriately and efficiently.
  3. Administers diagnostic testing to patients with cardio-pulmonary abnormalities such as EKG’s, PFT’s, Cardiac Stress Testing, ABG’s, obtaining sputum cultures, Pulmonary Rehab, etc.
  4. Provides education to patients and families regarding lung diseases. This may include COPD, asthma, smoking cessation, etc.
  5. Performs a thorough patient assessment including listening to lung sounds, counting respirations, assessing work of breathing, etc.
  6. Thoroughly and accurately documents every procedure and assessment performed.
  7. Works with all age groups ranging from infants and pediatrics to adults.
  8. Trouble-shoots skills to adjust BIPAP/CPAP machines, oxygen equipment, ventilator, etc.
  9. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  10. Responsible for safe bagging and disposal of biohazardous waste.
  11. Responsible for ensuring the environment meets appropriate governing body standards.
  12. Responsible for proper collection, storage and labeling of biological specimens.
  13. Ensure patients and visitors follow current infection control guidelines.
  14. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  15. Regular attendance at the assigned work location is required.
  16. Performs all other duties as assigned

 

Minimum knowledge, skills, and abilities

  1. Knowledge of respiratory care therapies and procedures, equipment operation and basic computer skills to document procedures and assessments, as is typically acquired through the completion of an Associate’s degree in a Respiratory Care program from an accredited school.
  2. Current licensure as a Registered or Certified Respiratory Therapist from the Nebraska Department of Health and Human Services.
  3. Current Basic Life Support certification via American Heart Association required.
  4. Attention to detail up to 75% of work time when assessing patients and completing patient documentation.
  5. Analytical skills to troubleshoot problems with equipment, observe and evaluate patient status, etc.
  6. Advanced communication skills to educate patients and families, correspond with other healthcare professionals regarding a patient’s plan of care, etc. Ability to effectively communicate with individuals from diverse backgrounds.
  7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  8. Ability to complete reports and correspondence at a professional level.
  9. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  10. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Spends approximately 2-4 hours/day completing documentation and desk work and the rest of the shift is spent completing various patient care activities, approximately 8-10 hours. Patient transferring is required for the job, up to 35 pounds 5% of work time. Required to transport various equipment for patient care activities: Computer On Wheels for documentation, oxygen tank carts, compressed air tank carts, single canisters of oxygen/compressed air, percussion machine, etc. for 15% of work time, with up to 20 pounds of horizontal force in hallways up to 300 feet in distance and up to 45 pounds of horizontal force to get over threshold into rooms 2 feet in distance. Required to use percussion tool, which weighs 2-3 pounds and creates vibration, and hold up to patient for percussion 10-40 minutes depending on patient diagnosis. Routine patient care requires reaching to hold equipment up to patient for breathing treatments, requiring different amounts of time. Supplies are to be stocked at various times, from 4 ¾ inch from floor up to 70 ¾ inch height shelves to be reached daily and 90 ¼ inch height monthly. Oxygen tanks, weighing 10 pounds when full, and compressed air tanks, weighing 15 pounds when full, are to be filled and transported to carts to be utilized for patient care 10% of work time. During emergency situations, CPR is a job duty that will need to be performed and may require performance in different body positions.
  2. Frequent exposure to infections, contagious diseases, hazardous anesthetic agents and body fluids and wastes up to 60% of the time. Regularly exposed to the risk of blood borne diseases and to hazards of flammable, explosive gases, up to 30% of the time. Occasional exposure to unpleasant patient or unit elements, up to 10% of the time.
  3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management Responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Surgical Services Surgical Technologist

Effective Date: July 22, 2020

Supervisor: Director of Surgical Services

Department: Surgical Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Under supervision of a Registered Nurse, participates as a member of the surgical services nursing team in the collection of data for use in the preparation of equipment and supplies needed for the surgical procedure and implements nursing interventions identified in the plan of care.
  2. Assists in operating room, endoscopy room and sterile processing as assigned.
  3. Receives and processes incoming supplies and equipment.
  4. Performs decontaminating, cleaning and sterilizing duties.
  5. Prepares packs of supplies, linens and instruments in sterile processing as directed.
  6. Checks supplies and equipment needed for surgical procedures.
  7. Sets up sterile table with instruments, supplies, equipment, and medications/solutions needed for procedures.
  8. Functions in the surgical technologist role by preparing, organizing, and anticipating needed instruments, supplies, and equipment for safe patient care and operative procedures, performs appropriate counts with a Registered Nurse, and cleans and prepares instruments for sterilization according to the Association of Surgical Technologists (AST) guidelines.
  9. Maintains highest standards of sterile techniques during procedures.
  10. Assists other members of team with cleaning and turning over the operating room in preparation for the next case.
  11. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  12. Responsible for safe bagging and disposal of biohazardous waste.
  13. Responsible for following safe-injection practices.
  14. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  15. Ensure patients and visitors follow current infection control guidelines.
  16. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.)
  17. Regular attendance at the assigned work location is required
  18. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read, write and basic computer and office equipment skills as is typically acquired through the completion of a high school diploma or equivalent.
  2. Basic Life Support certification via American Heart Association required within six months of hire.
  3. Must have two years prior experience as a Surgical Services Surgical Technologist or complete a sterile processing certification course within one year of hire.
  4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  5. Ability to complete reports and correspondence at a professional level.
  6. Ability to immediately respond to common inquiries and complaints from patients, employees, and regulatory agencies.
  7. Ability to effectively communicates with individuals from diverse backgrounds.
  8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Required to be able to stand constantly to help assist surgeon as necessary, such as retrieving correct instruments to be used. Patient beds are to be transported up to 200 feet in distance requiring 35 pounds of horizontal force with 2 people assist in moving patients to and from surgery. Lifting up to 35 pounds is required for patient transferring. Transferring patients to beds may require multiple people assist up to 50 pounds to lift and transfer the patient. Surgical pans and equipment that weigh up to 35 pounds are to be transported a distance approximately 60 feet into surgical rooms if needed. 5 pound IV bags are to be lifted up to 65 inches to be placed on poles and for stocking shelves in the surgery area. During patient positioning for draping and sterilization purposes, patient extremities are to be held away from body requiring holding 25 pounds up to 5 minutes. Gross motor UE repetitive frequent use and movement for handling instruments and equipment during surgery. The worker is required to crawl short distances to help assist with cleaning, adjusting equipment, assisting in surgery, and emergency situations that may require short distance crawling as well. To help assist surgery, the worker may be required to attain various body postures/positioning, such as bending, kneeling, crouching, and squatting depending what is needed for that particular surgery. Shelves are to be stocked and equipment to be retrieved from shelves ranging from various heights, reaching overhead consistent with heights equal to that of lifting IV bags onto poles. May be required to push a patient wheelchair, requiring an initial 40 pounds of horizontal force to begin movement of a 300-pound person, and 25 pounds of horizontal force for continued pushing in hallways.
  2. Exposure to infections, communicable, and contagious diseases up to 75% of work time. Exposure to risk of bloodborne diseases, high steam pressure and radiological environment up to 75% of work time.
  3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Medical Interpreter

Effective Date: October 24, 2021

Supervisor: Director of Social Services

Department: Social Services

FLSA Status: Non-exempt

Principle duties and responsibilities

  1. Provides language services to patients with limited English proficiency. Facilitates effective communication between the healthcare provider and patient with limited English proficiency.
  2. Edits and proofreads discharge information to accurately reflect the language.
  3. Relays concepts and ideas between languages.
  4. Conveys written material from one language into another, such as fliers, publications, web pages, etc.
  5. Creates new text into the target language that reproduces the content and style of the organization.
  6. Receives and submits material electronically (e.g.: emails translated documents, faxes translated documents, etc).
  7. Uses dictionaries, glossaries, etc. for reference.
  8. Interprets/translates language at meetings as necessary.
  9. Reads aloud a document in a language other than that which it was written.
  10. Translates patient material and informational brochures issued by the hospital into other languages.
  11. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  12. Responsible for ensuring the environment meets appropriate governing body standards.
  13. Responsible for proper collection, storage and labeling of biological specimens.
  14. Ensure patients and visitors follow current infection control guidelines.
  15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  16. Regular attendance at the assigned work location is required per scheduled shift assigned by department leaders.
  17. Must be able to take on-call assignments that are outside of regular worked shifts; if part time or full time status. If employee is causal status, this employee only needs to be available as needed.
  18. Must have the ability to take the hospital’s on call phone for assigned call and/ or personal phone and have means for transportation to get to and from regular working shifts and on call shifts.
  19. On call employees must respond to the first call from requested hospital staff within 30 minutes from the call.
  20. Shows respectfulness to patients, visitors, teammates, and leaders at all times.
  21. Performs all other duties as assigned.

Minimum knowledge, skills and abilities

  1. The ability to read, write, and verbally communicate in both English and 2nd language proficiently.
  2. The ability to read, write and think critically as is typically acquired through the completion of a high school diploma or equivalent.
  3. Must attend an annual interpreter training provided by the Office of Health Disparities and Health Equity.
  4. Attention to detail necessary to listen attentively to the speaker and provide accurate translation.
  5. Ability to maintain strict confidentiality with regard to protected and sensitive information and follow HIPPA rules.
  6. Must be able to perform basic phone and computer skills
  7. Ability to complete reports and correspondence at a professional level.
  8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  9. Ability to effectively communicate with individuals from diverse backgrounds.
  10. Must be 19 years of age or older due to potential co-signing of medical documents.
  11. Must be able to work with patient, visitors, coworkers, and hospital wide staff
  12. Must be able to meet the demands of the required assigned hours by department leaders.
  13. Must be able to comply with hospital wide policies and procedures as well as departmental policies and procedures.
  14. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Spends up to 50% of day seated to complete various paper/computer work. The other 50% is spent ambulating and moving around facility to assist with interpreting services. Required to ambulate 700 feet at one time to assist in various departments in the facility.  Required to reach heights from 10 inches to 59 inches high to access storage requiring lifting up to 6 pounds.  May carry laptop to meetings requiring carrying up to 5 pounds (if in computer bag) and 700 feet in distance.
  1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
  1. Sitting, walking, or standing for up to 90% of work time when facilitating effective communication.
  1. Subject to infections/communicable disease situations and approximate to chemical, medication, blood and body fluids up to 5% of the work day.
  2. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
  3. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. None

 Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Speech Language Pathologist

Effective Date: October 24, 2021

Supervisor:  Director of Rehabilitation Services

Department:  Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Evaluate and reevaluate patient to determine limitations to establish plan of care and modify as patient status requires.
  2. Administers speech therapy procedures and modalities for the purpose of achieving treatment plan objectives.
  3. Review patient medical history to determine contraindications and precautions with modalities/interventions.
  4. Establish plan of care and progress based on patient limitations to maintain or improve patient’s functional status.
  5. Document evaluation, reevaluation, recertification and daily progress to record subjective, objective, assessment and plan.
  6. Educate patient and family/caregivers on condition, plan of care and home program to enhance therapist-patient relationship, optimize patient compliance and facilitate optimum results.
  7. Complete charges accurately to reflect services provided to patient and submit in a timely manner.
  8. Transport self to different clinic locations or for Home Health visits to complete treatment plan on patients.
  9. Communicate patient status to referring provider, case managers or interdisciplinary team to enhance quality and transition of care.
  10. Complete required continuing education hours as set forth by State of Nebraska Department of Health and Human Services regulations for Speech Language Pathologist to ensure competency.
  11. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  12. Responsible for safe bagging and disposal of biohazardous waste.
  13. Responsible for ensuring the environment meets appropriate governing body standards.
  14. Ensure patients and visitors follow current infection control guidelines.
  15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  16. Regular attendance at the assigned work location is required.
  17. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Requires education level at a minimum of a Master’s degree in speech-language pathology from an accredited school with licensure by the Nebraska Board of Speech Language Pathology.
  2. Current Basic Life Support certification via American Heart Association required within six months of hire and/or orientation.
  3. Able to maintain strict confidentiality with regard to protected and sensitive information.
  4. Able to solve problems independently and confidently by applying analytical and logical thinking.
  5. Able to use standard office equipment and software proficiently.
  6. Able to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations.
  7. Able to complete reports and correspondence at a professional level.
  8. Able to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
  9. Able to effectively communicate with individuals from diverse backgrounds and varying educational levels.
  10. Able to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
  11. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions           

  1. Normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
  2. Occasional exposure to infection and/or contagious diseases when working with patients.
  3. May require performing therapy services in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assistive living facility, school environment.  May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
  4. Physical Requirements: Patient transferring required during routine care and emergencies, up to 35 pounds, 10-20% of work time. Patient transportation in wheelchair 40 horizontal force pounds up to 300 feet 1% of work time. Moving of inpatient bed to help patient transferring for safe and appropriate care up to 60 horizontal force pounds 1-2 feet 5% of work time. Transportation of laundry, equipment, and patient charts in lock box per patient privacy regulations up to 20 pounds for laundry and equipment and up to 25 pounds for patient chart lock box into vehicle, 1% of work day up to 2x/day. Outpatient care requiring transferring various weights to be used for specific exercise up to 10 pounds, 35% of time. Outpatient care requiring body positioning to apply various manual therapy techniques, ambulating various distances for gait training, patient care, and miscellaneous activities, and requiring reaching in various directions to demonstrate exercise, clerical work, and to provide manual contact cues, up to 60% of work time. Various positions and mechanics are used for proper control and safety for therapist and patient to prevent injury.
  5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

  1. Work in collaboration with Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants, Speech Therapists and on site staff.

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

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