Advanced Practice Provider – Electrophysiology (Main Clinic) FT

Position Summary:

Advanced Practice Registered Nurse (APRNs)/Physician Assistant (PA) collaborates with physicians and works with other healthcare providers as needed to individualize the healthcare needs of their patients. APRN/PA provides diagnosis and treatment of health problems; focus on the effects health problems have on the patient and the family; explain health problems and the effects of medications; emphasize wellness and self-care; and manage their own case load.
APRN/PAs with prescriptive authority maintain a current collaboration agreement with a physician (as well as a physician who is available in their absence) who contractually agrees to be available for consultation and referral while maintaining the appropriate contracts as required by the Arkansas State Board of Nursing/State Medical Board.
APRN/PAs perform physical exams; order/ interpret lab and radiologic studies; diagnose and treat acute and chronic health problems; provide health maintenance; and promote healthy lifestyles for patients.

Work Schedule

Work schedules are agreed upon by the collaborative physician, Chief Clinical Officer (CCO) and APRN/PA to meet the needs of the patients.

Primary Duties:

Conducts comprehensive patient assessments according to patients presenting symptoms, progress and age-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members and collaborative physician(s) as appropriate.
Coordinates with interdisciplinary team members in the development, evaluation, and revision of the plan of care as appropriate to meet the patients needs and goals.
Provides competent care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Provides education to patients/families/significant others, incorporating age-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard universal precautions.
Prescribes and administers medications as outlined by prescriptive authority contract and completes treatments according to policies and within age-specific parameters.
Maintains and completes all required patient record documentation.
Directs admission and discharge planning in conjunction with interdisciplinary team identifying discharge medications, writing prescriptions, outlining dietary restrictions, discharge activities and follow up appointments to facilitate discharge process.
Utilizes critical thinking skills and decision making at an advanced level, i.e., lab, diagnostic test interpretation, etc.

Qualifications/Specifications

Education: Graduate of an accredited Masters level program of nursing education that fulfills completion requirements for Advanced Practice Registered Nursing. Will consider grandfathered BSN graduates that have fulfilled educational requirements to obtain Advanced Practice licensure as required by the Arkansas State Board of Nursing or Physician Assistant (PA) degree from a school accredited by the Arkansas State Medical Board (ASMB) required.
Licensure/Certification: Possession of an active current Arkansas Registered Nurse license and an Arkansas Advanced Practice Nurse license, active current certification by a nationally certifying body or Possession of an active current PA license issued by the ASMB and current Certified Physician Assistant (PAC), as issued by the National Commission on Certification of Physician Assistants (NCCPA) required. Current BLS and ACLS certifications. Eligible for or has current Medicare provider number and DEA registration. Certification(s) is to be renewed by recommended renewal date on certification card.
Experience: Minimum of one-year experience as an Acute Care Nurse Practitioner or Physician Assistant preferred.

LPN Employee Health Nurse (FTD)

Perform the functions and duties necessary to ensure employees meet and maintain the regulatory and physical health requirements to support the facility needs. Provide initial screening, ongoing job-related health maintenance, injury reporting, tracking, and required record keeping. Interacts with Workers Compensation Carrier, state and federal agencies, and accrediting bodies as required.

Primary Duties

Pre-employment health history evaluation including susceptibility to communicable disease (MMR, varicella, hepatitis B), immunization status, pregnancy, compromised immune status, absence of infectious disease, and/or latex sensitivity
Medical history assessing communicable disease history and conditions that increase risk (e.g., long-term steroid therapy, immunocompromise)
Assesses tuberculosis status and provide skin testing and follow-up as needed
Provide antibody titer testing
Evaluate changes in employee health status as needed
Outbreak and exposure evaluation: Evaluate employee susceptibility to disease, type and duration of exposure, availability of prophylaxis
Recommends communicable disease work restrictions based on published accepted standards.
In conjunction with the clinical director, facilitate communicable disease and blood borne pathogen exposure treatment and provide follow-up counseling and testing
Assesses TB exposures and provides follow-up testing and referral as needed
Monitor and repot TB sero-conversions
Monitor compliance with prophylaxis medications
Send employee health records to human resources
Educate employees about immunizations
Provide immunizations
Track series immunizations and provide as needed
Monitor exposures and provide prophylaxis treatment as needed
Complete exposure lab draws for employee
Review exposure results on patients and employees
Inform employee of results
Provide repeat lab draws with serial testing / tracking (6wk, 12wk, 6 month, 12 month)
Provide exposure education for employees and patients
Maintain OSHA 300/301 Log
Provide OSHA log for posting annually
Complete reporting for employee injuries / exposures / lost days / restricted days.
Track lost time related to injuries
Maintain needle stick log
Maintain exposure log
Maintain employee injury log
Maintain employee illness log
Compile employee health reports
Report employee health activities to the Infection Control and Environment of Care Committees
Monitor community and personnel outbreaks
Track employees with repeat injuries, communicate with director / VP
File injuries / exposures with Workers Compensation Provider
Evaluate and trend notice only injury reports
Communicate with employee and their insurance case worker
Track progress of injured employee through Concentra
Monitor work restrictions, advise directors / human resources of employee clearance to return to work
Screen employees at work and advise pharmacy if medication may be dispensed to employee on the clock
Develop and update employee health policies and procedures
Keep current with CDC guidelines

Qualifications/Specifications:

Education: Graduate of an accredited Licensed Practical Nursing program.
Licensure/ Certification: Current state licensure as a Practical Nurse. Licensure from a state within the Nursing Compact. Current BLS certification required within 30 days of employment.
Experience: 1 year experience as a nurse. Prefer at least year experience in employee health and workman’s comp.

Patient Registrar -Russellville Clinic (FTD)

Position Summary:

This position is responsible for admitting/registering patients to the appropriate department (i.e., clinic, hospital, emergency room, day patient) within the facility. Accumulates and enters all necessary demographic and billing information in the computer system with timeliness and accuracy. May act in the capacity of a cashier.

Primary Duties:

Admits/registers patients for office visit, procedure, diagnostic testing or admission to the hospital.
Explains policies, answer questions on patient admission and gathers all necessary information and signatures according to hospital policy and procedures.
If admitting patient to the hospital, assigns patient to a room, notifies designated nursing station of patients arrival and arranges transport of patient to the room.
Notifies appropriate outpatient departments when the patient has arrived and provides directions to the destination.
Performs pre-admission functions as defined in hospital policy.
May perform pre-certification/benefit verification processes in an efficient and timely manner.
UHC pre-certification is required on all IP stays within 24 hours of admission regardless of weekend or holidays.
Registration will contact UHC upon notification of IP status to initiate pre-cert.
Greets patients, families, and visitors arriving at the registration desk in a friendly, courteous manner.
Serves as liaison with clinical departments, patients and families regarding admission and registration processes.
Ensures patient and family needs are met and addressed while they are in lobby areas.
Remains focused on Delighting our Customers.
In collaboration with inpatient admission, OR, Cath Lab and Radiology, may coordinate the booking and scheduling of patients and transmit bookings to concierge throughout the shift.
May, in an active manner, solicit information from patients, doctors office staff and insurance companies to complete the Admission Questionnaire form and insurance pre-certification information.

Qualification/Specifications:

Education: High School graduate or equivalent required; Associate degree preferred.
Experience: Minimum of one year related experience (i.e., patient admissions, registration, scheduling, medical insurance) required; healthcare environment strongly preferred.

Clinical Assistant (LPN or MA) – Texarkana Clinic (FT)

Position Summary

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the scope of practice of an LPN or Medical Assistant using the patient-focused care system and under the direction/supervision of an RN or physician.

Primary Duties

Patient Care:

Actively participates directly with patient care and ensures a safe and comforting environment.
Responds to patient needs in a timely manner.
Transports patients as needed.
Welcomes patients and ensures the admission paperwork is available; actively participates in the admission process.
Performs/Assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher.
Performs/Assists with range of motion exercises and ambulating.
Reports abnormal conditions to the RN or physician in a timely manner.
Identifies the organization of the human body, including its systems, structure and functions.
Demonstrates general principles of cleanliness (asepsis).
Applies the principle of basic nutrition to patient care.
Provides basic emergency care.
Coordinates the booking and scheduling of patients for procedures/appointments
Serves as liaison with physician/facility, patient and families regarding patient care.
Performs other duties as directed by supervisor, based on demonstrated competency.
Maintains patient confidentiality.
Maintains universal precautions.

Clinic patient work up

Actively solicits information from patient’s doctor’s office staff, and insurance pre-certification information
Explains procedures and answers questions regarding patient care and scheduled procedures.
Identifies, reports and records changes that result from disease or trauma to patient’s respiratory, cardiovascular, neurologic, gastrointestinal, genitourinary, reproductive, musculoskeletal, metabolic, psychological, integumentary, sensory, immune, hematologic and nutritional systems.
Able to apply simple dressings and assist RN/MD with more complex dressings.
Accurate and complete medication reconciliation.
Completely update the patient’s medical record at each visit including allergies, hospitalizations, and surgeries in the electronic medical record system with timeliness and accuracy.
Documents Flu and Pneumonia immunizations.
Performs 12 lead EKG
Obtains weight and basic patient information.
Performs phlebotomy and blood glucose monitoring.
Travels to outreach satellite clinics.
Performs clerical duties as needed.

Qualifications/Specifications

Education: Graduate of an accredited Practical Nurse program or Medical Assistant program required.
Licensure/ Certification: If LPN – Current state licensure as a Practical Nurse or licensure from a state within the Nursing Compact required. Current BLS at time of employment.
Experience: None required. Minimum of 6 months’ continuous LPN or Medical Assistant experience preferred.

Phlebotomist-LR Main Clinic (FT)

Responsible for performing all phlebotomy procedures in a timely manner. Performs procedures according to physician’s orders in the patient’s chart or per prescription on outpatients. As a member of the care team, the phlebotomist is responsible for working collaboratively with other members to ensure the safe and accurate delivery of patient care. Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Primary Duties

Pre-Analytical:

Uses EHR to print patient requisitions.
Performs routine venipuncture or capillary puncture using proper procedure and technique. Refers to Specimen Collection and Handling Procedure.
Follows correct procedure for patient identification and labeling specimens. Refers to Patient Identification and Specimen Labeling Policy.
Correctly labels and centrifuges specimens.
Maintain an organized clean work enviroment

Analytical:

Performs CoaguCheck testing according to established procedure.
Accurately records INR results on the requisition.

Post-Analytical:

Uses the EHR to look up and print patient reports.
Sorts and charts patient reports.
Logs and files reference lab reports.
Perform Lab billing

General:

Complies with the following policies:
Incident Management Plan
Device-Related Adverse Events
Hazard Communication Program
Exposure Control Program
Fire and Electrical Safety
Maintains patient confidentiality.
Maintains and cleans phlebotomy area and ensures it is well-stocked.

Qualifications/Specifications:

Education: High School diploma or equivalent required.
Licensure/Certification: MA certification preferred. BLS certification required within the first 30 days of employment. Basic EKG skills required within 6 months of employment. Certification is to be renewed by recommended renewal date on certification card.
Experience: Min. 2 years phlebotomy experience required. Knowledge of EHR and ability to navigate EHR preferred.

Advanced Practice Provider – PVI Clinic

Position Summary:

Advanced Practice Registered Nurse (APRNs)/Physician Assistant (PA) collaborates with physicians and works with other healthcare providers as needed to individualize the healthcare needs of their patients. APRN/PA provides diagnosis and treatment of health problems; focus on the effects health problems have on the patient and the family; explain health problems and the effects of medications; emphasize wellness and self-care; and manage their own case load.
APRN/PAs with prescriptive authority maintain a current collaboration agreement with a physician (as well as a physician who is available in their absence) who contractually agrees to be available for consultation and referral while maintaining the appropriate contracts as required by the Arkansas State Board of Nursing/State Medical Board.
APRN/PAs perform physical exams; order/ interpret lab and radiologic studies; diagnose and treat acute and chronic health problems; provide health maintenance; and promote healthy lifestyles for patients.

Work Schedule

Work schedules are agreed upon by the collaborative physician, Chief Clinical Officer (CCO) and APRN/PA to meet the needs of the patients.

Primary Duties:

Conducts comprehensive patient assessments according to patients presenting symptoms, progress and age-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members and collaborative physician(s) as appropriate.
Coordinates with interdisciplinary team members in the development, evaluation, and revision of the plan of care as appropriate to meet the patients needs and goals.
Provides competent care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Provides education to patients/families/significant others, incorporating age-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard universal precautions.
Prescribes and administers medications as outlined by prescriptive authority contract and completes treatments according to policies and within age-specific parameters.
Maintains and completes all required patient record documentation.
Directs admission and discharge planning in conjunction with interdisciplinary team identifying discharge medications, writing prescriptions, outlining dietary restrictions, discharge activities and follow up appointments to facilitate discharge process.
Utilizes critical thinking skills and decision making at an advanced level, i.e., lab, diagnostic test interpretation, etc.

Licensed Practical Nurse – ENCORE ACU/ICU (FTD)

Position Summary

Assist clinical team members by performing a variety of duties for patients within the scope of practice of an LPN using the patient focused care system and under the direction/supervision of an RN. Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality

Primary Duties

Patient Care:

Actively participates in the admission process including, but not limited to collecting the patient history, allergies and home medication list.
Actively participates in the transition of care process including, but not limited to, assisting patient/family with preparations for discharge and wheelchair transportation to private or commercial vehicle.
Provides competent direct care and providing for a safe and comforting environment resulting in a positive patient/family experience.
Maintains competency for use of clinical patient care equipment.
Documents and reports abnormal observations to the RN in a timely manner.
Assists in the maintenance of skin integrity with the use of emollients, creams, etc. Cares for superficial skin tears under the direction of the RN.
Maintains patient confidentiality.
Maintains standard precautions.
Carries out medical orders such as administration of medications and treatments, within hospital policy and within patient population-specific parameters.
Provides BLS in response to emergency situations. Provides ACLS under the direction of the RN and provider in emergency situations.
Performs Point of Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point of Care quality control standards.
Adheres to hospital policy and procedures.

Technical Activities:

Observes, reports and records changes that result from disease or trauma to patient’s respiratory, cardiovascular, neurologic, gastrointestinal, genitourinary, reproductive, musculoskeletal, metabolic, psychologic, integumentary, sensory, immune, hematologic, and nutritional systems.
Observes, reports and records the patient’s condition.
Monitors intravenous lines for adequacy of fluids and operations and reports any non-functioning line as observed with visual inspection.
Performs oral /nasal /endotracheal suctioning.
Establishes patient setup/connection tasks including NIBP, SaO2 and ECG.
Collects specimens such as urine, stool, sputum.
Applies warm and cold compresses.
Performs 12 lead EKG.
Monitors and performs vital signs using a variety of equipment, and reports abnormalities to RN.
Performs surgical preps on patients.
Obtains weights and basic patient information on new admissions.
Assists RN/MD in removal of sheath and applies manual pressure or c-clamp after hemostasis has been established.
Observes sheath site for signs of bleeding and notifies RN of any changes.
Provides clerical duties as needed.
Able to apply simple dressings and assist RN with more complex dressings.
Performs blood glucose monitoring.
Performs hemostasis monitoring test.
Performs intake and output measurements.
Performs calorie counts.
Performs ostomy care.
Administers medications in a safe manner.
Provides peripheral intravenous site care and is able to discontinue peripheral intravenous therapy.
Collaborates with the RN in developing, implementing, and evaluation of the outcomes of the teaching plan.

Qualifications/Specifications

Education: Graduate of an accredited Practical Nursing program.
Licensure/ Certification: Current state licensure as a Practical Nurse or licensure from a state within the Nursing Compact. BLS certification required prior to providing direct patient care. Successful completion of ACLS certification is required prior to completion of clinical orientation.

Physician Provider Nurse (RN or LPN) – El Dorado Clinic (FT)

Position Summary:

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the scope of practice of an LPN using the patient-focused care system and under the direction/supervision of an RN or physician.

Primary Duties:

Actively participates directly with patient care and ensures a safe and comforting environment.
Responds to patient needs in a timely manner.
Transports patients as needed.
Welcomes patients and ensures the admission paperwork is available; actively participates in the admission process.
Performs/Assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher.
Performs/Assists with range of motion exercises and ambulating.
Reports abnormal conditions to the RN or physician in a timely manner.
Identifies the organization of the human body, including its systems, structure and functions.
Demonstrates general principles of cleanliness (asepsis).
Applies the principle of basic nutrition to patient care.
Provides basic emergency care.
Coordinates the booking and scheduling of patients for procedures/appointments
Serves as liaison with physician/facility, patient and families regarding patient care.
Performs other duties as directed by supervisor, based on demonstrated competency.
Maintains patient confidentiality.
Maintains universal precautions.

Physician Nurse

Applies the principle of basic nutrition to patient care.
Observes, reports and records the patient’s condition.
Coordinates the booking and scheduling of patients for procedures/appointments.
Collaborates with the RN/MD in developing, implementing and evaluation of the outcomes of the teaching plan.
Explains procedures and answers questions regarding patient care and scheduled procedures.
Assists with patient charges as necessary.

Qualifications/Specifications:

Education: Graduate of an accredited Practical Nurse program required.
Licensure/ Certification: Current state licensure as a Practical Nurse or licensure from a state within the Nursing Compact required. Current BLS within 30 days of employment. ACLS required prior to participating in walk stress testing.
Experience: None required. Minimum of 6 months’ continuous LPN experience preferred.

Hyperbaric Technician -Hyperbaric Center (FT) {RN, LPN, EMT, Paramedic}

Willing to consider Nurse, Paramedic or EMT for this position and offer training and assist to get certified as HBO. Full training provided for this position.

This position is responsible for administering hyperbaric oxygen therapy and diagnostic testing to patients of the Wound Care Center under the supervision of a Certified Hyperbaric Registered Nurse or Board Certified Hyperbaric Registered Physician. Assists in providing coverage when needed in the Wound Care Center in the absence of the Hyperbaric Registered Nurse. All therapeutic and diagnostic modalities will be ordered by the Hyperbaric Physician.

Work Schedule

Flexible schedules to cover all shifts and weekends, as hospital needs demand.

Primary Duties

Patient Care:

Actively participates directly with patient care and ensures a safe and comforting environment.
Responds to patients need in a timely manner.
Transports patients as needed.
Welcomes patients and ensures the admission paperwork is all available and actively participates in the admission process.
Assists patients with ADLs including meals, bathing and hygiene needs.
Performs/Assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher.
Performs/Assists with range of motion exercises and ambulating.
Performs Cardiac Rehab exercises with patients as per protocol.
Reports abnormal conditions to the RN in a timely manner.
Assists in the maintenance of skin integrity with the use of emollients, creams, etc. Cares for superficial skin tears under the direction of the RN.
Identifies the organization of the human body, including its systems, structure and functions.
Demonstrates general principles of cleanliness (asepsis).
Applies the principles of basic nutrition to patient care.
Provides basic emergency care.
Performs Point of Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point of Care quality control standards.

Technical Activities:

Identifies, reports and records changes that result from disease or trauma to patients respiratory, cardiovascular, neurologic, gastrointestinal, genitourinary, reproductive, musculoskeletal, metabolic, psychological, integumentary, sensory, immune, hematologic and nutritional systems.
Observes, reports and records the patients condition.
Monitors intravenous lines for adequacy of fluids and operations and reports any non-functioning line as observed with visual inspection.
Performs oral/nasal/endotracheal suctioning.
Establishes patient setup/connection tasks including NIBP, SaO2 and ECG.
Collects specimens such as urine, stool and sputum.
Applies warm and cold compresses.
Performs 12 lead EKG.
Monitors and performs vital signs using a variety of equipment, and reports abnormalities to RN.
Performs surgical preps on patients.
Obtains weights and basic patient information on new admissions.
Assists RN/MD in removal of sheath and applies manual pressure or c-clamp after hemostasis has been established. Observes sheath site for signs of bleeding and notifies RN of any changes.
Provides clerical duties as needed.
Able to apply simple dressings and assist RN with more complex dressings.
Performs blood glucose monitoring.
Performs hemostasis monitoring test.
Performs intake and output measurements.
Performs calorie counts.
Performs ostomy care.
Administers medications in a safe manner.
Provides peripheral intravenous site care and is able to discontinue peripheral intravenous therapy.
Collaborates with the RN in developing, implementing, and evaluation of the outcomes of the teaching plan.

Qualifications/Specifications:

Education: High School diploma or equivalent required. Graduate of an approved hyperbaric medicine course required OR Graduate of RN or LPN accredited college or Paramedic or EMT trained.
Licensure/Certification: Must be licensed within 1 year of employment for the HBO Certification. Must hold a current license in EMT, Paramedic, LPN, RN, APRN or RT.
Experience: None required. Minimum of six (6) months continuous experience in an acute care setting preferred.

Wound Care Registered Nurse – Progressive Critical Care Unit (FT)

Position Summary

Responsible for the planning and coordination of wound care for AHH’s hospitalized patients. Manages day-to-day patient care processes including but not limited to: working with management and nursing staff to ensure the hospital is maintaining safe clinical practice; meeting TJC and CMS guidelines; coordinating with case management and appropriate outside agencies; collaborating with other departments as appropriate. Accurately manages expenses while providing high quality care.

Work Schedule

Forty hours per week, Monday through Friday with occasional weekend hours when necessary. Hours and days will vary to accommodate the needs of the department and hospital.

Primary Duties

Provides leadership in the formulation of objectives, goals and policies for the wound care in the hospital.
Performs patient assessment in response to Wound Care consult, and as high-risk patients are identified during daily surveillance, collaborates on multi-disciplinary team to facilitate evidence-based wound care management.
In coordination with clinical services management, identifies the educational needs of all staff relative to advances in wound care treatments as well as changes in TJC and CMS requirements and ensures staff is trained accordingly.
Assumes responsibility for appropriate resources, including but not limited to, specialty wound care supplies and equipment as required.
Communicates post-discharge care needs to the multi-disciplinary team, such as Case Managers, Nurse, Providers, to effect for a safe and effective transition of care.
Serves as a role model in appearance and patient care focus.
Utilizes effective leadership communication techniques with physicians, staff, outside vendors, patients and ancillary departments.
Adheres to mission, vision and values of the hospital and follows objectives set by AHH administration.

Qualifications/Specifications

Education: Completion of accredited RN program. BSN preferred.
Licensure/Certification: Registered Nurse
Experience: Minimum one year wound care experience preferred.