Days Archives - Arkansas Heart Hospital

Precertification Specialist – Scheduling (FTD)

This position is responsible for obtaining and completing all insurance precertifications and authorizations as required for various clinical procedures. Determines necessity for precertification and coordinates with insurance companies, patients and clinical staff to obtain information. Maintains complete and accurate documentation in patient charts. Develops and maintains effective relations with insurance companies, physicians and medical office staff. Must have proficient knowledge of insurance requirements, medical/clinical terminology, medical necessity associated with various clinical procedure codes and certification/referral work flow. This position requires the ability to work with minimal supervision.

Work Schedule

Monday – Friday, or as directed by department supervisor.

Primary Duties

Obtain and complete all insurance precertification and authorizations as required for various clinical procedures.
Determine the necessity for precertification and coordinate with insurance companies and clinical staff to obtain information necessary to obtain precertification and authorization.
Maintain complete and accurate documentation within the patient medical record.
Maintain proficient knowledge of insurance requirements, medical/clinical terminology, and medical necessity associated with various clinical procedures.
Utilize clinical documentation to obtain the appropriate CPT procedure codes for various clinical procedures from coding staff as necessary.
Exercise effective time management and prioritization skills to effectively complete urgent precertification/authorization requests.
Maintain proficient knowledge of certification/referral work flow.
Develop and maintain effective relationships with physicians, medical office staff, and insurance companies.

Qualifications/Specifications:

Education: High school diploma or equivalent required. Associate of Science preferred.
Licensure/Certification: None required. Current medical assistant certification or state licensure as a Practical Nurse (or licensure from a state within the Nursing Compact) preferred.
Experience: Minimum of three years experience in medical registration/admissions, precertification and/or medical insurance required.

This position is designated as a safety sensitive position because of the essential duties of the job involves critical medical care to patients. A lapse in attention to detail may constitute a threat to health or safety resulting in injury, illness or death. This position is required to work in a constant state of alertness in a safe manner.

Registered Nurse – Progressive Critical Care Unit ( WEO Day shift)

Do you want to be appreciated daily? Our nurses are celebrated for being the heroes on the front line, an ever-ready advocate for patients. At Arkansas Heart Hospital, our nurses lead a patient-focused care model, setting us apart from any other healthcare provider, where we bring care back to the bedside ensuring the best outcomes for our patients. We are seeking a committed RN for our Progressive Critical Care Unit to join our team.

In the Progressive Critical Care Unit, our nurses play an integral role. Just as each of our patient’s characteristics are varied, we desire our nurses to be just as diverse. Utilizing each nurse at the top of their scope and experience levels, we have a variety of patient populations for you to choose from!

Consider working as a primary nurse caring for up to 4 patients that are pre and post cardiothoracic surgery patients alongside another nurse with support by unlicensed team member.

Or choose to work on a care team as the nurse leader with an LPN and unlicensed team member caring for up to 7 cardiac / medical lower-acuity patients.

Or choose to work where you are need most, leveraging your skill and expertise with a mixed patient acuity assignment of up to 4 patients, including cardiac / medical / surgical patients. This, also alongside another nurse and with support of an unlicensed team member.

Our patient focused care model makes it possible for nurses to choose the path that fits them best all while delivering the highest level of quality nursing care. Apply today for our RN Progressive Critical Care Unit opportunity.

What you will do in this role:

Assess patient condition, identifying and reporting any changes in patient status.
Perform procedures or other functions as ordered by the provider.
Document the administration of care in the patient medical record in a timely and thorough manner.
Perform the administration of prescribed medications and monitors effectiveness
Maintain a knowledge of medications, procedures, surgeries and equipment used in the care of cardiac / medical / surgical patients.

Arkansas Heart Hospital is the premiere cardiac hospital in the state of Arkansas. Our main campus is located in the heart of Little Rock, with clinics nearby in Little Rock and North Little Rock. We serve central Arkansas with cardiac care and a full range of cardiac services, ranging from surgical procedures to cardiology to electrophysiology at our Heart Rhythm Institute.

“World’s Best Hospitals”- 2019, 2020, 2021, 2022 – Newsweek
5-star hospital – CMS

Responsibilities

Assessment, Nursing Diagnosis, Outcome Identification, Planning, Implementation, and Evaluation
Interdisciplinary collaboration
Responding to life-saving situations, including providing advanced life cardiac support
Assisting providers with procedures, including moderate sedation
Administering wound care, medications, including intravenous fluids and titration of vasoactive continuous infusions
Management of critical care patient equipment, including ventilators, BIPAP, cardiac and hemodynamic monitoring, etc.
Care and Management of pre/post procedure/surgical patients, including cardiothoracic, vascular, general surgical and medical
Providing education and support to patients/caregivers
Supervision/delegation of duties to unlicensed assist personnel
Patient specimen testing and quality control under direction of the Laboratory
Documents findings and communicates effectively
Maintains patient confidentiality, standard precautions

Requirements

Education: Graduate of an accredited nursing program; BSN preferred but not required
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact
Experience: one year cardiac or critical care nursing (exception – New Graduate RN Residency Program)
BLS within 30 days of hire and prior to completion of clinical orientation
ACLS prior to completion of clinical orientation
Critical Care Registered Nurse (CCRN) preferred
Nurse Characteristics varying from advanced beginner to expert with the goal of promoting patient’s optimal outcome:
- Clinical Judgment – clinical reasoning
- Advocacy – ability to work on another’s behalf
- Caring Practices – compassionate, engaging
- Collaboration – works well with others
- Systems Thinking – global perspective for patient needs
- Response to diversity – sensitivity, appreciation
- Clinical inquiry – innovation through learning and evaluation of practice
- Facilitation of learning – for patient and caregivers, including validation of learning

Cardiac Monitor Tech – Device Clinic (FTD)

The Cardiac Rehab Monitor Tech observes, identifies and documents cardiac rhythms and pulse oximetry readings of patients monitored through the central monitor station. Responds appropriately to the occurrences of the life-threatening or potentially life-threatening arrhythmias. Communicates patients rhythm and monitor alerts effectively with the coach caring for the patient and other department personnel as applicable.

Primary Duties

Operates patient monitoring equipment.
Performs 3-lead EKGs. Assists with applying EKG leads using cardiac landmarks and records ECG.
Interprets cardiac rhythms and pulse oximetry.
- Correctly measures interval and rate.
- Identifies rate and rhythm of monitor strips.
- Recognizes significant changes in rate and/or cardiac rhythm.
- Identifies life-threatening and/or potentially life-threatening arrhythmias.
- Successfully completes annual dysrhythmia competency (?).
- Identifies normal pulse oximetry readings and pulse oximetry range specific for each patient.
Documents cardiac rhythm and pulse oximetry.
- Records patients rhythm for every stage of the exercise session.
- Documents ectopy and/or other transient rhythms.
- Obtains representative rhythm strip for each stage of exercise session, analyzes and mounts for patient record.
- Records rhythm strip to document significant changes in rate and/or rhythm.
- Documents pulse oximetry readings for each stage of exercise session.
Maintains equipment and supplies.
- Cleans remote transmitters and cables between patient use.
- Orders electrodes to maintain sufficient supply.
- Promptly reports malfunctions of monitoring equipment to clinical engineering and LSI.
Communicates effectively.
- Notifies coach of significant change in rate, rhythm of cardiac monitor or oxygen saturation reading of pulse oximetry reading.
- Ensures that communication in the presence of the patient is patient related.

Qualifications/Specifications:

Education: High School diploma; successful completion of Dysrhythmia Competency
Experience: With MA diploma, MA certification or Bachelor degree, none required. Without MA diploma, MA certification or Bachelor degree, minimum of six (6) months continuous and recent patient care experience required, preferably in an acute care setting. Knowledge of EKG and Monitor Tech experience preferred.

Patient Registrar – Main Clinic (Travel Required) FTD

**DAY TRAVEL IS REQUIRED FOR THIS POSITION. TRAVEL IS TO AHH CLINICS WITHIN ARKANSAS AND MAY BE REQUIRED MULTIPLE TIMES DURING THE WEEK**

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.

Licensed Practical Nurse – Progressive Critical Care Unit (FTD)

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the patient-focused care system and under the direction/supervision of a physician/mid-level provider, registered nurse and/or licensed practical nurse. Assumes, under the direction of such, responsibility for patient arterial and venous sheath removal, urinary catheter insertion and removal, ABIs, peripheral IV insertion and removal, routine and venous specimen collection, 12 lead EKG, safe use of bladder scanner, defibrillator, vein finder, Doppler, and EKG machine, as well as other clerical duties to assist in the smooth operation of the department.

Primary Duties:

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.

Qualifications/Specifications:

Education: High school diploma or G.E.D. required. Graduate of an accredited school of Licensed Practical Nursing.
Licensure/Certification: Licensed Practical Nurse or MA certification. 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: With MA diploma, MA certification or LPN, none required. Without MA diploma, MA certification or LPN degree, minimum of six (6) months continuous and recent patient care experience required, preferably in an acute care setting. Knowledge of EMR and ability to navigate EMR preferred.

Scheduler – FTD

Responsible for all scheduling correspondence, including appointments, messages and other requests in an efficient and accurate manner, both in person and over the telephone. Obtains and furnishes information from other departments, patients and the public.

Primary Duties

Schedules, coordinates and reschedules patients appointments (i.e., clinic visits, procedures, outpatient appointments, testing).
Maintains and updates current information on all physicians and/or departments schedules, ensuring that patients are scheduled properly and appointments are confirmed.
May prepare and mail new patient packet when appointment is scheduled for three days or more in advance.
Verifies patient demographics and insurance with each patient, and corrects information as necessary.
Informs patient of account balance, if appropriate; may collect payments from patients and forward information to the Business Office.
Answers incoming calls in a courteous manner, determines needed information and directs calls accordingly.
Calls patients to verify and confirm appointments and answer any questions.
Reminds patients of needed information in advance of appointment, including insurance cards, all medications and an authorization from their insurance company, if required.
Ensures patient has all necessary patient education to facilitate patients appointment(s).
Communicates clearly to other departments/staff, apprising of any changes in schedule or potential conflicts.
Disposes of patient information in a proper manner to ensure confidentiality.
Other assigned duties as directed by supervisor based on demonstrated competency.
Performs other duties as assigned.

Team Lead Duties (if assigned)

Ensures training and mentoring of new schedulers occurs within the team and monitors for additional training if needed
Communicates all changes to staff in writing
Ensures all schedules are maintained based on the physician and APN request
Ability to write clearly and concisely, handle necessary scheduling issues and coordinate between staff and clinical team
Monitor and approves time off request for staff members and communicates with management daily to ensure proper coverage is maintained

QUALIFICATIONS:

Education: High School diploma required or equivalent.
Licensure/Certification: None required.
Experience: Minimum of two years related work experience required, preferably in a medical office setting. Knowledge of medical office terminology desirable. Must have proficient computer skills.

Patient Care Partner – Progressive Critical Care Unit (FTD & FTN available)

Position Summary

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the patient-focused care system and under the direction/supervision of a registered nurse. Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality control, quality improvement, and equipment maintenance.

Primary Duties

Primary Functions:

Always greets patients courteously and makes comfortable with department/surroundings.
Ensures admission chart is ready and actively assists with admission process (ID band, computer information, and consent form).
Actively participates in administering patient care and ensures a safe and comforting environment.
Responds to patients needs in a timely manner.
Assists patients with ADLs, including meals, bathing and hygiene needs.
Performs/assists with range of motion exercises and progressive ambulation as directed by RN.
Performs/assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher. Transports patients as needed.
Reports changes in condition to the RN in a timely manner.
Maintains personal responsibility for clinical growth and development.
Applies the knowledge of growth and development to appropriate patient populations.
Maintains patient confidentiality.
Maintains standard precautions.
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.

Qualifications/Specifications

Education: High school graduate or G.E.D. certificate required.
Licensure/Certification: None required. CNA, MA and/or paramedic certification (National Registry of Emergency Medical Technician (NREMT) paramedic certification) preferred. BLS certification required within the first 30 days of employment. Certification is to be renewed by recommended renewal date on certification card. Basic EKG skills required within 6 months of employment.
Experience: With CNA, MA and/or paramedic certification, no experience required. Without CNA, MA or paramedic certification, minimum of one year patient care experience in a nursing home or hospital (acute care setting preferred) or one year nursing school required.

Cardiac Sonographer – AHH (FTD)

Position Summary

Responsible for performing all assigned diagnostic ultrasound exams in a timely manner. Performs procedures according to physician’s orders or per prescription on outpatients. As a member of the care team, the Cardiac Sonographer is responsible for working collaboratively with other members to assure 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

Performs quality echocardiograms utilizing 2-D, 3-D, Colorflow, pulsed- and continuous-wave Doppler.
Assists physicians and nurses with transesophageal echocardiograms. Responsible for probe care, sterilization and safety.
May perform stress and pharmacological echocardiograms.
Evaluates each test and provides physicians, when necessary, with preliminary reports.
Exercises personal judgment regarding when to notify physicians of a test result immediately.
Orders all supplies within the Echo department, anticipating future needs.
Stocks all necessary supplies for Echo lab (i.e., gel bottles, gowns, tapes).
Attends to weekly duties as designated.
Responsible for assuring the studies completed are available to the Cardiologist or appropriate physician.
Maintains all equipment used.
Stores echo studies according to approved guidelines.
Maintains accurate logs of all studies performed.
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.
Performs other duties as assigned.

Qualifications/Specifications

Education: Associate of Science degree in diagnostic ultrasound or certificate of successful completion from an accredited school of cardiac ultrasound required. Bachelor degree in any major, particularly Sonography, preferred.

Licensure/ Certification: Registry-eligible required. Registered Diagnostic Cardiac Sonographer (RDCS) and/or Registered Cardiac Sonographer (RCS) in adult echocardiography preferred or required within six (6) months of employment. Current BLS certification within 90 days of employment or placement in position required. ACLS required prior to participating in walk stress testing.

Experience: None required. At least one year in echocardiography and vascular ultrasound preferred.

Clinic Manager-Hot Springs Clinic (FTD)

Position Summary

Under general direction, the Clinic Manager is primarily responsible for the day-to-day operations of the outpatient clinic(s). The usual managerial functions of evaluation, control, planning and financial oversight are expected to guide the activities of the role. Monitors patient volumes and performance of staff to ensure efficient and effective operations. Leads people and sets a positive example. Collaborates with other team leaders in sharing of staff and resources, as well as assists in the cross training of the staff. Assumes the leadership role in individual area of expertise and for projects as assigned.

Work Schedule

Flexible schedule to cover clinic times; primarily Monday through Friday. Schedule changes as hospital and Clinic needs demand.

Primary Duties

Identifies and evaluates on an on-going basis the day-to-day operations and establishes goals in collaboration with management, staff and physicians, as appropriate.
Identifies the necessary resources to achieve goals of the outpatient clinic(s) and negotiates an appropriate and timely solution.
Assists in developing, presenting and managing the operational portion of outpatient clinic(s) budget.
Monitors financial operations of clinic(s) and ensures effective cost controls.
Works in collaboration with physicians and other management to insure quality capital equipment purchases that meet clinic practice needs.
Plans, coordinates and sets up new clinic operations, including moving equipment/supplies, setting up utilities, filing for business license, etc.
Prepares reports and other information, as needed, to analyze clinic performance measures (i.e., patient volume, patient satisfaction) to ensure effective and efficient operations.
Delegates appropriately to staff in keeping with job descriptions and standards of practice.
Uses resources in an efficient and cost-effective manner.
Participates in peer review.
Participates in developing other staff.
Maintains and develops own professional competencies.
Maintains and promotes a team spirit through active cooperation and collaboration.
Assists in interdepartmental service coordination.
Actively participates in the Performance Improvement and Utilization Review programs.
Assumes a leader role in the maintenance of the patient-focused care delivery system.
Assists in directing and guiding staff in the coordination of clinic operations.
Attends 80% of in-services and departmental meetings.
Completes employee evaluation(s) in a timely manner per company policy.
Responds to issues of harassment and discrimination per company policy.

Qualifications/Specifications

Education: Bachelor’s degree or equivalent, relevant experience.
Licensure/Certification: None.
Experience: Minimum three (3) years directly related experience, in a healthcare environment required. Minimum of three (3) years supervisory/management experience required. Demonstrated strong leadership and problem-solving abilities.

Physician Provider Nurse {Nuri/Rayes} (RN or LPN) – Main Clinic (FTD)

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.