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.

Registered Nurse – Day Patient AHH (FTD)

Position Summary

This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN-Critical administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN-Critical leads the interdisciplinary care team for patients with primarily cardiovascular disease. In addition, the RN-Critical performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Primary Duties

Patient Care:

Completes admission assessment and periodic reassessments according to patient’s progress and/or unit protocols and population-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Assists healthcare team members in the understanding of hospital policies and procedures.
Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard precautions.
Administers medications and completes treatments according to hospital policy and within population-specific parameters.
Maintains all necessary documentation.
Facilitates discharge plan in collaboration with interdisciplinary team.
Demonstrates knowledge and ability to use necessary patient care equipment.
Coordinates response of the interdisciplinary team to 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.

Qualifications/Specifications

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.

Registered Vascular Technologist (dual credentialed as RCS preferred) FT – Day Travel to South AR required

Job Summary:

Responsible for performing all assigned ultrasound exams and vascular studies in a timely manner. Performs procedures according to physicians orders or per prescription on outpatients. As a member of the care team, the Non-Invasive Vascular Technologist is responsible for working collaboratively with other members to ensure 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

Work Schedule:

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

Primary Duties:

Performs quality abdominal aorta and carotid ultrasounds, limb arterial dopplers, venous ultrasounds and ABI/segmental pressures utilizing 2-D, 3-D, Colorflow, pulsed- and continuous-wave Doppler.
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 and stocks all supplies, anticipating future needs (i.e., gel bottles, gowns, tapes).
Attends to weekly duties as designated.
Ensures completed studies are available to the Cardiologist or appropriate physician.
Maintains all equipment used.
Maintains accurate logs of all studies performed.
May cross train with other clinic positions as certification requirements allow.
May travel to satellite clinics.
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 vascular technology or ultrasonography required. Bachelor degree in related major, particularly vascular technology, preferred.
Licensure/ Certification: Registry-eligible required. Registered Vascular Technologist (RVT) preferred or required within one (1) year of employment. Current BLS certification within 90 days of employment or placement in position required.
Experience: None required. Minimum of one year in non-invasive vascular technology preferred. Experience in endovenous laser treatment preferred.

PACS Administrator – MIS (FT Days)

This position is responsible for supporting, customizing and optimizing the PACS system(s) to assist AHH in addressing imaging needs, strengthening the revenue cycle, and caring for patients. Evaluates complex system needs of clinical staff and physicians related to the use of multiple PACS systems across multiple hospitals and clinics. Responsible for understanding clinical and business stakeholder needs, researching issues and designing and delivering quality resolutions. Works to continually improve the system(s) through upgrades, expansion and other process improvement efforts.

Looking for an individual that is excited about working for a company that is growing with a great culture and will be an example of living the Core Values of Arkansas Heart Hospital: Highest Expectations in Quality, Excellence through Innovation, Accountability through Ownership, Resilience without Compromise, Teamwork with Results.

Primary Duties

Maintains current knowledge of health reform initiatives, revenue cycle management, and patient care as they pertain to business and application/system needs.
Coordinates with user liaisons, both clinical and non-clinical, to assess business and departmental needs and objectives (i.e., current business processes, compliance requirements, areas for improvement).
Performs feasibility analysis and prepares project plans to ensure business needs are integrated with system design and functionality.
Monitors and reports on project activities and reports on status within published timelines.
Manages PACS vendor overall relationship, including licenses, contracts, issue resolution and service level expectations.
Build relationships with external Radiology partner
Reviews external study process flow and recommends areas for improvements
Reviews Physician process and workflow for reading outside entity studies and recommends process improvements
Plan and coordinate PACS upgrades and enhancements with stakeholders
Communicates any software problems and issues to the vendor software development and support teams.
Prepares test data, tests, and reviews system enhancements.
Leads integration and user acceptance testing and follows up with users and vendors to ensure infrastructure stability and application/system optimization.
Prepares program, system and user documentation for enhancements.
Performs complex analysis and troubleshooting for various PACS applications.
Provide Clinical staff training and optimization ideas for all modules related to the different PACS systems allowing them to improve patient experience
Explains technical material in an understandable manner to less technically proficient users.
Performs other duties as assigned.

Clinical Documentation Specialist/Educator (RN or CVT)- Cath Lab (FT)

Position Summary

This position is responsible for accurate coding, charging, and reconciliation of charges for all procedures performed in the Cardiac Cath/EP labs. Verification of procedural reports by the physicians, editing/preparation of Sensis procedure reports. Responsible for inventory control: ordering and stocking consignment and non-consignment; analyze and evaluate usage; maintain par levels; participate in vendor contracts; meet with sales representatives and initiate cost negotiations; track special buys, tier level prices, and rebates; count inventory and reconcile as mandated; track product exchanges and credits.

Primary Duties

Works with cath lab transporter to stock central supply items daily.
Collects procedure charge sheets throughout day and verifies procedure and supply charges on Sensis against charge sheet and exports billing.
Completes daily cath lab statistical report.
Places order daily to replace used inventory.
Maintains inventory consignment par levels, suggests adjustments as needed.
Maintains in-date products, exchanging prior to expiration.
Counts consignment and non-consignment inventory and reconciles as mandated.
Tracks product usage and maintains products with current activity.
Tracks products with rebates, special tier pricing, bulk purchases.
Tracks savings and potential savings related to cath lab inventory.
Works with sales representatives including initiating cost negotiations for new items, exchanging expired items, replacing faulty or failure-to-cross items.
Responsible for assessing and maintaining department supplies. Assures that equipment and supplies pertaining to responsibilities are available and in operating condition.
Communicates changes with physicians and staff regarding inventory. Accurately codes, charges and reconciles charges for all procedures performed in the Cardiac Cath lab and Electrophysiology lab
Verifies physicians procedural report is complete and editing / preparation of Sensis procedure reports
Assists Director designee with staff education of products and procedures
Keeps abreast of Medicare coding changes and implements as needed
Maintains intimate knowledge of Sensis with a constant updating of supplies, staff, and procedures.
Participates in cases, if the work load dictates, and stays proficient in the clinical role
Directly consults with the cardiologists regarding their desire/needs while working with the current equipment/software in planning for future needs while keeping in mind the economic impact of needs; doing that in the most economical fashion possible.
Trouble-shoots for Seimens Artis and Sensis equipment.
Constantly interacts with cardiologists, Director, and staff is a necessity, and to assist with any projects as they present themselves

Qualifications/Specifications:

Education: Graduate of an accredited program of nursing or CVT required. BSN preferred.
Licensure/Certification: Current state Registered Nurse license or licensure from a state within the Nursing Compact required, or licensed as a CVT. ACDIS certification preferred (CCDS).
Experience: Minimum of 3 years clinical experience in an acute or intensive care setting required. Knowledge of DRG system, ICD-10, Medicare Part A (for the hospital) and Medicare Part B billing and CPT coding (for the clinic) preferred.

Surgical Technologist – AHH (FTD)

Responsible for assisting professional staff in providing care for the operative patient before, during and after surgery. This position requires thorough surgical knowledge and expertise to ensure proper instrumentation and supplies are available on the surgical field and/or in the operating room where the procedure is to be performed. Assists the sterile operative team, performs scrub and circulating duties in the operating room, performs routine and specialized housekeeping activities and applies principles of asepsis, infection control and medical ethics. Responsible for training newly assigned personnel. Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Primary Duties

Patient Care:

Actively participates in direct patient care and ensures a safe and comforting environment.
Ensures patient equipment and supplies are available and in operating condition.
Performs clinical quality improvement activities such as patient satisfaction, physician satisfaction and staff satisfaction.
Prepares Operating Room and equipment by opening sterile supplies and instrumentation for procedures to be performed.
Demonstrates proficiency to operate and/or apply surgical equipment and instrumentation.
Assumes responsibility to maintain sterile technique and apply principles of infection control and medical ethics.
Functions as Scrub Assistant when needed; is able to assume primary and secondary scrub duties.
Demonstrates proficiency in interpreting patient status information during procedures.
Assists with specific and safe positioning of patient on operating table.
Anticipates needs of the surgeon with little or no prompting.
Interprets and relays physician orders/requests to other team members.
Assists nursing staff with preoperative patient preparation.
Counts sponges and related items with circulating nurse before and during surgical procedures.
Assists operative team with donning sterile gown/gloves and applying sterile drapes to surgical field.
Cares for surgical specimens on the sterile field.
Maintains sterile field in an organized manner so anyone can utilize at any time during the procedure.
Assists in transportation of patient to OR and/or PACU.
Demonstrates ability to react calmly and effectively in an emergency situation.
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.

Education: High School Diploma/GED required. Graduate of an accredited school of allied health services preferred.
Licensure/Certification: Valid certificate from Surgical Technologist program preferred (work experience of three (3) years will compensate for certification). Current BLS certification required..
Experience: Minimum of three years continuous experience in an operating room required.

Registered Nurse – AHH PACU (Gen Surg & Cardiac Bypass Surg Recovery) – FTD & FTN available

Position Summary:

Patient Care:

Completes admission assessment and periodic reassessments according to patient’s progress and/or unit protocols and population-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Assists healthcare team members in the understanding of hospital policies and procedures.
Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard precautions.
Administers medications and completes treatments according to hospital policy and within population-specific parameters.
Maintains all necessary documentation.
Facilitates discharge plan in collaboration with interdisciplinary team.
Demonstrates knowledge and ability to use necessary patient care equipment.
Coordinates response of the interdisciplinary team to 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.

PACU

Ability to formulate an individualized plan of care and revise plan according to the patient’s response to treatment. Evaluates plan regularly for effectiveness.
Communicates appropriately and clearly to Resource Nurse, Director and Physician.
Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately based on protocol.
Able to perform a head-to-toe assessment on all patients per policy.
Able to monitor hemodynamic status of patient and correctly interpret the results.
Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs.
Coordinates and supervises patient care as necessary.

Qualifications/Specifications:

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.
- PALS or ENPC certification required for all Emergency Department RNs within one year of employment.
- RCIS required for Cath/EP Lab RNs within six months of eligibility. Limited Specialty License required within two months of acquiring RCIS. (excluding PRN employees)Certification(s) is to be renewed by recommended renewal date on certification card.

Clinical Assistant (LPN or MA) 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 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.