Cape Cod Healthcare

Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards.   Description:     Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans.  Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff.  Participates in at least four unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year.  Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care.  Adheres to safety, blood/body fluid policies and procedures.  Assesses personal learning development needs.  Maintains documentation of current and ongoing professional development activities.  Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served.  Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work related duties and activities as assigned or requested by his/her immediate supervisor.   Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

To perform the highest quality testing in the Section to which assigned. Serves as a facilitator/resource person to ensure effective department operation.   Description:   Act as a resource for MT’s when questions or problems arise. Assist Lab Section Supervisor with the day to day operation of the Lab Section area ensuring effective daily department operations and participate in the staffing process to ensure adequate staffing in all lab areas. Train and orient new employees on procedures and operations of the department.  Ensures the satisfaction of all users of the department's services, both internal and external and seeks to continually improve customer service and satisfaction. Performs clinical testing in conformance with the Laboratory procedures in any of the areas assigned. Performs procedures necessary to assure compatible blood for patients (e.g. blood typing, antibody screening and identification, cross matching) and prepares and dispenses blood products for transfusion. Inoculates, cultivates, classifies and identifies microorganisms. Prepares and interprets gram stains, acid fast stains, mycology and parasitology preparations and other procedures as assigned. Prepares reagents, standards, controls, stains and culture media as necessary. Performs instrument troubleshooting as necessary and preventive maintenance as scheduled.  Accurately transcribes completed test data for reporting.  Makes recommendations for improvements in quality and/or efficiency to the immediate supervisor.  Assists section supervisor. Relieves member of management as required.  Serves as a technical reference in the supervisor's absence.  Participates in the competency assessment of MLTs. Responsible for the maintenance of the Quality Control program to include: Troubleshoot and approval primary rule failures Verification of QC methods; new and periodic Review of daily and periodic QC data Review of reagent and maintenance QC Collect and summarize monthly statistical data Responsible for computer dictionary functions to include: Perform verification of "test" system dictionaries Make revisions to the instrument interface dictionary as directed by the supervisor. Make revisions to the QC dictionary Responsible for the design, implementation and management of quality assurance projects, as well the evaluation of data and recommendations. Maintains assigned Procedure Manuals in compliance with CAP and CLSI standards and review/revises the manuals as necessary and at least annually. Performs functions of the LST job descriptions as needed to include: All data processing functions Answers phones Verifies in-coming specimens with courier Prepares specimens for shipment to intra-system sites and references labs; makes necessary arrangements for transportation. Inoculates and processes culture specimens and prepares for transportation. Practice efficient and economical use of laboratory supplies; checks the inventory, orders supplies and restocks upon arrival. Teaches practical and theoretical principles of test procedures to orientees, students, and presents in-services. Obtains appropriate blood specimens from patients of all ages. Maintains confidentiality of information deemed confidential. Maintains harmonious and cooperative relations with fellow employees, medical staff, patients and guests and serves effectively as part of the Laboratory team in performing professional service to patients.  Maintains work benches, testing areas and other work areas in a clean, sanitary and free of clutter condition for the safety of patients, guests and staff. Maintains professional growth and development through approved seminars workshops, and professional affiliations to keep abreast of latest trends in field of expertise and must document completion of at least 6.0 contact hours as defined and approved by the ASCP or NCA. Has the ability to learn and perform new procedures established in the clinical laboratory. Maintains a thorough knowledge of departmental and Hospital policies and procedures as they pertain to the job, including the fire and disaster plans. Performs other work related duties and activities as assigned or requested.   Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

Provides respiratory care to patients.  Description :  Assess, initiate and administer appropriate respiratory therapies as ordered by the physician.  Administer CPT, IS, MNeb, NTSuction, MDI, US and IPPB treatments. Provide oxygen, aerosol and tent support. Initiate and provide ventilatory support. Includes in-house and transport patients. Perform diagnostic procedures.  Includes ABG analysis and bedside spirometries. Respond and support respiratory/cardiac codes and emergencies Perform CPR, intubation and arterial puncture. Initiate and support hemodynamic monitoring.  Assist in insertion and monitoring of PA lines and arterial lines. Perform cardiac outputs, cardiovascular workups and maintain ICP monitors. Perform other work related duties as requested/assigned. Attend seminars and educational programs to enhance professional growth and meet the needs of the patients served.   Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

Provide assistance in all food functions as directed and instructed in accordance with established food policies and procedures   Description:   Prepare and serve meals as necessary in a timely basis in accordance with established portion control procedures. Maintain a clean work station in accordance with sanitary regulations. Examines diet orders faxed to dietary office and makes changes as needed.  Processes new diets and changes as required. Gives food requirements information to kitchen personnel/assist cook with meal preparation. May answer telephone/intercom calls/computer requests and relay information to kitchen concerning meal changes, complaints, or patient discharge. May prepare and deliver nourishments to unit pantries. Dispose of food and waste in accordance with established practices. Collects food trucks, trips trays and washes dishes according to facility policy. Serves food according to the patient / resident dietary needs. Must maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Client’s rights. Performs other work related duties as requested.

Responsible for the personal needs of patients and general maintenance of the unit.   Description:   Must be courteous to patients, customers, clients and other employees of the organization. Transports patients via wheelchairs and stretchers. Identify and locate needed accessories to facilitate transport. Vital signs, oxygen saturation, weights, and non-invasive specimen collection. Answering call lights. Making beds both empty and occupied. Turning and positioning patients, range of motion, ambulation, and toiletry. Assistance with all ADL's and complete care as needed. Setting up, assisting and educating patients, commodes, bedpans, urinals, sitz baths, walkers, wheel chairs, slings, knee mobilizes, knee immobilizers, trapeze, venodyne boots, crutches, specific precautions. Appropriate emptying and/or recording of all drainage devices. Setting up all equipment routinely used on their home base units. Preparing room for admission. Removal of linens. Light maintenance defined as not needing tools and within the patient rooms. Post mortem care. Stocking of floor pantry. Answering telephone. Must wear facility provided identification badge. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Falmouth Hospital’s

Performs receptionist/secretarial duties within the Emergency Center and functions as the central communication source in the Nursing Station.   Description:   Maintains accurate, complete and up-to-date patient records (including test/exam results, consults, discharges, admissions, etc.) as prescribed by established E.C. policies and procedures, obtaining old records, reports, results, dictation, transcription, etc. as instructed. (20%) (E) Answers phones, relays calls and/or messages, takes and relays lab results, X-Ray reports, etc. when a nurse is unavailable. Calls ancillary departments, private physicians, other healthcare facilities, etc., as requested. (20%) (E) Copies and faxes materials as requested, obtains, correlates and processes records and reports as required by established E.C., CCH and regulatory agency policies, procedures, standards and recommendations or as requested by authorized physicians, management, nurses. Obtains and correlates necessary records, flow sheets, and information for culture reports, patients. (15%) (E) Adheres to departmental operating procedures and maintains a cooperative and courteous relationship with co-workers, physicians, volunteers, patients, visitors and allied healthcare professionals. (15%) (E) Demonstrates proficiency and accuracy in the use of Computerized Nursing Informatics (information systems) for looking up records, processing discharges and admissions, etc. (10%) (E) Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients. (10%) (E) Maintains adequate quantity of forms, materials and supplies. Maintains reference materials such as policy and procedure manuals as requested.(5%) (E) Position Description Clerk (Emergency Center) Page two Performs other work related duties and activities as assigned or requested by her immediate supervisor. (5%)

Delivers patient care through the nursing process of assessment planning implementation and evaluation Administers and monitors patient responses to all medications Directs and guides patient care teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy Maintains and delivers the highest quality customer service standards.   Description:   Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities.              Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans.  Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities.             Understands, assumes, and demonstrates proficiency in the role of charge nurse.              Demonstrates proficiency in Computerized Nursing Informatics (information systems).              Assumes role of resource person regarding patient care, orientation and teaching staff.             Participates in at least four unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year.              Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care.  Adheres to safety, blood/body fluid policies and procedures.             Assesses personal learning development needs.  Maintains documentation of current and ongoing professional development activities.  Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served.  Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided.              Performs other work related duties and activities as assigned or requested by his/her immediate supervisor.

Delivers patient care through the nursing process of assessment planning implementation and evaluation Administers and monitors patient responses to all medications Directs and guides patient care teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy Maintains and delivers the highest quality customer service standards.   Description:   Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities.              Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans.  Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities.             Understands, assumes, and demonstrates proficiency in the role of charge nurse.              Demonstrates proficiency in Computerized Nursing Informatics (information systems).              Assumes role of resource person regarding patient care, orientation and teaching staff.             Participates in at least four unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year.              Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care.  Adheres to safety, blood/body fluid policies and procedures.             Assesses personal learning development needs.  Maintains documentation of current and ongoing professional development activities.  Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served.  Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided.              Performs other work related duties and activities as assigned or requested by his/her immediate supervisor.

Delivers patient care through the nursing process of assessment planning implementation and evaluation Administers and monitors patient responses to all medications Directs and guides patient care teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy Maintains and delivers the highest quality customer service standards.   Description:   Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities.              Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans.  Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities.             Understands, assumes, and demonstrates proficiency in the role of charge nurse.              Demonstrates proficiency in Computerized Nursing Informatics (information systems).              Assumes role of resource person regarding patient care, orientation and teaching staff.             Participates in at least four unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year.              Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care.  Adheres to safety, blood/body fluid policies and procedures.             Assesses personal learning development needs.  Maintains documentation of current and ongoing professional development activities.  Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served.  Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided.              Performs other work related duties and activities as assigned or requested by his/her immediate supervisor.

PSA - Responsible for the transportation and personal needs of patients and general maintenance of the unit PCT - Responsible for EKG s phlebotomy gluco scans suctioning and the collection of sputum by means of suctioning   Description:   PSA (Grade 5) Must be courteous to patients, customers, clients and other employees of the organization. Transports patients via wheelchairs and stretchers. Identify and locate needed accessories to facilitate transport. Vital signs, oxygen saturation, weights, and non-invasive specimen collection. Answering call lights. Making beds both empty and occupied. Turning and positioning patients, range of motion, ambulation, and toiletry. Assistance with all ADL's and complete care as needed. Setting up, assisting and educating patients,  with commodes, bedpans, urinals, sitz baths, walkers, wheel chairs, slings, knee mobilizes, knee immobilizers, trapeze, venodyne boots, crutches, specific precautions- with input from PT as needed Appropriate emptying and/or recording of all drainage devices. Setting up all equipment routinely used on their home base units. Preparing room for admission. Assist with patient discharges Removal of linens. Light maintenance defined as not needing tools and within the patient rooms. Post mortem care. Answering telephone. Must wear facility provided identification badge. Facilitate communication to RN’s to provide best care possible for patients. PCT (Grade 7): Must be courteous to customers, clients, and other employees of the organization. Takes and records patients' vital signs. Dresses wounds, gives enemas, douches, alcohol rubs, and massages. Applies compresses, ice bags, and hot water bottles. Observes patients and reports adverse reactions to medication or treatment to medical personnel in charge. Administers specified medication, orally or by subcutaneous or intermuscular injection, and notes time and amount on patients' charts. Assembles and uses such equipment as catheters, tracheotomy tubes, and oxygen suppliers. Collects samples, such as urine, blood, and sputum, from patients for testing and performs routine laboratory tests on samples. Sterilizes equipment and supplies. Prepares or examines food trays for prescribed diet and feeds patients. Records food and fluid intake and output. Bathes, dresses, and assists patients in walking and turning. Cleans rooms, makes beds, and answers patients' calls. Washes and dresses bodies of deceased persons. Assists in delivery, care, and feeding of infants. Inventories and requisitions supplies. Performs tracheotomy care, colostomy care, wound care and dressing changes. Demonstrates through clinical practice the use of universal precautions, understands the OSHA Blood-borne Pathogens Standards. Demonstrates a thorough knowledge and/or practice in the prevention of TB transmission and adheres to all other infection control policies. Must wear facility provided identification badge at all times. Other duties may be assigned.

Performs as a member of the Nursing Team various duties assisting Staff Nurses in the treatment and care of patients in accordance with established policies and procedures   Description:   Participates in the nursing process during delivery of patient care. Assists in providing nursing care to patients and collects data for assessment of physical, psychological, and social dimensions under the direction of the Registered Nurse.  Participates in implementing a formal plan of care for the patient under the direction of the Registered Nurse.  Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assists in orientation of other personnel to the unit under the direction of the Registered Nurse. Participates in at least four unit staff meetings per year, attends mandatory programs.  Adheres to safety, blood/body fluid policies and procedures. Assesses personal and learning development needs.  Regularly updates knowledge of techniques and regulations appropriate to the age of the patient served.  Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work related duties and activities as assigned or requested by his/her immediate supervisor.   Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service

Under the direction of the Rapid Response Supervisor ensures the quality and training aspects of decentralized testing (Point Of Care Testing).   Description:    Responsible for all compliance accountabilities of the Medical Technologist/Medical Lab Technician in accordance with the College of American Pathologist (CAP) or other regulatory agency such as the Joint Commission. Maintain all records in accordance with regulatory agencies and assist with preparations for Lab inspections.  Assist with the POC instruction of newly hired patient care personnel at the request of the department heads. Train the trainers in areas of testing. Act as a resource when questions or problems arise. Review and track annual re-certification and adherence to POCT procedures.  Communicate non-compliance to appropriate department head. Communicate changes in competency requirements to appropriate management. Assists with the development, update and review of POC policy and procedure manuals. Coordinate the external proficiency testing program in all areas where POCT testing is performed. Ensure calibration, calibration verification, and linearity studies according to established policies. Review quality control data and patient logs according to policy and established schedules. Ensure the ordering of POC supplies as needed. Troubleshoot POCT devices and procedures as needed. Monitor and resolve problems with error logs.  Establish and maintain effective communication with appropriate Nursing and Patient Care staff.   Participate on Hospital committees and attend meetings as required. Perform other duties as assigned.            Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Falmouth Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

To perform and provide duties within the Breast Care Center that will assist in the processing of patient services including but not limited to scheduling, reception, registering patients and medical records duties.   Description:   Performs duties of the Receptionist/Secretary: • Greet patients and obtain demographic and insurance information and register patient into system. • Answer telephone in a professional, courteous and pleasant manner in less than four rings following departmental policy for scripting. Directs calls to appropriate persons and/ or departments taking information and/or accurate messages. • Obtain legally acceptable general consents to bill third parties. • Answer routine questions including but not limited to departmental policies, operations and procedures. • Schedule patients’ appointments in person or by phone. • Sort and distribute all mail to physicians and manager daily. • Verify and accurately enter radiology orders in the radiology information system. • Register patient using the electronic registration system, scan identification, license and appropriate forms needed for the appointment. • Verify patient appointments, provide necessary forms to patient when appropriate and direct/escort patient to proper examination area or notify appropriate area of patient arrival. • Provide receptionist and typing services for manager and Radiologist as needed. • Copy and/or provide radiology record information to outside facilities and Physicians under established guidelines. • Ensure accurate maintenance of administrative records. Performs duties of the Medical Records Clerk: • Responsible for processing, assembling, reviewing, filing and retrieving confidential patient records. • Under the general supervision of the department Manager; locate, pull and prepare charts for the following day’s schedule. • Assist in location of missing charts and compile new charts. • Pull charts for all incoming patient medical records in all media types and distribute charts to secretary, nurse, physician or manager as appropriate. • Pull charts for messages as needed. • File patient medical records and medical reports in all media types in accordance with department policy and procedure, ensuring effective retrieval. • Identify and resolve misfiled or mislabeled medical records. • Re-file pulled charts and periodically purge files to inactive storage by: Shifting medical record folders as shelving space requires, ensuring even distribution of folders on shelves.  • Prepare, pack and store inactive medical records. • Copy and /or provide medical records information to outside agencies and physicians under established guidelines. Informs requestors of the status of their request per departmental policy and procedure. • Prepare cases for Breast Conference; make sure images are in the PACS system ready for the Radiologist. Run “T” (taken) list for outstanding film that have not been read and give to Manager. • Transports specimens for specified departments within the Cape Cod Hospital campus according to department policies and procedures. Performs duties of the Scheduler: • Responsible for scheduling multiple procedures and rooms accurately, adhering to department standards. • Act as a liaison for and receives all calls from physician offices. • Checks and updates schedules for multiple departments on a daily basis. • Confirms appointments within 24 hours prior to appointment. • Produces and distributes necessary paperwork (such as procedure forms) to Radiologist. Reviews all patient information before procedure, and retrieves symptomatic notes from physician offices. • Answer routine inquiries and telephone calls from patients, physicians, and other hospital personnel in a courteous manner within a reasonable amount of time. • Maintains appropriate department records and filing system to ensure efficient retrieval of information. Photocopy/fax information as needed and checks to make sure all reports, films, and CD’s are available for procedure. • Obtain accurate and required information when scheduling appointments (diagnostic, etc.) ensuring patient demographic information is updated and current. • Request confirmation letters and reports via information system as needed. • Responsible for timely notification to patients of appointment time and proper procedure instructions. • Notify additional imaging (Add View) patient of their new appointment time in a timely fashion. • Send out certified letter by the computer system to patients who no show for additional imaging, procedures, etc. • Relay any (Add View) error in the prior schedule and report to manager for timely intervention of procedural problems. • Pre-register patients in the electronic patient registration system. • Verify insurance referrals for Breast Care Center procedures. • Maintains confidentiality regarding patient information and center matters in accordance to HIPAA regulations. • Maintain harmonious and cooperative relations with fellow employees, medical staff, patients and guests. • Performs other work related duties and activities as assigned or directed by his/her supervisor or manager.

Responsible for the personal needs of patients and general maintenance of the unit   Description:   • Practices according to entity mandatory requirements. • Practices according to department expectations. • Practices with a Customer Service approach to all activities. • Provides care for patients according to facility/agency, JCAHO, and the law. • Provides care as part of the interdisciplinary team. • Documents according to facility/agency and department policies. • Prioritizes duties according to patient and department needs. • Meets the needs of the patient/family using internal and external resources. • Uses appropriate physical resources/equipment in a safe manner. • Addresses age-specific needs of infants, toddlers, school age, adolescents, adults, older adults. • Provides quality care for patients. • Performs room maintenance duties. • Performs administrative and other duties as needed. • Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Falmouth Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

To provide clerical secretarial and customer service support to the Urgent Care Center.   Description:   • Provide secretarial/clerical coverage in an efficient, timely and professional manner. • Review payment policies and collect copay at time of service. • Greet patients and obtain demographic and insurance information and register patient into system. Answer telephone in less than four rings, direct calls to appropriate persons and take accurate messages. Obtain legally acceptable general consents to bill third parties. Secure copies of valid insurance cards and photo identification cards. Open and distribute mail . Fax prescriptions to pharmacy for patients as needed. • Refer to Medical Records any patients, outside agencies and physicians looking to obtain copies of medical records. • Assist physician in contacting CCHC on call providers or a patient’s primary care physician. • Maintain patient records including the retrieval of patient charts to file correspondence, reports, test results, etc. Pull charts for telephone messages as needed. Scan documents into patients’ charts as needed. Refer to billing those patients unable to pay and/or have questions regarding billing. • Distribute charts to secretary, nurse or physician as needed. • Performs all responsibilities/duties required by the position as defined in the scope of service, to assure that the needs of the patient are well served. • Ensure accurate maintenance of administrative records and work/communicate cooperatively with co-workers, patients, visitors and other personnel within and outside the practice. • Demonstrate the ability to adjust to unexpected changes to assure that all responsibilities/duties are met during absences or increased patient volumes. • Perform other essential work related duties as requested/directed.

To provide clerical secretarial and customer service support to the Urgent Care Center.   Description:   • Provide secretarial/clerical coverage in an efficient, timely and professional manner. • Review payment policies and collect copay at time of service. • Greet patients and obtain demographic and insurance information and register patient into system. Answer telephone in less than four rings, direct calls to appropriate persons and take accurate messages. Obtain legally acceptable general consents to bill third parties. Secure copies of valid insurance cards and photo identification cards. Open and distribute mail . Fax prescriptions to pharmacy for patients as needed. • Refer to Medical Records any patients, outside agencies and physicians looking to obtain copies of medical records. • Assist physician in contacting CCHC on call providers or a patient’s primary care physician. • Maintain patient records including the retrieval of patient charts to file correspondence, reports, test results, etc. Pull charts for telephone messages as needed. Scan documents into patients’ charts as needed. Refer to billing those patients unable to pay and/or have questions regarding billing. • Distribute charts to secretary, nurse or physician as needed. • Performs all responsibilities/duties required by the position as defined in the scope of service, to assure that the needs of the patient are well served. • Ensure accurate maintenance of administrative records and work/communicate cooperatively with co-workers, patients, visitors and other personnel within and outside the practice. • Demonstrate the ability to adjust to unexpected changes to assure that all responsibilities/duties are met during absences or increased patient volumes. • Perform other essential work related duties as requested/directed.

To take the role in processing the weekly union and non union hourly payrolls and bi weekly salaried payrolls for Cape Cod Healthcare payrolls Acts as a subject matter expert and or resource to others in the area of payroll processing   Description:   • Advises, interprets and provides direction to management and employees on union contracts, corporate rules and procedures, federal, state and local laws and regulations involving payroll, and the correct utilization of the API ATSS system. • Analyzes and responds to complex matters requiring comprehensive knowledge of payroll policies and procedures; authorizes exceptions to the policy within defined limits. • Reviews and reconciles feeds from the API ATSS system and PeopleSoft. • Authorizes, reviews and/or enters (when necessary) payroll transactions and related data; completes necessary actions to adjust wage/salary or to correct/balance a special situation. Researches, analyzes and resolves difficult or advanced technical problems or questions presented by co-workers, management, employees, unions and/or outside agency representatives • Troubleshoots the API timekeeping module pertaining to employees Vac/Sick/Holiday accruals on an on-going basis for accuracy. • Communicates proper instructions for the corporate pay policy, union contracts, FLSA and MOU’s pertaining to pay rules. • Works with IT ATSS analyst to test, configure and approve new pay rules before moving them to LIVE. • Maintains employee FMLA leave reports to ensure the employee is set up on the correct type of leave and is paid accurately. • Communicates a comprehensive understanding of Workers’ Compensation to managers and employees and pay accordingly. • Performs other related duties as assigned or requested. Display flexibility, cooperation and characteristics of a team member. • Responds verbally or in writing to inquiries, complaints or problems and makes necessary adjustments of a non-routine nature. • Processes and reconciles all payroll deduction payments. • Administers all garnishments and levies for employees. • Exemplifies a high standard of customer service • Maintains the integrity of confidential data. • Performs other work related duties as requested

Under the direction of the Manager of Clinical Services Behavioral Health Services and in conjunction with the on call supervising psychiatrist this position is responsible for providing immediate on site psychiatric assessments psychopharmacological and level of care recommendations for individuals of all ages (depending on the scope of practice) presenting with behavioral health crises As an APRN this Clinician prescribes medication implements patient teaching and facilitates next care linkages referrals and or admissions to ensure smooth and timely transitions to appropriate level of care service   Description:   1. Conduct psychiatric assessments of individuals presenting in crisis utilizing BHIS psychiatric evaluation standards/protocols and tools.  Document all findings/contacts in client's record in accordance with established medical record guidelines.   2. Communicate findings and recommendations to other staff as indicated and consult with on-call supervising psychiatrist as needed.  Facilitate timely communications with third party payers and outside providers regarding level of care assessments and authorizations when needed.   3. Completes medication orders and prescriptions, diagnostic studies, and admission orders.  Facilitate medical clearance process as indicated.   4.  Respond to psychiatric emergencies utilizing training in management of aggressive behaviors. Demonstrate skills and initiative to prevent situations from escalating by recognizing potential at-risk situations and de-escalating clients.    5. Complete and facilitate prescriptions and referrals and/or admissions to indicated level of care, programs, and agencies.  Utilize a case management approach to monitor client compliance with plan and appropriateness of referrals. Intervene, as necessary, to modify plan of care.   6. Provide psycho education and medication teaching to clients and families documenting appropriately.  Act as client advocate; inform client/family of available community and government resources.   7. Maintain current knowledge of community resources, BHIS programs, care management strategies, level of care criteria, regulatory agencies and applicable legal statutes.   8. Establish and maintain good rapport and working relationships with colleagues in various settings to foster the communications necessary for the delivery of quality patient care.  Serve as a psychiatric clinical resource and act as a liaison between other programs/providers and BHIS programming.   9. Participate in quality improvement initiatives, utilization management activities, clinical/administrative staff meetings and assigned committees.  Participate in training and development activities for the purpose of professional growth and skill enhancement.   10. Follow clinical and administrative policies and procedures.   11. Maintain patient rights and confidentiality.   12. Perform other duties as directed.

To provide department support with finances, payroll, scheduling, department office supplies, staff uniform and linen maintenance, staff scheduling, catering communication, employee meal ticket management and other office support as needed efficiently and effectively.   Description:   Schedules department work hours, monitors absenteeism, assists with Corrective Action documents. Prepares department financial report monthly and annually for the organization’s financial department. Advises department management personnel regarding information for employee corrective action processes, benefits, leave of absence, employee relations/labor relations, and related issues as required. Manages and utilizes the department’s timekeeping software application to include but not limited to employee timecard approvals and scheduling. Upholds departmental and inter-departmental relationships. Processes annual Town of Barnstable licensure applications for the retail operation. Responsible for the physician billing and accounts receivables for physician charges in the department’s retail operation. Complies, stores and retrieves managerial data.  Formulates procedures for the department’s systematic retention, protection, retrieval, transfer and disposal of records pertaining to department financials and employee information. Performs other job related duties as assigned.   Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

Performs receptionist/secretarial duties on Patient Care units and functions as the central communication source in the Nursing Station.   Description:   Accurately transcribes physicians' orders; completes necessary forms, requisitions and communications necessary to implement orders. (20%) (E)             Sustains proficiency in Computerized Nursing Informatics (information systems). (20%)  (E)  Maintains accurate and complete patient records on assigned nursing units. Initiates and assembles charts Initiates and maintains Kardex Initiates demographics            Maintains adequate quantity of forms, materials and supplies on assigned unit. Maintains reference materials such as policy and procedure manuals as requested. (5%)  (E).            Responds in a professional and courteous manner in all telephone and verbal communications skills with internal and external customers.            Maintains harmonious and cooperative relations with fellow employees, medical staff, patients and guests. (10%)  (E).            Adheres to safety, blood/body fluid policies and procedures. (5%)  (E). Maintains patient chart in appropriate functional order as prescribed by hospital policy. (5%)  (E). Files diagnostic and laboratory reports in appropriate chart in a timely manner.                 Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. (10%)  (E) Performs other work related duties and activities as assigned or requested.             Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.