Boulder City Hospital



Boulder City Hospital

 

Boulder City Hospital is an 82-bed facility including a 25-bed acute care/swing bed, a 47-bed long term care facility, and a 10-bed Geriatric Behavioral Medicine Center, which offers a small, intimate environment, allowing for personalized care you trust and rely on.

We offer a wide variety of health care services in clean, caring and professional atmosphere, located just 10 minutes away from Henderson. We consistently rank top ten in Quality Core Measures.
Boulder City Hospital Boulder City, NV
Mar 27, 2020
Full time
The Registered Nurse in Long Term Care coordinates patient care services as directed. Measures, evaluates, administers and documents patient care. Contributes to patient care plans and informs the Chief Nursing Officer or House Supervisor, when appropriate. Provides direction and assigns duties to CNA’s and LPN’s in accordance with their skills and abilities. Actively responds to patient, physician and family requests. Advocates and ensures Patient Rights are upheld. ESSENTIAL DUTIES AND RESPONSIBILITIES: Coordinates medication and treatment management, direct patient care, such as bathing, dressing, and feeding patients, and assisting in examinations and treatments. Ability to lift, walk, carry and stand. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are represented of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS AND ABILITIES REQUIRED: 1. Works with the physician and other medical staff to assess the condition of the patient, devise an individual healthcare plan, and see that it is implemented. 2. Keeps records, documenting an assessment of the patient’s condition, amount and times of medication, vital signs and treatments, as well as any unusual change in condition. 3. Ability to organize and prioritize work to maintain harmonious daily workflow. 4. Helps patients understand the aging process and how it affects their health and lifestyles. 5. Assists patients in finding ways of maximizing function and maintaining comfort, as possible. 6. Monitors the care delivered by the Certified Nursing Assistant, as they assist patients with such basic needs as dressing, eating and bathing, and encourages patient to do things for themselves to retain feelings of independence and self-esteem. 7. Is in compliance with the State of Nevada’s Nurse Practice Act, hospital policies and rules/regulations. 8. Check, pour, administer and chart medications at appropriate times, monitor effects and side effects. 9. Administer all routes of medications per Nevada State Board of Nursing criteria for own assigned patients, and as required, the LPN. Monitors results of treatments and progress toward expected outcomes. 10. Administer and record treatment as ordered. 11. Admit, transfer and discharge patients as required. Oversees the LPN admission process. 12. Plan assignments for staff based on skill levels. 13. Make frequent patient rounds and perform assessments, reporting significant changes to the Chief Nursing Officer or physician. 14. Documents periodic assessment and changes inpatient outcomes in a timely manner. 15. Assures that Patient Rights are upheld. 16. Assures that Lab, x-rays, etc. are completed and notifies attending physician of abnormal results. 17. Participate in and satisfactorily complete the Orientation Program and Annual Review Days. 18. Attend inservices and meetings as required. 19. Pursuit of thirty (30) contact hours of continuous education as required by the State of Nevada for re-licensure. 20. Report deviations in quality of care to Supervisors as outlined by current nursing standards. 21. Actively participate in ongoing Quality Improvement activities. 22. Maintains working knowledge of hospital-wide Order Entry. EDUCATION AND EXPERIENCE REQUIRED: 1. Graduation from an accredited School of Nursing. 2. Current licensure by the Nevada State Board of Nursing as a Registered Nurse. 3. Neat, well-groomed, professional appearance. 4. Capable both physically and mentally for close work with elderly patients, their families, nursing and medical staff. 5. Understands the need for confidentiality of information gained while performing the job. Performs other reasonable related duties as assigned by immediate supervisor and other management as required.
Boulder City Hospital Boulder City, NV
Mar 27, 2020
Full time
Medicare Billing Specialist (Part A and Part B experience required)- Full Time March 26, 2020 Ebony Green No Comments Full Time Boulder City Posted 16 hours ago The Biller is responsible for handling patient billing, follow-up, collecting from insurance companies and resolving billing problems related to denials and rejected claims in the Patient Financial Services department at Boulder City Hospital. ESSENTIAL FUNCTIONS: Ability to lift, walk, carry and stand. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are represented of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. DUTIES AND RESPONSIBILITIES: 1. Utilizes Critical Access (CAH) rules and regulations for billing. 2. This position works in a cooperative team environment to provide quality customer service to internal and external customers. 3. Processes billing for all patient types within their payer mix and/or alpha split utilizing manual and electronic (837) billing practices. 4. Processes secondary billing according to hospital policies and procedures. 5. Contacts payer/patient in accordance with the current facility collection policy. 6. Ensures thorough and detailed collections, third party payer claims processing and billing practices are compliant with State and Federal Guidelines. 7. Works aging reports to ensure timely clearance of accounts to meet/exceed AR aging benchmarks. 8. Utilizes system work buckets for aging follow-up. 9. Assists patients with billing inquiries in a courteous and professional manner. 10. Assigns any accounts for review, refund or adjustment to the appropriate team member or PFS director. 11. Consistently completes and accurately documents all account activities in the financial system for account auditing and compliance. 12. Other duties as assigned. SKILLS AND ABILITIES REQUIRED: 1. Must have knowledge of Medical and Insurance terminology. 2. Must possess computer skills knowledge of MS Office and the ability to use online insurance websites and/or online vendor applications and any other office equipment required for this position. 3. Demonstrated experience working with inpatient and outpatient billing required related to UB04 and 837 electronic billing required. Long Term Care billing knowledge preferred. 4. Knowledge of Government, Non-Government, commercial, third party and workers compensation processing guidelines. 5. Working knowledge of current patient accounting systems and claims editing applications in a healthcare environment. 6. Familiar with differences related to PPS and CAH billing practices preferred. EDUCATION AND EXPERIENCE REQUIRED: 1. High School Graduate or equivalent. 2. Must have knowledge of ICD-9 Coding, HCPCS, CPT and modifiers required. 3. Must have one year of hospital experience.
Boulder City Hospital Boulder City, NV
Mar 27, 2020
Per Diem
To provide non-clinical mental health services, under supervision of the PHP supervisor, and to perform other work as provided including transporting PHP patients. ESSENTIAL FUNCTIONS: The PHP Mental Health Aide/Driver provides supervision of PHP clients who are disabled with a mental illness, including safely transporting to and from PHP, within the limits of documented training and under the supervision and/or direction of the PHP Supervisor. DUTIES AND RESPONSIBILITIES: 1. Non clinical mental health intervention principles and techniques used to improve clients functioning in the community: a) Maintain client confidentiality and HIPAA regulations. b) Client contact is only business related with no personal relationships and only during working hours. c) Provide general assistance to professional staff caring for patients in the Partial Hospitalization Program d) Provides supportive assistance and structure to patient milieu during transition times and transportation times to and from PHP. e) Display effective communication skills to respond in a prompt, courteous and professional manner when dealing with patients, families, caregivers, and coworkers. f) Manage situations including agitated, aggressive and/or psychotic patients to resolve conflict and de-escalate volatile situations by remaining calm and respectful and with training and guidance from PHP supervisor and other clinical staff. g) Monitor patients’ physical and emotional well-being and report unusual behavior to professional staff. h) Assist in implementation of strategies to promote client wellness including assisting in decisions for a healthy diet. i) Work effectively as a member of the treatment team including daily meetings with PHP Supervisor and/or other clinical staff. j) Knowledge of community resources including phone numbers for crisis lines. k) Informs supervisor and clinical staff of any inappropriate client behavior including sexually inappropriate speech/behavior and fill out an incident report if needed. 2. Perform transportation duties: a) Safely transport patients to and from the PHP program and other scheduled activities. b) Transport patients by van as per program training plan. c) Develops a schedule/route for pick up, kept in a written drivers log, and calls clients if delayed more than 15 minutes. 3. Assists with departmental operations: a) Maintains vehicles in a neat and organized manner. b) Ensures that equipment and supplies are maintained, clean, and in a state of readiness. c) Checks vehicle for roadworthiness on a daily basis, checking, water, tires, etc. d) Able to instruct all clients in the proper procedure for getting in and out of the van and how to operate the safety belts and shoulder straps. EDUCATION AND EXPERIENCE REQUIRED: 1. High school education or equivalent. 2. Must possess a current Nevada Driver’s License, with a clean driving record. 3. CPR certification required. 4. CPI (Crisis Prevention Intervention) certification required within 90 days of employment.
Boulder City Hospital Boulder City, NV
Mar 20, 2020
Full time
Under the general supervisor of the PFS Director, this position will be the primary contract for 3rd Party Collections and act as liaison between the insurance carriers and hospital to maximum revenue that are reflective of the hospital’s services. Will organize contract audits of hospital accounts receivable with minimal supervision. This position will have responsibilities for the aging of Medicaid and 3rd party accounts and relaying information regarding coverage and/or payment changes to the PFS Director. ESSENTIAL FUNCTIONS: This position is responsible for the day to day collection from 3rd party accounts and coordinating of Patient Financial Services to increase cash flow. Analyzes and reviews claims for accuracy, completeness and eligibility. He / She will also see all write-offs and contractual adjustments applied correctly to accounts. Responsible for handling all outside vendors, internal departments to increase cash flow and monitor all activities related to cash flow. Addresses accounts over 60 and 90 days or more with staff and outside agencies. Prepares and maintains reports and records for processing. Will review payment posting and review adjustments to verify correct posting to accounts. DUTIES AND RESPONSIBILITIES: 1. Researching high value claims assuring expected reimbursement. Identifying errors to determine their origin and appropriate resolution. 2. Review, research, and resolve complex claims processing issues involving high dollar accounts. 3. Secures needed medical documentation required or requested by third party insurances. 4. Submit errors back to the proper source timely and manage the response. 5. Works closely with Business Analyst to complete Quality and Audit projects. 6. Uses critical thinking and past experience to identify issues and work on solutions. 7. Keeps updated on all third-party billing requirements and changes for insurance types within the area of responsibility. 8. Maintains third-party billing logs. 9. Ability to work independently. 10. Takes initiative to identify and suggest process improvements 11. Answers telephones and provides information in accordance with Hospital and department policy. Takes and relays messages. 12. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior. 13. Performs other duties as assigned. SKILLS AND ABILITIES REQUIRED: 1. Must have the ability to work well with the general public and have a good working relationship with the Patient Financial Services Director, Administrator, and other personnel directly involved in the operation of hospital financial functions. 2. Must possess computer skills and knowledge of MS Office, Cerner, online insurance, online vendor applications, and other office equipment required for this position. 3. Demonstrates the ability to effectively and efficiently communicate verbally and in writing. 4. In-depth knowledge of medical terminology. 5. Must be able to work independently with minimal supervision, showing initiative and being a self-starter. EDUCATION AND EXPERIENCE REQUIRED: 1. High School Graduate, college preferred. 2. 8+ years of hospital claims experience, including 4+ years of claims auditing. 3. Must have a technical, systematic, and goal driven attitude. 4. Must have a minimum of 5 years collection experience in a hospital or medical office setting.
Boulder City Hospital Boulder City, NV
Mar 02, 2020
Per Diem
The Licensed Practical Nurse in Long Term Care performs total patient care services as directed. Measures, evaluates, administers and documents patient care. Contributes to patient care plans and informs Registered Nurse when appropriate. Provides direction and assigns duties to Certified Nursing Assistants in accordance with their skills and abilities. Actively responds to patient, physician and family requests. Advocates and ensures Patient Rights and Patient Privacy are upheld. ESSENTIAL DUTIES AND RESPONSIBILITIES: Medication administration, care management and gives direct patient care, such as bathing, dressing, and feeding patients, and assisting in examinations and treatments. Ability to lift, walk, carry and stand. SKILLS AND ABILITIES REQUIRED: 1. Oversees total patient care and works directly with other staff to assure provision of highest standards of care. 2. Compliance with the State of Nevada’s Nurse Practice Act, Hospital policies and rules/regulations. 3. Ability to organize and prioritize work to maintain harmonious daily workflow. 4. Check, pour, administer and document medications at appropriate times. Monitors effects and side effects of medications. 5. Works with intravenous medications and administer all routes of medications per Nevada State Board of Nursing criteria. 6. Administers and records treatments as ordered. Monitors progress toward expected outcomes of treatments. 7. Admits, transfers and discharge patients as required. 8. Reports changes in condition, laboratory results, unexpected occurrences to the RN and the physician. SKILLS AND ABILITIES REQUIRED: Continued 9. Accurate documentation, reporting and in-depth nursing observation to assure continuity of patient care. Every shift charting, summarizing and updating patient care plans as needed. 10. Daily evaluates patient care needs and condition changes, and implements changes in care delivery as warranted. Consults with the RN in implementing such changes. 11. Assures that Patient Rights are upheld. 12. Transcribes physician orders and communicates changes to other members of the team. 13. Assures that Labs, X-rays, etc., are completed and notifies attending physician of abnormal results. 14. Assists as necessary with patient care. 15. Maintains cleanliness and order on unit. 16. Participates in and satisfactorily complete the Orientation Program and Annual Review Days. 17. Attends inservices and meetings as required. 18. Pursues thirty (30) contact hours of continuous education, as required by the State of Nevada for re-licensure. 19. Reports deviations in quality of care to Supervisors as outlined by current nursing standards. 20. Actively participates in Quality Improvement activities. 21. Maintains working knowledge of hospital-wide order entry. EDUCATION AND EXPERIENCE REQUIRED: 1. Graduation from a recognized Practical Nurse Program. 2. Current licensure by the Nevada State Board of Nursing as an LPN. 3. IV certification within one year of employment. 4. Neat, well-groomed, professional appearance. 5. Capable both physically and mentally for close work with elderly patients, their families, nursing and medical staff. 6. Understands the need for confidentiality of information gained while performing the job. Performs other reasonable related duties as assigned by immediate supervisor and other management as required.
Boulder City Hospital Boulder City, NV
Feb 19, 2020
Full time
The Registered Nurse in Long Term Care coordinates patient care services as directed. Measures, evaluates, administers and documents patient care. Contributes to patient care plans and informs the Chief Nursing Officer or House Supervisor, when appropriate. Provides direction and assigns duties to CNA’s and LPN’s in accordance with their skills and abilities. Actively responds to patient, physician and family requests. Advocates and ensures Patient Rights are upheld. ESSENTIAL DUTIES AND RESPONSIBILITIES: Coordinates medication and treatment management, direct patient care, such as bathing, dressing, and feeding patients, and assisting in examinations and treatments. Ability to lift, walk, carry and stand. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are represented of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS AND ABILITIES REQUIRED: 1. Works with the physician and other medical staff to assess the condition of the patient, devise an individual healthcare plan, and see that it is implemented. 2. Keeps records, documenting an assessment of the patient’s condition, amount and times of medication, vital signs and treatments, as well as any unusual change in condition. 3. Ability to organize and prioritize work to maintain harmonious daily workflow. 4. Helps patients understand the aging process and how it affects their health and lifestyles. 5. Assists patients in finding ways of maximizing function and maintaining comfort, as possible. 6. Monitors the care delivered by the Certified Nursing Assistant, as they assist patients with such basic needs as dressing, eating and bathing, and encourages patient to do things for themselves to retain feelings of independence and self-esteem. 7. Is in compliance with the State of Nevada’s Nurse Practice Act, hospital policies and rules/regulations. 8. Check, pour, administer and chart medications at appropriate times, monitor effects and side effects. 9. Administer all routes of medications per Nevada State Board of Nursing criteria for own assigned patients, and as required, the LPN. Monitors results of treatments and progress toward expected outcomes. 10. Administer and record treatment as ordered. 11. Admit, transfer and discharge patients as required. Oversees the LPN admission process. 12. Plan assignments for staff based on skill levels. 13. Make frequent patient rounds and perform assessments, reporting significant changes to the Chief Nursing Officer or physician. 14. Documents periodic assessment and changes inpatient outcomes in a timely manner. 15. Assures that Patient Rights are upheld. 16. Assures that Lab, x-rays, etc. are completed and notifies attending physician of abnormal results. 17. Participate in and satisfactorily complete the Orientation Program and Annual Review Days. 18. Attend inservices and meetings as required. 19. Pursuit of thirty (30) contact hours of continuous education as required by the State of Nevada for re-licensure. 20. Report deviations in quality of care to Supervisors as outlined by current nursing standards. 21. Actively participate in ongoing Quality Improvement activities. 22. Maintains working knowledge of hospital-wide Order Entry. EDUCATION AND EXPERIENCE REQUIRED: 1. Graduation from an accredited School of Nursing. 2. Current licensure by the Nevada State Board of Nursing as a Registered Nurse. 3. Neat, well-groomed, professional appearance. 4. Capable both physically and mentally for close work with elderly patients, their families, nursing and medical staff. 5. Understands the need for confidentiality of information gained while performing the job.
Boulder City Hospital Boulder City, NV
Feb 19, 2020
Per Diem
The Certified Nurse Assistant performs selected patient care activities. The Certified Nurse Assistant is a member of the multidisciplinary treatment team and provides various patient care activities and non-professional services necessary in caring for the personal needs and comfort of the patient. Must be capable of physically assisting patients, dealing with patient emergencies, and working as a member of a clinical team. ESSENTIAL FUNCTIONS: Ability to lift, walk, carry and stand. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are represented of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. DUTIES AND RESPONSIBILITIES: 1. Completes position responsibilities following established guidelines and protocols within the appropriate time frame. 2. Demonstrates the ability to set priorities and optimally uses work time. 3. Ensures accuracy and completeness in job tasks. 4. Demonstrates the ability to perform work in an accurate and timely manner in periods of increased work load and high stress. 5. Demonstrates good judgment in handling situations not covered by written or verbal instructions. 6. Follows established procedure in performing job functions. 7. Exhibits willingness to master new skills. 8. Consults supervisor for additional assignments or independently assumes responsibility for unassigned tasks. 9. Participates in Quality Improvement activities as needed to continually improve their department’s performance 10. Regularly collects data to provide input and/or feedback to appropriate customers/suppliers (i.e., teams, supervisors, co-workers, vendors, nursing agencies) to improve work. 11. Demonstrates working knowledge of the job by seeking guidance and direction as necessary for optimum performance of daily assigned duties. 12. Employee continually strives to make productive use of time through careful coordination of daily tasks, setting priorities, and reducing non-essential interruptions in order to complete the job during the allocated time. 13. Demonstrates the ability to work in conjunction with the team to safely and effectively contain and/or restrains patient who becomes assaultive and out of control. 14. Monitors patient, as assigned, every 15 minutes for behaviors and safety and documents at time of contact. Reports off to staff before leaving for break or lunch to ensure 15 minute safety checks or other duties are completed. Reports findings to nurse as instructed. 15. Understands all precautions as fall, elopement, suicide, hip, swallowing and any precautions as ordered. 16. Understands validation techniques in caring for patients with dementia. 17. Participates in group activities as directed. 18. Serves meals, assists with feeding as necessary, determines amount of food and fluid intake and output and records them on the proper forms. 19. Carries out personal hygiene procedures daily for patients, such as baths, oral hygiene, skin care, hair care, foley care, and decubitus preventive care. Must be able to assist in patient transfers. 20. Orients all new patients admitted to unit and completes all admission paperwork in timely manner. COMMUNICATION AND INTERPERSONAL SKILLS: 1. Demonstrates good skills in all forms of communication. Works well with others in a spirit of teamwork and cooperation. 2. Accepts and acts upon constructive criticism. 3. Interacts and communicates with others in a way that promotes a positive and cooperative work environment. 4. Demonstrates initiative and enthusiasm in performing job duties. 5. Willingness to adjust personal schedule in case of workload fluctuations or other departmental needs. 6. Channels concerns appropriately. 7. Fosters sense of teamwork and collaboration within the department and Hospital. 8. Provides input, suggestions, and support appropriately. 9. Maintains composure and professionalism during difficult situations. EDUCATION AND EXPERIENCE REQUIRED: 1. CNA with one to two years experience in Rehab/Geri Psych patient care or Long Term Care. 2. Current CPR or scheduled to be completed. 3. Demonstrates a thorough knowledge of work practices, emergency procedures, and personal protective equipment
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Per Diem
The Physical Therapist is responsible for the evaluation, planning, directing, and administering of physical therapy modalities of treatment as prescribed by a licensed physician. Administers treatments and physical agents as prescribed by a referring physician in an effort to restore function and prevent disability following injury, disease or physical disability. Assist patients to reach their maximum performance and level of functioning, while learning to live within the limits of their capabilities. ESSENTIAL FUNCTIONS: The Physical Therapist must be able to bend at the waist, stand, sit and push. Must have good vision, and hearing. Must possess good written and communication skills and deal with the public, hospital physicians, and staff.
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Per Diem
The Certified Occupational Therapy Assistant (COTA) is responsible for providing professional occupational therapy assistance and coordinates patient health care services in conjunction with a licensed Occupational Therapist to ensure a safe environment and in accordance with State, and Federal and Home Health policies and procedures. Provides supervisory support to ensure effective and efficient operations of departmental services. ESSENTIAL FUNCTIONS: The COTA must be able to bend at the waist, stand, sit and push. Must have good vision, and hearing. Must possess good written and communication skills to deal with the public and hospital physicians and staff. DUTIES AND RESPONSIBILITIES: 1. Provides treatment as directed by the staff Occupational Therapist. Adheres to standards of occupational medicine practice. 2. Observes and evaluated treatment affect. Discusses observations with staff Occupational Therapist. 3. Performs components of an appropriate assessment on each patient, as related to the therapy requested and provided and reassessments as per policy. This includes patients on the following services, i.e., Med/Surg/Telemetry, Long Term Care, Home Health and outpatients. 4. Assists with the formulation of a teaching plan based on identified learning needs and assesses effectiveness of learning; family is include in teaching as appropriate. Staff Occupational Therapist is advised of conclusions. 5. Demonstrates knowledge of occupational therapy modalities. 6. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial needs of patients and family. 7. Manages and operates equipment safely and correctly. Maintains departmental cleanliness and safety. 8. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. 9. Communicates appropriately and clearly to physicians, facility staff and members of the department. 10. Coordinates and assists with directing patient care to ensure patients’ needs are met and facility policy is followed. 11. Records treatment/service revisions in accordance with department policy. 12. Demonstrates an ability to be flexible, organized and function under stressful situations. 13. Maintains a good working relationship both within the department and with other departments. 14. Consults other departments as appropriate to collaborate in patient care and performance improvement activities. 15. Participates in performance improvement activities for the department and organizational QA activities. 16. Meets current documentation standards per policies, on a daily basis. 17. Participates in educational staff performance improvement in-services. Assists with orientation and in-service training for certified department staff members. Participates in guidance and education programs. 18. Assists in ordering supplies, maintains adequate levels to assure all supplies and equipment is readily available. 19. Provides input in formulating budget, assists in evaluating department performance versus budget controls and takes appropriate action to remain within budget guidelines. 20. Participates in all infection control, departmental equipment training and organizational safety and fire safety programs. SKILLS AND ABILITIES REQUIRED: Professional Requirements: 1. Adheres to hospital dress code; appearance is neat and clean. 2. Completes annual continuing education requirements. 3. Maintains regulatory requirements, including state and federal regulations and standards. 4. Reports to work on time and as schedules. Completes work within designated time. 5. Wears identification while on duty. 6. Completes in-services and returns in timely fashion. 7. Attends committee meetings, as appropriate. Regulatory Requirements: 1. AA. Degree in Occupational Therapy from a school or college approved by the American Occupational Therapy Association. 2. Current state licensure as COTA. 3. Current BLS (CPR) certification Language Skills: 1. Ability to read and communicate effectively in English. 2. Additional languages preferred. 3. Strong written and verbal skills. Other Skills: 1. Basic computer skills. 2. Knowledge of physical medicine, occupational therapy modalities, anatomy and physiology. 3. Knowledge of physical and occupational therapy machine operation, maintenance and repairs of same. 4. Ability to maintain control and respond calmly and positively during crisis situations, i.e., Code Blue.
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Full time
The Transitional/Acute Rehab Registered Nurse executes comprehensive nursing care activities and provides nursing staff leadership. He/she assesses patient needs, plans and implements patient care activities, and evaluates the patient’s response to treatment. He/she manages activities within the therapeutic milieu and directs the delivery of nursing care by other members of the nursing treatment team. ESSENTIAL FUNCTIONS: Ability to lift, walk, carry and stand. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are represented of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. DUTIES AND RESPONSIBILITIES: 1. Completes position responsibilities following established guidelines & protocols within the appropriate time frame. 2. Completes work within an acceptable time frame. 3. Demonstrates the ability to set priorities and optimally uses work time. 4. Ensures accuracy and completeness in job tasks. 5. Demonstrates the ability to perform work in an accurate and timely manner in periods of increased workload and high stress. 6. Demonstrates good judgment in handling situations not covered by written or verbal instructions. 7. Follows established procedure in performing job functions. 8. Exhibits willingness to master new skills. 9. Consults supervisor for additional assignments or independently assumes responsibility for unassigned tasks. 10. Participates in Quality Improvement activities as needed to continually improve their department’s performance. 11. Regularly and routinely provides suggestions to customers, suppliers, and teams working on processes to identify innovations and ideas for improvement. 12. Regularly collects data to provide input and/or feedback to appropriate customers/suppliers (i.e., teams, supervisors, co-workers, vendors, nursing agencies) to improve work. 13. Demonstrates working knowledge of the job by seeking guidance and direction as necessary for optimum performance of daily assigned duties. 14. Employee continually strives to make productive use of time through careful coordination of daily tasks, setting priorities, and reducing non-essential interruptions in order to complete the job during the allocated time. COMMUNICATION AND INTERPERSONAL SKILLS: 1. Demonstrates good skills in all forms of communication. Works well with others in a spirit of teamwork and cooperation. 2. Accepts and acts upon constructive criticism. 3. Interacts and communicates with others in a way that promotes a positive and cooperative work environment. 4. Demonstrates initiative and enthusiasm in performing job duties. 5. Willingness to adjust personal schedule in case of workload fluctuations or other departmental needs. 6. Channels concerns appropriately. 7. Fosters sense of teamwork and collaboration within the department and Hospital. 8. Provides input, suggestions, and support appropriately. 9. Maintains composure and professionalism during difficult situations. SKILLS AND ABILITIES REQUIRED: 1. Maintains education and development appropriate for position. 2. Demonstrates a thorough knowledge of work practices, emergency procedures, and personal protective equipment. 3. Uses protective equipment appropriately, as prescribed by policy. 4. Knowledgeable in, and follows department policies as prescribed. 5. An active participant in department meetings, providing positive suggestions and input. 6. Assumes responsibility for ongoing professional development. 7. Designs, implements, and evaluates bladder and bowel training programs and patient’s response. 8. Demonstrates ability to perform complex tasks such as phlebotomy, IV insertion/maintenance, and central line maintenance. 9. Carries out rehabilitation specific procedures utilizing therapeutic techniques for transfers, ADLs, feeding and communication, etc. 10. Documents continuous assessment, interventions and evaluations relative to patient progress. 11. Assists in emergency care if necessary. 12. Utilizes universal precautions at all times to prevent spread of infection. Uses good hand hygiene. 13. Evaluates patients for fall risk and implements treatment plan as needed. 14. Develop and implement individualized treatment plans and updates daily. 15. Exercises competence in the effective and safe use of all equipment. 16. Assures that Lab, x-rays, etc. are completed and notifies attending physician of abnormal results. 17. Assures that Patient Rights are upheld. Ensures patient dignity and respects patient values. 18. Check, pour, administer and chart medications at appropriate times, monitor effects and side effects. Educates patients on medications and new medications. Follows hospital policy on medication administration and control substances. 19. Pursuit of thirty (30) contact hours of continuous education as required by the State of Nevada for re-licensure. 20. Completes CQI + +timely and accurate submission of CQI+ outcome data on a weekly basis including responsiveness to weekly feedback. 21. Educates patients/significant other/family in disease process and documentation of all patient/significant other/family education. 22. Plan assignments for staff based on skill levels. Informs staff of patients needs in daily huddle and as needed EDUCATION AND EXPERIENCE REQUIRED: 1. Graduate from an accredited School of Nursing. 2. Two (2) years of experience in a health care delivery system is required, including experience working with Rehab patients. 3. Current Licensure by the Nevada State Board of Nursing. 4. Current CPR (basic life support) Certification.
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Full time
To provide optimal patient care according to current nursing standards. The Float RN is accountable to the Acute Care Manager. ESSENTIAL FUNCTIONS: The Float RN is accountable and responsible for the provision and coordination of clinically competent care of assigned group of patients that includes assessment, planning, intervention and evaluation. As a member of the clinical care and unit team, the RN participates in decision-making, teaching, leadership functions, research and quality improvement activities that enhance patient care outcomes and unit operations. DUTIES AND RESPONSIBILITIES: The Float RN will float as assigned to two or more departments and is a professional care giver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environment, treatment, and modalities and interdisciplinary collaboration within the scope set forth for Registered Nurses. The Float RN provides high risk nursing care or performs high-risk procedures. Where nursing care is provided, the nursing process of assessing, diagnosing, outcome identification, planning, implementing and evaluating is the basis for care delivered. The Float RN supports professional nursing care across practice setting and continuum of care to meet the needs of the patient and family. This individual must possess a high degree of personal flexibility and well-developed communication skills to accommodate mid-day assignment changes. SKILLS AND ABILITIES REQUIRED: For Department: Continual implementation of excellent care that assures rapid and optimal recovery. For Operations: 1. Works directly with other departments and medical staff to assure provision of highest standard for total patient care. 2. Patient and family teaching to enhance patient’s understanding of his needs and potentially accelerate recovery. 3. Liaison activities (e.g., rounds with medical staff) to promote a better understanding between patients, nursing staff and medial staff thus assuring continued quality of communication and care. 4. Meeting individual need through administration and maintenance of comfort, treatment, medication, intravenous infusion and health care. 5. Accurate documentation, reporting and in-depth nursing observation to assure continuity of total patient care. 6. Thorough evaluation of the patient during admission, hospital stay and through discharge. 7. Working knowledge of hospital-wide EMR and associated software programs, e.g., Microsoft Word, Excel, etc. For Personnel: 1. Knowledge of and cooperation with personnel policies regarding the staff nurse position. 2. Provide moral support to nursing staff, co-workers and medical staff. 3. Possesses the following qualities: flexibility with scheduling systems; positive attitudes; easy adjustment to work load increase and demands; maintenance of good physical health. For Staff Development: 1. Actively participates in hospital programs. 2. Each licensed nursing personnel shall have 30 contact hours of continuing education as required by licensure of the State of Nevada. This will be documented and should include workshops outside the facility. For Fiscal Responsibility: 1. Work within staffing pattern guidelines set by the Acute Care Manager, House Supervisor, and the Chief Nursing Officer. 2. Accountable for classifying each patient according to acuity. For Quality Assurance: 1. Report to supervisor deviations in quality of care as outlined by current nursing standards. 2. Cooperate with quality assurance programs and actively participate in ongoing concurrent Quality Assurance Monitoring. 3. Ability to pass high Efficiency Respirator Fit and Use Program as required by OSHA Vol. 58 No. 195 EDUCATION AND EXPERIENCE REQUIRED: 1. Graduate from an accredited School of Nursing. 2. Current Licensure by the Nevada State Board of Nursing. 3. Current ACLS Certification. 4. Current BLS Certification. 5. Capable both physically and mentally for: a. Close work with patients, their families, nursing staff and medical staff. b. Demands of walking and standing most of duty time as well as lifting of patients while caring for their needs. 6. Performs other reasonable related duties as assigned by immediate supervisor and other management as required.
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Per Diem
The Pharmacy Technician shall work under the direct supervision of a licensed Pharmacist, and shall not perform duties that can legally be performed only by a licensed pharmacist. ESSENTIAL FUNCTIONS:Position requires frequent standing, walking, sitting and bending at waist. Must have full dexterity of fingers and hands. Vision must be 20/20 or corrected to 20/20. Must possess good communication skills on the telephone and in person. DUTIES AND RESPONSIBILITIES: Assists in maintaining orderliness and cleanliness of the Pharmacy and Pharmacy equipment. Assists in all areas of inventory control; ordering, outdate check and floor stock inspections. Fills and exchanges unit does medication carts. Assists in maintaining Pharmacy records. Performs other reasonably related duties as assigned by the immediate supervisor and other management as required. SKILLS AND ABILITIES REQUIRED: Aseptic preparation of pharmaceuticals (IV and oral), calculating, counting, mixing, pouring, measuring as directed. Able to transcribe appropriate abbreviated and symbolized information from physician orders into patient profiles for documented approval by the Pharmacist. Skill in communicating with people of all levels. Excellent organizational skills. Skill in use of relevant PC applications. Assists and implements third party billing for LTC patients and inpatient/outpatient billing. EDUCATION AND EXPERIENCE REQUIRED: Must have high school education or equivalent. Computer/typing skills. Successful completion of Pharmacy technician skill evaluations. Registration with Nevada State Board of Pharmacy. Hospital pharmacy experience preferred.
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Per Diem
Provides professional nursing care within the Emergency Department and coordinates care planning with other disciplines. ESSENTIAL FUNCTIONS: Must be able to work under sustained pressure and during stressful situations. Must be able to stand or walk for 12-hours. Must be able to lift and move patients. DUTIES AND RESPONSIBILITIES: The primary responsibilities of the Registered Nurse in the Emergency Department are as follows: Provide direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care. Ability to perform a head to toe assessment on all patients and reassessments as per policy. This includes pediatric, adolescent, and geriatric patients and the general patient population. Ability to monitor hemodynamic status of patients and correctly interprets the results. Accurately assigns triage categories. Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes. Treat patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and families. Functions as liaison between administrators, patients, physicians and other healthcare providers. Demonstrate knowledge of the principles of growth and development over the life span and skills necessary to provide age appropriate care to the patients served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Participates in QM and safety activities for their work environment. Interacts professionally with patient and family and involves them in the formation of the plan of care. Formulates a teaching plan based on identified learning needs and evaluates effectiveness of learning including family teaching, as appropriate. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Prepares, hangs, initiates, monitors and discontinues IV fluids. Maintains established departmental policies and procedures, objectives, performance improvement program, safety, environmental and infection control standards. Maintains a safe, comfortable and therapeutic environment for patients and families in accordance with Hospital standards. Ensures an adequate stock of supplies and the proper functioning of equipment. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other personnel to achieve departmental objectives, maintains good employee relations and interdepartmental objectives. Responds promptly to changes in workload, adjusting assignment as necessary to achieve optimal productivity and efficiency. Demonstrates the ability to assist physicians with procedures in the Emergency Department. Assists the Acute Care Manager in the development, implementation and evaluation of performance improvement safety indicators to improve patient outcomes and the work environment. Orients new employees to the Emergency Department. Enhances professional growth and development through participation in educational programs, current literature, inservice meetings and workshops, shows responsibility for own professional practice and ongoing education. Performs other related duties as assigned or requested. SKILLS AND ABILITIES REQUIRED: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or abilities necessary for the position. Language Skills – Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations. Ability to write reports, business correspondence and procedures. Mathematical Skills – Ability to calculate figures and amounts such as dosages, percents, proportions, area circumference and volume. Ability to apply concepts of basic algebra and geometry. Reasoning Ability – Ability to define problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Supports philosophy, objectives and goals of the Emergency department. Performs within limits of State Nurse Practice Act, Code of Ethics for Nurses, hospital policies and procedures. Acts as a resource person regarding patient care, specialty areas, orientation and teaching of staff. Strives for excellence in patient care and, as necessary, challenges and/or corrects errors of peers to ensure patient safety and well being. Accountable for own conduct and promotes good work relationships among staff and between other disciplines and departments. Participates in, and supports research programs and activities; also participates in nursing committees and other activities which promote the growth and development of nursing and/or patient care. Able to pass high efficiency respirator fit and use program as required by OSHA, Vol. 58, No. 195. EDUCATION AND EXPERIENCE REQUIRED: Graduate from an accredited School of Nursing with one year of Emergency or Intensive Care nursing. Currently licensed as a registered professional nurse by the Nevada State Board of Nursing. Current ACLS certification. Current PALS certification. Current BLS certification.
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Per Diem
The House Supervisor is responsible for directing and supervising functions and activities. In the absence of department heads and administration, may act as a representative in most hospital matters. The House Supervisor is accountable to the Acute Care Manager. ESSENTIAL FUNCTIONS: Medication administration, care management and may be required to give direct patient care, such as bathing, dressing, and feeding patients, and assisting in examinations and treatments, accepting one to two patient load, including ICU patients. Ability to lift, walk, carry and stand. DUTIES AND RESPONSIBILITIES: 1. Consults with and advises/informs the Acute Care Manager concerning administrative issues, needs and problems of the day, evening, or night shifts. Carries out administrative responsibilities as assigned and directed. 2. Administers the nursing program during all shifts. Directs and supervises nursing staff. Orients and instructs new employees in cooperation with the Acute Care Manager. Participates in the assessment of staffing needs. May do some scheduling. Adjusts staffing as need arises and calls in replacement personnel when necessary. Assigns duties and evaluates work performance. Makes recommendations for personnel actions such as merit increases, promotions, transfers and disciplinary action. Gives guidance and counsel. Provides for inservice education for personnel in cooperation with Staff Development Coordinator. May pronounce death if so ordered by a Boulder City Hospital staff physician in accordance with NRS 632.474 and NRS 440.415 (attached). 3. Implements and maintains established hospital policies and procedures, standards of performance and productivity, quality improvement, safety, environmental and infection control and other regulatory requirements. Interprets these to hospital staff, and as appropriate, to medical staff and patients. Assures compliance by staff. Keeps personnel updated on policy and procedure changes and other matters as they relate to the staff. Solves problems and grievances or channels them to the appropriate authority. Makes independent decisions when there is no established policy or regulation to meet the situation or circumstance. Inform appropriate authority as required when an emergency situation arises. 4. Coordinates activities of the hospital and promotes cooperation of the staff to achieve hospital objectives and maintains good departmental relations. Promotes and maintains harmonious and effective working relationships within the hospital and with the public. 5. Performs the following duties daily or as needed: a. Receives and reviews preceding shift reports. b. Makes complete rounds of all departments at start and end of shift, and as needed. c. Makes safety checks, notes fire hazards and other observations. d. Investigates policy violations and takes corrective action. e. Receives census/condition report from nurses on each unit and supervises patient care. f. Admits patients and makes arrangements for emergency operations and other services that are available on an on-call basis. g. Assists attending physician when necessary. h. Aides patients and families as needed in time of stress or crisis. i. Maintains patient rights as established. j. Handles incidents and prepares incident reports; takes appropriate action. k. Participates in QI activities as delegated. 6. After hours, obtains needed supplies from Central Supply following established protocols. Assures equipment is functioning properly. Reports defective supplies and equipment to supervisor of unit, or other appropriate authority. Requisitions maintenance or repair of equipment. Assures cost-effective and proper utilization of supplies, equipment and manpower. 7. In the absence of the Pharmacist, will obtain medication for patients according to established hospital rules and regulations. 8. Obtains requested Medical Records from department in the absence of Medical Records personnel. 9. Is responsible for all departments in the absence of managers. Directs all deliveries, service personnel, visitors, and after hours entry into all departments. 10. Deals directly with department managers or administrator with problems or concerns. 11. Reports to the next shift supervisor. 12. Attends meetings and inservices as required. 13. Functions independently as an additional ICU or Emergency RN on an as needed basis, which may include the management of the critically ill, hemodynamically unstable patients requiring resuscitative care, vasoactive drips, invasive lines, and/or ventilator support. 14. Has working knowledge of hospital-wide Order Entry polices and procedures. Acts as coordinator and/or trainer in the absence of the Acute Care Manager. 15. Maintains compliance with all job requirements, such as: a. Annual Review attendance b. Annual TB testing c. Annual Precision G Certification Perform other reasonable related duties as assigned by immediate supervisor and other management as required. SKILLS AND ABILITIES REQUIRED: 1. Verified critical care training and five (5) years experience in ER, critical care, or Surgery. 2. Comprehensive knowledge of nursing healthcare practices, patient care equipment and products. 3. Previous experience as a House Supervisor preferred. 4. Ability to pass high Efficiency Respirator Fit and Use Program as required by OSHA Vol. 58 No. 195. EDUCATION AND EXPERIENCE REQUIRED: 1. Graduate from an accredited School of Nursing. 2. Current Licensure by the Nevada State Board of Nursing. 3. Current ACLS Certification. 4. Current CPR (basic life support) Certification. 5. Capable both physically and mentally for: a. Close work with patients, their families, nursing staff and medical staff. b. Demands of walking and standing most of duty time as well as lifting of patients while caring for their needs. 6. Performs other reasonable related duties as assigned by immediate supervisor and other management as required.
Boulder City Hospital Boulder City, NV
Feb 08, 2020
Per Diem
The Speech Therapist is responsible for the evaluation, planning, directing, and administering of occupational therapy modalities of treatment as prescribed by a licensed physician. Administers treatments and occupational agents as prescribed by a referring physician in an effort to restore function and prevent disability following injury, disease or physical disability. Assists patients to reach their maximum performance and level of functioning, while learning to live within the limits of their capabilities. ESSENTIAL FUNCTIONS: The Speech Therapist must be able to bend at the waist, stand, sit and push. Must have good vision, and hearing. Must possess good written and communication skills to deal with the public, hospital physicians, and staff. DUTIES AND RESPONSIBILITIES: Responds to requests for evaluation within 24-hour time frame. Communicates appropriately and clearly to physicians, staff, and administrative staff as appropriate. Demonstrates documentation that clearly represents the client status. Observes and evaluates treatment affect, recommending changes to physician, if needed. Performs an appropriate assessment on each patient as related to the therapy requested and provided, and reassesses as per patient needs. Formulates a teaching plan based on identified learning needs and evaluated effectiveness of learning. Family is included in teaching as appropriate. Demonstrates knowledge and proficiency of Speech Therapy modalities. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial needs of patients and family. Demonstrates an ability to be flexible, organized, and function under stressful situations. Ensures that all patient charges are generated and forwarded to administrative staff as appropriate. Maintains awareness of infection control, departmental equipment raining, organizational safety, and fire safety programs. SKILLS AND ABILITIES REQUIRED: Adheres to hospital dress code as outlined in the Boulder City Hospital Personnel Policies and Practices Handbook; appearance is neat and clean. Completes annual educational requirements. Maintains regulatory requirements, state and federal regulations and standards. Reports to work on time and as scheduled. Completes work within designated time. Wears identification while on duty. Completes in-services and returns in timely fashion. Attends committee, QI and management meetings, as appropriate. Maintains bi-weekly time sheet per department policy LANGUAGE SKILLS: Ability to read and communicate effectively in English; Additional languages preferred, but nor required; Strong written and verbal skills. OTHER SKILLS: Basic computer knowledge. Ability to maintain control and respond calmly and positively during crisis situations (i.e., Code 99). Knowledge of physical medicine, occupational therapy modalities, anatomy and physiology. Knowledge of physical and occupational therapy machine operation, along with maintenance and repairs. EDUCATION AND EXPERIENCE REQUIRED: Current Licensure as Speech Therapist. Graduate from an approved school of Speech Therapy; At least one (1) or more years of precious experience in all aspects of Speech Therapy. Current BCLS (CPR) certification.