Environmental Engineering Journal Elsevier Jobs in Tyler

Summary:

Provides respiratory care procedures under medical direction specifically focused on the assessment, treatment, management, control, diagnostic evaluation, education, and care of patients with deficiencies and abnormalities of the cardiopulmonary system as well as on the prevention of the development of these deficiencies. Therapy includes but is not limited to application and monitoring of medical gases (excluding anesthetic gases) and environmental control systems; mechanical ventilatory support; artificial airway care; bronchopulmonary hygiene; pharmacological agents related to respiratory care procedures; basic hemodynamic cardiovascular support appropriate to ages served: primarily adults 18 – 65 or geriatric patient’s ages over 65. May also include care for infant age 0 – 1 year, child ages 1 – 12 or adolescent ages 13 – 17 years. Care is provided within an assigned unit of the hospital, in accordance with accepted clinical practices and established policies and procedures. The focus of patient and family education activities is to promote knowledge of disease process, medical therapy and self-help. Works with other disciplines to ensure a collaborative approach to the care of the patient. May have other duties assigned as required.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Include, but are not limited to:
  • Airway management including nasotracheal & endotracheal suctioning;
  • Delivery of aerosolized drugs;
  • Ventilator management (i.e.. setup and operation);
  • Oral hygiene;
  • Airway retaining device placement and maintenance;
  • Airway support device management including BiPAP and CPAP devices;
  • Oxygen delivery devices and therapeutic monitoring;
  • Chest film analysis;
  • Bloodgas collection and analysis;
  • EKG analysis;
  • Accurate and complete documentation.
• Advanced practice skills may include:
  • Therapeutic gas management and monitoring, including INO and HeO2;
  • Pulmonary Function Testing;
  • Bronchoscopy assist;
  • Hemodynamic Monitoring;
  • Waveform analysis;
  • Nocturnal SpO2 evaluation (Desaturation Studies);
• Collects data and research for Manager / Director when required.
• Performs charge capture of disposables.
• Processes order requests to maintain adequate supply levels.
• Monitors par levels of supplies for consistent levels.
• Inventories supplies & disperses same.
• Transport Therapist for NICU at South campus.
• Reports all safety and quality concerns to Manager.
• Serves as liaison for department to medical staff, nursing staff and other departments.

Job Requirements:

Education/Skills

• See licensure and/or certification requirements

Experience

• 3-4 years of experience preferred

Licenses, Registrations, or Certifications

• RT or RCP License in state of employment required
• BLS required
• Registered Respiratory Therapist (RRT) by NBRC required

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

3 Days - 12 Hours

Work Type:

Full Time

DescriptionSummary:Provide administrative support duties to include assisting with department process improvement, back-up to the manager, maintain supplies, coordinate schedules and meetings, and participate in training/in-services for clinical staff.Responsibilities:Maintains daily operations of the clinic.Keeps manager informed of any issues with patients, staff, or physicians that are beyond their comfort level or are questionable.Orders departmental and medical supplies.Responsible for equipment maintenance/repair.Conscientious of maintaining budget/spending (confers with manager).Monitors quality control standards (immunization logs, waived testing, drug sample logs, equipment sterilization logs, etc.).Resolves less complicated patient, staff, and physician issues.Assists with evaluating associate performance and recommends merit increases (manager disciplines).Reports to the manager any associate non-compliance with approved policies.Monitors associate work schedule and PTO requests – maintain appropriate staff coverage.Makes sure NCHD referrals are appropriate.Assesses departmental staffing needs; actively participates in resourcing efforts.Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).Maintains strict confidentiality.Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control.Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health's cultural diversity objectives.Supports and adheres to CHRISTUS Health Service Guarantee.Performs other related work as required.Requirements:Associate's Degree in Nursing requiredMinimum of 2 years of clinical patient care experience in a relevant settingPrevious healthcare management experience preferredRN License in state of employment or compactBLS requiredWork Schedule:8 AM
- 5 PM Monday-FridayWork Type:Full Time

Summary:

This position is responsible for the operation of provider practices usually consisting of 2-4 providers with 6-10 FTEs or at two different sites. The position is responsible for, but not limited to, managing subordinate personnel, preparing clinic(s) budget, ensuring data accuracy, preparing financial analyses, handling complex customer service issues and maintaining provider/staff communications.

Responsibilities:

• Establishes/implements goals, objectives, policies, procedures and systems for the assigned administrative areas.
• Assists with developing and implementing annual operational plan and budget.
• Selects, trains, orients and supervises clinic personnel in accordance with established policies and procedures. Responsible for work assignments and daily operations. Manages personnel for multiple practices, including training relief employees.
• Evaluates performances and recommends merit increases, promotions and disciplinary actions in a timely manner. Interviews and recommends hiring and termination of staff in accordance with approved policies.
• Resolves problems in administrative areas and ensures compliance with regulations and standards.
• Helps fiscal management and other administrative staff in implementing cost effective policies and procedures for all operational areas including bookkeeping, billing, insurance, fee schedules, credit/collections, purchasing, data processing and space planning.
• Works in conjunction with Regional Director and corporate Marketing Department in practice development.
• Ensures the effective implementation of job descriptions, personnel policies and payroll practices.
• Monitors and controls clinic expenditures within budget. Identifies and implements cost reduction opportunities.
• Serves as liaison between clinic and external agencies.
• Works with staff and providers to ensure quality patient care and services are provided. Maintain effective communication with providers and staff; conducts monthly meetings with providers and staff. Create a positive work place.
• Gathers and reports monthly and annual data for fiscal, statistical and planning purposes. Develops and implements revenue enhancement strategies for existing practice(s).
• Participates in professional development activities to keep current with health care trends and practices.
• May be responsible for assuring all appropriate licensure, certifications and/or accreditations are secured according to policy.
• Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control.
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group’s cultural diversity objectives.
• Supports and adheres to CPG Service Guarantee.
• Collaborates effectively with physicians, administrators, patients, families, other departments, and the community to provide quality patient care and enhance patient outcomes.
• Ensures assessment of competency of all associates is completed as a part of the orientation program and on an ongoing basis.
• Identifies plans, develops and/or arranges for programs to meet the educational/skills needs of the associates upon hiring and on an ongoing basis.
• On an annual basis, contributes to the development of operating and capital budgets to meet the needs of the clinics.
• Reviews financial and productivity management reports and takes appropriate actions.
• Evaluate clinic production and revises procedures or devises new forms to improve efficiency of workflow.
• Supervises the clinical and non-clinical areas to ensure timely and efficient management.
• Coordinates with Providers as needed to ensure projects and assignments are coordinated as necessary by the Administrative staff.
• Demonstrates adherence to the Mission and CORE values of the CHRISTUS Health System.
• Performs other related work as required.

Requirements:

• High School Diploma

Work Schedule:

7AM - 5PM

Work Type:

Full Time

Summary:

Provide administrative support duties to include assisting with department process improvement, back-up to the manager, maintain supplies, coordinate schedules and meetings, and participate in training/in-services for clinical staff.

Responsibilities:

• Maintains daily operations of the clinic.
• Keeps manager informed of any issues with patients, staff, or physicians that are beyond their comfort level or are questionable.
• Orders departmental and medical supplies.
• Responsible for equipment maintenance/repair.
• Conscientious of maintaining budget/spending (confers with manager).
• Monitors quality control standards (immunization logs, waived testing, drug sample logs, equipment sterilization logs, etc.).
• Resolves less complicated patient, staff, and physician issues.
• Assists with evaluating associate performance and recommends merit increases (manager disciplines).
• Reports to the manager any associate non-compliance with approved policies.
• Monitors associate work schedule and PTO requests – maintain appropriate staff coverage.
• Makes sure NCHD referrals are appropriate.
• Assesses departmental staffing needs; actively participates in resourcing efforts.
• Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control.
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health's cultural diversity objectives.
• Supports and adheres to CHRISTUS Health Service Guarantee.
• Performs other related work as required.

Requirements:

Education/Skills

• Associate's Degree in Nursing required

Experience

• Minimum of 2 years of clinical patient care experience in a relevant setting
• Previous healthcare management experience preferred

Licenses, Registrations, or Certifications

• RN License in state of employment or compact required
• BLS required

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

Summary:

Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient.

Responsibilities:

• Performs general nursing care to patients. Administers treatments in accordance with nursing standards.
• Assists with the preparation of equipment and aids provider during treatment, examination, and testing of patients.
• Observes, records, and reports patients' condition and reaction to drugs or treatments to providers.
• Oversees appointment bookings and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients.
• Greets patients and obtains well-documented history and vitals. Prepares patients for physical exam. Instructs patients in collection of samples and tests.
• May perform the following tasks in accordance with established procedures and as prescribed by applicable licensure/certification:
• Obtain/record vital signs; perform initial assessment on patient; coordinate patient transfer to hospital and/or discharge; give telephone orders; accept telephone test results; perform telephone triage; call in provider approved prescription refills; specimen collection including stool and urine midstream; catheterize patient; indwelling catheter urine collection; obtain throat culture; pregnancy testing; administer urine dip; obtain wound culture; perform snellen vision screening; eye injury management; administer optic/otic meds; assist with lumbar punctures; sputum collection; occult blood testing; assist with vaginal exam; teach crutch/cane walking; teach use of walker; apply Velcro splint; assist with plaster splint; apply moist heat and/or cold packs; administer enema; remove fecal impaction; administer oxygen; teach respiratory hygiene; administer chest physiotherapy; perform oral suction and/or infant suction bulb; wound care; apply sterile dressing; assist with circumcision; perform umbilical care; apply colloidal dressing; open sterile tray; apply topical medications; administer rectal and/or vaginal medications; give oral medications; and, give sublingual medications to adults and/or pediatric patients.
• May perform the following tasks only if appropriate training has been obtained:
• Blood collection by lancet; pulse oximetry; incentive Spirometry; suture and/or staple removal; ear irrigation; administer breathing treatment; give allergy/insulin/immunization medications to adult and/or pediatric patients; give intramuscular and/or subcutaneous injections to adult and/or pediatric patients; give injections Z track to adult patients.
• May perform the following tasks after providing verification of completion of special training:
• Blood collection venipuncture; audiometry exam; titmus vision screening; EKG; administer electrical stimulation; assist/process biopsies; draw blood from portocath; assist endoscopy, start saline lock or IV fluids and monitor IV fluids.
• May administer IV push medications and/or add medications to IV only after completion of special training and only under direct supervision of licensed practitioner.
• May make arrangements for patient testing and admissions.
• May be required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care.
• Responds to incoming telephone calls and (per provider instructions) calls in refills and prescriptions to pharmacy.
• Per provider and/or established protocol, instructs patients and/or family with regard to medication and treatment and documents the same.
• Formulates and updates patient care plans. Orders, prepares, and inspects patient charts. Posts tests and examination results. Reviews patient's tests and examination results with provider; documents instructions and notifies patient.
• Maintains patient files, records and other information in a professional manner following policies and procedures regarding documentation.
• Ensures preparation of exam rooms including re-stocking of treatment areas.
• Attends required meetings and participates in committees as requested.
• Participates in professional development activities and maintains professional licensure and affiliations.
• Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control.
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group's cultural diversity objectives.
• Supports and adheres to CPG Service Guarantee.
• Performs other related work as required.

Requirements:

• Graduate from an accredited school of practical nursing or vocational nursing
• LVN License in state of employment or compact
• BLS

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Summary:

Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient.

Responsibilities:

• Performs general nursing care to patients. Administers treatments in accordance with nursing standards.
• Assists with the preparation of equipment and aids provider during treatment, examination, and testing of patients.
• Observes, records, and reports patients' condition and reaction to drugs or treatments to providers.
• Oversees appointment bookings and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients.
• Greets patients and obtains well-documented history and vitals. Prepares patients for physical exam. Instructs patients in collection of samples and tests.
• May perform the following tasks in accordance with established procedures and as prescribed by applicable licensure/certification:
• Obtain/record vital signs; perform initial assessment on patient; coordinate patient transfer to hospital and/or discharge; give telephone orders; accept telephone test results; perform telephone triage; call in provider approved prescription refills; specimen collection including stool and urine midstream; catheterize patient; indwelling catheter urine collection; obtain throat culture; pregnancy testing; administer urine dip; obtain wound culture; perform snellen vision screening; eye injury management; administer optic/otic meds; assist with lumbar punctures; sputum collection; occult blood testing; assist with vaginal exam; teach crutch/cane walking; teach use of walker; apply Velcro splint; assist with plaster splint; apply moist heat and/or cold packs; administer enema; remove fecal impaction; administer oxygen; teach respiratory hygiene; administer chest physiotherapy; perform oral suction and/or infant suction bulb; wound care; apply sterile dressing; assist with circumcision; perform umbilical care; apply colloidal dressing; open sterile tray; apply topical medications; administer rectal and/or vaginal medications; give oral medications; and, give sublingual medications to adults and/or pediatric patients.
• May perform the following tasks only if appropriate training has been obtained:
• Blood collection by lancet; pulse oximetry; incentive Spirometry; suture and/or staple removal; ear irrigation; administer breathing treatment; give allergy/insulin/immunization medications to adult and/or pediatric patients; give intramuscular and/or subcutaneous injections to adult and/or pediatric patients; give injections Z track to adult patients.
• May perform the following tasks after providing verification of completion of special training:
• Blood collection venipuncture; audiometry exam; titmus vision screening; EKG; administer electrical stimulation; assist/process biopsies; draw blood from portocath; assist endoscopy, start saline lock or IV fluids and monitor IV fluids.
• May administer IV push medications and/or add medications to IV only after completion of special training and only under direct supervision of licensed practitioner.
• May make arrangements for patient testing and admissions.
• May be required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care.
• Responds to incoming telephone calls and (per provider instructions) calls in refills and prescriptions to pharmacy.
• Per provider and/or established protocol, instructs patients and/or family with regard to medication and treatment and documents the same.
• Formulates and updates patient care plans. Orders, prepares, and inspects patient charts. Posts tests and examination results. Reviews patient's tests and examination results with provider; documents instructions and notifies patient.
• Maintains patient files, records and other information in a professional manner following policies and procedures regarding documentation.
• Ensures preparation of exam rooms including re-stocking of treatment areas.
• Attends required meetings and participates in committees as requested.
• Participates in professional development activities and maintains professional licensure and affiliations.
• Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control.
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group's cultural diversity objectives.
• Supports and adheres to CPG Service Guarantee.
• Performs other related work as required.

Requirements:

• Graduate from an accredited school of practical nursing or vocational nursing
• LVN License in state of employment or compact
• BLS

Work Schedule:

3 Days - 12 Hours

Work Type:

Full Time

Summary:

Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient.

Responsibilities:

• Performs general nursing care to patients. Administers treatments in accordance with nursing standards.
• Assists with the preparation of equipment and aids provider during treatment, examination, and testing of patients.
• Observes, records, and reports patients' condition and reaction to drugs or treatments to providers.
• Oversees appointment bookings and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients.
• Greets patients and obtains well-documented history and vitals. Prepares patients for physical exam. Instructs patients in collection of samples and tests.
• May perform the following tasks in accordance with established procedures and as prescribed by applicable licensure/certification:
• Obtain/record vital signs; perform initial assessment on patient; coordinate patient transfer to hospital and/or discharge; give telephone orders; accept telephone test results; perform telephone triage; call in provider approved prescription refills; specimen collection including stool and urine midstream; catheterize patient; indwelling catheter urine collection; obtain throat culture; pregnancy testing; administer urine dip; obtain wound culture; perform snellen vision screening; eye injury management; administer optic/otic meds; assist with lumbar punctures; sputum collection; occult blood testing; assist with vaginal exam; teach crutch/cane walking; teach use of walker; apply Velcro splint; assist with plaster splint; apply moist heat and/or cold packs; administer enema; remove fecal impaction; administer oxygen; teach respiratory hygiene; administer chest physiotherapy; perform oral suction and/or infant suction bulb; wound care; apply sterile dressing; assist with circumcision; perform umbilical care; apply colloidal dressing; open sterile tray; apply topical medications; administer rectal and/or vaginal medications; give oral medications; and, give sublingual medications to adults and/or pediatric patients.
• May perform the following tasks only if appropriate training has been obtained:
• Blood collection by lancet; pulse oximetry; incentive Spirometry; suture and/or staple removal; ear irrigation; administer breathing treatment; give allergy/insulin/immunization medications to adult and/or pediatric patients; give intramuscular and/or subcutaneous injections to adult and/or pediatric patients; give injections Z track to adult patients.
• May perform the following tasks after providing verification of completion of special training:
• Blood collection venipuncture; audiometry exam; titmus vision screening; EKG; administer electrical stimulation; assist/process biopsies; draw blood from portocath; assist endoscopy, start saline lock or IV fluids and monitor IV fluids.
• May administer IV push medications and/or add medications to IV only after completion of special training and only under direct supervision of licensed practitioner.
• May make arrangements for patient testing and admissions.
• May be required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care.
• Responds to incoming telephone calls and (per provider instructions) calls in refills and prescriptions to pharmacy.
• Per provider and/or established protocol, instructs patients and/or family with regard to medication and treatment and documents the same.
• Formulates and updates patient care plans. Orders, prepares, and inspects patient charts. Posts tests and examination results. Reviews patient's tests and examination results with provider; documents instructions and notifies patient.
• Maintains patient files, records and other information in a professional manner following policies and procedures regarding documentation.
• Ensures preparation of exam rooms including re-stocking of treatment areas.
• Attends required meetings and participates in committees as requested.
• Participates in professional development activities and maintains professional licensure and affiliations.
• Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control.
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group's cultural diversity objectives.
• Supports and adheres to CPG Service Guarantee.
• Performs other related work as required.

Requirements:

• Graduate from an accredited school of practical nursing or vocational nursing
• LVN License in state of employment or compact
• BLS

Work Schedule:

7AM - 7PM

Work Type:

Per Diem As Needed