Licensed Practical Nurse
Med/Surg
Full Time; Day
FLSA Status: Non-Exempt

Provides direct and indirect patient care services that meet the psychosocial, physical and general aspects of care; meets the communication needs of patient and family; provides care that reflects initiative and responsibility indicative of professional expectations, under the supervision of a Registered Nurse. Maintains regulatory agency requirements, nursing and hospital policies, procedures and standards. Communicates with physicians and team members about changes in patient’s clinical conditions, including results of diagnostic studies and symptomatology. Can respond quickly and accurately to changes in condition or response to treatment. Additionally, candidate can perform general nursing duties in all departments with adequate supervision.

Education: Graduate of an accredited LPN program and IV therapy course.

Experience: One year preferred but not required. Telemetry Unit experience desired. Previous health care experience a plus.

Licensure, Registration, Certification: Current Missouri licensure, BLS

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to infectious disease and hostile people at times. Frequent exposure to communicable disease via blood and other body fluids. Works with sharps and other potentially biohazardous material. Minimal physical discomfort. Ability to function under stress is required.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability, or any other characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse
Intensive Care Unit / Med-Surg
PRN; Day Shift
FLSA Status: Non-Exempt

Under the general supervision of the Director, the Registered Staff Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Staff Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. Must be highly motivated to complete assigned duties within prescribed time limits. Uses extreme tact when dealing with patients, employees, other departments, physicians and the public. Maintains a strong ethical code regarding patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor.

Education: Graduate of an accredited School of Nursing. ADN, BSN

Experience: Two years ICU experience preferred. Experience with geriatric patients is also desired. Must possess and demonstrate good IV skills. Basic telemetry monitoring skills. Prefer one year of cardiac monitoring, but not required. Ability to recognize cardiac arrhythmias and respond appropriately.

Licensure, Registration, Certification: Current Missouri licensure. ACLS, BLS, PALS certified.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability, or any other characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Respiratory Therapist
Pulmonary Rehab
Part-Time; Day and Night Shift Available

Under the general supervision of the Cardiopulmonary Director, the Respiratory Therapist will perform a variety of functions to include delivering direct patient care during Pulmonary Rehab classes, performs initial patient assessment, provides education to patient and significant others, monitors SpO2 and charts all pertinent information, performs discharge planning, and assists with pulmonary stress testing. Has direct communication with various physicians regarding patient care issues, and assists cardiac rehab and fitness center with pulmonary issues. This position is grant funded for three years.

Education: Graduate of two year AMA- approved Respiratory Care Program.

Experience: At least one year clinical experience. Experience in outpatient and/or pulmonary rehab preferred.

Licensure, Registration, Certification: Certified by the national Board of Respiratory Care and licensed in the State of Missouri as a Respiratory Care Practitioner. Minimum of CRT, RRT preferred. Current BLS upon hire; ACLS certification within orientation.

Mental/Physical Requirements: (May be met with or without reasonable accommodations): Considerable mental concentration required for long periods of time. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Constant exposure to infectious materials and other hazardous conditions.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability, or any other characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Phlebotomist/Lab Assistant
Laboratory
Full-time; Night Shift
FLSA Status: Non-Exempt

Under the general supervision of the Laboratory Director, the Lab Assistant receives physician’s requests and collects blood specimens from adult, pediatric and newborn patients by venipuncture and skin puncture.  The Lab Assistant performs general office duties and general laboratory cleaning, collects drug screens for employers and may perform other tasks as assigned.

Education: High School education or equivalent

Experience: Equivalent of one-year full-time phlebotomy experience.

Licensure, Registration, Certification: Certified Phlebotomy Technician (CPT)

Mental/Physical Requirements: (may be met with or without reasonable accommodation): Close mental and visual attention required for sustained periods of time.  Will frequently work under stressful conditions due to time constraints and critical condition of some patients.  Frequent standing and walking are required along with sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Constant exposure to infectious material.  Works in an air-conditioned environment with moderate noise level.  May be required to work any time of day.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability, or any other characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Phlebotomist/Lab Assistant
Laboratory
PRN; Day & Evening
FLSA Status: Non-Exempt

Under the general supervision of the Laboratory Director, the Lab Assistant receives physician’s requests and collects blood specimens from adult, pediatric and newborn patients by venipuncture and skin puncture.  The Lab Assistant performs general office duties and general laboratory cleaning, collects drug screens for employers and may perform other tasks as assigned.

Education: High School education or equivalent

Experience: Equivalent of one-year full-time phlebotomy experience preferred.

Licensure, Registration, Certification: None required.  PBT preferred.

Mental/Physical Requirements: (may be met with or without reasonable accommodation): Close mental and visual attention required for sustained periods of time.  Will frequently work under stressful conditions due to time constraints and critical condition of some patients.  Frequent standing and walking are required along with sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Constant exposure to infectious material.  Works in an air-conditioned environment with moderate noise level.  May be required to work any time of day.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Phlebotomist/Lab Assistant
Laboratory
PRN; Nights
FLSA Status: Non-Exempt

Under the general supervision of the Laboratory Director, the Lab Assistant receives physician’s requests and collects blood specimens from adult, pediatric and newborn patients by venipuncture and skin puncture.  The Lab Assistant performs general office duties and general laboratory cleaning, collects drug screens for employers and may perform other tasks as assigned.

Education: High School education or equivalent

Experience: Equivalent of one-year full-time phlebotomy experience preferred.

Licensure, Registration, Certification: None required.  PBT preferred.

Mental/Physical Requirements: (may be met with or without reasonable accommodation): Close mental and visual attention required for sustained periods of time.  Will frequently work under stressful conditions due to time constraints and critical condition of some patients.  Frequent standing and walking are required along with sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Constant exposure to infectious material.  Works in an air-conditioned environment with moderate noise level.  May be required to work any time of day.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.

Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability, or any characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Physical Therapy Assistant
Physical Therapy
Full-Time
FLSA Status: Non-Exempt

Under the general supervision of the Director of Physical Therapy, the PT Assistant is responsible for patient treatment as prescribed by the physician, and/or determined by the Physical Therapist.  Responsible for maintaining proper records and progress notes on the patient and communicating with the therapist, physician and other healthcare team members concerning the patient’s care and progress.  Practices under the State of Missouri Healing Arts Practice Act and hospital policies and procedures.  Provides direct patient care to an assigned number of patients with an understanding of the age-specific development needs.  Demonstrates behaviors that exemplify professional conduct and teamwork.

The Physical Therapy Assistant functions independently within scope of position.  Regular communication with Director/Physical Therapist provides direction of activities and guides priorities.  Fluctuating departmental activities necessitate flexibility.  Must be highly motivated to complete assigned duties within prescribed time limits.  Uses extreme tact when dealing with patients, employees, other departments, physicians, and the public.  Maintains strong ethical code regarding patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality, and empathy).  Must promote professional, positive, and cooperative demeanor.

EDUCATION: Associate of Applied Science in Physical Therapy from an accredited school or licensure under State of Missouri Grandfather Clause.

EXPERIENCE: None required, but preferred.

LICENSURE, REGISTRATION, CERTIFICATION: Current Missouri licensure.

MENTAL/PHYSICAL REQUIREMENTS (maybe met with or without reasonable accommodation): Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

WORKING CONDITIONS: Minimum physical discomfort. Moderate levels of auditory distractions. Potential exposure to infectious diseases, crowded workspace, and hostile persons at times. Works with potentially biohazardous material. Ability to function under stress required.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability, or any other characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Paramedic
Emergency Medical Services
Full Time; 24 Hour Shifts
FLSA Status: Exempt

Under the general supervision of the Director of Emergency Medical Services and the respective charge Nurse, the Paramedic is responsible for performing emergency care to patients in the field and in the Emergency Department as well as providing Advanced Life Support for patients on both emergency and routine transport, with similar capacity in the ED.    Responsible for checking the ambulances for supplies and vehicle inspection, documenting accurately on the MARF report and patient’s ED charts.

Education: High School education of equivalent.  Graduate of approved EMT-P course.

Experience / Skills: One year preferred but not required.

Mental / Physical Requirements:

(May be met with or without reasonable accommodation):

Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Fit for duty test is required for employment and includes:

-Walk three laps (3/4 mile) on the track in 10 minutes or less

-Walk three circuits of the stadium stairs (not timed but without stopping)

-Take ambulance cot and 180–200-pound subject in and out of ambulance alone

-Lift backboard and 180–200-pound subject from the ground and carry 25 feet with a partner

-Lift and carry backboard and 180–200-pound subject up and down 6-8 steps with a partner

-Use stair chair to move 180–200-pound subject up and down 6-8 steps with a partner

-Move 180–200-pound subject from seated position to cot alone

Exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile people at times.  Works with sharps and other potentially biohazardous material.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Job Posting
Registered Nurse (RN)
ICU
PRN Status; Night Shift
FLSA Status: Non-Exempt

Under the general supervision of the Director, the Registered Staff Nurse provides direct patient care to a group of patients using nursing knowledge and skills using the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Staff Nurse functions independently within scope of position. Regular communication with the Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. Must be initiative-taking to complete assigned duties within prescribed time limits. Uses extreme tact when dealing with patients, employees, other departments, physicians, and the public.  Maintains a strong ethical code regarding patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality, and empathy). Must promote professional, positive and cooperative demeanor.

Education: Graduate of an accredited School of Nursing. ADN, BSN

Experience: One year preferred.

Licensure, Registration, Certification:  Current Missouri licensure.

Mental/Physical Requirements: (may be met with or without reasonable accommodations):  Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Job Posting
Maintenance Tech
Plant Operations
Full-Time; Day Shift
FLSA Status: Non-Exempt

Job Summary: Under the general supervision of the Director of Plant Operations and the Manager of Plant Operations, the General Maintenance Mechanic performs general-medium skill level preventive and corrective maintenance and repair of equipment, systems, and facilities.  May include grounds work, light plumbing and mechanical repair.  Will perform and complete daily projects and duty assignments.  Work will be performed in compliance with all codes and regulatory agency standards and specifications.  Assist with security of facility as needed or as directed.

The Maintenance Tech will notify the Director of Plant Operations and Manager of Plant Operations of problems or issues related to equipment and/or system failures, facility damage, needed repairs, non-compliance of codes and regulatory agencies, safety, or situations that are life threatening or that could compromise the welfare of the hospital, patients, visitors and staff.

Education: High School Diploma or equivalent, technical school/building maintenance.

Experience / Skills: Two years experience preferred. HVAC experience preferred.

Licensure, Registration, Certification: Refrigeration

Mental / Physical Requirements: (may be met with or without reasonable accommodations):  Ability to follow written and verbal instructions, perform math skills and calculations related to position, Good communication skills, general knowledge of construction, plumbing, mechanical, electrical and other phases of engineering.  Basic computer skills.  Ability to lift 10-75 lbs., good eye sight and a steady hand, perform under stress, operate power tools, testing equipment and machinery.  Standing, walking, sitting, kneeling, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, climbing ladders, and reaching are required.  Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: May experience long periods of standing and walking. May encounter patients. Will encounter unpleasant conditions and exposure to heat, cold, noise, dirt, inclement weather, chemicals and gases, water, fumes, overhead pipes, infectious disease or waste.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Job Posting
Transport Service Driver
Part-Time
FLSA Status: Non-Exempt

Summary: Under the general direction of the Emergency Medical Services (EMS) Director the Transport Service Driver will be responsible for providing community members in the TCMH service area with non-emergent transportation services to and from their personal residences or healthcare facilities to TCMH or a TCMH affiliate or other healthcare-related service providers for treatment or diagnostic procedures.  He/she is responsible for the safe operation of the vehicle, scheduling of trips, maintaining appearance of the vehicle, accountable for the moneybox, providing quality customer service, and complying with MEDIVAN general policies.

The Transport Driver will notify the EMS director of problems or issues related to the transport of riders and/or vehicle failure.

Safety:  Responsible for obeying all Federal, State, and local traffic laws.  Operate van in a conscientious manner with regards to occupant safety.  Maintain required licensure to operate vehicle.

Trip Scheduling: Coordinates and communicates route pick-ups and drop-offs with riders and health care facilities; will do so in an organized and efficient manner.  Exhibits flexibility in the work schedule as needed to best serve the customers.

Maintenance:  Keeps transportation vans neat, cleaned, and always maintained.  Conducts a daily pre-trip inspection of the van for roadworthiness and reports any maintenance issues to the EMS director.  Maintains all transportation logs and maintenance records on the vehicles as directed.

Money:  Accountable for all cash and payments received from riders as well as any expenses incurred.  Will provide weekly drivers log sheet and any other supporting documentation as required to reconcile books.

Customer service:  Enhance passengers’ experience by providing a high level of quality customer service from curb-to-curb or door-to-door. Greet and communicate with passengers in a polite, kind, and courteous manner.

Compliance:  Will follow the guidelines stated in the MEDIVAN General Policies handbook when applicable.

Education: A basic amount of education necessary to be able to read and follow instructions; willingness to learn and perform different tasks and duties.

Experience / Skills:  At least one year experience in a service related field, preferably healthcare.  Public and health care transportation experience preferred.  Knowledge of local streets and highways.

Licensure, Registration, Certification:   CPR certification and current Missouri Class E licensure.

Mental / Physical Requirements:  (may be met with or without reasonable accommodations):  Physically handle sitting for long periods of time while driving.  Assist passengers who are being transported, in and out of vans and into health care facilities as appropriate; Must remain mentally alert during extensive periods of driving time. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Will be placed in a controlled environment inside the cabin while operating the vans.  Subject to noise and some mental fatigue during the actual driving process.  There will be some exposure to various outdoor working conditions during the loading/unloading of the passengers and while conducting van maintenance tasks.   

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse
Hospice
Full Time
FLSA Status: Non-Exempt

The Registered Nurse is responsible to the Nurse Managers for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation, and other duties as assigned. The Registered Nurse functions within the limits of the Missouri Nurse Practice Act and performs in a comparable manner to peers with similar training, experience, and circumstances.

Education: Graduate of an accredited Registered Nurse program, BSN preferred.

Experience: Six (6) months’ home care experience preferred. Computer skills preferred. 3 – 6 months experience in Med/Surg or nursing home.

Licensure, Registration, Certification: Current RN license in the state of Missouri. CPR certification. Current driver’s license and declaration of automobile liability insurance.

Mental/Physical Requirements: (may be met with or without reasonable accommodation): Ability to stand and walk for long periods of time and to walk up and down flights of stairs. Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Excellent interpersonal and organizational skills. Ability to safely operate an automobile. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile people at times. Works with sharps and other potentially biohazardous materials. Variation in environmental temperatures. Exposure to various community environments. Exposure to dogs, cats, etc. Participate in rotational on-call, fund-raising efforts. Available for work after hours as needed for continuous home care, etc.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability or any characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Home Health Aide
Home Health
Full Time
FLSA Status: Non-Exempt

Under the general supervision of the Registered Nurse, the Home Health Aide assists the patient in personal care, rehabilitative activities, nutrition, and/or other therapeutic activities as prescribed in the care plan developed by a registered nurse or therapist, and other duties as assigned.

Education: High school diploma or equivalent G.E.D.

Experience: Must have completed one (1) year as a health care aide in a hospital, extended care center, or home health. Has the emotional and mental maturity necessary for establishing a good work relationship with patients, families, caregivers, supervisors, and employees of the agency

Licensure, Registration, Certification: HS CPR certification and completion of the Home Health Aide competency evaluation. C.N.A. preferred. Current driver’s license and declaration of automobile liability insurance.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Ability to stand and walk for long periods of time and to walk up and down flights of stairs. Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Excellent interpersonal and organizational skills. Ability to safely operate an automobile. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Variation in environmental temperatures. Exposure to various community environments.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability or any characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Licensed Practical Nurse (Or RN)
Med-Surg
Full-time
Night Shift; Weekend Option
FLSA: Non-Exempt

Provides direct and indirect patient care services that meet the psychosocial, physical and general aspects of care; meets the communication needs of patient and family; provides care that reflects initiative and responsibility indicative of professional expectations, under the supervision of a Registered Nurse. Maintains regulatory agency requirements, nursing and hospital policies, procedures and standards. Communicates with physicians and team members about changes in patient’s clinical conditions, including results of diagnostic studies and symptomatology. Can respond quickly and accurately to changes in condition or response to treatment. Additionally, candidate can perform general nursing duties in all departments with adequate supervision.

Education: Graduate of an accredited LPN program and IV therapy course.

Experience: One year preferred but not required. Telemetry Unit experience desired. Previous health care experience a plus.

Licensure, Registration, Certification: Current Missouri licensure, BLS

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to infectious disease and hostile people at times. Frequent exposure to communicable disease via blood and other body fluids. Works with sharps and other potentially biohazardous material. Minimal physical discomfort. Ability to function under stress is required.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability or any characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse
Obstetrics
Full-Time; Night-Shift
FSLA Status: Non-Exempt

Under the general supervision of the Director, the Registered Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. Must be highly motivated to complete assigned duties within prescribed time limits. Uses extreme tact when dealing with patients, employees, other departments, physicians and the public.  Maintains a strong ethical code regarding patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor.  While on call, be able to be present in hospital within thirty (30) minutes for STAT call back.  Third person call back should be present in the hospital within one hour.

Education:  Graduate of an accredited School of Nursing. ADN, BSN, MSN, or Ph.D.  Must participate in a Basic Fetal Monitoring course within 6 months of hire and every year thereafter.

Experience:  One year in L&D, Post-Partum or Nursery preferred.  Must possess and demonstrate good IV skills.

Licensure, Registration, Certification:  Current Missouri licensure. BLS, ACLS and Neonatal Resuscitation certifications. Basic Fetal Monitoring Course. STABLE preferred, but not required.

Mental/Physical Requirements (May be met with appropriate accommodations if deemed necessary):  Considerable mental concentration required. Requires frequent heavy lifting and turning activities and nearly constant walking. Standing, carrying, pushing, pulling, stooping, crouching, twisting, and reaching required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required.  Must be able to multitask.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Pharmacy Technician
Pharmacy
PRN Status
FLSA Status: Non-Exempt

Under the direct supervision of the Pharmacy Coordinator, the Pharmacy Technician assists the Pharmacist in performing pharmacy related duties as necessary, including preparation of medications, inventory, etc. The Pharmacy Technician must perform order entry with 100% accuracy for patient medication orders and outpatient prescriptions, perform data entry of floor stock with 100% accuracy, retrieve medication orders from different assigned locations/areas and deliver medications on a predetermined schedule, assembles medications, orders and labels with 100% accuracy for the Pharmacist, fills patient medication drawers with 100% accuracy under the supervision of the Pharmacist, assists the Pharmacist in maintenance of records of controlled drugs, checks floor stock daily and replenishes it with 100% accuracy, orders, maintains, enters IV solutions at a predetermined level with 100% accuracy, checks and removes all outdated medications from usable pharmacy and departmental stocks on a monthly basis, as stock is removed from shelves, must ascertain if a particular stock should be ordered and enters such accordingly, checks in orders, places into stock and puts costs into the computer according to policies and checks orders against invoices and must abide by all pharmacy and hospital policies and procedures.

Education: High School diploma or equivalent. Eligibility for obtaining the State Pharmacy registration for Technicians.

Experience: At least one year experience in a pharmacy, preferred.

Licensure, Registration, Certification: Eligible for obtaining State Pharmacy registration for Technicians.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required for long periods of time. Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from the floor and overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Exposure to infectious materials and other hazardous conditions. Frequent interruptions. Must be able to handle multiple tasks simultaneously and stressful situations

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Job Posting
Registered Nurse
Obstetrics
PRN; Night-Shift

Under the general supervision of the Director, the Registered Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. Must be highly motivated to complete assigned duties within prescribed time limits. Uses extreme tact when dealing with patients, employees, other departments, physicians and the public.  Maintains a strong ethical code regarding patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor.  While on call, be able to be present in hospital within thirty (30) minutes for STAT call back.  Third person call back should be present in the hospital within one hour.

Education:  Graduate of an accredited School of Nursing. ADN, BSN, MSN, or Ph.D.  Must participate in a Basic Fetal Monitoring course within 6 months of hire and every year thereafter.

Experience:  One year in L&D, Post-Partum or Nursery preferred.  Must possess and demonstrate good IV skills.

Licensure, Registration, Certification:  Current Missouri licensure. BLS, ACLS and Neonatal Resuscitation certifications. Basic Fetal Monitoring Course. STABLE preferred, but not required.

Mental/Physical Requirements (May be met with appropriate accommodations if deemed necessary):  Considerable mental concentration required. Requires frequent heavy lifting and turning activities and nearly constant walking. Standing, carrying, pushing, pulling, stooping, crouching, twisting, and reaching required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required.  Must be able to multitask.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Medical Social Worker
Hospice
Status: Full-Time; Day Shift
FLSA Status: Exempt

Under the direction of the Hospice Director, the Hospice Medical Social Worker shall provide home visits for purposes of assessment, community liaison and counseling, of terminally ill patients and their family.  Attends interdisciplinary team meetings weekly to provide insight into social needs of patients and their families.

EDUCATION: Must have a MSW in Social Work from an accredited school of social work.

EXPERIENCE: Experience in field of social work, especially areas of counseling and community resources.

LICENSURE, REGISTRATION, CERTIFICATION: Must have current licensure in State of Missouri for Social Work.

MENTAL/PHYSICAL REQUIREMENTS (may be met with or without reasonable accommodation): Ability to meet multiple deadlines and to prioritize.  Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions.  Excellent interpersonal and organizational skills.  Ability to safely operate an automobile.  Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping crouching, twisting, and reaching are required.  Must be able lift 20 lbs. from floor and overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

WORKING CONDITIONS: Ability to work in a fast paced, multidisciplinary office, meeting multiple deadlines, and the ability to set priorities.  Interaction with various individuals of the department and hospital.  Environment of changing regulatory requirements for agency operations.  Exposure to various community environments (i.e. dogs, cats, etc.).  Participate in fund-raising efforts.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.

Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is an equal opportunity employer and does not discriminate against any individual because of race, color, religion, national origin, sex, age, disability, or any characteristic protected by law.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Radiologic Technologist
Radiology
Full-Time; Day, Evening & Night
FLSA Status: Non-Exempt

Under the general supervision and reporting to the Director of Radiology, the Radiologic Technologist provides patient services utilizing radiologic imaging equipment, making a record of the exam produced for interpretation by the radiologist.  Will perform studies in acceptable manner complying with all regulations and policies.  Transports patients and perform office duties in absence of office personnel, may assist in other Medical Imaging divisions as trained and other duties as assigned.

Performs diagnostic procedures on patient to meet the established practice parameters and standards or care, including proper position/centering of part/patient, proper technical factor selection, proper image/patient identification, proper use of image receptors, proper professional patient care and assessment, proper radiation protection provided for patient/staff/general public, proper documentation maintained, proper administration of contrast media when required for ordered procedure.

Graduate of accredited Radiologic Technology program. One year’s experience as a radiologic technologist preferred. Active American Registry for Radiologic Technologists (ARRT) and CT registered. Current compliance with Continuing Medical Education (CME) requirements. Current CPR certification.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Operating Room Scrub Tech / Certified Surgical Tech
Peri-Operative Services
PRN
FLSA Status: Non-Exempt

Under the general supervision of the Perioperative Services Supervisor, the OR Scrub Tech/Surgical Assistant is a professional caregiver who works with Anesthesia, surgeons and other surgical personnel in patient care before, during and after surgery.  The OR Scrub Tech/Surgical Assistant uses sterile techniques and technical equipment to perform surgical procedures.  Assures operating suite is adequately prepared for procedures.  Monitor PAR levels of all surgical instruments and supplies.  Cleans and sterilizes all surgical instruments.  Participate in departmental staff meetings and performance improvement activities.

Education:  Graduate of an accredited School of Nursing, Practical Nurse, or Surgical Technologist program preferred.  Current BCLS certification.

Experience: Minimum one (1) year’s work experience in the OR/PACU setting is preferred but not required.  Surgical Assistant should have a total of two (2) years’ scrub experience.

Licensure, Registration, Certification:  Current Missouri licensure.  RN, RNFA, LPN-IV, or CST/CFA.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required.  Nearly constant Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.  Must have ability to pull retractors and hold patient extremities during surgery.  While on call, tech must be able to be present in hospital within thirty (30) minutes for STAT callback.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile people at times.  Works with sharps and other potentially biohazardous material.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Job Posting
Registered Nurse
Emergency Dept.
PRN; Night Shift
FLSA Status: Non-Exempt

Job Summary: Under the general supervision of the Director of the Emergency Department, the Registered Nurse is a professional caregiver who assumes responsibility and accountability for patients seeking emergency treatment.  S/HE provides both direct care to the emergency patient, as well as directing the care given by other members of the health care team, such as LPN’s, paramedics, EMT’s, emergency technicians, and coordinators.  The registered nurse also coordinates care for emergency patients, working closely with physicians and ancillary departments to assure coordinated care is provided.  The Registered Nurse assures that care is delivered utilizing the nursing process, considering age specific parameters, and does so in a professional, compassionate manner.

Must be able to work at a fast pace for long hours, to include lifting and moving patients. Must be willing to be part of a healthcare team and work well with the ward clerks, EMT-Ps, technicians, and physicians. The RN must possess excellent people skills, the ability to multi-task, as well as prioritization and time management skills.

Education: Graduate of an accredited school of nursing:  ADN, BSN.  ACLS and PALS preferred and must be obtained within one year of employment.  CEN certification, TNCC encouraged.

Experience / Skills: Must have either one year of Medical/Surgical Nursing as a Registered Nurse, or one year of emergency department experience in any capacity.  Previous emergency department experience or critical care experience as a Registered Nurse Preferred.

Licensure, Registration, Certification: Current Missouri licensure.

Mental / Physical Requirements: (may be met with or without reasonable accommodations):  Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times.  Works with sharps and other potentially biohazardous material.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Job Posting
Emergency Dept. Technician
Emergency Department
PRN
FLSA Status: Non-Exempt

Summary: Under the general supervision of the Director of Emergency Services, and the direct supervision of the respective charge nurse, the Emergency Department Technician (tech) maintains appropriate records, performs stocking, cleaning functions within the department, assists in the provision of basis patient comfort measures, performs certain technical duties as assigned by the licensed staff, within competencies measured, and assists with portering of patients, specimens, and equipment as required by the department.

Must be able to work at a fast pace for long hours, to include lifting and moving patients.  Must be willing to be part of healthcare team and work well with the ward clerks, EMT-Ps, nurses, and physicians.  Must possess excellent people skills, the ability to multi-task, the ability to prioritize, and time management skills.

EDUCATION: High School Diploma or GED. Current Missouri EMT-B or CNA licensure.

EXPERIENCE: Previous healthcare experience preferred.  Previous Emergency Department experience preferred.

LICENSURE, REGISTRATION, CERTIFICATION: Missouri EMT-B or CNA. EMT-B must have BLS and PHTLS certification. CNA must have BLS certification.

MENTAL/PHYSICAL REQUIREMENTS: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

WORKING CONDITIONS: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times. Works with sharps and other potentially biohazardous material.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Job Posting
EMT-B
Emergency Medical Services
Full-time; 24 Hour Shifts
FLSA: Non-Exempt

Under the general supervision of the Director of Emergency Medical Services, and the direct supervision of the Paramedic and the respective charge nurse, the EMT is responsible for providing Basic Life Support for patients both emergency and routine transport, with similar capacity in the ED.  Responsible for checking the ambulances for supplies and vehicle inspection, documenting accurately on the MARF report and patient’s ED charts.

Education:  High School Diploma or GED.  Graduate of EMT course.

Experience:  One year preferred but not required.

Licensure, Registration, Certification:  Current Missouri licensure as EMT-B and Class E Missouri Driver’s license (with a clean driving record.)  Candidate must have current BTLS.

Mental/Physical Requirements:  (May be met with or without reasonable accommodations):  Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times.  Works with sharps and other potentially biohazardous material.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.