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** FULL-TIME: $2,500 Sign on Bonus ** The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. These are performed under the direction of the Nurse and/or the physician in preparation for the patient's examination and treatment. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital/physician practices policies, procedures, and protocols. Assist to collects patient healthcare data, including VS, weight, chief complaint and pain assessment as directed. Complete patient care treatments and testing as ordered. Comply with completeness, accuracy and timeliness of documentation. Prepare patients for examinations, treatments, and procedures. Communicate pertinent information of actual or potential problems to the physician or nurse. Perform clerical functions in support of patient care and office functions. Answer telephone calls, taking accurate messages and relaying them to the appropriate staff. Obtain and verify accurate patient demographic and insurance information entering it into the billing system. Accurately enter codes, based on diagnosis given, and enters codes and charges into billing system. Complete forms and letters necessary for continued patient care. Provide for patient safety in compliance with hospital and physician practice policies. Label all patient specimens with identifiers per policy. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist in continuous survey readiness or inspections and surveys. Perform all quality control, monitoring functions and reports out of range information immediately to supervisor. Consistently practice National Patient Safety Goals. Knowledge of and/or ability to schedule surgery, procedures, and testing for patients. Exit counseling which includes education, scheduling of testing and providing patients with necessary information. Prepare charts for clinic sessions and obtain vital signs and weight. Perform control studies and completes log books according to policy. Perform phlebotomy procedures, reads the test results, and documents accordingly. Prepare the exam rooms and stocks supplies daily. Provide pre and post-examination education and counseling. Other duties as assigned. Required Qualifications High School Diploma, GED or next level of higher education. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Knowledge of Microsoft Office Applications, including Outlook and Excel. Preferred Qualifications Previous outpatient office experience. License, Certification & Clearances Medical Assistant Certification, preferred. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Friends & Family CPR Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health's missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling X x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry x x Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 20# Lifting Seat Pan to Knuckle x 20# Lifting Knuckle to Shoulder X 5# Lifting Shoulder to Overhead x

REGISTERED NURSE RN - 7 Tower - TELEMETRY

DAY/NIGHT ROTATION Hours: 7a-730p, 7a-330p, 7p-730a, and 11p-730a Job Summary : Responsible for providing direct care on 7 Tower, which is a Medical/ Surgical/Cardiovascular Telemetry unit that provides acute nursing care to patients requiring telemetry monitoring. The Registered Nurse's responsibilities include but are not limited to utilization of the nursing process in the provision of care, excellent customer service skills and communication skills, flexibility, quality improvement activities and professional growth for the following patient population: 1. Post-operative cardiothoracic surgical patients that are hemodynamically stable 2. Surgical patients requiring post-operative cardiac monitoring 3. Patients with coronary artery disease awaiting open heart surgery. 4. Patients with angina pectoris with and without cardiac interventions. 5. Patients with diagnosis of heart failure requiring cardiac monitoring. 6. Neuro medical requiring cardiac monitoring. 7. Medical surgical overflow not requiring cardiac monitoring. 8. Patients with concurrent mental health needs. The Registered Nurse will support the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing. Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS completed within one year of hire/transfer. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Clinical experience evident within the past 3 years or completion of refresher course within the last year. Other Requirements : Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - CONSTANT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use * - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● OCCASIONAL ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) * - OCCASIONAL ● Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light * - CONSTANT ● Medium - N/A ● Heavy to Very Heavy - N/A

CNA

NURSING ASSISTANT - 7 TOWER

Day/Evening Rotation Hours: 6a-6:30p, 2p-10:30p, 6a-2:30p Assists in the safe care of the patient on the 7 Tower unit as directed. Assists in maintaining safe and efficient unit operations and utilizes excellent customer service skills. Permitted to change patient from portable O2 to wall O2. Education Minimum: High School Diploma or equivalent Preferred: Current enrollment or completion of a nursing assistant training program Registration/Certification/Licensure : Healthcare Provider CPR Experience Minimum: N/A Preferred: Previous experience working as a nursing assistant in an acute care facility Other Requirements : Comprehensive Crisis Management per policy. Responsible to safely access, transport, and handle single dose medications to includeprescription and non-prescription medications. Responsible to safely access, transport, and handle sharps, such as needles, suture kits,lancets, syringes, etc. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant : (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT Walking * - Remaining upright on one's feet, and moving about - CONSTANT Sitting * - Body remains in a seated position - OCCASIONAL First Name xxxxx Middle Name xxxxx Last Name xxxxx Position Code 10.3260000.0000.605 Position Name NURSING ASSISTANT Department Name BMH 6 M Facility Name Butler Memorial Hospital Employee Number xxxxx Stooping * - To bend the body downward and forward by bending the spine at the waist - FREQUENT Bending * - To flex the upper body forward - FREQUENT Twisting * - To rotate the upper body forward - FREQUENT Climbing * - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL Ladders * - To ascend and descend ladders - N/A Stairs * - To ascend and descend stairs - OCCASIONAL Kneeling * - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting* - To move the body downwards by bending both knees - OCCASIONAL Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - OCCASIONAL Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT Grasping* - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling Pushing * - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from theperson. FREQUENT 20# - 50# Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards theperson. OCCASIONAL 20# - 50# Lift * - Floor to Waist OCCASIONAL 20# - 50# Lift * - Waist to shoulder FREQUENT Up to 20# Lift * - Shoulder to overhead FREQUENT Up to 20# Carrying * - To transport an object or article using the arms or hands (> 10 feet) FREQUENT Up to 20# Environmental Factors Working alone - N/A Working in cramped quarters - OCCASIONAL Constant interruptions * - FREQUENT Working with hands in water * - FREQUENT Use of power tools - N/A Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - N/A Exposure to noise (constant) - OCCASIONAL Exposure to electrical energy (outlets, etc) - N/A Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - N/A Exposure to solvents, grease, oils - N/A Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - N/A Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand PhysicalDemand MetLevel Examples of similar activity intensity Sedentary toLight 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-playwith children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf(carrying clubs). Heavy to VeryHeavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailinghay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light* - FREQUENT Medium - OCCASIONAL Heavy to Very Heavy - N/A

CNA

NURSING ASSISTANT - 7 TOWER

Day/Night Rotation Hours: 6a-6:30p, 6p-6:30a Assists in the safe care of the patient on the 7 Tower unit as directed. Assists in maintaining safe and efficient unit operations and utilizes excellent customer service skills. Permitted to change patient from portable O2 to wall O2. Education Minimum: High School Diploma or equivalent Preferred: Current enrollment or completion of a nursing assistant training program Registration/Certification/Licensure : Healthcare Provider CPR Experience Minimum: N/A Preferred: Previous experience working as a nursing assistant in an acute care facility Other Requirements : Comprehensive Crisis Management per policy. Responsible to safely access, transport, and handle single dose medications to includeprescription and non-prescription medications. Responsible to safely access, transport, and handle sharps, such as needles, suture kits,lancets, syringes, etc. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant : (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT Walking * - Remaining upright on one's feet, and moving about - CONSTANT Sitting * - Body remains in a seated position - OCCASIONAL First Name xxxxx Middle Name xxxxx Last Name xxxxx Position Code 10.3260000.0000.605 Position Name NURSING ASSISTANT Department Name BMH 6 M Facility Name Butler Memorial Hospital Employee Number xxxxx Stooping * - To bend the body downward and forward by bending the spine at the waist - FREQUENT Bending * - To flex the upper body forward - FREQUENT Twisting * - To rotate the upper body forward - FREQUENT Climbing * - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL Ladders * - To ascend and descend ladders - N/A Stairs * - To ascend and descend stairs - OCCASIONAL Kneeling * - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting* - To move the body downwards by bending both knees - OCCASIONAL Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - OCCASIONAL Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT Grasping* - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling Pushing * - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from theperson. FREQUENT 20# - 50# Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards theperson. OCCASIONAL 20# - 50# Lift * - Floor to Waist OCCASIONAL 20# - 50# Lift * - Waist to shoulder FREQUENT Up to 20# Lift * - Shoulder to overhead FREQUENT Up to 20# Carrying * - To transport an object or article using the arms or hands (> 10 feet) FREQUENT Up to 20# Environmental Factors Working alone - N/A Working in cramped quarters - OCCASIONAL Constant interruptions * - FREQUENT Working with hands in water * - FREQUENT Use of power tools - N/A Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - N/A Exposure to noise (constant) - OCCASIONAL Exposure to electrical energy (outlets, etc) - N/A Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - N/A Exposure to solvents, grease, oils - N/A Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - N/A Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand PhysicalDemand MetLevel Examples of similar activity intensity Sedentary toLight 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-playwith children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf(carrying clubs). Heavy to VeryHeavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailinghay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light* - FREQUENT Medium - OCCASIONAL Heavy to Very Heavy - N/A

REGISTERED NURSE RN - 7 TOWER - TELEMETRY

DAY/NIGHT ROTATION Hours: 7a-730p, 7p-730a Job Summary : Responsible for providing direct care on 7 Tower, which is a Medical/ Surgical/Cardiovascular Telemetry unit that provides acute nursing care to patients requiring telemetry monitoring. The Registered Nurse's responsibilities include but are not limited to utilization of the nursing process in the provision of care, excellent customer service skills and communication skills, flexibility, quality improvement activities and professional growth for the following patient population: 1. Post-operative cardiothoracic surgical patients that are hemodynamically stable 2. Surgical patients requiring post-operative cardiac monitoring 3. Patients with coronary artery disease awaiting open heart surgery. 4. Patients with angina pectoris with and without cardiac interventions. 5. Patients with diagnosis of heart failure requiring cardiac monitoring. 6. Neuro medical requiring cardiac monitoring. 7. Medical surgical overflow not requiring cardiac monitoring. 8. Patients with concurrent mental health needs. The Registered Nurse will support the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing. Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS completed within one year of hire/transfer. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Clinical experience evident within the past 3 years or completion of refresher course within the last year. Other Requirements : Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - CONSTANT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use * - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● OCCASIONAL ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) * - OCCASIONAL ● Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light * - CONSTANT ● Medium - N/A ● Heavy to Very Heavy - N/A

NURSING ASSISTANT - 5 TELEMETRY

Shifts Day/Night Rotation. Hours: 6a-630p, 6p-630a Job Summary : Provides assistance to the nursing staff of 5 Main, which is a Medical/ Surgical/Cardiovascular Telemetry Unit that provides acute nursing care duties assigned by the Director/Clinical Supervisor or designee. Duties assigned are related primarily to specific nursing care functions, which do not require professional education or licensure, assisting in maintaining safe and efficient unit operations, providing support for patient care programs, utilizing excellent customer service skills and communication skills. Permitted to change patient from portable O2 to wall O2. Education ⚬ Minimum: High School Diploma or Equivalent ⚬ Preferred: Current enrollment or completion of Nursing Assistant training program. Registration/Certification/Licensure : Healthcare Provider CPR Experience ⚬ Minimum: None ⚬ Preferred: Clinical experience obtained through a nurse aide educational program, OR recent experience in a related area, OR related educational background. Other Requirements : Comprehensive Crisis Management per policy. Responsible to safely access, transport, and handle single dose medications to include prescription and non-prescription medications. Responsible to safely access, transport, and handle sharps, such as needles, suture kits, lancets, syringes, etc. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - CONSTANT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - FREQUENT ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing** - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders* - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - OCCASIONAL ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person. ● FREQUENT ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person. ● FREQUENT ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) * - OCCASIONAL ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces * - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - N/A ● Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light* - FREQUENT ● Medium - N/A ● Heavy to Very Heavy - N/A

REGISTERED NURSE RN - 5 MAIN - TELEMETRY

DAY/NIGHT ROTATION Hours: 7a-730p, 7p-730a Job Summary : Responsible for providing direct care on 5 Main, which is a Medical/ Surgical/Cardiovascular Telemetry unit that provides acute nursing care to patients requiring telemetry monitoring. The Registered Nurse's responsibilities include but are not limited to utilization of the nursing process in the provision of care, excellent customer service skills and communication skills, flexibility, quality improvement activities and professional growth for the following patient population: 1. Post-operative cardiothoracic surgical patients that are hemodynamically stable 2. Surgical patients requiring post-operative cardiac monitoring 3. Patients with coronary artery disease awaiting open heart surgery. 4. Patients with angina pectoris with and without cardiac interventions. 5. Patients with diagnosis of heart failure requiring cardiac monitoring. 6. Neuro medical requiring cardiac monitoring. 7. Medical surgical overflow not requiring cardiac monitoring. 8. Patients with concurrent mental health needs. The Registered Nurse will support the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing. Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS completed within one year of hire/transfer. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Clinical experience evident within the past 3 years or completion of refresher course within the last year. Other Requirements : Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - CONSTANT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use * - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● OCCASIONAL ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) * - OCCASIONAL ● Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light * - CONSTANT ● Medium - N/A ● Heavy to Very Heavy - N/A

RN

REGISTERED NURSE RN - SICU

Steady Nights Rotation, Shifts: 7p-730a Reports to : Clinical Supervisor, ICU Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned patients in the Intensive Care Unit. Provides intensive nursing care to acutely ill medical and/or surgical inpatients. The Registered Nurse’s responsibilities include, but are not limited to, performance improvement initiatives, utilization of the nursing process in the provision of care, communication skills, flexibility, quality improvement activities, and professional growth. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing, CCRN Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS within one year of hire/transfer, and Act 33/73 clearances Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior med-surg experience and arrhythmia interpretation. Critical Care experience, including but not limited to: IABP, IV insertion, care of the ventilator patient, ABG’s, Swan Ganz, Arterial Lines, care of the post open heart patient, and care of the patient requiring CRRT, ACLS, and PALS. Other Requirements : Comprehensive Crisis Management per policy, participation in the Rapid Response Team and the Cardiac Arrest Team as assigned. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - FREQUENT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders* - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing* - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● FREQUENT ● Up to 20# ● Pulling* - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift* - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift* - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift* - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water* - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - FREQUENT ● Working with bloodborne pathogens* - FREQUENT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light - CONSTANT ● Medium - OCCASIONAL ● Heavy to Very Heavy - N/A

SURGICAL TECHNOLOGIST

**Sign-On Bonus Available and Student Debt Program for outstanding school loans** Job Summary/Overall Objectives The Surgical Technologist I assist with surgical procedures in the Operating Room as a scrub member of the surgical team under the direction of a registered nurse and a surgeon. Essential Job Functions Delivers direct and indirect patient care in accordance with hospital/departmental policies, procedures, protocols and other professional standards of care. Works directly with the RN to develop and implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involve the patient/family and other health care providers when appropriate. Completes patient care related activities within schedule time periods. Complies with completeness, accuracy and timeliness of documentation on O.R. Count Sheet as well as Surgical Site Identification/Verification Checklist. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports. Reports changes in the OR schedule, including the need to reassess the needs of the physicians or the OR staff, confer with the OR CNC when there is a need to alert the physician. Participate in the performance improvement activities designed to enhance the quality of patient care and customer services. Assists in data collection process as requested. Recommend modifications for performance improvement. Demonstrates leadership abilities by utilizing the concepts inherent to the practice of the credo standards. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, JCAHO, OSHA and other regulatory agencies. Participates in preparation for continuous survey readiness for inspections and surveys. Adheres to the infection control process, including universal precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Assumes appropriate code team role during code situations, including internal and external. Functions as the scrub member of the surgical team. Obtains necessary instruments and supplies from Central Service. Performs duties/responsibilities as a central service technician as necessary or assigned. Arranges sterile setup for each specific operative procedure coordinating with surgeon preference. Updates physician preference cards. Assists in moving, lifting and positioning the patient. Identifies patient appropriate surgical procedure and site by following policy for the surgical site ID. Assists the surgeon in performing the surgical procedure. Handles specimens appropriately. Performs OR counts accurately and takes appropriate action in response to incorrect counts. Maintains the ability to adapt to the changing needs of the surgical team. Assists with the cleaning and setting up of surgical cases. Follows the principles of asepsis, reporting any breaks in aseptic technique and rectifying the situation Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Successful completion of a surgical technology program. Up to one (1) year experience as a surgical technologist. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience One (1) + years surgical scrub experience preferred. License, Certification & Clearances Act 81 Compliance Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program (can acquire within six (6) months of hire or transfer in unit) Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Met Not met N/A Explanatory Statement House Bill 81 of 2019 The Central Service Technician and Surgical Technologist Regulation Act Enacted 10/29/2020 – Effective 12/29/2020 (See attached HB for definitions for Central service technician and Surgical technologist) Section 301: Certification Central Service Technician (CST) hired after 12/29/2020 must: Pass a nationally accredited central service exam for CST AND maintain one of the following: Certified registered central service technician credential OR Certified sterile processing and distribution technician credential Exemption: Law does not apply to an individual who has been employed or otherwise contracted for services as a central service technician by a health care facility on or before December 29, 2020. Exemption Requirement: the facility shall maintain documentation of the CST’s date of employment or the contract period when the central service technician provided services to the facility to verify that the CST meets the exemption requirements. Section 302: Employment and continuing education (a) New employees - CST has 18 months from date of hire to pass a nationally accredited central service exam for CST and obtain one of the two credentials noted above. (b) Continuing education - Annually complete 10 hours of continuing education. (NOTE: The continuing education required under this subsection shall be in areas related to the functions of a central service technician.) (c) Facility responsibility - Facility must maintain documentation the CST meets the certification requirements Section 501: Surgical Technologist (ST) must meet at least one of the following:- Successful completion of a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and hold and maintains a ST certification from an accredited certification program. [501(1)(i)] * OR -Successful completion of appropriate training program for surgical technology in the United States Army, Navy, or Air Force. OR -Provides evidence of an ST certification from an accredited certification program. OR -Was employed to practice surgical technology by the health care facility on or before December 29, 2020. OR -Was employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020. OR -A healthcare facility may employ or contract an individual to practice surgical technology during the six-month period immediately following successful completion of a surgical technology program under paragraph (1) 9I), but may not continue to be employed or contracted with beyond that period without documentation the individual has obtained certification as required. Section 502: Continuing education : (a) An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) with the continuing education requirements specified by the credentialing organization as necessary to keep the certification current and (2) provide proof of compliance with the continuing education requirements to the facility. (b) Additional Requirement - An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) complete 30 hours of relevant continuing education every two years in order to remain eligible to practice surgical technology; and (2) be responsible for proving, to the satisfaction of the health care facility, that the individual complies with this subsection. (c) Verification-- A facility that employs or contracts with an ST shall verify the ST meets the continuing education requirements. Section 503. Exception. A facility may employ or contract an ST who does not meet the requirements of section 501 to practice surgical technology if: (1) after a diligent and thorough effort has been made, the facility is unable to employ or contract with a sufficient number of qualified STs who meet the requirements of section 501; and (2) the health care facility makes a written record of its efforts under (1) and retains the record at the facility. Work Environment When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle (company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x 10-12 Hours Shifts x On-Call x Overtime(+8/hrs/shift; 40/hr/wk) x Travel Between Sites x Direct Patient Care x Respirator Protective Equipment x Eye Protection x Head Protection (hard hat) x Hearing Protection x Hand Protection x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x Sitting x Walking x Climbing Stairs x Climbing Ladders x Standing x Kneeling x Squatting (Crouching) x Twisting/Turning Keyboard/Computer Operation x Gross Grasp x Fine Finger Manipulation x Hand/Arm Coordination x Pushing/Pulling(lbs. of force) x Carry Transfer/Push/Pull Patients Seeing Near w/Acuity x Feeling (Sensation) x Color Vision x Hearing Clearly x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x Reaching Forward Lifting Floor to Knuckle ### 10-19# 20-49# 50>50# Lifting Seat Pan to Knuckle ### 10-29# 30-49# 50>50# Lifting Knuckle to Shoulder ### 10-29# 30-49# 50>50# Lifting Shoulder to Overhead ### 10-19# 20-29# 30->50# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required

NURSE PRACTITIONER IV-Vascular Surgery Office

Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient providing care in both the in-patient and out-patient setting. Primarily Monday - Friday. 1. Regular, consistent, on-site, and timely attendance. 2. Ensures that the assessment of the patient and the direct and indirect patient care delivered is in accordance with appropriate licensing board, hospital policies, procedures, and protocols, and all other professional standards of care. a. Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient. b. Performs systematic physical exam and history of present illness. c. Documents assessment data, history of present illness, and physical findings on the appropriate medical record within established time frame. d. Involves the patient/family and other healthcare providers when appropriate. 3. Manages the physical and psychological problems of the patient. a. Identifies normal and abnormal findings. b. Implements an individualized plan of treatment, reassess and revises plan as needed. c. Evaluates the physical and emotional responses to medications and treatments. d. Prescribes appropriate medications based on the patient's condition per state prescriptive authority guidelines and the Independence Health Allied Health Committee directed by individual physician practice . e. Seeks appropriate consultation. 4. Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improves outcomes. a. Participates in the assessment of the patient’s readiness to learn, identifying the educational barriers and tailor the educational process to meet the needs of the patient/family. b. Ensures the process include education about safe and effective use of medications, pain and managing pain, available resources, obtaining further care and their responsibility for their care. c. Acquires and distributes educational resources tailored to the patient's needs. d. Provides appropriate instruction and guidance regarding immunizations. 5. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care a. Initiates and maintains the Problem/Medication list at each encounter. b. Complies with completeness, accuracy, and timeliness of documentation at each encounter. c. Assesses the patient and facilitates consultation when indicated. d. Directs patient to appropriate level of care and communicates all pertinent information. e. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. 6. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes, satisfaction, or efficiencies. b. Assists in chart reviews/audits as needed for performance improvement data collection. c. Supports initiatives implemented to improve patient outcomes and/or office efficiencies. 7. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. a. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Delegates patient care appropriately. c. Maintains accountability for actions taken. d. Effectively functions as a resource person. e. Acts as a patient advocate. f. Performs effectively in the role of preceptor/mentor to new hires and/or students. g. Assists in maintaining/decreasing organizational/departmental costs. h. Completes all competency requirements annually. 8. Provides for patient safety in compliance with hospital and physician practices policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. b. Utilizes two forms of patient identification before implementing any form of patient care. c. Practices all National Patient Safety Goals. 9. Assists in the department's compliance with all regulatory agencies. a. Participates in continuous survey readiness for inspections and surveys. b. Participates in the non-punitive medication reporting system. c. Ensures accountability for narcotics per regulatory/organizational policies. d. Participates in office fire, safety, utility, hazard, and disaster drills as required. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)” 1. Provides care to the patient as per established guidelines. a. Performs suture removal, and dressing changes as per supervising physician's directions. b. Directs and provides appropriate Pre and Post-operative care. c.Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. d.Provides preoperative teaching to patients and or families. e. Review of labs and diagnostic procedures, and reports overall progress to supervising physician. d. Orders appropriate testing per established guidelines and as outlined by supervising physician. e. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. f. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. g. Prepares for and develops discharge planning in conjunction with supervising physician. h. Dictates discharge summaries timely and appropriate. i. Provides counseling and instruction to patients and or families as appropriate. 3. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. a. Assumes appropriate code team role during emergency situations and responds effectively. b. Facilitates timely treatment of abnormal labs or other relevant findings. c. Develops workflow patterns to facilitate patient transfers or discharges. d. Participates in outcome management and Press Ganey scores. 4. In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment. a. Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary b. Adjusts medication as indicated c. Provides patient/family education regarding medication, rationale for use and possible side effects 5. Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care. a. Alerts the treatment team to any significant changes in the patient's status b. Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate c. Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician 6. Documents in the medical record. a. Records patient's current mental status b. Documents all screenings and assessments performed c. Records medication changes, prescriptions written and samples provided d. Documents patient's complaints, concerns and questions as appropriate e. Documents any/all telephone contact with patients, families, pharmacists or physicians f. Records beginning and end times of each session g. Signs and dates all documentation 7. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant. a. Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Maintains accountability for actions taken c. Effectively functions as a resource person d. Acts as a patient advocate e. Performs effectively in the role of preceptor/mentor to new hire/students 8. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes and satisfaction b. Assists in chart review/audits as needed for performance improvement data collection c. Supports initiatives implemented to improve patient outcomes and or efficiencies 9. Provides for patient safety in compliance with hospital and or physician practice policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections b. Utilizes two forms of patient identification before implementing any form of patient care c. Practices the National Patient Safety Goals • 1-2 years surgical experience preferred

Independence Health System Latrobe, PA

SURGICAL TECHNOLOGIST TEAM LEAD

**$15,000 Sign-On Bonus Available** Job Summary/Overall Objectives The Team Lead assists with surgical procedures in the Operating Room as a scrub member of the surgical team under the direction of a registered nurse and a surgeon. Essential Job Functions Collaborates with Surgeon, Clinical Specialty Coordinator, Supervisor, and Director to develop service line goals including: Doc preference cards, efficiency metrics, orientation assistance, and overall service line excellence Delivers direct and indirect patient care in accordance with hospital/departmental policies, procedures, protocols and/or their professional standards of care. Works directly with the RN to develop and implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within schedule time periods. Complies with completeness, accuracy and timeliness of documentation on O.R. Count Sheet as well as Surgical Site Identification/Verification Checklist. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports. Reports changes in the OR schedule, including the need to reassess the needs of the physicians or the OR staff, confers with the OR CNC when there is a need to alert the physician. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assists in data collection process as requested. Recommends modifications for performance improvement. Demonstrates leadership abilities by utilizing the concepts inherent to the practice of the credo standards. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, JCAHO, OSHA and other regulatory agencies. Participates in preparation for continuous survey readiness for inspections and surveys. Adheres to the infection control process, including universal precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Assumes appropriate code team role during code situations, including internal and external. Functions as the scrub member of the surgical team. Obtains necessary instruments and supplies from Central Service. Performs duties/responsibilities as a central service technician as necessary or assigned. Arranges sterile setup for each specific operative procedure coordinating with surgeon preference, especially within the cardiac surgical specialty. Updates cardiac physician preference cards. Assists in moving, lifting and positioning the patient. Identifies patient appropriate surgical procedure and site by following policy for the surgical site ID. Assists the surgeon in performing the surgical procedure. Handles specimens appropriately. Performs OR counts accurately and takes appropriate action in response to incorrect counts. Maintains the ability to adapt to the changing needs of the surgical team. Assists with the cleaning and setting up of surgical cases. Follows the principles of asepsis, reporting any breaks in aseptic technique and rectifying the situation. Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited school of Surgical Technologist. One (1) to three (3) years’ experience as a Surgical Technologist. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience None preferred. License, Certification & Clearances Certified First Assistant preferred. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Act 81 Compliance Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Met Not met N/A Explanatory Statement House Bill 81 of 2019 The Central Service Technician and Surgical Technologist Regulation Act Enacted 10/29/2020 – Effective 12/29/2020 (See attached HB for definitions for Central service technician and Surgical technologist) Section 301: Certification Central Service Technician (CST) hired after 12/29/2020 must: Pass a nationally accredited central service exam for CST AND maintain one of the following: Certified registered central service technician credential OR Certified sterile processing and distribution technician credential Exemption: Law does not apply to an individual who has been employed or otherwise contracted for services as a central service technician by a health care facility on or before December 29, 2020. Exemption Requirement: the facility shall maintain documentation of the CST’s date of employment or the contract period when the central service technician provided services to the facility to verify that the CST meets the exemption requirements. Section 302: Employment and continuing education (a) New employees - CST has 18 months from date of hire to pass a nationally accredited central service exam for CST and obtain one of the two credentials noted above. (b) Continuing education - Annually complete 10 hours of continuing education. (NOTE: The continuing education required under this subsection shall be in areas related to the functions of a central service technician.) (c) Facility responsibility - Facility must maintain documentation the CST meets the certification requirements Section 501: Surgical Technologist (ST) must meet at least one of the following:- Successful completion of a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and hold and maintains a ST certification from an accredited certification program. [501(1)(i)] * OR -Successful completion of appropriate training program for surgical technology in the United States Army, Navy, or Air Force. OR -Provides evidence of an ST certification from an accredited certification program. OR -Was employed to practice surgical technology by the health care facility on or before December 29, 2020. OR -Was employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020. OR -A healthcare facility may employ or contract an individual to practice surgical technology during the six-month period immediately following successful completion of a surgical technology program under paragraph (1) 9I), but may not continue to be employed or contracted with beyond that period without documentation the individual has obtained certification as required. Section 502: Continuing education : (a) An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) with the continuing education requirements specified by the credentialing organization as necessary to keep the certification current and (2) provide proof of compliance with the continuing education requirements to the facility. (b) Additional Requirement - An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) complete 30 hours of relevant continuing education every two years in order to remain eligible to practice surgical technology; and (2) be responsible for proving, to the satisfaction of the health care facility, that the individual complies with this subsection. (c) Verification-- A facility that employs or contracts with an ST shall verify the ST meets the continuing education requirements. Section 503. Exception. A facility may employ or contract an ST who does not meet the requirements of section 501 to practice surgical technology if: (1) after a diligent and thorough effort has been made, the facility is unable to employ or contract with a sufficient number of qualified STs who meet the requirements of section 501; and (2) the health care facility makes a written record of its efforts under (1) and retains the record at the facility. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x x Use of Vibrating Tools x x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x On-Call x x Overtime(+8/hrs/shift; 40/hr/wk) x x Travel Between Sites Direct Patient Care Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x x Hearing Protection x Hand Protection x x Feet, Toe Protection x x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x x Ionizing Radiation Exposure x Laser Exposure x x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) xx x Sitting x Walking x x Climbing Stairs x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry Transfer/Push/Pull Patients Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward Lifting Floor to Knuckle ### 10-29# 30-49# Lifting Seat Pan to Knuckle ### 1-29# 30-49# Lifting Knuckle to Shoulder ### 10-29# Lifting Shoulder to Overhead ### 10-29# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

SURGICAL TECHNOLOGIST (NORWIN SURGERY CENTER) - CASUAL

Independence Health System North Huntingdon, PA

Job Summary The Surgical Technologist I assist with surgical procedures in the Operating Room as a scrub member of the surgical team under the direction of a registered nurse and a surgeon. Essential Job Functions Delivers direct and indirect patient care in accordance with hospital/departmental policies, procedures, protocols and other professional standards of care. Works directly with the RN to develop and implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within schedule time periods. Complies with completeness, accuracy and timeliness of documentation on O.R. Count Sheet as well as Surgical Site Identification/Verification Checklist. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports. Reports changes in the OR schedule, including the need to reassess the needs of the physicians or the OR staff, confers with the OR CNC when there is a need to alert the physician. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assists in data collection process as requested. Recommends modifications for performance improvement. Demonstrates leadership abilities by utilizing the concepts inherent to the practice of the credo standards. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, JCAHO, OSHA and other regulatory agencies. Participates in preparation for continuous survey readiness for inspections and surveys. Adheres to the infection control process, including universal precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Assumes appropriate code team role during code situations, including internal and external. Functions as the scrub member of the surgical team. Obtains necessary instruments and supplies from Central Service. Arranges sterile setup for each specific operative procedure coordinating with surgeon preference. Updates physician preference cards. Assists in moving, lifting and positioning the patient. Identifies patient appropriate surgical procedure and site by following policy for the surgical site ID. Assists the surgeon in performing the surgical procedure. Handles specimens appropriately. Performs OR counts accurately and takes appropriate action in response to incorrect counts. Maintains the ability to adapt to the changing needs of the surgical team. Assists with the cleaning and setting up of surgical cases. Follows the principles of asepsis, reporting any breaks in aseptic technique and rectifying the situation. Other duties as assigned. Required Qualifications Successful completion of surgical technology program. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications One (1) year surgical scrub experience. License, Certification & Clearances Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program (can acquire within six (6) months of hire or transfer in unit) Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Act 81 Compliance Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Met Not met N/A Explanatory Statement House Bill 81 of 2019 The Central Service Technician and Surgical Technologist Regulation Act Enacted 10/29/2020 – Effective 12/29/2020 (See attached HB for definitions for Central service technician and Surgical technologist) Section 301: Certification Central Service Technician (CST) hired after 12/29/2020 must: Pass a nationally accredited central service exam for CST AND maintain one of the following: Certified registered central service technician credential OR Certified sterile processing and distribution technician credential Exemption: Law does not apply to an individual who has been employed or otherwise contracted for services as a central service technician by a health care facility on or before December 29, 2020. Exemption Requirement: the facility shall maintain documentation of the CST’s date of employment or the contract period when the central service technician provided services to the facility to verify that the CST meets the exemption requirements. Section 302: Employment and continuing education (a) New employees - CST has 18 months from date of hire to pass a nationally accredited central service exam for CST and obtain one of the two credentials noted above. (b) Continuing education - Annually complete 10 hours of continuing education. (NOTE: The continuing education required under this subsection shall be in areas related to the functions of a central service technician.) (c) Facility responsibility - Facility must maintain documentation the CST meets the certification requirements Section 501: Surgical Technologist (ST) must meet at least one of the following:- Successful completion of a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and hold and maintains a ST certification from an accredited certification program. [501(1)(i)] * OR -Successful completion of appropriate training program for surgical technology in the United States Army, Navy, or Air Force. OR -Provides evidence of an ST certification from an accredited certification program. OR -Was employed to practice surgical technology by the health care facility on or before December 29, 2020. OR -Was employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020. OR -A healthcare facility may employ or contract an individual to practice surgical technology during the six-month period immediately following successful completion of a surgical technology program under paragraph (1) 9I), but may not continue to be employed or contracted with beyond that period without documentation the individual has obtained certification as required. Section 502: Continuing education : (a) An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) with the continuing education requirements specified by the credentialing organization as necessary to keep the certification current and (2) provide proof of compliance with the continuing education requirements to the facility. (b) Additional Requirement - An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) complete 30 hours of relevant continuing education every two years in order to remain eligible to practice surgical technology; and (2) be responsible for proving, to the satisfaction of the health care facility, that the individual complies with this subsection. (c) Verification-- A facility that employs or contracts with an ST shall verify the ST meets the continuing education requirements. Section 503. Exception. A facility may employ or contract an ST who does not meet the requirements of section 501 to practice surgical technology if: (1) after a diligent and thorough effort has been made, the facility is unable to employ or contract with a sufficient number of qualified STs who meet the requirements of section 501; and (2) the health care facility makes a written record of its efforts under (1) and retains the record at the facility. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle (company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x 10-12 Hours Shifts x On-Call x Overtime(+8/hrs/shift; 40/hr/wk) x Travel Between Sites x Direct Patient Care x Respirator Protective Equipment x Eye Protection x Head Protection (hard hat) x Hearing Protection x Hand Protection x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x Sitting x Walking x Climbing Stairs x Climbing Ladders x Standing x Kneeling x Squatting (Crouching) x Twisting/Turning Keyboard/Computer Operation x Gross Grasp x Fine Finger Manipulation x Hand/Arm Coordination x Pushing/Pulling(lbs. of force) x Carry Transfer/Push/Pull Patients Seeing Near w/Acuity x Feeling (Sensation) x Color Vision x Hearing Clearly x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x Reaching Forward Lifting Floor to Knuckle ### 10-19# 20-49# 50>50# Lifting Seat Pan to Knuckle ### 10-29# 30-49# 50>50# Lifting Knuckle to Shoulder ### 10-29# 30-49# 50>50# Lifting Shoulder to Overhead ### 10-19# 20-29# 30->50# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

Part-time

SURGICAL TECHNOLOGIST OR - CASUAL

Job Summary/Overall Objectives The Surgical Technologist I assist with surgical procedures in the Operating Room as a scrub member of the surgical team under the direction of a registered nurse and a surgeon. Essential Job Functions Delivers direct and indirect patient care in accordance with hospital/departmental policies, procedures, protocols and other professional standards of care. Works directly with the RN to develop and implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involve the patient/family and other health care providers when appropriate. Completes patient care related activities within schedule time periods. Complies with completeness, accuracy and timeliness of documentation on O.R. Count Sheet as well as Surgical Site Identification/Verification Checklist. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports. Reports changes in the OR schedule, including the need to reassess the needs of the physicians or the OR staff, confer with the OR CNC when there is a need to alert the physician. Participate in the performance improvement activities designed to enhance the quality of patient care and customer services. Assists in data collection process as requested. Recommend modifications for performance improvement. Demonstrates leadership abilities by utilizing the concepts inherent to the practice of the credo standards. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, JCAHO, OSHA and other regulatory agencies. Participates in preparation for continuous survey readiness for inspections and surveys. Adheres to the infection control process, including universal precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Assumes appropriate code team role during code situations, including internal and external. Functions as the scrub member of the surgical team. Obtains necessary instruments and supplies from Central Service. Performs duties/responsibilities as a central service technician as necessary or assigned. Arranges sterile setup for each specific operative procedure coordinating with surgeon preference. Updates physician preference cards. Assists in moving, lifting and positioning the patient. Identifies patient appropriate surgical procedure and site by following policy for the surgical site ID. Assists the surgeon in performing the surgical procedure. Handles specimens appropriately. Performs OR counts accurately and takes appropriate action in response to incorrect counts. Maintains the ability to adapt to the changing needs of the surgical team. Assists with the cleaning and setting up of surgical cases. Follows the principles of asepsis, reporting any breaks in aseptic technique and rectifying the situation Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Successful completion of a surgical technology program. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience One (1) year surgical scrub experience preferred. License, Certification & Clearances Act 81 Compliance Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program (can acquire within six (6) months of hire or transfer in unit) Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Met Not met N/A Explanatory Statement House Bill 81 of 2019 The Central Service Technician and Surgical Technologist Regulation Act Enacted 10/29/2020 – Effective 12/29/2020 (See attached HB for definitions for Central service technician and Surgical technologist) Section 301: Certification Central Service Technician (CST) hired after 12/29/2020 must: Pass a nationally accredited central service exam for CST AND maintain one of the following: Certified registered central service technician credential OR Certified sterile processing and distribution technician credential Exemption: Law does not apply to an individual who has been employed or otherwise contracted for services as a central service technician by a health care facility on or before December 29, 2020. Exemption Requirement: the facility shall maintain documentation of the CST’s date of employment or the contract period when the central service technician provided services to the facility to verify that the CST meets the exemption requirements. Section 302: Employment and continuing education (a) New employees - CST has 18 months from date of hire to pass a nationally accredited central service exam for CST and obtain one of the two credentials noted above. (b) Continuing education - Annually complete 10 hours of continuing education. (NOTE: The continuing education required under this subsection shall be in areas related to the functions of a central service technician.) (c) Facility responsibility - Facility must maintain documentation the CST meets the certification requirements Section 501: Surgical Technologist (ST) must meet at least one of the following:- Successful completion of a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and hold and maintains a ST certification from an accredited certification program. [501(1)(i)] * OR -Successful completion of appropriate training program for surgical technology in the United States Army, Navy, or Air Force. OR -Provides evidence of an ST certification from an accredited certification program. OR -Was employed to practice surgical technology by the health care facility on or before December 29, 2020. OR -Was employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020. OR -A healthcare facility may employ or contract an individual to practice surgical technology during the six-month period immediately following successful completion of a surgical technology program under paragraph (1) 9I), but may not continue to be employed or contracted with beyond that period without documentation the individual has obtained certification as required. Section 502: Continuing education : (a) An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) with the continuing education requirements specified by the credentialing organization as necessary to keep the certification current and (2) provide proof of compliance with the continuing education requirements to the facility. (b) Additional Requirement - An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) complete 30 hours of relevant continuing education every two years in order to remain eligible to practice surgical technology; and (2) be responsible for proving, to the satisfaction of the health care facility, that the individual complies with this subsection. (c) Verification-- A facility that employs or contracts with an ST shall verify the ST meets the continuing education requirements. Section 503. Exception. A facility may employ or contract an ST who does not meet the requirements of section 501 to practice surgical technology if: (1) after a diligent and thorough effort has been made, the facility is unable to employ or contract with a sufficient number of qualified STs who meet the requirements of section 501; and (2) the health care facility makes a written record of its efforts under (1) and retains the record at the facility. Work Environment When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle (company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x 10-12 Hours Shifts x On-Call x Overtime(+8/hrs/shift; 40/hr/wk) x Travel Between Sites x Direct Patient Care x Respirator Protective Equipment x Eye Protection x Head Protection (hard hat) x Hearing Protection x Hand Protection x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x Sitting x Walking x Climbing Stairs x Climbing Ladders x Standing x Kneeling x Squatting (Crouching) x Twisting/Turning Keyboard/Computer Operation x Gross Grasp x Fine Finger Manipulation x Hand/Arm Coordination x Pushing/Pulling(lbs. of force) x Carry Transfer/Push/Pull Patients Seeing Near w/Acuity x Feeling (Sensation) x Color Vision x Hearing Clearly x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x Reaching Forward Lifting Floor to Knuckle ### 10-19# 20-49# 50>50# Lifting Seat Pan to Knuckle ### 10-29# 30-49# 50>50# Lifting Knuckle to Shoulder ### 10-29# 30-49# 50>50# Lifting Shoulder to Overhead ### 10-19# 20-29# 30->50# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required

Independence Health System Latrobe, PA

SURGICAL TECHNOLOGIST

**$15,000 Sign-On Bonus Available and Student Debt Program for outstanding school loans** Job Summary/Overall Objectives The Surgical Technologist I assist with surgical procedures in the Operating Room as a scrub member of the surgical team under the direction of a registered nurse and a surgeon. Essential Job Functions Delivers direct and indirect patient care in accordance with hospital/departmental policies, procedures, protocols and other professional standards of care. Works directly with the RN to develop and implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involve the patient/family and other health care providers when appropriate. Completes patient care related activities within schedule time periods. Complies with completeness, accuracy and timeliness of documentation on O.R. Count Sheet as well as Surgical Site Identification/Verification Checklist. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports. Reports changes in the OR schedule, including the need to reassess the needs of the physicians or the OR staff, confer with the OR CNC when there is a need to alert the physician. Participate in the performance improvement activities designed to enhance the quality of patient care and customer services. Assists in data collection process as requested. Recommend modifications for performance improvement. Demonstrates leadership abilities by utilizing the concepts inherent to the practice of the credo standards. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, JCAHO, OSHA and other regulatory agencies. Participates in preparation for continuous survey readiness for inspections and surveys. Adheres to the infection control process, including universal precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Assumes appropriate code team role during code situations, including internal and external. Functions as the scrub member of the surgical team. Obtains necessary instruments and supplies from Central Service. Performs duties/responsibilities as a central service technician as necessary or assigned. Arranges sterile setup for each specific operative procedure coordinating with surgeon preference. Updates physician preference cards. Assists in moving, lifting and positioning the patient. Identifies patient appropriate surgical procedure and site by following policy for the surgical site ID. Assists the surgeon in performing the surgical procedure. Handles specimens appropriately. Performs OR counts accurately and takes appropriate action in response to incorrect counts. Maintains the ability to adapt to the changing needs of the surgical team. Assists with the cleaning and setting up of surgical cases. Follows the principles of asepsis, reporting any breaks in aseptic technique and rectifying the situation Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Successful completion of a surgical technology program. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience One (1) year surgical scrub experience preferred. License, Certification & Clearances Act 81 Compliance Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program (can acquire within six (6) months of hire or transfer in unit) Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Met Not met N/A Explanatory Statement House Bill 81 of 2019 The Central Service Technician and Surgical Technologist Regulation Act Enacted 10/29/2020 – Effective 12/29/2020 (See attached HB for definitions for Central service technician and Surgical technologist) Section 301: Certification Central Service Technician (CST) hired after 12/29/2020 must: Pass a nationally accredited central service exam for CST AND maintain one of the following: Certified registered central service technician credential OR Certified sterile processing and distribution technician credential Exemption: Law does not apply to an individual who has been employed or otherwise contracted for services as a central service technician by a health care facility on or before December 29, 2020. Exemption Requirement: the facility shall maintain documentation of the CST’s date of employment or the contract period when the central service technician provided services to the facility to verify that the CST meets the exemption requirements. Section 302: Employment and continuing education (a) New employees - CST has 18 months from date of hire to pass a nationally accredited central service exam for CST and obtain one of the two credentials noted above. (b) Continuing education - Annually complete 10 hours of continuing education. (NOTE: The continuing education required under this subsection shall be in areas related to the functions of a central service technician.) (c) Facility responsibility - Facility must maintain documentation the CST meets the certification requirements Section 501: Surgical Technologist (ST) must meet at least one of the following:- Successful completion of a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and hold and maintains a ST certification from an accredited certification program. [501(1)(i)] * OR -Successful completion of appropriate training program for surgical technology in the United States Army, Navy, or Air Force. OR -Provides evidence of an ST certification from an accredited certification program. OR -Was employed to practice surgical technology by the health care facility on or before December 29, 2020. OR -Was employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020. OR -A healthcare facility may employ or contract an individual to practice surgical technology during the six-month period immediately following successful completion of a surgical technology program under paragraph (1) 9I), but may not continue to be employed or contracted with beyond that period without documentation the individual has obtained certification as required. Section 502: Continuing education : (a) An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) with the continuing education requirements specified by the credentialing organization as necessary to keep the certification current and (2) provide proof of compliance with the continuing education requirements to the facility. (b) Additional Requirement - An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall: (1) complete 30 hours of relevant continuing education every two years in order to remain eligible to practice surgical technology; and (2) be responsible for proving, to the satisfaction of the health care facility, that the individual complies with this subsection. (c) Verification-- A facility that employs or contracts with an ST shall verify the ST meets the continuing education requirements. Section 503. Exception. A facility may employ or contract an ST who does not meet the requirements of section 501 to practice surgical technology if: (1) after a diligent and thorough effort has been made, the facility is unable to employ or contract with a sufficient number of qualified STs who meet the requirements of section 501; and (2) the health care facility makes a written record of its efforts under (1) and retains the record at the facility. Work Environment When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle (company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x 10-12 Hours Shifts x On-Call x Overtime(+8/hrs/shift; 40/hr/wk) x Travel Between Sites x Direct Patient Care x Respirator Protective Equipment x Eye Protection x Head Protection (hard hat) x Hearing Protection x Hand Protection x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x Sitting x Walking x Climbing Stairs x Climbing Ladders x Standing x Kneeling x Squatting (Crouching) x Twisting/Turning Keyboard/Computer Operation x Gross Grasp x Fine Finger Manipulation x Hand/Arm Coordination x Pushing/Pulling(lbs. of force) x Carry Transfer/Push/Pull Patients Seeing Near w/Acuity x Feeling (Sensation) x Color Vision x Hearing Clearly x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x Reaching Forward Lifting Floor to Knuckle ### 10-19# 20-49# 50>50# Lifting Seat Pan to Knuckle ### 10-29# 30-49# 50>50# Lifting Knuckle to Shoulder ### 10-29# 30-49# 50>50# Lifting Shoulder to Overhead ### 10-19# 20-29# 30->50# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required

MEDICAL ASSISTANT - PRIMARY CARE SLIPPERY ROCK FAMILY MED

Independence Health System Slippery Rock, PA

**Full Time: $2,500 SIGN-ON BONUS** The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. These are performed under the direction of the Nurse and/or the physician in preparation for the patient's examination and treatment. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital/physician practices policies, procedures, and protocols. Assist to collects patient healthcare data, including VS, weight, chief complaint and pain assessment as directed. Complete patient care treatments and testing as ordered. Comply with completeness, accuracy and timeliness of documentation. Prepare patients for examinations, treatments, and procedures. Communicate pertinent information of actual or potential problems to the physician or nurse. Perform clerical functions in support of patient care and office functions. Answer telephone calls, taking accurate messages and relaying them to the appropriate staff. Obtain and verify accurate patient demographic and insurance information entering it into the billing system. Accurately enter codes, based on diagnosis given, and enters codes and charges into billing system. Complete forms and letters necessary for continued patient care. Provide for patient safety in compliance with hospital and physician practice policies. Label all patient specimens with identifiers per policy. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist in continuous survey readiness or inspections and surveys. Perform all quality control, monitoring functions and reports out of range information immediately to supervisor. Consistently practice National Patient Safety Goals. Knowledge of and/or ability to schedule surgery, procedures, and testing for patients. Exit counseling which includes education, scheduling of testing and providing patients with necessary information. Prepare charts for clinic sessions and obtain vital signs and weight. Perform control studies and completes log books according to policy. Perform phlebotomy procedures, reads the test results, and documents accordingly. Prepare the exam rooms and stocks supplies daily. Provide pre and post-examination education and counseling. Other duties as assigned. Required Qualifications High School Diploma, GED or next level of higher education. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Knowledge of Microsoft Office Applications, including Outlook and Excel. Preferred Qualifications Previous outpatient office experience. License, Certification & Clearances Medical Assistant Certification preferred. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Friends & Family CPR Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health System missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling X x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry x x Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 20# Lifting Seat Pan to Knuckle x 20# Lifting Knuckle to Shoulder X 5# Lifting Shoulder to Overhead

MEDICAL ASSISTANT - CARDIAC ELECTROPHYSIOLOGY

Independence Health System North Huntingdon, PA

**Full Time: $2,500 SIGN-ON BONUS** The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. These are performed under the direction of the Nurse and/or the physician in preparation for the patient's examination and treatment. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital/physician practices policies, procedures, and protocols. Assist to collects patient healthcare data, including VS, weight, chief complaint and pain assessment as directed. Complete patient care treatments and testing as ordered. Comply with completeness, accuracy and timeliness of documentation. Prepare patients for examinations, treatments, and procedures. Communicate pertinent information of actual or potential problems to the physician or nurse. Perform clerical functions in support of patient care and office functions. Answer telephone calls, taking accurate messages and relaying them to the appropriate staff. Obtain and verify accurate patient demographic and insurance information entering it into the billing system. Accurately enter codes, based on diagnosis given, and enters codes and charges into billing system. Complete forms and letters necessary for continued patient care. Provide for patient safety in compliance with hospital and physician practice policies. Label all patient specimens with identifiers per policy. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist in continuous survey readiness or inspections and surveys. Perform all quality control, monitoring functions and reports out of range information immediately to supervisor. Consistently practice National Patient Safety Goals. Knowledge of and/or ability to schedule surgery, procedures, and testing for patients. Exit counseling which includes education, scheduling of testing and providing patients with necessary information. Prepare charts for clinic sessions and obtain vital signs and weight. Perform control studies and completes log books according to policy. Perform phlebotomy procedures, reads the test results, and documents accordingly. Prepare the exam rooms and stocks supplies daily. Provide pre and post-examination education and counseling. Other duties as assigned. Required Qualifications High School Diploma, GED or next level of higher education. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Knowledge of Microsoft Office Applications, including Outlook and Excel. Preferred Qualifications Previous outpatient office experience. License, Certification & Clearances Medical Assistant Certification preferred. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Current Basic Life Support (BLS) approved curriculum of the America Heart Association (CPR and AED) program. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health System missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x Overtime(+8/hrs/shift; 40/hr/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling X x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry x x Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 20# Lifting Seat Pan to Knuckle x 20# Lifting Knuckle to Shoulder X 5# Lifting Shoulder to Overhead x

NURSE PRACTITIONER I-Primary care

Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient through preventative healthcare and guidance. Provides care in the outpatient setting only ? predominately Monday through Friday 1. Regular, consistent, on-site, and timely attendance. 2. Ensures that the assessment of the patient and the direct and indirect patient care delivered is in accordance with appropriate licensing board, hospital policies, procedures, and protocols, and all other professional standards of care. a. Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient. b. Performs systematic physical exam and history of present illness. c. Documents assessment data, history of present illness, and physical findings on the appropriate medical record within established time frame. d. Involves the patient/family and other healthcare providers when appropriate. 3. Manages the physical and psychological problems of the patient. a. Identifies normal and abnormal findings. b. Implements an individualized plan of treatment, reassess and revises plan as needed. c. Evaluates the physical and emotional responses to medications and treatments. d. Prescribes immunizations per recommended schedules. e. Seeks appropriate consultation. 4. Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improves outcomes. a. Participates in the assessment of the patient’s readiness to learn, identifying the educational barriers and tailor the educational process to meet the needs of the patient/family. b. Ensures the process include education about safe and effective use of medications, pain and managing pain, available resources, obtaining further care and their responsibility for their care. c. Acquires and distributes educational resources tailored to the patient's needs. d. Provides appropriate instruction and guidance regarding immunizations. 5. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care a. Initiates and maintains the Problem/Medication list at each encounter. b. Complies with completeness, accuracy, and timeliness of documentation at each encounter. c. Assesses the patient and facilitates consultation when indicated. d. Directs patient to appropriate level of care and communicates all pertinent information. e. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. 6. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes, satisfaction, or efficiencies. b. Assists in chart reviews/audits as needed for performance improvement data collection. c. Supports initiatives implemented to improve patient outcomes and/or office efficiencies. 7. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. a. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Delegates patient care appropriately. c. Maintains accountability for actions taken. d. Effectively functions as a resource person. e. Acts as a patient advocate. f. Performs effectively in the role of preceptor/mentor to new hires and/or students. g. Assists in maintaining/decreasing organizational/departmental costs. h. Completes all competency requirements annually. 8. Provides for patient safety in compliance with hospital and physician practices policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. b. Utilizes two forms of patient identification before implementing any form of patient care. c. Practices all National Patient Safety Goals. 9. Assists in the department's compliance with all regulatory agencies. a. Participates in continuous survey readiness for inspections and surveys. b. Participates in the non-punitive medication reporting system. c. Ensures accountability for narcotics per regulatory/organizational policies. d. Participates in office fire, safety, utility, hazard, and disaster drills as required. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)” 1. Performs procedures, assists in surgery, and provides care to the patient as per established guidelines. a. Positions patients and assists surgeon in the operating room. b. Preps and drapes the patient as per established guidelines. c. Assists in surgery by performing tasks defined by the surgeon. d. Assists and maintains sterile techniques through procedures. e. Per supervising physician's direction performs skin closures as directed. f. Monitors patients until clinically stable unless requested by the surgeon to perform other duties. g. Performs suture removal, and dressing changes as per supervising physician's directions. h. Be available for call from home to assist in emergency surgeries. 2. Directs and provides appropriate Pre and Post-operative care. a. Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. b. Provides preoperative teaching to patients and or families. c. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. d. Orders appropriate testing per established guidelines and as outlined by supervising physician. e. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. f. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. g. Prepares for and develops discharge planning in conjunction with supervising physician. h. Dictates discharge summaries timely and appropriate. i. Provides counseling and instruction to patients and or families as appropriate. 3. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. a. Assumes appropriate code team role during emergency situations and responds effectively. b. Facilitates timely treatment of abnormal labs or other relevant findings. c. Develops workflow patterns to facilitate patient transfers or discharges. d. Participates in outcome management and Press Ganey scores. 4. In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment. a. Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary b. Adjusts medication as indicated c. Provides patient/family education regarding medication, rationale for use and possible side effects 5. Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care. a. Alerts the treatment team to any significant changes in the patient's status b. Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate c. Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician 6. Documents in the medical record. a. Records patient's current mental status b. Documents all screenings and assessments performed c. Records medication changes, prescriptions written and samples provided d. Documents patient's complaints, concerns and questions as appropriate e. Documents any/all telephone contact with patients, families, pharmacists or physicians f. Records beginning and end times of each session g. Signs and dates all documentation 7. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant. a. Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Maintains accountability for actions taken c. Effectively functions as a resource person d. Acts as a patient advocate e. Performs effectively in the role of preceptor/mentor to new hire/students 8. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes and satisfaction b. Assists in chart review/audits as needed for performance improvement data collection c. Supports initiatives implemented to improve patient outcomes and or efficiencies 9. Provides for patient safety in compliance with hospital and or physician practice policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections b. Utilizes two forms of patient identification before implementing any form of patient care c. Practices the National Patient Safety Goals • Related training/experience (preferably within the past five years

NP

NURSE PRACTITIONER III - Gastroenterology

Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient through preventative healthcare and guidance. Provide care in the hospital setting. May include weekends and shift work. 1. Regular, consistent, on-site, and timely attendance. 2. Manages the physical and psychological problems of the patient. a. Identifies normal and abnormal findings. b. Implements an individualized plan of treatment, reassess and revises plan as needed. c. Evaluates the physical and emotional responses to medications and treatments. d. Prescribes immunizations per recommended schedules. e. Seeks appropriate consultation. 3. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care. a. Initiates and maintains the Problem/Medication list at each encounter. b. Complies with completeness, accuracy, and timeliness of documentation at each encounter. c. Assesses the patient and facilitates consultation when indicated. d. Directs patients to appropriate level of care and communicates all pertinent information. e. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. 4. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. a. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. b. Delegates patient care appropriately. c. Maintains accountability for actions taken. d. Effectively functions as a resource person. e. Acts as a patient advocate. f. Performs effectively in the role of preceptor/mentor to new hires and /or students. g. Assists in maintaining / decreasing organizational/department costs. h. Completes all competency requirements annually. 5. Provides for patient safety in compliance with hospital and physician practices policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. b. Utilizes two forms of patient identification before implementing any form of patient care. c. Practices all National Patient Safety Goals. d. Uses LEAN principles. 6. Assists in the department's compliance with all regulatory agencies. a. Participates in continuous survey readiness for inspections and survey's. b. Participates in the non-punitive medication reporting system. c. Ensures accountability for narcotics per regulatory/organizational policies. d. Participates in office fire, safety, utility, hazard, and disaster drills as required. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)” 1. Performs procedures, assists in surgery, and provides care to the surgical patient as per established guidelines (when applicable). a. Positions patients and assists surgeon in the operating room. b. Preps and drapes the patient as per established guidelines. c. Assists in surgery by performing tasks defined by the surgeon. d. Assists and maintains sterile techniques through procedures. e. Per supervising physician's direction performs skin closures as directed. f. Monitors patients until clinically stable unless requested by the surgeon to perform other duties. g. Performs suture removal, and dressing changes as per supervising physician's directions. h. Be available for call from home to assist in emergency surgeries. 2. Directs and provides appropriate Pre and Post-operative care (when applicable). a. Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. b. Provides preoperative teaching to patients and or families. c. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. d. Orders appropriate testing per established guidelines and as outlined by supervising physician. e. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. f. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. g. Prepares for and develops discharge planning in conjunction with supervising physician. h. Dictates discharge summaries timely and appropriate. i. Provides counseling and instruction to patients and or families as appropriate. 3. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. a. Assumes appropriate code team role during emergency situations and responds effectively. b. Facilitates timely treatment of abnormal labs or other relevant findings. c. Develops workflow patterns to facilitate patient transfers or discharges. d. Participates in outcome management and Press Ganey scores. 4. In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment. a. Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary b. Adjusts medication as indicated c. Provides patient/family education regarding medication, rationale for use and possible side effects 5. Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care. a. Alerts the treatment team to any significant changes in the patient's status b. Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate c. Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician 6. Documents in the medical record. a. Records patient's current mental status b. Documents all screenings and assessments performed c. Records medication changes, prescriptions written and samples provided d. Documents patient's complaints, concerns and questions as appropriate e. Documents any/all telephone contact with patients, families, pharmacists or physicians f. Records beginning and end times of each session g. Signs and dates all documentation 7. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant. a. Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Maintains accountability for actions taken c. Effectively functions as a resource person d. Acts as a patient advocate e. Performs effectively in the role of preceptor/mentor to new hire/students 8. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes and satisfaction b. Assists in chart review/audits as needed for performance improvement data collection c. Supports initiatives implemented to improve patient outcomes and or efficiencies 9. Provides for patient safety in compliance with hospital and or physician practice policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections b. Utilizes two forms of patient identification before implementing any form of patient care c. Practices the National Patient Safety Goals 10. Performs procedures, assists in surgery, and provides care to the patient as per established guidelines(when applicable) a. Positions patients and assists surgeon in the operating room. b. Preps and drapes the patient as per established guidelines. c. Assists in surgery by performing tasks defined by the surgeon. d. Assists and maintains sterile techniques through procedures. e. Per supervising physician's direction performs skin closures as directed. f. Monitors patients until clinically stable unless requested by the surgeon to perform other duties. g. Performs suture removal, and dressing changes as per supervising physician's directions. h. Be available for call from home to assist in emergency surgeries. 11. Directs and provides appropriate Pre and Post operative care (when applicable). a. Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. b. Provides preoperative teaching to patients and or families. c. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. d. Orders appropriate testing per established guidelines and as outlined by supervising physician. e. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. f. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. g. Prepares for and develops discharge planning in conjunction with supervising physician. h. Dictates discharge summaries timely and appropriate. i. Provides counseling and instruction to patients and or families as appropriate. • Related training/experience (preferably within the past five years) • One-year medical/surgical experience

RN

REGISTERED NURSE RN - MICU

Steady Nights Rotation, Shifts: 7p-730a Reports to : Clinical Supervisor, ICU Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned patients in the Intensive Care Unit. Provides intensive nursing care to acutely ill medical and/or surgical inpatients. The Registered Nurse’s responsibilities include, but are not limited to, performance improvement initiatives, utilization of the nursing process in the provision of care, communication skills, flexibility, quality improvement activities, and professional growth. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing, CCRN Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS within one year of hire/transfer, and Act 33/73 clearances Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior med-surg experience and arrhythmia interpretation. Critical Care experience, including but not limited to: IABP, IV insertion, care of the ventilator patient, ABG’s, Swan Ganz, Arterial Lines, care of the post open heart patient, and care of the patient requiring CRRT, ACLS, and PALS. Other Requirements : Comprehensive Crisis Management per policy, participation in the Rapid Response Team and the Cardiac Arrest Team as assigned. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - FREQUENT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders* - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing* - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● FREQUENT ● Up to 20# ● Pulling* - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift* - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift* - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift* - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water* - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - FREQUENT ● Working with bloodborne pathogens* - FREQUENT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light - CONSTANT ● Medium - OCCASIONAL ● Heavy to Very Heavy - N/A

NURSE PRACTITIONER IV FULL TIME-CARDIOLOGY PRACTICE-Greensburg

Independence Health System Seven Fields, PA

Essential Job Functions Manages the physical and psychological problems of the patient. Identifies normal and abnormal findings. Implements an individualized plan of treatment, reassess and revises plan as needed. Evaluates the physical and emotional responses to medications and treatments. Prescribes immunizations per recommended schedules. Seeks appropriate consultation. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care. Initiates and maintains the Problem/Medication list at each encounter. Complies with completeness, accuracy, and timeliness of documentation at each encounter. Assesses the patient and facilitates consultation when indicated. Directs patients to appropriate level of care and communicates all pertinent information. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and /or students. Assists in maintaining / decreasing organizational/department costs. Completes all competency requirements annually. Provides for patient safety in compliance with hospital and physician practices policies. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. Utilizes two forms of patient identification before implementing any form of patient care. Practices all National Patient Safety Goals. Assists in the department's compliance with all regulatory agencies. Participates in continuous survey readiness for inspections and survey's. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Participates in office fire, safety, utility, hazard, and disaster drills as required. Participates in on-call, weekend coverage, and first assist responsibilities as required. Preferred Qualifications: One (1) year of cardiology experience. Experience with interpreting cardiac imaging and diagnostic testing. Understanding and interpreting ECGs. Experience managing acute and chronic cardiac issues. Including but not limited to acute coronary syndromes, arrhythmias, heart failure, pacemaker/defibrillators. Willingness to train and interest in the Cardiology setting.

MEDICAL ASSISTANT - PRIMARY CARE SOUTH BUTLER

***FULL-TIME: $2,500 SIGN ON BONUS*** The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. These are performed under the direction of the Nurse and/or the physician in preparation for the patient's examination and treatment. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital/physician practices policies, procedures, and protocols. Assist to collects patient healthcare data, including VS, weight, chief complaint and pain assessment as directed. Complete patient care treatments and testing as ordered. Comply with completeness, accuracy and timeliness of documentation. Prepare patients for examinations, treatments, and procedures. Communicate pertinent information of actual or potential problems to the physician or nurse. Perform clerical functions in support of patient care and office functions. Answer telephone calls, taking accurate messages and relaying them to the appropriate staff. Obtain and verify accurate patient demographic and insurance information entering it into the billing system. Accurately enter codes, based on diagnosis given, and enters codes and charges into billing system. Complete forms and letters necessary for continued patient care. Provide for patient safety in compliance with hospital and physician practice policies. Label all patient specimens with identifiers per policy. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist in continuous survey readiness or inspections and surveys. Perform all quality control, monitoring functions and reports out of range information immediately to supervisor. Consistently practice National Patient Safety Goals. Knowledge of and/or ability to schedule surgery, procedures, and testing for patients. Exit counseling which includes education, scheduling of testing and providing patients with necessary information. Prepare charts for clinic sessions and obtain vital signs and weight. Perform control studies and completes log books according to policy. Perform phlebotomy procedures, reads the test results, and documents accordingly. Prepare the exam rooms and stocks supplies daily. Provide pre and post-examination education and counseling. Other duties as assigned. Required Qualifications High School Diploma, GED or next level of higher education. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Knowledge of Microsoft Office Applications, including Outlook and Excel. Preferred Qualifications Previous outpatient office experience. License, Certification & Clearances Medical Assistant Certification preferred. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Friends & Family CPR Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health System's mission, vision and values. AAP/EEO Independence Health System is an Equal Opportunity Employer. It is the policy of Independence Health System to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling X x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry x x Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 20# Lifting Seat Pan to Knuckle x 20# Lifting Knuckle to Shoulder X 5# Lifting Shoulder to Overhead x

RN

CASE MANAGER RN - ED

PROFESSIONAL ROLE Maintains professional and technical knowledge by attending education workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protects patients and employees by adhering to infection-control policies and protocols. Documents patient status recommendations, care coordination, and discharge planning by charting in patient records. Maintains continuity among the multidisciplinary team by documenting and communicating actions, irregularities, and continuing needs. Maintains patient confidence and protects operations by keeping information confidential. Ensures safe and effective transitions of care through standard work that help to promote positive health care outcomes for Excela Health patients. CLINICAL ROLE Assesses, plans, implements coordinates, and monitors and evaluates options for patients, their families, caregivers and the health care team, including providers, to promote effective care coordination outcomes. Manages transitions of care effectively as one of the critical components to reducing readmissions and poor health outcomes. Provides crisis management for clients; makes linkages for interventions as appropriate. Initiates care coordination strategies that are evidence-based and outcome focused. Identifies patient care requirements by establishing personal rapport with patients, and care givers that need to understand care requirements. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient's independence by establishing patient care goals; teaching patient/family to understand condition, medications, and self-care skills; answering questions. Maintains safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Demonstrates competencies of clinical reasoning and critical-thinking skills for managing complex and high-risk patients while simultaneously assuming the patient advocate role to ensure conflict-free, unbiased and culturally competent care. Assures care coordination that takes into account patients' values, needs, preferences and their choice to self-direct care. LEADERSHIP ROLE Puts the patient at the center of all care decisions and is an essential driver to ensuring that patients get the right care, in the right setting, at the right time. Effectively manages transitions involving comprehensive planning, targeted outreach and the timely transfer of information between parties critical to the transition. Manages transitions of care effectively as one of the critical components to reducing re-admissions and poor health outcomes. Facilitates the flow of care to expedite appropriate discharge and prevent readmissions. Assumes the leadership role in achieving outcomes and making the health system work for the patient. Brings access, understanding and knowledge of the community and the resources to support management of chronic illness. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods. Contributes to team effort by accomplishing related results as needed. Implements effective care coordination strategies that are evidence-based and outcome focused. Other duties as assigned. Specialty Essential Functions Level of Care Management Reviews clinical criteria of all ED / Direct Admission patients for appropriate patient status (i.e. inpatient, observation services, outpatient testing/treatment) based on medical necessity criteria. Discusses recommendations for level of care with ED physician and attending physician. Discusses options for care with patients, families, and physicians involved in their care. Remotely monitors bed board (where applicable). Psychosocial Assists patients and their families through the complex emergency room environment and/or the hospitalization process. Provides emotional support to patients and their families/support system as needed. Connects patients and their families/support system to community services as needed and appropriate. Discharge Planning / Case Management Plans, coordinates, and implements discharge plans for ED and ED hold patients, including but not limited to, referrals to skilled nursing facilities, personal care homes, home health, DME, drug and alcohol treatment facilities, transportation, or community-based services. Coordinates authorization for admitted patients and/or patients transferred from the ED. Provides case management follow through for the Unit Based Case Manager on cases requiring follow-through after normal business hours. Professional Development Attend meetings as appropriate and meet regularly with supervisor to exchange pertinent information. Participates in continuing education activities, remaining knowledgeable in area(s) or expertise. Maintains a high level of ethical conduct regarding confidentiality, dual-relationships and professional stature. Maintains patient and program records in accordance with applicable standards and regulations, grant requirement, etc. Utilization Applies InterQual level of care criteria for Severity of Illness/Intensity of Service Indicators for potential admissions and ED hold patients. Makes referral to Physician Advisor for second level review for patients in the ED hold not meeting inpatient criteria. Recognizes and progresses the plan of care when an alternative level of care is appropriate. Collaborates with the attending physician and multidisciplinary healthcare team to facilitate the progression of the plan of care. Cognizant of payor requirements for all patients in assigned caseload. Responsible for understanding and communicating plan benefit limits/availability to patient or their representative in management of case as necessary. Responsible for accurate and timely documentation in recognized databases to support Clinical Resource Management and ED components for each patient in assigned caseload. Denial Management Initiates contact with the attending physician on cases that do not meet InterQual Level of Care SI/IS indicators in order to clarify plan of care. Educates physicians and other members of the healthcare team on the application of InterQual Level of Care Criteria to support an acute level of care and provides alternatives to acute care as appropriate. Notifies the unit-based case manager of all real or potential cases in which an adverse determination or complex psychosocial situation is anticipated. Identifies and facilitates transition to the most appropriate alternate level of care. Required Qualifications Graduated of an accredited nursing program. Two (2) years recent healthcare/clinical experience, or recent clinical experience in an emergency department, case management, or utilization review position. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Knowledge of payor/insurance benefits Functional Skills on PC and Related Software (Microsoft Office) Knowledge of basic office equipment such as copier, fax machine, etc. Ability to understand and react effectively in a fast-paced environment. Must have flexibility/prioritization skills. Preferred Qualifications BSN Case management experience Case management certification License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotating shifts, weekend rotation). Travel may be expected locally between Independence Health locations. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces X x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hr/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x x Hearing Protection X Hand Protection x x Feet, Toe Protection x x Body Protection x x Latex Exposure x x Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure X Mist Exposure X Wax Stripper (direct use) x x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(25lbs.of force) x x Carry x x Transfer/Push/Pull Patients x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle ### 10-19 20>50 Lifting Seat Pan to Knuckle ### 10>50 Lifting Knuckle to Shoulder ### 10>50 Lifting Shoulder to Overhead ### 10>50 When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

MEDICAL ASSISTANT - PRIMARY CARE BUTLER

**Full Time: $2,500 SIGN-ON BONUS** The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. These are performed under the direction of the Nurse and/or the physician in preparation for the patient's examination and treatment. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital/physician practices policies, procedures, and protocols. Assist to collects patient healthcare data, including VS, weight, chief complaint and pain assessment as directed. Complete patient care treatments and testing as ordered. Comply with completeness, accuracy and timeliness of documentation. Prepare patients for examinations, treatments, and procedures. Communicate pertinent information of actual or potential problems to the physician or nurse. Perform clerical functions in support of patient care and office functions. Answer telephone calls, taking accurate messages and relaying them to the appropriate staff. Obtain and verify accurate patient demographic and insurance information entering it into the billing system. Accurately enter codes, based on diagnosis given, and enters codes and charges into billing system. Complete forms and letters necessary for continued patient care. Provide for patient safety in compliance with hospital and physician practice policies. Label all patient specimens with identifiers per policy. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist in continuous survey readiness or inspections and surveys. Perform all quality control, monitoring functions and reports out of range information immediately to supervisor. Consistently practice National Patient Safety Goals. Knowledge of and/or ability to schedule surgery, procedures, and testing for patients. Exit counseling which includes education, scheduling of testing and providing patients with necessary information. Prepare charts for clinic sessions and obtain vital signs and weight. Perform control studies and completes log books according to policy. Perform phlebotomy procedures, reads the test results, and documents accordingly. Prepare the exam rooms and stocks supplies daily. Provide pre and post-examination education and counseling. Other duties as assigned. Required Qualifications High School Diploma, GED or next level of higher education. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Knowledge of Microsoft Office Applications, including Outlook and Excel. Preferred Qualifications Previous outpatient office experience. License, Certification & Clearances Medical Assistant Certification preferred. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health System missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x Overtime(+8/hrs/shift; 40/hr/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling X x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry x x Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 20# Lifting Seat Pan to Knuckle x 20# Lifting Knuckle to Shoulder X 5# Lifting Shoulder to Overhead x **Full Time: $2,500 SIGN-ON BONUS** The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. These are performed under the direction of the Nurse and/or the physician in preparation for the patient's examination and treatment. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital/physician practices policies, procedures, and protocols. Assist to collects patient healthcare data, including VS, weight, chief complaint and pain assessment as directed. Complete patient care treatments and testing as ordered. Comply with completeness, accuracy and timeliness of documentation. Prepare patients for examinations, treatments, and procedures. Communicate pertinent information of actual or potential problems to the physician or nurse. Perform clerical functions in support of patient care and office functions. Answer telephone calls, taking accurate messages and relaying them to the appropriate staff. Obtain and verify accurate patient demographic and insurance information entering it into the billing system. Accurately enter codes, based on diagnosis given, and enters codes and charges into billing system. Complete forms and letters necessary for continued patient care. Provide for patient safety in compliance with hospital and physician practice policies. Label all patient specimens with identifiers per policy. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist in continuous survey readiness or inspections and surveys. Perform all quality control, monitoring functions and reports out of range information immediately to supervisor. Consistently practice National Patient Safety Goals. Knowledge of and/or ability to schedule surgery, procedures, and testing for patients. Exit counseling which includes education, scheduling of testing and providing patients with necessary information. Prepare charts for clinic sessions and obtain vital signs and weight. Perform control studies and completes log books according to policy. Perform phlebotomy procedures, reads the test results, and documents accordingly. Prepare the exam rooms and stocks supplies daily. Provide pre and post-examination education and counseling. Other duties as assigned. Required Qualifications High School Diploma, GED or next level of higher education. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Knowledge of Microsoft Office Applications, including Outlook and Excel. Preferred Qualifications Previous outpatient office experience. License, Certification & Clearances Medical Assistant Certification preferred. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health System missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x Overtime(+8/hrs/shift; 40/hr/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling X x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry x x Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 20# Lifting Seat Pan to Knuckle x 20# Lifting Knuckle to Shoulder X 5# Lifting Shoulder to Overhead x

MEDICAL ASSISTANT - PRIMARY CARE BUTLER