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Occupational Health Full Time Day Shift 8-5 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary Assesses the physical and psychosocial status of patients by means of interview, health history, physical examination and diagnostic tests. Interprets the data, develops and implements a plan of treatment, follows through on a continuum of patient care across the health-illness continuum and life span within protocols set forth and approved. Minimum Qualifications Minimum Education: None. Minimum Years of Experience: None. Substitutable Education & Experience (Optional): None. Required Certifications/Licensure: Current licensure as RN in the State of South Carolina; Certification by appropriate credentialing organization recognized by South Carolina as Nurse Practitioner; CPR,BLS. Essential Functions Documents all situations, both internally and externally, that may arise out of the ordinary or are necessary to maintain accurate patient charts/records. Provides diagnosis and treatment of common acute illnesses; prevention and maintenance health care to patients with stable chronic illnesses; and performs interim physical examinations for healthy patients within prescribed guidelines: Elicits appropriate present and past medical history and review of systems. Performs appropriate physical examination and orders appropriate diagnostic studies. Discriminates between normal and abnormal findings in history and physical. Establishes appropriate differential diagnosis. Assesses stability of chronic illness and compliance with present therapy; monitors for complications of disease or therapy. Establishes appropriate treatment plan. Assesses need for hospitalization or physician intervention. Determines timing for follow-up and orders appropriate referrals. Counsels regarding health maintenance and disease prevention, and provides anticipatory guidance as appropriate. Provides health education to patients about ways to improve, promote, and maintain their health status, including but not limited to providing educational information on disease/disease processes, self-care practices, and positive lifestyle choices (i.e. diabetes, safe sex, weight loss, smoking cessation, etc.). Maintains accurate records, medication lists, and documentation of care and follow-up for administrative purposes and reimbursement of services. Adheres to agreed-upon format/protocol for documentation or records. Reviews and updates problem list at least on annual visit/episodic visit by patient and initiates problem and medication lists on new patients seen. Documents telephone calls with patients and specialists. Duties & Responsibilities Maintains competence in clinical practice. Identifies the knowledge and skills needed through self-assessment, peer review, and supervisory review. Participates in a variety of educational activities in order to maintain and increase competency. Uses continuing education opportunities as a basis for expanding medical knowledge and improving clinical skills, and incorporates these into the daily practice of medicine. Participates in developing, implementing, and interpreting quality assurance/risk management programs. Supervises and intervenes with clinical issues and supports/directs triage by clinical staff when necessary. Implements clinical education and training or clinical staff when necessary. Is available for feedback on call-back and triage issues as needed. Identifies barriers to patient care flow or delivery, and assists at formulating corrective action. Adheres to the drug formulary developed by the practice. Prescribes within the practice agreement set forth by supervising physicians 100% of the time. Ensures updated and accurate practice agreement every 2 years as set forth in rules and regulations for prescribing authority. Maintains confidentiality of patient and of patient/practice information with no infractions as noted by supervision. Maintains current signed protocols reviewed and revised annually and as needed. Regularly maintains a neat appearance and adheres to department/corporation dress, including the wearing of appropriate identification. Demonstrates responsibility for individual performance and efficient utilization of products, supplies, equipment, and time to ensure the timely completion of duties and to promote financial viability through provision of services at a reasonable cost. Employee follows established safety precautions and procedures in the performance of all duties in order to ensure a safe environment. Performs all other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance – equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

Office RN

Job Summary Position is responsible for providing nursing care to patients in a professional and courteous manner. Carries out Physician orders including but not limited to assisting with procedures, administering injections, performing phlebotomy, taking patient calls, cleaning and stocking exam rooms, calling in prescriptions, coordinating supply levels, pre-certifying patients medical services, and assisting the physician with all other patient care as requested. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: None Substitutable Education & Experience: None Required Certifications/Licensure: Current licensure as a Registered Nurse in the State of South Carolina; Current CPR certification. Required Training: Basic first aid knowledge Essential Functions Maintains a positive attitude. Has contact by phone, correspondence, or personal meetings with persons in other departments or outside the practice; tact is required in these contacts and the employee assumes the responsibility for harmonious relationships. Demonstrates the following: Appropriate communication of information to all ages. Infant – Birth to 1 year Child – 1 year through 12 years Adolescent – 13 years through 17 years Adult – 18 years through 65 years Geriatric – Over 65 years Responsiveness to all patients and office staff requests and needs. Performance of duties assigned by authorized personnel or as required in an emergency, i.e., fire or disaster Provides/Performs Communication Telephones (Answer, Transfer) Orders/Messages Phone Triage Physician – Orders, Patient Issues, etc. Patient – Concerns, treatment, etc. Staff – Patient Care, Referrals, Precertification, etc. Understands and agrees to seek compliance with appropriate health and safety regulatory agencies Scheduling Referrals Appointments Ancillaries Surgeries (Inpatient, Outpatient) Hospital Admissions Medical Records Documentation Forms – Chart Structure Chart Maintenance Chart Filing/Pulling (Diagnostic Reports, Transcription, Correspondence) Image Files Faxing Copying Mail In Mail Out Lab Phlebotomy Specimen Collection and Processing Proficiency Testing Results Reporting Duties & Responsibilities Medication Management Intravenously (RN/LPN Only) IV Push (RN Only) Subcutaneously, Intramuscular Intradermal Orally, Topical, Suppository, Sublingual, Inhalants Storage and Handling Ordering/Maintaining Levels Patient Care Exam Room – Preparation & Maintenance Conducts Patient Interview Chaperone – Assists patients as needed Assisting/Performing minor procedures Triage (By telephone or in person) Implement Physician Orders Patient Education Results Reporting Clinical Documentation Operation of and responsibility for equipment (including, but not limited to, routine maintenance, ordering of supplies, log sheets and cleaning). General Office Equipment i.e. Fax, copier, etc. Patient Care Equipment i.e. BP, Temperature, Scales, etc. Specialized Equipment X-Ray, Bone Density, Ultrasound, Treadmill, Laboratory Equipment(Processing), Laser Equipment, Defibrillator, Holter Monitors, Cardiac Pacemakers, Other In-service/Education Certification/Licensure Competency Department Orientation Annual Training Log Sheets/ Audits Samples, Pharmacy, Mayday Equipment, Oxygen, Equipment Instruments Stock Appropriately – Maintain Levels Cleaning / Sterilization Knowledge of and usage Storage Leadership Provides Support and Guidance for Clinical Policies and Procedures Other Precertification/Authorization Coding E & M / Basic Visits Office Procedures/ Complex Visits Surgeries Hospital Services Correspondence Statistical Reports Accounts Payable Payroll Performs all other duties as assigned.

Clinical Coordinator RN - Adult Acute Care

LMC Careers - Adult Acute Care Full Time Night Shift 7pm-7:30am Sign-On Bonus: $20,000 Adult Acute Care Units Currently Interviewing: Medical Units: 3rd South Medical, 5th South Renal/Medical Specialty Medical Units: 8th South Medical/CVA Lexington Health's Clinical Coordinator role bridges bedside nursing with operational shift oversight, staff mentorship, and team coordination. Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary Provides operational shift oversight, delegates care to staff and facilitates timely patient admission, transfer and discharge. Provides ongoing leadership, support and guidance to all staff and presents a positive image and attitude. Promotes and restores patients' health by completing the nursing process and collaborates with other healthcare team members Uses a systematic critical-thinking approach to guide data gathering, assessment, nursing judgement, intervention and evaluation of human responses to actual and potential health problems through activities such as health teaching and the provision of care, supportive and restorative care and or support of a peaceful death. All responsibilities are carried out in accordance with the mission, vision, strategic imperatives and standards of Lexington Medical Center (LMC), American Nurses Association Standards and in accordance with the provisions/statues set forth by the South Carolina Nurse Practice Act. Minimum Qualifications Minimum Education : Bachelors of Science in Nursing Minimum Years of Experience : 2 Years of experience in areas of specialty within the past 5 years Substitutable Education & Experience (Optional) : Consideration will be given to those with an ADN or Diploma nursing degree who are presently enrolled in a RN to BS in Nursing or RN to MS in nursing program with the expectation that the degree be completed within 12 months of hire/promotion into the Clinical Coordinator role. Required Certifications/Licensure : National nursing certification in specialty at time of hire/promotion or must obtain within 6 months of hire/promotion into role; Current RN license to practice in the State of South Carolina; **Refer to Mandatory Certification Requirements P&P for required education/certification for various nursing specialties. Required Training : None. Essential Functions Establishes positive rapport with patient and family. Promotes patient's independence by establishing patient care goals; provides education to patient, and family in a manner they can understand their condition, medications, and self-care skills, etc. and provides them ample opportunity to ask questions. Serves as patient/family advocate. Maintains continuity among nursing teams by documenting accurately and timely; communicating actions, irregularities, and on-going needs. Uses a systematic critical-thinking approach to guide data gathering, assessment, nursing judgement, intervention and evaluation of human responses to actual and potential health problems. Identifies, synthesizes, and interprets sources of data using reasonable clinical judgement to respond to dynamic situations in a timely and effective manner. Maintains patient confidence and protects operations by keeping information confidential. Uses ethical decision making processes and advocates for acceptable patient outcomes. Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following 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. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Participates in process/performance improvement activities and initiatives utilizing evidence based practice to maintain and/or improve quality of care and safe patient care systems and processes. Maintains safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel. Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Documents all patient care activities accurately and timely. Provides safe, appropriate, quality of care and support to patients and family members. Holds team members accountable for standards of care, policy and procedures, bedside reporting, etc. Serves as a teacher, coach and mentor to staff. Contributes to the development and revision of unit standards. Efficient conflict resolution and problem solving skills. Serves as staff leader related to process/performance improvement activities/initiatives utilizing evidence based practice to maintain and/or improve quality of care and safe patient care systems and processes. Duties & Responsibilities Fosters interdisciplinary communication and collaboration. Supports shared governance activities by serving on a unit or hospital based committee. Positive rapport with health care team and demonstrates strong collaboration skills. Collaborates with instructors from affiliating agencies to assure continuity of patient care as well as positive learning experiences for students. Provides feedback and insight regarding unit operations and employee performance to the Nurse Manager. Serves as a resource and role model to all members of the patient care team for patient care and professionalism. Recognizes and responds appropriately to complex situations. Participates in and provides input for patient care conferences and discharge planning conferences. Coordinates timely patient throughput (admissions, discharges, transfers) and facilitates smooth transitions of care throughout hospitalization. Negotiates for nursing resources to adequately meet the patient care needs. Ensures patient care assignments are based on acuity of patients and skill level of nurse. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Appropriately utilizes all nursing supplies and equipment. Demonstrates effective teamwork skills and maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Promptly responds to all communication devices in order to meet patient needs. Assists in performing and documenting environmental checks as required by LMC policy and regulatory agencies. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Maintains required certifications. Earns a minimum of 20 hours of continuing education annually within specialty. L&D Only: A nurse must have documented competency and completion of department orientation to complete a medical screening exam (EMTALA). Nurses will have 3 consecutive medical screenings reviewed and signed off by their preceptor prior to independently completing screenings. Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal. Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training. Performs all other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance – equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

Care Manager RN - 3rd South Medical

3rd South Medical Full Time AM/PM Shift 7a-3:30p Sign-On Bonus: 20,000.00 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary Accountable for the patient's holistic plan of care in collaboration with other members of the health care team. Provides ongoing leadership, support and guidance to all nursing staff. Presents a positive image and attitude to staff, patients and visitors. Utilizes the nursing process to promote and restore patient's health status; provides physical and psychological support to patients and families; and supervising assigned team members. Identifies patient needs using the nursing process across the continuum of care. Uses a systematic critical-thinking approach to guides data gathering, assessment, nursing judgement, intervention and evaluation of human responses to actual and potential health problems through activities such as health teaching and the provision of care, supportive and restorative care and or support of a peaceful death. All responsibilities are carried out in accordance with the mission, vision, strategic imperatives and standards of Lexington Medical Center (LMC), American Nurses Association Standards, and in accordance with the provisions/statues set forth by the South Carolina Nurse Practice Act. Minimum Qualifications Minimum Education : Bachelors of Science in Nursing Minimum Years of Experience : 2 Years of experience in areas of specialty within the past 5 years Substitutable Education & Experience (Optional) : Consideration will be given to candidates with an ADN or Diploma nursing degree who are presently enrolled in a RN to BS in Nursing or RN to MS in nursing program with the expectation that the degree be completed within 12 months of hire/promotion into the Care Manager role Required Certifications/Licensure : Current RN license to practice in the State of South Carolina; National nursing certification in specialty or must be obtained within six months of hire/promotion into role. Required Training : Completes yearly safety training and other mandatory classes; Earns a minimum of 20 hours of continuing education annually within specialty; Efficient conflict resolution and problem solving skills. Essential Functions Nursing care reflects an integration of knowledge, skills, experience and attitudes needed to meet the needs of patients and families. Thus, the continuums of RN characteristics are derived from patient needs and are demonstrated by proficiency in the following: Clinical Judgment – Synthesizes and interprets multiple, sometimes conflicting, sources of data; makes judgment based on an immediate grasp of the whole picture, unless working with new patient populations; uses past experiences to anticipate problems; helps patient and family see the “big picture”; recognizes the limits of clinical judgment and seeks multi-disciplinary collaboration and consultation with others; recognizes and responds to the dynamic situation. Advocacy and Moral Agency – Works on behalf of patient, family and community; advocates from patient/family perspective, whether similar to or different from personal values; advocates ethical conflict and issues from patient/family perspective; suspends rules – patient and family drive moral decision-making; empowers the patient and family to speak for/represent themselves; achieves mutuality within patient/professional relationships. Caring Practices – Has astute awareness and anticipates patient and family changes and needs; fully engaged with and sensing how to stand alongside the patient, family, and community; caring practices follow the patient and family lead; anticipates hazards and avoids them, and promotes safety throughout patient's and family's transitions along the healthcare continuum; orchestrates the process that ensures patient's/family's comfort and concerns surrounding issues of death and dying are met. Collaboration – Seeks opportunities to teach, coach, and mentor and to be taught, coached and mentored; facilitates active involvement and complementary contributions of others in team meetings and discussions regarding patient care and/or practice issues; involves/recruits diverse resources when appropriate to optimize patient outcomes. Systems thinking – Develops, integrates, and applies a variety of strategies that are driven by the needs and strengths of the patient/family; global or holistic outlook -sees the whole rather than the pieces; knows when and how to negotiate and navigate through the system on behalf of patients and families; anticipates needs of patients and families as they move through the healthcare system; utilizes untapped and alternative resources as necessary. Response to Diversity – Responds to, anticipates, and integrates cultural differences into patient / family care; appreciates and incorporates differences, including alternative therapies, into care; tailors healthcare culture, to the extent possible, to meet the diverse needs and strengths of the patient. Facilitation of Learning – Creatively modifies or develops patient/family education programs; integrates patient/family education throughout delivery of \ care; evaluates patient's understanding by observing behavior changes related to learning; is able to collaborate and incorporate all healthcare providers' and educational plans into the patient/family educational program; sets patient-driven goals for education; sees patient/family as having choices and consequences that are negotiated in relation to education. Clinical Inquiry – Improves, deviates from, or individualizes standards and guidelines for particular patient situations or populations; questions and/or evaluates current practice based on patients' responses, review of the literature, research and education/learning; acquires knowledge and skills Duties & Responsibilities Seeks learning opportunities to teach, coach, and mentor and to be taught, coached and mentored. Collects data, understands algorithms, considers decision trees, and follows protocols. May develop, integrate, and apply a variety of strategies that are driven by the needs and strengths of the patient/family. Follows planned educational programs and sees patient/family education as a separate task from delivery of care. Provides data without seeking to assess patient's readiness or understanding. May adapt, modify, or develop these programs to improve the delivery of the content and improve reach. Works on behalf of patient, family and community; advocates from patient/family perspective. Follows standards and guidelines. Implements clinical changes and research-based practices. May improve, deviate from, or individualize standards and guidelines for particular patient situations or populations. This could include questioning and/or evaluating current practice based on patients' responses. Looks to acquires knowledge and skills needed to address questions arising in practice and improve patient care. Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal. Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training. Performs all other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance – equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

RN - Orthopedics