Director Of Nursing Salary in Billings, MT

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)• Refers patients to other health care providers and appropriate sources of care as necessary.• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Performs other duties as assigned or needed to meet the needs of the department/organization.

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)• Refers patients to other health care providers and appropriate sources of care as necessary.• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Performs other duties as assigned or needed to meet the needs of the department/organization.

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)• Refers patients to other health care providers and appropriate sources of care as necessary.• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Performs other duties as assigned or needed to meet the needs of the department/organization.

Under general supervision of the, Manager, Clinical Coordinator, Director and/or as delegated by the Registered Nurse, assists in the delivery of patient care throughout the Cancer Center or at any of our owned sites (for example, Bozeman, Miles City). Works within the scope of licensure as a licensed practical nurse. Applies identified evidence-based nursing practices consistent with national standards and which support quality outcomes. Works collaboratively with the interdisciplinary team to meet the physical, psychosocial, educational, spiritual needs of the patient and family, and contributes to the plan of care while maintaining professionalism.Essential Job Functions•Supports and models behaviors consistent with Billings Clinic Cancer Center and Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.•Becomes cross-trained in the following nursing specialties: Radiation Oncology, Supportive and Palliative Care, Medical Oncology, Gynecologic Oncology, Oncology Care Navigation, and Infusion.•Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching.•Implements and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies & procedures and according to scope of license.•Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.•Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status.•Utilizes performance improvement principles and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.•Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team.•Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.•Floats as needed within the Cancer Center.•Floats as needed to Bozeman Oncology.•Performs other duties as assigned or needed to meet the needs of the department/organization.•Maintains a minimum of 2 CE's for both breast cancer and stem cell education per year

Executive Director of Regional Operations is responsible for executive leadership across the system regional network contributing to strategic market growth, development, community service, public relations and assists with CAH development as needed. Through effectively leveraging resources, the position strengthens the rural health care delivery system by enhancing business operations and improving the quality of clinical care delivery. Position is responsible for operational oversight and leadership of existing regional physician branch clinics, health care facility management contracts, and new physician and facility affiliations and alliances. Essential Job Functions(1) Develops, implements, and assists in the advancement of the mission and vision through strengthening the rural health care delivery system by ensuring retention of appropriate care locally through enhancement of business operations and improving the clinical quality of care delivery locally and within the region while overseeing Regional CAH CEOs at managed Critical Access Hospitals as a key executive leader on the Regional Services Team.(2) Ensures the success and credibility of Regional Services Network through the delivery of innovative, quality, and cost-efficient programs that supports a more integrated regional system of health care and assists rural health care providers who seek out alliances for business and clinical quality reasons. Primary responsibilities include but are not limited to:a) Professionally manages existing regional physician branch clinics, health care facility management contracts and facility affiliations within defined region. Through effective operational management, creates an environment that provides superior levels of physician and patient services, clinical quality and lower costs and aligns incentives within the spectrum of providers involved in the delivery of regional health care services. b) Leads affiliate Board development functions, establishing a vision of excellence with a customer service orientation and demonstrated quality outcomes, charting the course in response to the developing and shifting needs of the community and the affiliate organization.c) Leads Management Services Contract Review and Services across the region and development of affiliate relationships within defined geographic regional territory.d) Promotes outreach initiatives for specified physician specialties within the community in collaboration with the Outreach, Telemedicine and Physician referral team. e) Coordinates with regional health care providers, leadership, and physicians to assure continuity in pursing organization's goals and objectives. Identifies and addresses synergies/problems across service lines, providers and within the community/region.f) Acts as consultant to affiliate Boards and for regional health care collaborative initiatives, performs appropriate needs assessments and develops recommendations and proposals that are mutually beneficial.(3) In collaboration with physician leadership and other medical staff, administration, and other health care providers, develops and implements strategic plans, and leads, develops, and revises programs, and assesses facility planning needs to enhance clinic practice services at regional branch clinic locations.a) Provides leadership in developing, planning, and implementing regional business plans and oversees the business and financial operations. In collaboration with the Chief Medical Officer, Region team, develops and supports provider practices to include quality/safety initiatives, patient access, physician practice reports, revenue analysis, and billing/coding documentation.b) Works collaboratively with the Regional Operations Nursing Leadership, Branch Clinic Nursing Leadership, and system Nursing Leadership to ensure the practice of nursing meets established standards of care and competency requirements, state/federal regulatory compliance, and accreditation standards for Magnet. Monitors compliance to these standards and works with Nursing Leadership to address areas of concern.c) Develops and maintains community relationships as it relates to the continuum of care. Monitors clinic practice(s) medical activities and identifies trends, problems and/or issues. (4) Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic and the regional health care providers. Recommends, implements, and evaluates plans and systems that assures sufficient number of qualified and competent staff to provide care/services. Adheres to administrative policy/procedures relating to human resource management. (5) Serves as a liaison and channel of communication between all system programs and services. Participates in the development of patient care delivery models and/or care programs, policies and procedures that describe how patient care needs and/or patient populations receiving care are assessed, evaluated, and met.(6) Promotes health care services that are produced in a cost-effective manner while maintaining high standards of quality.a) Assures the sound fiscal operation of the institute including timely, accurate and comprehensive development of a realistic, cost-effective annual budget and its implementation.b) Plans for capital equipment through budget and obtains approvals for capital purchases above specified threshold. Plans the use of physical resources for the institution and ensures against physical damages.c) Arranges contractual relationships with consultants, contractors, architects, etc., on behalf of the Board in planning and developing facilities, finances, and personnel programs.d) Combines organizational resources in such a way as to maximize quantity and/or quality to obtain a set of results.e) Monitors periodic financial statements measuring the relevant business activity and financial position of the assigned clinical practice(s) and the organization to ensure appropriate financial managementf) Exercises due diligence throughout contract development, negotiations, and compliance by reviewing, analyzing, and consulting appropriate resources to diminish risk(7) Ensures compliance and regulations of governing facilities and the rules of accrediting bodies by continually monitoring the organization's service delivery and initiating changes as required.(8) Fosters a smooth functioning, efficient organization through timely and effective resolution of disruptions.(9) Maintains competency in all organizational, departmental, and outside agency environmental, employee or patient safety standards relevant to job performance.(10) Demonstrates and encourages an ethic of open communication and teamwork throughout the organization and in the community/region. Builds an environment of shared commitment to Billings Clinic's and the regional health care providers' goals and responsibility to achieve quality outcomes. Maintains a high level of satisfaction within Billings Clinic and among regional health care providers' physicians and employees by providing an environment conducive to maximum individual and collective productivity. Provides consultation for related concerns and acts as a customer and community advocate by demonstrating sensitivity to ethical and legal ramifications of practice.(11) Performs other duties as assigned or needed to meet the needs of the department/organization.Minimum QualificationsEducation• Bachelor's degree in relevant field• Master's degree in hospital administration, health, business, or public health preferredExperience• Minimum of five to seven (5-7) years of senior leadership/management experience with experience in a physician practice, hospital and/or CAH setting• CAH CEO experience, preferredOr an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.

MLTThe Medical Laboratory Technician (MLT) is responsible for performing moderate complexity clinical laboratory tests in one or more sections of the laboratory and participates in the responsibilities for quality control and quality assurance in accordance with CLIA regulatory requirements and standards. Medical Laboratory Technician (MLT) is responsible for specimen collection and processing, test performance and for reporting test results.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Follows the laboratory's procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient's results.• Maintains records that demonstrate that proficiency testing samples are tested in the same manner as patient samples• Adhere to the laboratory's quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed.• Follows the laboratory's established corrective action policies and procedures whenever test systems are not within the laboratory's established acceptable levels of performance.• Must be capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problems or immediately notify the technical consultant, clinical consultant or Director.• Document all corrective actions taken when test systems deviate from the laboratory's established performance specifications.• Performs other duties as assigned or needed to meet the needs of the department/organization.Medical Technologist The clinic Medical Laboratory Scientist (MLS) is responsible for performing moderate complexity clinical laboratory testing in one or more sections of the laboratory with full responsibility for quality control and quality assurance in accordance with CLIA regulatory requirements and standards. Medical Laboratory Scientist (MLS) is responsible for specimen processing, test performance and for reporting test results.Essential Job functions • Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Follows the laboratory's procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient's results.• Evaluates, interprets and validates moderate complexity test data prior to reporting. Be capable of identifying problems that may adversely affect test performance or reporting of test results and either correct the problem or immediately notify the Clinical Coordinator and/or, Laboratory Supervisor Responsible to adhere to and follow the laboratory's established policies and procedures whenever testing systems are not within the laboratory's defined acceptable levels of performance.• Maintains daily operations of the laboratory/department to include, but not limited to calibration and maintenance of equipment; maintains adequate working inventory. Adheres to quality control policies, documents all quality control activities, instrument and procedural calibrations and maintenance performed. Document all corrective actions taken when test systems deviate from the laboratory's established performance specifications.• Performs other duties as assigned or needed to meet the needs of the department/organization.• Nationally registered or eligible for registration as a Medical Laboratory Scientist (MLS)• Current or eligible for Montana State licensure as a Medical Laboratory Scientist (MLS) or ability to become licensed within three (3) months of employment• CPR Certification for health care providers• No prior experience required• May be required to float to various departments and branch locations to fulfill staffing needs• Laboratory:Proficient in phlebotomy procedures to include a variety of draw sites and collection scenarios encompassing all age groups, specimen preparation, timing of tests and physician preferences.Specimen analysis; evaluating, interpreting and validating data for reports• Analytical skills necessary to understand and resolve routine operating problems within scope of licensure.• Analytical skills necessary to perform specimen analysis according to established policies and procedures• Analytical skills necessary to evaluate, interpret and validate data prior to reporting• Work is performed independently with minimal supervision in accordance with regulatory requirements, established policies and procedures and general directives.• Assumes responsibility for initiating follow-up to prevent and/or resolve problem scenarios and coordinates with the appropriate department and/or person.• Expected to prioritize all aspects of job.• Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers and to check for understanding, allay apprehension and enlist the cooperation of the patient. Ability to deal with difficult situations in a mature and professional manner.• Quality Control/Assurance - Full responsibility for review of quality control and Levey Jennings, trends shifts. Monitors and documents quality assurance indicators and interprets root cause analysis (RCA) for test variances and controls. Responsible for process improvements for patient care.• Proficiency Testing - Review proficiency and initiate corrective action as appropriate• Maintenance Log Review - Ensures all equipment maintenance is being documented appropriately. Sign off for equipment calibrations.• Complaint Management - Reviews and troubleshoots problems that may arise and reports information as appropriate to Clinical Coordinator and/or Laboratory Supervisor• Competency Testing - Completes yearly competency testing• Compliance - Reviews and reports compliance issues that may arise. Participates in maintaining safety manual for the laboratory

May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Utilization Review/ Management RN. This position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention, and coordination to decrease avoidable denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry. Facilitates communication between payers, review agencies, healthcare team. Identify delays in treatment or inappropriate utilization and serves as a resource. Coordinates communication with physicians. Identify opportunities for expedited appeals and collaborates resolve payer issues. Ensures/Maintains effective communication with Revenue Cycle Departments.Essential Job Functions•Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. •Maintains competency in all organizational, departmental, and outside agency requirements.•The responsibilities of the UR case manager are listed below, in order of priority and intended to ensure effective prioritization of tasks.•Priority 1: Reviews New Admissions, Observation and Outpatient Cases•Prioritize reviews of all OBS and bedded Outpatients•Communicate with attending physician to discuss case and obtain information not documented in record, when OBS cases do not meet payer criteria or OBS ≥ 24 hours•Communicate with attending physician for OBS patients meeting medical necessity for inpatient level of care to obtain inpatient order•Communicate with Case Manager to understand discharge plan and barriers to discharge on OBS and Outpatient in a Bed patients•Participate in daily OBS call and communicate why patient is here, what we need from the team to get the patient to the next level of care, and expected discharge plan•Ensure that admission review is completed on assigned units/worklist using payer MCG or CMS 2 Midnight Rule within 24 hours of admission•Identify incomplete reviews from worklist•Validate OBS orders daily for new admissions, within 24 hours•Ensure order in chart coincides with the payer review, CMS 2 Midnight Rule, or payer authorization for status and level of care•Priority 2: Performs Utilization Review (UR) Activities•Completes concurrent Level of Care (LOC) & status reviews utilizing payer criteria to assure all days of hospitalization are covered/certified or meet CMS 2 Midnight Rule (as appropriate) at minimum of every 3 days or more frequently based on payer requirements•Reviews observation patients at a minimum twice a day. Communicates with attending on medical plan and Case Manager on discharge plan to expedite progression to next level of care or discharge•Discusses case with attending when payer authorization does not match status or level of care.•Obtains information not documented in the EMR and requests documentation of medical necessity to support appropriate status (IP, OP, OBS) and level of care (Med-surg, SDU, ICU, etc.)•If attending is unable to provide additional clinical information supporting status or LOC, escalate case to the physician advisor for second level review as early as possible and before leaving for the day•Communicates to Case Manager any discrepancies on status or level of care based on medical necessity and/or payer authorization discrepancies•Communicates to Case Manager on current outliers, potential outliers, and denials•Identifies reviews that need to be completed on assigned floors and follows all assigned patients through completion and submission of Discharge Summary•Assesses if all days are authorized/certified by respective payers and communicate any issues/denials to attending physician, CM, and department leadership•Conducts UR until all tasks are completed; indicates UM Complete in authorization and/or certification•Communicates with payer UR representatives on status/level of care authorizations that do not match MCG review•Denotes relevant clinical information to proactively communicate with payers for authorizations of treatments, procedures, and Length of Stay; sends clinical information as required by payer•Notifies appropriate parties of any changes in financial class including conversions, Hospital-Issued Notices of Noncoverage (HINN), Condition Code 44, and Important Message from Medicare (IMM).•Follows department procedures and policies for Condition Code44, Physician Advisor review, and HINN processes•Documents Avoidable Days/Delays, per department process/procedure/policy•Priority 3: Maintains an Active Role in Denial Prevention and Management•Uses payer MCG criteria and supporting documentation to justify the patient's medical necessity for observation, admission and/or continued stay•Proactively interacts with payers and proactively sends clinical reviews to prevent inpatient denials•Proactively communicates with payer UM representatives on denials and coordinate peer to peer review with payer's medical director•Initiates and coordinates peer to peer reviews on all concurrent denials•Understands payer requirements and government regulations to ensure compliant, safe, and cost-effective healthcare•Priority 4: Identify Prolonged LOS patients, readmission, or complex discharge needs patients•Identifies Prolonged LOS patients or complex patients/situations and communicate to the CM and/or Social Worker as appropriate•Priority 5: Escalation•Refers cases that require second level review to Physician Advisor, Manager, and Director per department process or procedure•Discusses status/level of care and payment barriers with attending for resolution, if unsuccessful, escalate to department leadership and Physician Advisor, per department process or procedure•Insurance and Utilization Management•Maintains working knowledge of CMS requirements and readmission penalties•Maintains working knowledge of insurance/payer benefits•Documentation•Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines•Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession•Assures documentation and patient information is secure and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines•Professional Accountabilities•Participates in continuing education, department planning, work teams and process improvement activities•Maintains current Licensure•Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety•Demonstrates the ability to be flexible, open minded and adaptable to change•Maintains competency in organizational and departmental policies/processes relevant to job performance•Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession•Maintain utilization review data, as assigned by department.•Performs all other duties as assigned or as needed to meet the needs of the department/organization

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)• Refers patients to other health care providers and appropriate sources of care as necessary.• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Performs other duties as assigned or needed to meet the needs of the department/organization.