- Supports patient safety needs and provides patient monitoring. Escorts patients and family members to/from waiting room, prepares patient for their exam, and provides patient with non-technical exam information. - Reviews and verifies that all upcoming imaging protocols have been completed by a radiologist, and notifies a technologists if there are some that are incomplete. - Provides patient transportation and escorts patients throughout CHH as needed. - Stocks linen and supplies in exam rooms. Unpacks supplies and stocks store room. Picks up supplies, pharmaceuticals, and cafeteria orders as needed. Assists in the supply ordering process by identifying needs as well as looks for expired supplies. - Is flexible about rotating from one area of Diagnostic Radiology to another with ease and assisting in other departments as needed. - Assists with the lifting, moving, and transfer of non-ambulatory patients. - Other duties as assigned.

IMAGING - Provides quality images with accuracy and efficiency, using optimal skills and knowledge of all equipment. - Positions patient for diagnostic radiology exams according to department procedures, training, and machine requirements with a high regard for the safety and care of the patient - Operates radiology equipment, determines and sets exposure factors, sets technique utilizing all relevant factors to ensure accurate and quality images with minimal and acceptable repeat rates. - Uses computer image processing, as needed to select, process, optimize and archive images to PACS. - Completely tracks exams in the Radiology Information system. - Develops and presents images and related patient information to radiologist for diagnosis. - Assists in the training of Radiologic Technology Students, and adheres to dept. policy on supervision of student technologists. DOCUMENTATION - Gathers complete documentation of all pertinent information to provide accurate and timely service to customers. - Responsible to correctly identify patients by checking their identity per department procedure. - Reviews patient chart and orders to insure correct examination. - Labels images completely with demographic, position and other needed documentation. Follows dept policy on the use of anatomical markers. - Logs activities, gathers charging information and charges exams as required. - Follows department and hospital procedures and policies. - Performs quality control and quality assurance, records results and reports variance from normal equipment function. PERSONAL & PATIENT CARE AND SAFETY - Provides for personal and patient care and safety using professional judgment in accordance with written standards so there is no injury to self or others. - Protects patients and others in the area by using proper machine settings and radiation safety standards. - Practices universal and blood and body fluid precautions, and sterile practices according to procedures. - Communicates and uses knowledge of related anatomy and physiology to insure appropriate and effective care to neonate, pediatric, adolescent, adult and geriatric patients. - Maintains awareness of patient status and takes appropriate actions to meet their needs. - Explains the procedure to the patient to assure clear answers to their questions and concerns to allay any anxiety and assure patient confidence. - Reports knowledge of any patient safety concern or event to supervisor and submit occurance to the on-line Patient Safety Intelligence System (PSI). PROFESSIONAL BEHAVIOR - Practices professional communications, appearance, conduct, punctuality, attendance and attitude that leads to physician, patient and co-worker respect and confidence. - Informs and educates patient and/or family of all needed information concerning the exam performed. - Uses professional judgment and presents a professional image of competency to customer and staff. - Handles stressful situations in ways that promote positive outcomes. - Takes personal initiative to maintain current in education (journals, books, inservices seminars, etc.) in all areas assigned. EFFECTIVE USE OF RESOURCES - Effective use of time, people, supplies, safe and attentive work practices. Works in a safe manner. - Maintains a safe and clean work environment. - Promotes cost effectiveness through the proper use and conservation of supplies and equipment. - Identifies cost saving measures. - Reports needed repairs or potential hazards to the appropriate department as soon as identified. - Reports all on-the-job injuries and seeks medical attention as appropriate INITIATIVE - Self-motivation, takes on projects willingly, acts on opportunities to improve, contributes new ideas. - Takes the initiative to identify and solve problems. - Supports improvement and innovation in the workplace. - Demonstrates awareness of and supports OHSU departmental and operating unit goals through participation in continuous quality improvement and departmental activities. - Promotes professional development and contributes to the professional growth of others. Be familiar with and comply with OHSU and Diagnostic Imaging department policies and procedures.   Other duties as assigned.

Anesthesia Equipment, Instrument and Supplies Maintenance: Checks inventory and, if appropriate, requisitions and restocks supplies; rotates dated items on shelves; participates in equipment and supply evaluations; troubleshoots and maintains equipment and supplies such as ETCO2 gas analyzer, anesthesia machine, EKG monitor, pulse oximeter, and blood gas instrument; makes minor repairs or refers to Clinical Engineering for repairs; calibrates equipment such as blood gas instrument and pressure transducers, ETCO2 Analyzer, pressure transducers, and oximetric swans; cleans and sterilizes anesthesia machines and equipment after surgeries and performs necessary maintenance; performs stat analysis of patient blood samples.   Anesthesia Equipment Set Up: Monitors surgery schedule to ensure operating rooms are equipped with appropriate anesthesia supplies and equipment; checks anesthesia machines and monitors prior to surgery assembles and assists with insertion of invasive monitoring lines; sets up anesthesia equipment prior to surgery including arterial transducers, cardiac output computer, and humidified breathing circuits.   Assists anesthesia provider with a wide variety of procedures including: induction/intubation; rapid sequence induction; difficult intubation; LMA insertion; nasal intubation; endo-brochial tube placement; bronchial blocker tube placement; awake fiber-optic intubation; IV placement; central line placement; PA catheter placement; antecubital central line placement; use of ultrasound; RIC catheter placement; epidural catheter placement; spinal placement; combined spinal – epidural; nerve blocks following sterile techniques. Is a sterile member of the team while assisting with line placements. Performs intra-operative blood recovery and re-infusion per procedures. Assists operating room personnel with handling, checking of blood and blood products per procedures. Provides Autotransfusion services and STAT laboratory functions including Point Of Care Tests (POCT) to all OR areas. Releases POCT orders written by anesthesia providers prior to testing. Manages the Malignant Hyperthermia (MH) carts and assists in MH crisis.   Rapidly responds to massive transfusion activations. Transports blood products urgently from laboratory to any of the Peri-Op/MSPU locations.   Other duties: Records and interprets laboratory data and hemodynamic readings. Accurately fills out Autotransfusion record. Performs other duties as assigned by the physician.

Coding - Coding at 95% or above accuracy one of the following depending on posted job need: -  Facility: - Inpatient Coding - Outpatient Day Surgery/Observation services -  Infusion/Chemotherapy services - Professional: - Complex Surgical coding - Vascular - General Surgery - Plastics - Trauma - Critical Care - Integrated Desks (coding both facility and profee services for the same specialty) - Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. - Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or Surgical coding. - Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). - Coordinate patient encounter billing information and ensure that all information is complete and accurate before submission. Enter coding and billing information into EPIC, establish and maintain procedures and other controls necessary in carrying out all coding and billing activity. - Resolve with billing, any issues, coding denial requests or questions as part of coding denial process. Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). - Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU. - Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). - Coordinate all billing information and ensure that all information is complete and accurate. - Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned. - Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary. Department Support - Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues. - Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support and mentor and orientate coding staff as necessary. - Monitor coding and billing information from CMS guidelines, Professional licensing organizations, Internal communication memos, and transmittals from coding publishers and governmental agencies to advise facility and team of billing practice changes in CPT, ICD-10-CM, and HCPCS and ensure changes are implemented to maximize revenue and reflect medical evaluation of patient encounters. - Make recommendations to coding leadership and implement remedial actions for problems. Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues. - Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles. - In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes. - In collaboration with Leadership, make recommendations and implement remedial actions for problems. - Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM, and HCPCS - Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding. Perform other duties as assigned.

- Performs testing in all sections of the Core Laboratory with accuracy, speed, and efficiency, using Erytra, Iris, Sysmex XN 9000, ABL, Beckman Coulter DxC, DxI, Centaur, ACL Tops and additional instrumentation. Follows written procedures and policies. - Prepares samples for testing. Determines acceptability of specimens and results. Repeats analysis as necessary to insure accuracy. Reports test results via computer and telephone. - Performs all computer functions using Beaker, WellSky and EPIC/Beaker software. - Answers telephone requests for laboratory information. - Calibrates, maintains and troubleshoots laboratory instruments and procedures. - Trains new employees, students and residents. - Performs and evaluates quality control data to determine functionality of instruments and procedures. - Other Duties - Assists with miscellaneous technical administrative functions to support daily laboratory activities. - Performs inventory of reagents and supplies. - Reviews critical, summary and outstanding lists. - Performs projects assigned by lead worker, technical coordinator or lab manager - Completes competency training, annual review of policy and procedure manuals, and safety review. Attends and participates in staff meetings and training sessions. - Performs requirements for Staff Members as outlined in Compliance Roles and Responsibilities in OHSU Hospitals and Clinics and understands and complies with the Code of Conduct, OHSU and departmental policies and procedures, and other applicable procedures, rules and regulations. - Communicates and works effectively as part of a team, and interacts with a variety of clients including doctors, nurses, laboratory staff and patients, maintaining a customer service focus at all times. - Carries out job responsibilities ethically, professionally, and with personal integrity, and functions as part of the team exhibiting excellent communication, teamwork and customer service skills. - Attends and participates in staff meetings and training sessions.

Strategic Planning - Partners with others to develop a department strategic plan that reflects the division strategic plan and nursing’s vision. - Participates in formulating objectives/ goals and integrating professional practice standards and strategies to advance strategic initiatives - Assists in coordinating the implementation of interventions to meet department-level goals. - Assists with communicating implementing, and evaluating the unit/department/program strategic plan. Operational Leadership - Partners with others to enhance healthcare and, ultimately, patient care through interdisciplinary activities, such as education, consultation, management, technological development, or research opportunities. - Ascribes to systems theory with an understanding that how parts of a system relate to the overall system. - Evaluates staff’s competency and intervenes to optimize professional practice performance. - Promotes and practices patient/family advocacy and promotes patient-centered decisions and outcomes. - Informs others stakeholders of department, nursing and organizational professional practice activities. - Communicates plans and decisions to department staff and other stakeholders. - Reflects on own method of decision-making and the role of beliefs, values and inferences in leading effectively. - Practices within shared-governance structures and promotes that decision-making by the group who has the authority within the governance structure Financial Management - Collaborates in determining nursing department/d level learning and professional practice priorities - Develops innovative solutions and applies strategies to obtain appropriate resources for nursing initiatives. Measures cost effectiveness of innovative learning and professional development approaches. - Promotes activities that inform others about cost, risks, and benefits of care, including the plan and solution to minimize risk and maximize benefits. Human Resources - Uses evidence-based leadership to promote desired behaviors - Collaborates with nursing department leadership, develops high performing nurses, advancing and rewarding their practice along the novice-expert continuum. - Mentors and coaches nurses to self-reflect on their practice against professional standards and self-direct their ongoing professional development. - Monitors, evaluates, and communicates the application of professional practice standards in initial and on-going competencies, professional practice evaluation processes, and policies and procedures. . - Collaborates with nursing department leadership to facilitate behaviors that impact safety, quality, patient satisfaction, and employee satisfaction. - Influences the hiring and retention of clinical RNs who are aligned with the OHSU Nursing Vision and professional practice standards. - Participates in succession planning. - Consults with Clinical Specialist Leaders and members of mangement to identify individual professional practice issues and engages with clinical nurses to develop improvement approaches. - Responsible for the development of onboarding and ongoing development professional practice competencies and learning activiteis. Evalutes and contributes to the improvement of the nursing orientation process. - Supervises specialty practice “educators” who translate patient population and level of care workflows into onboarding and ongoing competencies and job aides. Contributes to performance appraisal, facilitates progressive development, and determines the role of the specialty fellows in: - Competency, training, information, & education - Initial and on-going competencies of nursing staff in specialized skills unique to assigned clinical are. - Ongoing learning activities for specialty clinical areas. Performance Improvement - Monitors and uses data to determine professional practice improvement priorities. - Partners with others to develop the nursing department professional practice advancement plan. - Engages staff in nursing department initiatives. - Evaluates the practice environment in relation to existing professional standards, and care delivery best practices. - Designs and implements quality improvement strategies to ensure nurse sensitive outcomes meet or exceed established goals. - Evaluates the impact/benefits of organizational, nursing, and department initiatives, and communicates learning to disseminate best practices. - Identifies areas of risk and makes suggestions for reducing risk and improving outcomes. - Investigates concerns and errors to understand occurrences of errors or adverse events. Refers practice issues related to specialty practice to the appropriate CSL. Professionalism - Evaluates department nursing practice in relation to the professional practice standards and existing evidence and uses findings to advance a professional practice environment/culture. - Promotes clinical nurses’ translation of theory, scope & standards into practice to exercise autonomy and decision-making authority - Advances practice excellence by communicating a clear and consistent vision about the ownership of role and standards -based professional practice - Obtains and maintains professional certification, preferably in the expertise of leadership. - Promotes communication of information and advancement of the profession through writing, publishing, and presentations for professional or lay audiences. - Mentors and supports others to access resources for their professional development - Engages in informal and formal processes of giving and seeking feedback regarding role performance from individuals, professional collegues, representatives, administrators, and others.

Arranged Care: - Schedules new patient appointments on line and manually if necessary. Obtains prior medical records and studies if appropriate. Creates a medical record if needed. - Arranges stretchers, wheelchairs, and interpreters when necessary, and accommodates other special needs whenever possible. - Mails information packets. Provides personal reminders to patients about upcoming appointments. Obtains and prepares OHSU medical records before scheduled appointments. Integrated Care: - Arranges and orders associated clinical, diagnostic, or laboratory services; obtains authorizations when necessary. Directs patients to appropriate providers for other health care issues. Completes and routes direct referrals to other clinical services. - Contacts primary care physicians or their designees to obtain authorizations for urgent care. Schedules return appointments on line, and manually if necessary; initiates authorization requests for subsequent care. Customer Service: - Provides high quality customer service to both external customers (patient, referring providers, and insurance carriers) and internal customers (OHSU health care providers and staff) that meets or exceeds the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills. Enrollment & Authorization: - Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements. - Obtains authorizations for clinical care, procedures, and laboratory studies. Enters all information accurately into OHSU databases or into the medical record when necessary. - Follows up on pending authorizations until they are obtained.

Primary Responsibilities: - Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU - Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum - Audits medical record documentation to identify under-coded and up-coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and compliance issues both for coders currently in training and ongoing audits for all coders - Leads cross training efforts for coders learning new subspecialties - Review and respond in a timely manner to trainee questions and offer support - Regularly communicates status of ongoing training projects as well as outcomes and challenges to leadership - Provides second-level review of documentation and coding for difficult/advanced services to ensure accurate and compliance charge submission - Participates in process improvement through identification of provider or coder trends (documentation and coding) as well as workflow evaluations - Provides coding audits and detailed assessments for annual performance appraisals - Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations and presents findings and material to the coding department to ensure ongoing education and compliance of all coders in Enterprise Coding - Meets/communicates with Provider Educators to ensure that education is uniform and consistent for both providers and coders for any given area Secondary Responsibilities - Assists Leads with coding e-mail queries for difficult scenarios - Researches, analyzes, and responds to inquiries for challenging coding scenarios regarding compliance, inappropriate coding, denials, and billable services - Participates in recruitment process including evaluation of resumes, interviews and correction/analysis of coding assessment test - Meets with the Coding & Compliance department as needed to discuss concerns, make plans for processes/procedures - Participates in required huddles with leadership team to communicate ongoing training needs - Other job-related duties as assigned

Echo Procedures. - Determines and instructs patient in proper preparation for exam; explains examination process and procedure to patient; positions patient for each examination to maximize effectiveness of image and minimize patient discomfort; adjusts equipment controls; modifies each study during the exam to demonstrate the anatomy, physiology, hemodynamics and/or pathology accurately; determines need for additional views depending on patient variables or demonstrated pathology; manipulates transthoracic transducer by hand over diagnostic area in order to image cardiac structures and visualize hemodynamic flow patterns as necessary; selects appropriate scan based on significant functional and/or anatomical pathology; records representative images for review by Cardiologist. Performs transthoracic echocardiography on pediatric patients to include the evaluation of complex congenital heart lesions, and pre/post-operative cardiac assessment; to include premature and micro-premature infants on high frequency ventilators. - Provides transthoracic echocardiography on outreach pediatric patients throughout Oregon. During certain invasive procedures, gives physician measurements, estimations, angles, and guidance. (These invasive procedures may include but not limited to; pericardial centesis, balloon atrial septostomy, blade atrial septostomy, balloon valvuloplasty. Assists physician in the application of transesophageal and/or intra vascular ultrasound in the cardiac catheterization laboratory or surgical suites. Records and Reports. - Schedules patients from phone or written physicians’ request; obtains clinical data from patient chart or referring physician; arranges digital images of exam findings in logical sequence for patient's permanent medical record; maintains patient files (e.g., records patient identification and corresponding examination procedures); verbally reports summary of patient's medical history and pertinent exam findings to Cardiologist. Miscellaneous. - Demonstrates echocardiography techniques and principles to assist students and Cardiology Fellows in performing the echocardiography exam; processes images in digital format; performs routine cleaning and adjustments on machines and reports any mechanical failures to supervisor; utilizes hazardous cleaning/sanitizing chemicals for esophageal probe; utilizes computer/ultrasound machine data for additional analysis; performs periodic quality control tests to ensure proper operation of equipment; keeps abreast of new techniques and technological changes by attending workshops and seminars. Follows and utilizes research protocols.  

Clinical Activities (not related to teaching or research): Assure the safe, efficient, high quality and customer oriented management of patient care to identified patient populations, including but not limited to completing a comprehensive assessment of the patient’s status; developing, monitoring and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives; treat many common acute and chronic health problems; interpret diagnostic tests prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of illness and health maintenance; and, refer patients to other healthcare professionals as necessary. - The APP in the Outpatient Care Unit will be responsible for the evaluation and management of individuals with postoperative care needs of a variety of surgical procedures. The practice will include, but not be limited to, comprehensive physical assessment, ordering and interpreting diagnostic tests and required follow-up-up management, discharge preparation, patient and family education. The APP will be responsible for timely completion of documentation, including physical assessments, daily progress notes and discharge summaries. Scholarship (improvement science, research, writing, abstracts, grant supported work, presentations, etc.): Keep abreast of changes in field and applies knowledge to identify and recommend enhancements to clinical quality, patient experience/satisfaction, length of stay and to achieve improvement that demonstrates a higher standard of care. Assesses and recommends initiatives to improve performance indicators related to patient experience, quality, and costs. Professional development meeting the expectations of ongoing certification. Demonstrates success or productivity in the field as evidenced by securing research funding, publication in journals and/or other forms of peer presentations. - APP should be willing to complete all regularity requirements and participate in all relevant clinical research activities within the program. Teaching/ Clinical Supervision: Support OHSU’s academic missions by participating in the design, development and assessment of program curricula for professional (advanced practice nursing, medicine, and physician assistant) specialty areas; including course objectives, instructional methods, learning outcomes, projects and assessment measures. Teach program courses as needed according to specified learning outcomes; academic advising and career related counseling for students; monitoring student retention and identifying and assisting at-risk students. - Deliver individual instruction to support fellows, residents, graduate APP students, and other clinical learners to support their personal program of learning in the applicable specialty area. Provide instruction and review of the practices, policies and procedures in a variety of functions; including but not limited to development of treatment plans, interpretation of clinical diagnostic data; developing orders; patient and family communication and education; management of medical equipment, electronic medical records; performing procedures, and transitioning patients to the next level of care. Assures adherence to the specialty specific protocols, best practices, quality, and organizational indicators. Provides input to the performance of the resident or graduate APP student as a provider or graduate APP student provider in the practice setting.

Logistics Warehouse (South Waterfront) and Marquam Hill are our primary Medical supply picking and distribution staging points. The Macadam Warehouse is not your typical warehouse environment due to healthcare customers. Linen distribution also occurs from the location to South Waterfront and offsite clinics. Heavy use of picking software for confirmation of order fulfillment. Limited use of pallet jack and picking technology. Marquam Hill is a healthcare environment with supplies originating from the staging points of the loading docks.   Maintains a clean, safe, and efficient working environment; Shelves: ensures shelves are undamaged, clean, neat, and properly marked with product information. Helps ensure signage is present and up to date. Housekeeping: ensures the warehouse is clean, inventory is packaged and labeled properly, and non-stock products are neatly arranged. Facilities: ensures facility deficiencies are reported to the Warehouse Manager. Equipment: provides proper care is used when operating or using equipment and regular maintenance services to equipment are performed, logs and reports deficiencies to management. - Performs functions as necessary to ensure required daily tasks are completed on time, and sufficiently, to meet the customer's needs.  - Performs other duties as assigned to ensure day-to-day efficient operation of the Logistics Department supply chain.  - Maintains knowledge of, adheres to, and knows the locations for, departmental policy, procedure, safety, and MSDS manuals. - Performs other duties as assigned.

- Uses independent judgment and established parameters to screen for potential organ, tissue, and eye donation in all DSA hospitals; conducts donor management in ICU; places organs for transplant and assist with organ recovery; completes required donor follow up. - Interdisciplinary collaboration Collaborates with the Donation and Family Advocate (DFA) team to facilitate authorization or disclosure with the legal NOK and accurately conducts a donor risk assessment interview with identified surrogate of the potential organ donor. - Collaborates with the Hospital Development department to ensure customer service needs are met for donor hospital partners. - Collaborates with the Quality Assurance department to ensure charts are completed and highest industry standards met. - Collaboration and communication with external partners - Provides real-time education to hospital staff about the donation process. - Collaborates with transplant centers and transplant teams through the allocation and recovery process. - Participates in meetings as requested by the department manager. - Performs other duties as assigned by the AOC and CLA leadership.

Great Customer Service   Preparation/Cooking - Cooking and Coordination. Prepares food according to standardized menus/recipes as described by the production work schedule; may gather and combine ingredients required by standardized recipes; washes, slices, chops, grates, stirs, kneads, measures, mixes, and weighs food products; cooks foods by boiling, grilling, steaming, deep frying, roasting, or baking; cooks various foods such as meats, casseroles, vegetables, starches, soups, salads, sandwiches, quick breads, dressings, sauces, and gravies; prepares desserts such as cobbler, cakes from mixes, pies, donuts, cookies, bread, custard, and gelatins; uses commercial cooking equipment such as grills, steam jacket kettle, slicers, mixers, and choppers; adjusts recipes for larger quantities and makes recipe changes when necessary to obtain a better quality product; prepares food for distribution; plans cooking schedules to have food ready at serving time but not too far in advance; records temperatures of food at serving time; follows HACCP standards - Prepare food items for Patients, Marquam Café OHSU, other retail outlets, and catering according to standardized recipes and menus, or by verbal instruction given by supervisors. Perform functions according to following procedures as listed: (1) mise-en-place (put in place) all ingredients and supplies; (2) perform all required preparation; (3) cook ingredients using prescribed best method; (4) hold and serve at proper safe temperature; (5) chill as appropriate using correct food safety procedures; (6) reheat as necessary to the appropriate safe temperature; (7) properly label and date products to be stored in the various stages of production. Miscellaneous - Assigns and reviews work of other personnel or students and provides training in cooking methods and procedures (e.g., spot check trays for proper portions of food and timeliness); some employees participate with supervisor in planning menus and recipe development and testing; some employees may help load food trays on trucks or tray carts and deliver; some employees in this class may provide information to management concerning unit needs such as equipment and supplies; some employees may assist supervisor by monitoring budget to stay within allocated expenditures. May instruct and provide assistance to other Retail Line Servers in food preparing, distributing, and cleaning; responds to questions, compliments, or complaints concerning the food or service from customers; assists staff members with special meal functions by setting and decorating tables; transport food supplies and meals using a variety of carts and vehicles. Food Safety & Sanitation - Ensure all foods, including potentially hazardous foods, are handled in a safe and proper manner according to Food and Nutrition Standard Operating Procedures (Hazard Analysis and Critical Control Points – HACCP), OHSU Infection Control, and Multnomah County Health Department. Identify critical control points (CCPs) in food preparation and storage and monitor the factors that might create a food safety hazard, using corrective action when a deviation occurs, 100% of the time. CCPs include, but are not limited to hand washing, cooking, cooling, holding, thawing, temperature monitoring, and cross-contamination. Effectively prepare sanitizing agents (e.g. bleach water, quat sanitizer) and clean and sanitize food preparation appliances, work areas, utensils, and equipment using dish machine or three-compartment sink method. Maintain cleanliness of assigned work area and achieve a score of 90% or better on bi-annual Multnomah City health inspection. At minimum, the last 15 minutes of each shift will be dedicated to cleaning, sanitizing, and sweeping assigned work area. 10 Yes FOLLOW ALL TIME AND TEMPERATURE GUIDELINES FOR THE STORAGE, PREPARATION , COOKING, HOLDING, SERVING, COOLING AND REHEATING IN accordance with MULTNOMAH HEALTH DEPARTMENT HANDBOOK. COOK 1 WILL DEMONSTRATE SAFE TIME AND TEMPERATURE PROCEDURES BY RECORDED SAFE TEMPERATURES FOR FOODS AND ACHIEVE A SCORE OF 90% OR BETTER ON THE ANNUAL OSHU SANITATION TEST.  Requisitioning - Some positions in this class conduct the following: maintain adequate products and supplies for cooking operations; request needed products; request cooking products or supplies to be ordered; check supplies or food products delivered by supplier to be sure they meet the type, quantity, and quality specified by the purchase order, invoice, packing slip, and department quality standards. - Recordkeeping: Keeps records of the amount of food prepared, amount served or distributed, and amount left over; records changes when recipes are altered; counts and records equipment and food items for inventory; adjusts recipes in computer and prints recipes needed.

Great Customer Service   Preparation/Cooking - Cooking and Coordination. Prepares food according to standardized menus/recipes as described by the production work schedule; may gather and combine ingredients required by standardized recipes; washes, slices, chops, grates, stirs, kneads, measures, mixes, and weighs food products; cooks foods by boiling, grilling, steaming, deep frying, roasting, or baking; cooks various foods such as meats, casseroles, vegetables, starches, soups, salads, sandwiches, quick breads, dressings, sauces, and gravies; prepares desserts such as cobbler, cakes from mixes, pies, donuts, cookies, bread, custard, and gelatins; uses commercial cooking equipment such as grills, steam jacket kettle, slicers, mixers, and choppers; adjusts recipes for larger quantities and makes recipe changes when necessary to obtain a better quality product; prepares food for distribution; plans cooking schedules to have food ready at serving time but not too far in advance; records temperatures of food at serving time; follows HACCP standards - Prepare food items for Patients, Marquam Café OHSU, other retail outlets, and catering according to standardized recipes and menus, or by verbal instruction given by supervisors. Perform functions according to following procedures as listed: (1) mise-en-place (put in place) all ingredients and supplies; (2) perform all required preparation; (3) cook ingredients using prescribed best method; (4) hold and serve at proper safe temperature; (5) chill as appropriate using correct food safety procedures; (6) reheat as necessary to the appropriate safe temperature; (7) properly label and date products to be stored in the various stages of production. Miscellaneous - Assigns and reviews work of other personnel or students and provides training in cooking methods and procedures (e.g., spot check trays for proper portions of food and timeliness); some employees participate with supervisor in planning menus and recipe development and testing; some employees may help load food trays on trucks or tray carts and deliver; some employees in this class may provide information to management concerning unit needs such as equipment and supplies; some employees may assist supervisor by monitoring budget to stay within allocated expenditures. May instruct and provide assistance to other Retail Line Servers in food preparing, distributing, and cleaning; responds to questions, compliments, or complaints concerning the food or service from customers; assists staff members with special meal functions by setting and decorating tables; transport food supplies and meals using a variety of carts and vehicles. Food Safety & Sanitation - Ensure all foods, including potentially hazardous foods, are handled in a safe and proper manner according to Food and Nutrition Standard Operating Procedures (Hazard Analysis and Critical Control Points – HACCP), OHSU Infection Control, and Multnomah County Health Department. Identify critical control points (CCPs) in food preparation and storage and monitor the factors that might create a food safety hazard, using corrective action when a deviation occurs, 100% of the time. CCPs include, but are not limited to hand washing, cooking, cooling, holding, thawing, temperature monitoring, and cross-contamination. Effectively prepare sanitizing agents (e.g. bleach water, quat sanitizer) and clean and sanitize food preparation appliances, work areas, utensils, and equipment using dish machine or three-compartment sink method. Maintain cleanliness of assigned work area and achieve a score of 90% or better on bi-annual Multnomah City health inspection. At minimum, the last 15 minutes of each shift will be dedicated to cleaning, sanitizing, and sweeping assigned work area. 10 Yes FOLLOW ALL TIME AND TEMPERATURE GUIDELINES FOR THE STORAGE, PREPARATION , COOKING, HOLDING, SERVING, COOLING AND REHEATING IN accordance with MULTNOMAH HEALTH DEPARTMENT HANDBOOK. COOK 1 WILL DEMONSTRATE SAFE TIME AND TEMPERATURE PROCEDURES BY RECORDED SAFE TEMPERATURES FOR FOODS AND ACHIEVE A SCORE OF 90% OR BETTER ON THE ANNUAL OSHU SANITATION TEST.  Requisitioning - Some positions in this class conduct the following: maintain adequate products and supplies for cooking operations; request needed products; request cooking products or supplies to be ordered; check supplies or food products delivered by supplier to be sure they meet the type, quantity, and quality specified by the purchase order, invoice, packing slip, and department quality standards. - Recordkeeping: Keeps records of the amount of food prepared, amount served or distributed, and amount left over; records changes when recipes are altered; counts and records equipment and food items for inventory; adjusts recipes in computer and prints recipes needed.

Great Customer Service   Preparation/Cooking - Cooking and Coordination. Prepares food according to standardized menus/recipes as described by the production work schedule; may gather and combine ingredients required by standardized recipes; washes, slices, chops, grates, stirs, kneads, measures, mixes, and weighs food products; cooks foods by boiling, grilling, steaming, deep frying, roasting, or baking; cooks various foods such as meats, casseroles, vegetables, starches, soups, salads, sandwiches, quick breads, dressings, sauces, and gravies; prepares desserts such as cobbler, cakes from mixes, pies, donuts, cookies, bread, custard, and gelatins; uses commercial cooking equipment such as grills, steam jacket kettle, slicers, mixers, and choppers; adjusts recipes for larger quantities and makes recipe changes when necessary to obtain a better quality product; prepares food for distribution; plans cooking schedules to have food ready at serving time but not too far in advance; records temperatures of food at serving time; follows HACCP standards - Prepare food items for Patients, Marquam Café OHSU, other retail outlets, and catering according to standardized recipes and menus, or by verbal instruction given by supervisors. Perform functions according to following procedures as listed: (1) mise-en-place (put in place) all ingredients and supplies; (2) perform all required preparation; (3) cook ingredients using prescribed best method; (4) hold and serve at proper safe temperature; (5) chill as appropriate using correct food safety procedures; (6) reheat as necessary to the appropriate safe temperature; (7) properly label and date products to be stored in the various stages of production. Miscellaneous - Assigns and reviews work of other personnel or students and provides training in cooking methods and procedures (e.g., spot check trays for proper portions of food and timeliness); some employees participate with supervisor in planning menus and recipe development and testing; some employees may help load food trays on trucks or tray carts and deliver; some employees in this class may provide information to management concerning unit needs such as equipment and supplies; some employees may assist supervisor by monitoring budget to stay within allocated expenditures. May instruct and provide assistance to other Retail Line Servers in food preparing, distributing, and cleaning; responds to questions, compliments, or complaints concerning the food or service from customers; assists staff members with special meal functions by setting and decorating tables; transport food supplies and meals using a variety of carts and vehicles. Food Safety & Sanitation - Ensure all foods, including potentially hazardous foods, are handled in a safe and proper manner according to Food and Nutrition Standard Operating Procedures (Hazard Analysis and Critical Control Points – HACCP), OHSU Infection Control, and Multnomah County Health Department. Identify critical control points (CCPs) in food preparation and storage and monitor the factors that might create a food safety hazard, using corrective action when a deviation occurs, 100% of the time. CCPs include, but are not limited to hand washing, cooking, cooling, holding, thawing, temperature monitoring, and cross-contamination. Effectively prepare sanitizing agents (e.g. bleach water, quat sanitizer) and clean and sanitize food preparation appliances, work areas, utensils, and equipment using dish machine or three-compartment sink method. Maintain cleanliness of assigned work area and achieve a score of 90% or better on bi-annual Multnomah City health inspection. At minimum, the last 15 minutes of each shift will be dedicated to cleaning, sanitizing, and sweeping assigned work area. 10 Yes FOLLOW ALL TIME AND TEMPERATURE GUIDELINES FOR THE STORAGE, PREPARATION , COOKING, HOLDING, SERVING, COOLING AND REHEATING IN accordance with MULTNOMAH HEALTH DEPARTMENT HANDBOOK. COOK 1 WILL DEMONSTRATE SAFE TIME AND TEMPERATURE PROCEDURES BY RECORDED SAFE TEMPERATURES FOR FOODS AND ACHIEVE A SCORE OF 90% OR BETTER ON THE ANNUAL OSHU SANITATION TEST.  Requisitioning - Some positions in this class conduct the following: maintain adequate products and supplies for cooking operations; request needed products; request cooking products or supplies to be ordered; check supplies or food products delivered by supplier to be sure they meet the type, quantity, and quality specified by the purchase order, invoice, packing slip, and department quality standards. - Recordkeeping: Keeps records of the amount of food prepared, amount served or distributed, and amount left over; records changes when recipes are altered; counts and records equipment and food items for inventory; adjusts recipes in computer and prints recipes needed.

Great customer service.   Line Server Activities: Serve food items quickly and efficiently on the serving line; prepares coffee and other drinks; maintains adequate supplies of dishes, cups, flatware, and napkins for the serving line and setting up and refilling condiments, dispensers, and food pans. Helps customers and communicates with cook on line replenishment. Food Preparation: Prepares simple foods according to standardized menus, recipes, or verbal instructions given by supervisor; makes salads, dressings, gelatin, toast, or sandwiches; grills sandwiches, pancakes, eggs, French toast, and hash browns and toast; cleans, cuts, and chops vegetables and fruits; slices meats, cheeses, and breads; cuts desserts; adjusts recipe quantities to eliminate excessive waste of food products; fills drink machines, mixes beverages, makes coffee, and prepares sack lunches or snacks; uses various types of commercial kitchen equipment such as mixers, slicers, and choppers; prepares simple desserts such as pudding, cobbler, and loaf cakes; slices and wraps bread and other baked items; checks for proper temperature of prepared foods with thermometer; observes food to be sure it is visually appealing and of high quality. Sanitation Activities: Cleans sinks, counters, fountains, and serving area; sweeps and mops floors; wipes spills; collects and removes trash; replaces trash-can liners; sorts and stacks dishes, glasses, and utensils; stack clean dishware; and clean coffee pots, blenders, pop machine dispensers, ice cream maker, hot chocolate machines, and other commercial equipment. Miscellaneous: May instruct and provide assistance to other Retail Line Servers in food preparing, distributing, and cleaning; responds to questions, compliments, or complaints concerning the food or service from customers; assists staff members with special meal functions by setting and decorating tables; transport food supplies and meals using a variety of carts and vehicles.

Enrollment & Authorization: - Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements. Obtains authorizations for clinical care, procedures, and laboratory studies. Enters all information accurately into OHSU databases or into the medical record when necessary. Follows up on pending authorizations until they are obtained. Arranged Care: - Coordinate high volume of complicated patient care appointments, procedures, and infusion treatments as directed by physician and/or nurse staff; Uses EMR and other systems as needed for scheduling. - Creates a medical record if needed. Provides personal reminders to patients about upcoming appointments. Serves as a liaison and information resource for physicians, and nursing support staff; Return patients messages (phone and/or electronic); Prepare and mail patient information packets; Direct patients to appropriate providers for other health care issues; Complete and route direct referrals to other clinical services; Enter patient information accurately into the electronic medical record when necessary. - Maintains a service-based working knowledge of oncology practice. Obtains prior medical records and studies if appropriate.  - Arranges for wheelchairs, interpreters, or other assistive devices as necessary to support safe, high-quality care. Other duties as assigned. Integrated Care: - Schedules associated clinical, diagnostic, or laboratory  services; obtains authorizations when necessary. Contacts primary care physicians or their designees to obtain authorizations for care when needed. - Scheduling activity may occur as part of check out processing, or separately. Directs patients to appropriate providers for other health care issues. - Completes and routes direct referrals to other clinical services. Directs patient questions regarding billing and insurance payments to appropriate staff.  Customer Service / Point of Service Operations: - Provide the highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meet or exceed the service standards of the health care industry. This duty includes prompt and professional communication efforts, exemplary phone etiquette, face-to-face customer contact skills, high emotional intelligence including during stressful situations, utilization of available information technology, consistently following standard work, flexible coverage of internal service needs and the continuous application of process improvement methods and skills.  - Greets patients and, where appropriate, checks them in prior to being seen by clinical staff. Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Checks patient account numbers and corrects any problems, seeking advice from Central Registration as required. Ensures that all appointment comment information is accurate and complete.  Enters all information accurately into OHSU databases or into the medical record when necessary. - Inspects insurance cards and/or authorization notices. Explains and satisfies any necessary patient signature requirements (including non-covered service forms). Identifies and collects co-payments, provides receipts, and completes necessary accounting procedures as needed. - Notifies clinical clinical staff when patients arrive, monitors  the length of patient wait times and intervene as necessary. Distributes medication lists to patients and prepares other duties associated to clinic as needed.

Operational Functions: Direct in unit supervision of operations on a continual basis. Assuring the highest standards of patient/customer service, cleanliness, food quality and operatione excellence. Supervises meal periods. Checks to ensure HACCP and other quality control checks are followed. Supervises food line and grab and go items. Supervises cash handling and point of sale transactions.   Administrative Functions: Follows procedures for providing training, making schedules, and providing documentation for disciplinary actions and performance reviews. Prepares required reports and presents to management as needed. Develops and implements programs that facilitate and/or improve operations. Presents a positive role model for employees at all times.   Hospitality/Customer Service Functions: Demonstrates exceptional patient/customer service at all times. Assesses patient/customer satisfaction during mealtimes by visiting with patients/guests. Leads the team to provide a memorable patient/guest experience. Develops and monitors supervisory rounding of all operational facilities.   General Functions: Follows standards for merchandising, stocking, rotating and storing products. Works with management to develop new business opportunities. Supports sustainability efforts of Food & Nutrition Services by fully participating in the recycling program. Fulfills responsibilities to the organization through performance that promotes the service excellence philosophy. Performs requirements for department managers as outlined in "Compliance Roles and Responsibilities in OHSU Hospitals and Clinics."   Supports sustainability efforts of Food & Nutrition Services by fully participating in the recycling program. Fulfills responsibilities to the organization through performance that promotes the service excellence philosophy. Performs requirements for department managers as outlined in "Compliance Roles and Responsibilities in OHSU Hospitals and Clinics."

- Rounds regularly, 3 times per 8 hour shift, to inpatient ICU floors. Collaborates with clinical staff to assess patient needs before each task (lift or reposition), including type of lift to be performed, condition of patient, and state of patient’s physical disability. Performs patient transfers or repositioning using the appropriate lifting and transfer equipment. Identifies availability of necessary equipment and supplies for use in transfer or reposition. - Responds to patient falls and urgent situations in an expedited manner (in less than 10 minutes). Collaborates with clinical staff to assess patient needs before lift or transfer. Identifies availability of necessary equipment and supplies for use in lift or transfer, using patient retrieval systems, such as HoverMatt or HoverJack, when necessary. - Responds to requests for patient lifts or transfer from on-site and off-site (CHH and Dental School only) clinics (in less than 20 minutes). Collaborates, if possible, with clinical staff on scheduling prior to patient appointment. Responds to requests via Vocera, pagers or through the Transportation Dispatch. - Participates in MTP’s on the highest priority basis. Responds promptly to the Transportation Dispatchers directives. Maintains continual communication with dispatcher using Vocera and face-to-face communication with MTP clinical personnel. To ensure timeliness of this service, the following must be observed: use of elevators is not permissible and the first response must occur within 30 seconds of pager notification. - Transports patients using wheelchair, stretcher, hospital bed, and morgue cart to and from various locations include, but not limited to: nursing units, diagnostics, pre-op, life flight pad and morgue. Transfer patients to and from stretcher, hospital bed, exam table and wheelchair using transportation-assist devices such as Hovermatts, Slipps, slider boards and backboards. - Transports medical equipment, mail, labs, blood products and supplies to and from various locations within the OHSU environment. These locations are, but not limited to: nursing units, diagnostic areas, clinics, exam rooms, operating rooms, laboratories, morgue or offices. - Operates elevators for patient and equipment movement. Relieves elevator attendants for breaks. - Cleans and disinfects transportation medical equipment: stretchers, wheelchairs, morgue carts, HoverMatts, pillows and utility transport carts. - Other duties as assigned.

- Responsible for the management and success of the Administrator on Call (AOC) department. Provides comprehensive supervision as well as real time support for clinical and logistical decision-making related to triage, donor management, organ allocation, and recovery to ensure case activity proceeds in an effective and efficient manner. Assesses success of group and individual practice, provides effective feedback, and develops processes to help drive performance improvement - Partners with leadership from Clinical, Hospital Development, Family Support, and Quality departments to ensure effective interdisciplinary collaboration to optimize donation outcomes throughout the DSA. Collaborates with Medical Directors and transplant centers as needed, and assists staff in working through operational and administrative challenges. - Performs 24-hour on call functions as needed based on department staffing needs. - Special projects and other duties as assigned.