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About Us

We work hard to deliver quality healthcare close to home, with many of the services of a large urban hospital. The difference is that we have beautiful mountains and prairies as the backdrop to our community-founded 24-bed critical access hospital.

Niobrara Community Hospital is proud of the Culture of Excellence that our employees share with patients, guests and one another. We offer a family atmosphere that encourages teamwork, respect, communication, service and safety.

Community

Located at the crossroads of US Highways 85 and 20/26 in the great prairie lands of eastern Wyoming, Lusk and Niobrara County are the gateways to the Black Hills of South Dakota to the north, Yellowstone and Grand Teton Parks to the west, Cheyenne Frontier Days and the Colorado Front Range to the south and the rich farmlands and sandhill counties of Nebraska to the east. Over 100 years ago the famous Cheyenne and Black Hills Trail and Texas Trail ran through the area giving us a strong western heritage. Here, hospitality prevails and the spirit of Wyoming dominates. If you like wide open spaces, fresh air and plenty of sunshine you'll like it here!

Our economy is diverse! On a given morning you may find a rancher, railroad worker, oil field technician and one of the area bankers enjoying breakfast together at a local café. Agriculture has long anchored the community business structure often supplemented by booms in mineral exploration. The Union Pacific Railroad runs a double track west to East through Niobrara County carrying Wyoming's coal to the Midwest and beyond. Lusk is home to the Wyoming Women's Center, Wyoming's state correctional facility for women. Small businesses and light industry are welcome and thrive in an excellent commercial environment. Services include a quality education system, municipal airport, humanitarian services, police, sheriff, ambulance and fire protection, large public library and churches of many denominations.

For recreation you can enjoy hunting, horseback riding, hiking, rock/fossil/artifact hunting, local theater productions, and sight seeing. The Town of Lusk operates what many consider one of the finest 9-hole golf courses in the Rocky Mountains located on the headwaters of the Niobrara River. Each summer during the second week of July, local volunteers stage the Legend of Rawhide, an annual gigantic outdoor show of western history. This production includes a cast of 500, 12 to 15 covered wagons, cavalry in uniform and a band of Indians. The Black Hills of South Dakota and the front range of Colorado are only a few hours drive on modern, scenic highways.

Our People

Our people embody the warmth, care and kindness that make Niobrara Community Hospital special. They exemplify the hard-working, helpful characteristics that allow us to relate to our patients, their families and Wyoming's many out-of-state visitors.

Along every hall, in every service, at every desk and by every bedside, our staff practices a team approach, respect for others and excellent communication within a safe environment

Why Work Here

When you look for a career, you look for responsibilities you enjoy, a friendly atmosphere, convenient hours and scheduling, along with competitive compensation and benefits. At Niobrara Community Hospital, you will find all of those advantages plus our unique Culture of Excellence. This means our performance as a critical access hospital must be the best for our community. It means our practices offer progressive treatment and our staff is rewarded for striving for excellence. We are committed to recognizing and engaging employees by participating in operational excellence that continues to set the highest standard of care for our patients.

Current Job Postings

If you don't see a posting that fits your skills, we encourage you to apply anyway. As jobs come available we will review all past applicants to see if the skills are a match.


Position Title: Cook

General Purpose:

Assists in planning, preparing, and serving meals according to policies and procedures, using Dietician approved menus.   Must be flexible in task completion, willing to assist others in the department, and follow all universal precautions to include safety of food handling and preparation.

Essential Duties/Responsibilities:

This position is responsible for preparing and cooking food, bakery products and garnishes for patients and cafeteria, according to standardized recipes and safe food-handling practices. Is also responsible for kitchen cleaning and dishwashing. Utilizes kitchen equipment such as meat slicer, ovens, steamer, steam table, toaster, microwave, food processor, blender, mixer, etc. Utilizes and properly rotates any overproduction of food items. Cleans and sanitizes assigned work areas. Follows recipes, menus and diet orders. Completes documentation sheets as needed. Checks in freight and puts it away. Other duties as assigned.

Other Duties/Responsibilities:

In addition to daily tasks, cooks are also responsible for case-by-case, weekly, bi-weekly, and month cleaning, sanitation, and inventory duties.

Employees are held accountable for all duties of this job.

Job Qualifications:

Knowledge, Skills, and Ability:

Must have the ability to read, write, and communicate clearly in English. Some prior knowledge of commercial food preparation and cleaning whether in a professional or personal environment is necessary. The ability to type, navigate rudimentary software, and learn computer skills is also important. An ability to listen and to give productive feedback is important as well as the ability to document all tasks and communicate asynchronously with other shifts. Must be approachable and remain courteous at all times to staff, patients, and family members.

Education or Formal Training:

Minimum education: High School Diploma or GED
Additional training in commercial food preparation preferred

Experience:

1-2 years commercial food preparation or restaurant experience.

Working Environment:

Working in a hospital creates a unique work environment of both confidentiality and hospitality. The addition of an Extended Care Facility to the organization creates a level of expectation for the behavior of dietary staff when interacting with the residents on a daily basis. This is the residents’ home and as such requires an additional level of attention to detail. An interaction with staff, patients and patients' families also occurs on a daily basis.

Various cleaning agents and chemicals may be used. The MSDS book contains specifications for safe handling and PPE guidelines. Failure to follow these guidelines may result in injury or harm to either the cook or other exposed individuals.

Physical Activities:

Cooks spend 98% of their working day standing, walking, kneeling, or bending over. In addition, cooks are expected to be able to lift up to fifty (50) pounds using proper body mechanics. The ability to reach overhead is also important. Cooks are, on a daily basis, exposed to cleaners, hand sanitizers, soaps, Clorox, and gloves. Personal protective equipment is used as needed. If accommodation due to allergies, skin sensitivity or some other physical impairment is needed it is important to discuss this with the supervisor in a timely manner.

Note:   This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

 


Position Title: Housekeeper

General Purpose:

The purpose of this position is to properly maintain a healthy and clean environment for employees, visitors, and patients. An effective housekeeping department maintains a facility that is conducive to a positive and health working and living environment. As a high-traffic organization, the facility created an environment of constant contamination and satisfactorily performing housekeeper plays a key role in ensuring that the facility stays clean, sanitary, and has an appropriate appearance.

Essential Duties/Responsibilities:

  1. The first and most important responsibility is to sanitize and disinfect all surfaces that the human hand may touch on a regular basis. Trash is taken out, at a minimum, daily and disposed of properly in the facility dumpsters. Appropriate handling of biohazard linens and biohazard waste are also part of a housekeeper’s essential duties. Daily cleaning of resident rooms to sanitize all aspects of each room (main living and bathrooms) as well as the resident bed and any other furniture that may need sanitized will be performed. Disinfecting all toilets and bathroom facilities throughout the building and business offices, including mopping and vacuuming all floor surfaces occurs on at least a daily basis as well. Housekeepers are responsible for resident laundry seven days a week including washing, drying, and folding the laundry and returning it to the correct resident. Maintenance of linens is done by sorting and bagging soiled linens for send off to the Wyoming Women’s Center for laundering. When returned to the facility it is the responsibility of housekeeping to inspect these linens and distribute them to the appropriate departments. Housekeepers are responsible for maintaining a book of MSDS sheets that document all chemicals used. These sheets are available for review by anyone with questions or concerns.

Other Duties/Responsibilities:
In addition to daily tasks, housekeepers are also responsible for case-by-case, weekly, bi-weekly, and month cleaning and sanitation duties. E.g. buffing all hard-surface floors, shampooing carpets, cleaning offices, disinfecting all surfaces of the ER after a patient(s), cleaning of utility rooms, any other tasks as designated by the facilities director.

Supervisory Duties: None

Qualifications:

Knowledge, Skills, and Ability:
Housekeepers must have the ability to read, write, and communicate clearly in English.  Some prior knowledge of cleaning and laundering whether in a professional or personal environment is necessary.  The ability to type, navigate rudimentary software, and learn computer skills is also important. An ability to listen and to give productive feedback is important as well as the ability to document all tasks and communicate asynchronously with other shifts.

Education or Formal Training:

    Minimum education: High School Diploma or GED
    Additional training in handling of Biohazard materials or commercial laundry/cleaning tasks a plus.

Additional Information:

Experience: Although previous experience in housekeeping is not necessary an attitude of “can do” and willingness to learn should be demonstrated on both the application and during the interview which carries over into the work attitude. A particular interest in working in a health care setting is positive but not a requirement.

Working Environment:Working in a hospital creates a unique work environment of both confidentiality and hospitality. The addition of an Extended Care Facility to the organization creates of a level of expectation for the behavior of housekeepers when interacting with the residents on a daily basis. This is the residents’ home and as such requires an additional level of attention to detail from the housekeepers when cleaning resident rooms, doing resident laundry, or any other task. An interaction with staff, patients and patients families also occurs on a daily basis.
It is important that housekeepers be aware of the various mistakes that can be made with a varying severity of consequences. These mistakes may include failure to use appropriate cleaners, issues with time management (leading to tasks being done in a hurried or incomplete manner), incomplete disinfection, and mistakes with resident laundry. Awareness of these issues alone may lead to limiting the mistakes made. It is important to keep in mind that housekeeping tasks continually evolve to meet the demands of the facility and to keep with regulatory guidelines. These changes will be noted by a housekeeper’s direct supervisor and any changes made will be a directive from the supervisor.
Regularly used equipment includes wet tasks to wash and sanitize surfaces, mops, toilet cleaner, scrub wands, toilet paper and paper towels, washers, dryers, laundry bins and hangers. Laundry soap, bleach and detergent are also used on a daily basis. The number one priority of housecleaning is safety, both to staff and patients as well as housekeeping personnel. The MSDS book contains specifications for safe handling and PPE guidelines. Failure to follow these guidelines may result in injury or harm to either the housekeeper or other exposed individuals.

Physical Activities: Housekeepers spend 98% of their working day standing, walking, kneeling, or bending over. In addition, housekeepers are expected to be able to lift up to fifty (50) pounds using proper body mechanics. The ability to reach overhead is also important. Housekeepers are, on a daily basis, exposed to cleaners, hand sanitizers, soaps, Clorox, and gloves. Personal protective equipment is used as needed. If accommodation due to allergies, skin sensitivity or some other physical impairment is needed it is important to discuss this with the supervisor in a timely manner.


Position Title: Registered Nurse

Job Characteristics:

To provide patient care through utilization of the nursing process. The nursing process is demonstrated by the staff registered nurse’s ability to work collaboratively with the interdisciplinary health care team in planning, directing, providing and evaluating patient care. The staff registered nurse may serve as direct care nurse, as a team leader responsible for nursing care or providing appropriate communication with other health team members and as relief in a higher classification when necessary.

Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops. Maintain quality, safety and/or infection control standards. Perform other related duties as required to ensure the smooth operation of the hospital. This individual is expected to follow all policies and procedures of NCH and observe the rules and regulations pertaining to Corporate Compliance and confidentiality (HIPAA).

Essential Duties/Responsibilities:

  1. Works with acutely ill patients, including emergency situations
  2. Works with swing bed patients, both skilled nursing and extended care
  3. Works independently as well as functioning as a team member
  4. Capable of adapting to changing environment
  5. Nursing Process – Assess patient needs, Identify patient problems
  6. Plans and implements appropriate nursing interventions
  7. Evaluates patient care outcomes and documents all of the above
  8. Teaching – Identifies the learning needs of the patient and/or significant others and initiates measures to meet these needs.
  9. Leadership – Provides direction to other members of the nursing team to ensure that patient care is administered in a thorough, safe, and knowledgeable manner.
  10. Functions in formal leadership positions as assigned to plan, direct, and coordinate unit activities.

Supervisory Duties: LPN’s, CNA’s, Nursing Students, etc.

Qualifications:

Knowledge, Skills, and Ability: The ability to read, write, and speak English is required. Additionally, the ability to read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from patients, regulatory agencies, or members of the business community. The ability to work with mathematical concepts such as probability and statistical inference and apply concepts such as fractions, percentages, ratios and proportions to practical situations. Knowledge of and capability to define problems, collect data, establish facts and draw valid conclusions is also necessary. Excellent typing and computer skills are also necessary. Knowledge of HIPAA regulations and Corporate Compliance requirements.

Experience: Minimum one year hospital experience preferred

Education or Formal Training:

  • Must be a graduate of an accredited program of professional nursing
  • Current licensure of Registered Nurse in the State of Wyoming
  • Must maintain current ACLS Certification at all times

Additional Information:

Physical Activities: Under one third of the time you may need to climb, balance, stoop, kneel, crouch or crawl to perform your job duties. One-third to two-thirds of the time you will stand, walk, use your hands, or reach with your hands and arms, or sit. Over two thirds of the time it will be necessary to talk or hear. You will frequently bend, reach and push or pull less than 50 pounds. Occasionally you will squat, kneel, climb on a step ladder, twist at the waist, and rotate above the waist. Up to one-third of the time, you must be able to lift up to 50 pounds from a twelve (12) inch height to waist height. The ability to see with clear vision at 20 inches or less, 20 feet or more, strong peripheral vision, three-dimensional vision and ability to judge distances and spatial relationships (depth perception); and the ability to adjust focus is necessary.

Working Environment: Working in a hospital creates a unique work environment of both confidentiality and hospitality. The characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This individual can expect a moderate noise level, such as a business office or light traffic, and moderate foot traffic. You must have the ability to hear well enough for any type of position (e.g. normal hearing and audiogram including normal noise and speech discrimination).


Position Title: Certified Nursing Assistant

Job Characteristics:

The Certified Nursing Assistant is responsible for the provision of direct patient care to all NCH patients/residents within the defined scope of practice established by State regulations.

Qualifications:

Required: Read and write English

Education or Formal Training:

  • High School Graduate or Equivalent
  • Experience with Electronic Health Records Preferred
  • Must maintain current CPR certification while employed at NHLC
  • Must possess a current Certified Nursing Assistant certification from the Wyoming State Board of Nursing.

Hours of Work:

Based on needs/objectives of the department. Night shift 12 hour shifts
  • Night shift     12 hour shifts    5:45 pm – 6:15 am

Additional Information:

Based on needs/objectives of the department. Night shift 12 hour shifts
  • This position is FT (30 Hours or more) and is eligible to participate in the WY Retirement System
  • Pay Range: Dependent upon experience

Position Title: LPN

Job Characteristics:

To provide patient care through utilization of the nursing process. The Licensed Practical Nurse performs a variety of nursing care and administrative duties to ensure adequate operation of the hospital. The LPN is able to communicate effectively with all members of the health care team and maintains a high level of professionalism which positively promotes the image of the hospital.

Qualifications:

The ability to read, write, and speak English is required. Additionally, the ability to read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from patients, regulatory agencies, or members of the business community. The ability to work with mathematical concepts such as probability and statistical inference and apply concepts such as fractions, percentages, ratios and proportions to practical situations. Knowledge of and capability to define problems, collect data, establish facts and draw valid conclusions is also necessary.

Education or Formal Training:

  • Must be a graduate of an accredited program of professional nursing
  • Current Licensure as a Practical Nurse in the State of Wyoming
  • Current Basic Life Support Certification
  • Current CPR Certification to be renewed annually

Experience:

  • One year of hospital experience preferred
  • Some supervisory skills preferred.

Niobrara County Hospital District operates Niobrara Community Hospital and Rawhide Rural Health Clinic. Niobrara Community Hospital is designated as a Critical Access Hospital and has been certified as a Trauma 4 Facility. We offer emergency room care 24-hours per day and seven days per week, acute care beds, and long-term swing beds and the related ancillary services including laboratory, radiology, 64-Slice CT, and infusion therapy. Rawhide Rural Health Clinic is designated as a Rural Health Clinic and provides primary care services.

Please fill out the online application or email cover letter, application, and resume to Human Resources at: hr@niobrarahospital.org

Drug Free Workplace – Drug Test Required

Niobrara Community Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Application for Employment

An Equal Opportunity Employer

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, genetic information or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.

Answer each question fully and accurately. No action can be taken on this application until you have answered all questions. Use blank paper if you do not have enough room on this application. PLEASE PRINT, except for signature on back of application. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

GENERAL

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Type of Employment:


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EDUCATION

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SPECIAL SKILLS

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WORK HISTORY

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.

Note: A job offer may be contingent upon acceptable references from current and former employers

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REFERENCES

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AFFIDAVIT, CONSENT AND RELEASE

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required.

I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.

I have read, understand, and by submitting I consent to these statements.