Diagnostic Radiologic Technologist **Sign-on bonus up to $7,000.00** - Cherokee Nation

Provides diagnostic radiological procedures within the scope of practice, including receiving and preparing patients and equipment for procedures and maintaining supplies for the radiology department. Produces high-quality radiographs with a minimum of repeats while handling multiple room assignments and different types of exams on a daily basis. Operates routine radiographic equipment in a safe and proficient manner within the boundaries of competence, based on documented education, training, supervised experience, state, and national professional credentials, and appropriate professional experience.  Practices radiographic safety using "as low as (is) reasonably achievable" (ALARA) concepts. Works with students from approved educational institutions. 

Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self-Determination and Education Assistance Act. Practices only within the boundaries of competence, based on documented education, training, supervised experience, state and national professional credentials, and appropriate professional experience. Provides health services of a scope, quality, and quantity consistent with Cherokee Nation policies.Communicates effectively with patient care team members to answer questions. Ensures completion of all duties, accurately demonstrates anatomy and pathology, uses proper radiology techniques, annotation, anatomical and pathological demonstration, and corrects any errors. Maintains working knowledge of all x-ray equipment used in the department including protocols and procedures. Enters data accurately into the computer system(s) and ensures completeness of patient paperwork. Demonstrates flexibility to the demands of patient care by coming in early and /or staying late. Practices responsible use of communication tools (paging system, telephones, e-mail, fax, etc.), corrects problems as they arise and notifies supervisor/manager when assistance is required to do so. Interprets orders such as patient requisition, including special instructions. Ensures the patient is imaged in a safe environment, free of hazards and identifies patients using approved identifiers. Provides full attention to the patient and the procedure, addressing and handling patient care concerns, and seeking opportunities to assist in overall patient care activities. Provides any life support measures needed. Images patients utilizing approved protocols/procedures, sterile or aseptic technique where applicable, and brings questions forward before imaging patients. Protects patients by following "as low as (is) reasonably achievable" (ALARA) safety guidelines. Exhibits professional and courteous customer service at all times and demonstrates knowledge of Age-Specific Criteria in carrying out work duties and tasks. Recognizing examination findings that may require an immediate clinical response and notifies the interpreting radiologist (i.e. requesting a Stat Read). Discusses with the radiologist x-ray findings and uses cognitive skills to identify, record, and adapt procedures based on diagnostic information received. Recognizes patient distress signs, initiates and follows emergency procedures. Maintains current required licensure and certifications and follows division and department-specific policies, procedures, guidelines, and protocols. Demonstrates adherence to accreditation standards, ethics, initiatives and applicable state/federal licensure and guidelines. Satisfies department in-services and continuing education requirements for the institution and section. Attends mandatory in-services, maintains expectations for safety preparedness including but not limited to: Orientation to new equipment, Employee Education Event, Cardiopulmonary Resuscitation (CPR) training, etc. and must document incidents, variances, unusual circumstances or patients' concerns during the procedure and notifies the radiologist or supervisor as needed. Attends, contributes and participates in regularly scheduled departmental meetings. Assures all necessary patient documentation is complete and accurate by clearly writing the required information on all necessary forms. Participates in quality and performance improvement activities, identifies new ways to improve workflows and the patient experience. Manages patient flow effectively and minimizes delays by utilizing critical thinking to analyze and evaluate simple cause and effect outcomes. Takes appropriate action to categorize problems into high and low priority levels and exercises appropriate action(s) to maintain efficiencies. Coordinates patient flow through the department by maximizing resource allocation and communicating any problems to the supervisor(s). Complies with all Cherokee Nation Health Service policies and procedures to maintain equipment safety. Relays all equipment malfunctions to the appropriate team and supervisor with appropriate information readily available. During system failure, performs department downtime procedures and immediately reports failure to the supervisor. Maintains his/her presence in the area and provides needed support to maximize department productivity. Follows exams from start to finish through the complete system to ensure exams reach archive/interpreting radiology site. Manages communications throughout the area and understands and participates in the importance of interrelationships between own unit’s employees and customers (Providers, Nursing, Patients) and how various teams as a whole contribute to the success of the facility. Exhibits and maintains a high level of customer service and is respectful and professional at all times with staff, both internal and external to the Cherokee Nation. Listens when approached by others. Takes action based on understanding of the message and asks appropriate questions to clarify if clarification is needed. Reports monthly procedure totals to the supervisor/director as directed. Participates in on-going learning activities and demonstrates the application of it in his/her role. Actively seeks an opportunity to develop professionally and personally. Demonstrates excellent interpersonal skills and establishes and maintains a high level of professionalism through cooperation, receptiveness, and sensitivity to others. Demonstrates by example, a high-level customer service philosophy, ethical behavior, and institutional core values. Understands and promotes team participation over individual contributions. Ensures appropriate inventory and supplies are available throughout each day/week for procedures. Pulls files and x-rays as needed. Complies with Cherokee Nation Health Services Radiation and Patient Safety policies and wears radiation protective equipment anytime exposure is likely. Works with students from approved educational institutions, rotating through Cherokee Nation Radiology Department for a learning experience in a clinical setting. Maintains verifiable records at an institution or facility that has a published records retention policy that is equal to or exceeds the retention required by federal, tribal and/or state regulations. Maintains the confidentiality of any information received from any person or source about a client, unless authorized in writing by the client or required by law or court order. Complies with the applicable state, tribal and federal regulations in regard to the security, safety, and confidentiality of any health services record created, maintained, transferred, or destroyed, whether the record is written, taped, computerized, or stored in any other medium. Other duties may be assigned.

SUPERVISORY RESPONSIBILITIES   

This job has no supervisory responsibilities.

EDUCATIONAL REQUIREMENT 

Associate's degree from a 2-year college or technical school in Radiology; or must have successfully completed a formal education program accredited by the American Registry of Radiology Technologists.

COMPUTER SKILLS

An individual should have knowledge of Database, Inventory, Spreadsheet, and Word Processing software, and Order processing systems.

CERTIFICATES, LICENSES, REGISTRATIONS 

Must be currently certified in Radiography with the American Registry of Radiologic Technologists (ARRT). Basic Life Support (BLS) certification must be obtained within ninety (90) days of hire and maintained throughout employment. Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating. 

OTHER SKILLS AND ABILITIES 

Must be able to operate a variety of equipment and possess knowledge of anatomy and physiology.

OTHER QUALIFICATIONS

Employee must not and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE).

Must meet and maintain pre-employment and periodic background investigation and adjudication for childcare.

PHYSICAL DEMANDS

While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to sit and stoop, kneel, crouch, or crawl. The employee is occasionally required to climb or balance. The employee must regularly lift and /or move up to 10 pounds, frequently lift and/or move more than 25 pounds and occasionally lift and/or move up to 100 pounds.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT

While performing the duties of this job, the employee is regularly exposed to toxic or caustic chemicals and risk of radiation. The employee is frequently exposed to moving mechanical parts and vibration. The employee is occasionally exposed to wet and/or humid conditions; high, precarious places; outside weather conditions; extreme cold; extreme heat and risk of electrical shock. The noise level in the work environment is usually moderate.