Employment Opportunities

Tri Valley Health System offers a competitive Employee Benefits package. To view a listing of the benefits we offer, click here.

To contact us for additional information or to obtain a printable application, please email tvhshr@trivalleyhealth.com or call 308-697-1136.  To apply on-line for any of the positions listed below, fill out our online application.


TVHS is proud to announce that we are a SMOKE FREE campus!  For prospective employees, please be advised that staff may not smoke during any breaks including lunch periods.   


August 17, 2017



FT position;  Under the supervision of a physician, this individual will provide direct diagnostic, therapeutic, and preventative health care services to patients in primary care, acute care, and emergency care setting. We offer a competitive salary, signing bonus, and comprehensive benefit package.


FT position; Directs the budgetary, purchasing, staffing and related aspects of laboratory work. Supervises professional and technical laboratory personnel. Directs quality control program to ensure high quality diagnostic testing and all laboratory activities comply with organization and regulatory agency standards.  Bachelor’s Degree in a chemical, physical, or biological science or medical technology from an accredited institution required. Three to five years laboratory equivalent experience required. Progressive management experience preferred.


DIRECTOR OF CLINIC OPERATIONS; Job # 630-1: FT position; Manages clinics by setting objectives, planning, staffing and directing activities. Ensures efficient, economic and quality performance to support or provide quality health care services in accordance with current medical practices and standards of care; appropriate licensing regulations; local, state, and federal laws. Recommends administrative policy changes and consults with and advises CEO of problems related to clinic operations. Responsible for communications with medical staff and the community. Supervises clinic operations staff and others within the clinics. Bachelor’s Degree (or equivalent experience) in Nursing, Public Health, Health Care Administration, or other related field. Master’s Degree preferred (or equivalent experience) in a health management position. 




Provides direct and indirect patient care in the medical-surgical, OB, post-partum, nursery, outpatient, and Emergency Department setting.  Communicates with providers/leadership team/other departments/co-workers, as appropriate about changes in patient's clinical condition including results of diagnostic studies and symptomatology.  Must be able to respond quickly and accurately to changes in condition or response to treatment.  Additionally, is able to perform general nursing duties in all departments with adequate supervision.  Current Registered Nurse licensure in the State of Nebraska required.  Current Basic Life Support (BLS) validation required.

Job # 107-3: FT night shift position, (6pm-6am), * $5,000 Sign-on-Bonus

Job # 107-9: FT night shift position, (6pm-6am), * $5,000 Sign-on-Bonus

Job # 107-13: FT night shift position, (6pm-6am), * $5,000 Sign-on-Bonus


Job # 630-9:
FT day shift position (8am-5pm); Coordinates team-based care to provide health services to individuals, through effective partnerships with patients, their caregivers/families, community resources, and their medical providers. Facilitates a “shared goal model” within and across settings to achieve coordinated high-quality care that is patient- and family-centered. Responsible for performing the preliminary exam for Medicare Wellness visits and assisting clinic staff with daily duties.  Previous experience in caring for chronic disease patients, 3-5 years of experience in clinical or community health settings preferred, Previous Care Coordinator, Case Management or Home Health experience preferred. Current Nebraska licensure as a Registered Nurse required.  Current Basic Life Support (BLS) validation required.  * $2,500 Sign-on-Bonus



Job # 170-5: PT Night position

Job # 170-9: FT night position * $5,000 Sign-on-Bonus

Supervises nursing staff in addition to providing direct nursing care to residents.  Performs administrative duties such as maintaining patient records and addressing questions and concerns from residents and staff. Current Licensed Practical Nurse or Registered Nurse licensure in the State of Nebraska required.  Current Basic Life Support (BLS) validation required. 


CLINIC LPN; Job #630-13:
  FT day position; 4 days per week with rotating Saturday morning; Responsible for the patient flow for the assigned provider through telephone response, triage and appointment scheduling, exam and procedure assistance, patient education, patient recall and direct communication with the provider. Current Licensed Practical Nurse licensure in the State of Nebraska required.  Current Basic Life Support (BLS) validation required.




Job # 170-19: PT Days

Job # 170-23: PT evenings (1:45PM-10:15PM)

Job # 170-32: PT Days- Every other weekend

Provides direct and indirect patient care activities under the direction of an RN or LPN.  Assists residents with personal care and comfort.  Current Certification as a Nurse Aide with the State of NE or successful completion of the required 75-hour Nurse Aide class within 120 days of employment.


HOSPITAL C.N.A, Job # 107-24: PRN position, Assists patients with activities of daily living, provides basic nursing care to non-acutely ill patients and assists in maintenance of a safe and clean environment under the direction and supervision of the registered nurse in charge of the team and/or unit and/or the LPN-C or LPN.  Current Certification as a Nurse Aide with the State of NE or successful completion of the required 75-hour Nurse Aide class within 120 days of employment.


  PRN position; Assess, treat, and care for patients with breathing disorders. Assume primary responsibility for all respiratory care modalities, including the supervision of respiratory therapy technicians. Initiate and conduct therapeutic procedures; maintain patient records; and select, assemble, check, and operate equipment. Under the direction of the Sleep Lab Medical Director, performs various polysomnograms and other sleep disorder tests. Responsible for attaching electrodes and monitors to patients who are participating in a sleep study. Monitors the patient throughout the sleep study and documents observations, collects data from various monitors and reports this information to the physician. Responsible for CPAP titration and oxygen therapy when applicable. Scores reports. Current Respiratory Care Practitioner licensure in the State of Nebraska.



MEDICAL RECORDS CODER; Job #313-4: FT position; Assigns ICD-10 CM diagnosis and procedure codes to patient records and forwards reports as requested. Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Process, maintain, compile, and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.  RHIT, CPC or CCS certification preferred, 1-2 years similar work experience, Previous experience or education in coding required, Must have knowledge of CMS and state charting requirements.


NUTRITION SERVICES ASSISTANT: Performs a variety of food service duties including cleaning dishes, food prep equipment and utensils, and cleaning of kitchen work areas. Serves water, coffee, and tea for Manor residents, and restocks items as needed.

Job # 326-18:  FT day position

Job # 326-19:  PT day/evening position


ENVIRONMENTAL SERVICES ASSISTANT:  Maintains and preserves a clean and safe environment in all facilities along with aiding in infection control by utilizing proper cleaning techniques.  Previous institutional cleaning experience preferred, but will train the right person.  BLS Certification within 90 days of hire.

Job #320-15: PRN position, Fill in gaps as needed

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