Revenue Cycle Director

Revenue Cycle Department

Full-time position (exempt). Works Monday through Friday 8:00 am to 5:00 pm. Is responsible for and plans, organizes, coordinates, and directs the activities and personnel in the management of all departments in the revenue cycle. This position has supervisory and budgetary responsibilities and ensures regulatory compliance in all four departments. The Revenue Cycle Director implements and streamlines, customer friendly revenue cycle processes by coordinating the work with other departments of the hospital to achieve a complete and accurate medical record as well as financial records. Provides a framework for enabling maximum human development while channeling human energies to the accomplishment of quality healthcare. Provides leadership, coordination, and subject matter expertise across all components of strategic planning for the revenue cycle team, including policies and procedures for effective operation and consistent workflow. Negotiates, develops, and manages third party payor contracts; notifies Payor Enrollment to contract additions or changes. Oversees the development and enforcement of the Revenue Cycle group’s policies, procedures and daily operations to enhance revenue collections; release of information, confidentiality, information security, coding policies, documentation storage and retrieval, documentation deficiencies/chart completion, admissions/registration, billing, financial assistance, etc. Experience of at least five years in a healthcare Revenue Cycle environment required. Previous supervisory experience required. Basic computer skills, knowledge of CPT, CHPCS and ICD-9/ICD-10 procedures and diagnostic coding required. Bachelor’s or Associate’s degree in accounting, business management or related field required. Certificate in RHIT or RHIA preferred.

Myrtue Medical Center Recognizes Diabetes Awareness Month

Approximately 1 in 11 Iowans has some form of diabetes and about 1 in 3 Iowa adults has prediabetes, a condition in which blood glucose (sugar) levels are high, but not high enough yet to be classified as type 2 diabetes. Type 2 diabetes is the most common form of diabetes and people with this condition are at higher risk for heart disease, stroke and serious diabetes-related complications. It is important to know if you have prediabetes or diabetes.

“Most people with prediabetes don’t know they have it,” said Julie Klein, Myrtue Medical Center’s Dietitian. “That is why it is so important to at least annually have your blood glucose checked, especially if you have increased risk factors.”

IDPH encourages Iowans who do not have diabetes to take a quick one-minute risk test at to determine their prediabetes risk. If you have prediabetes, the National Diabetes Prevention Program can help prevent or delay type 2 diabetes. A list of National Diabetes Prevention Programs is available on the Centers for Disease Control and Prevention website.

On Thursday, November 21, a free educational event sponsored by Myrtue Medical Center and the Harlan Lions Club featuring a presentation by Julie Klein, Myrtue Medical Center’s Dietitian, and Jan Hastert, Myrtue Medical Center’s Diabetes Educator and Health Coach, will be held at 12:00 p.m. and again at 2:00 p.m. in the Auble Room at Myrtue Medical Center.  Interested individuals can also have their glucose checked at no cost if they desire at either session. The Lions Club will provide a healthy snack and door prizes.

 Additional information about the Iowa Department of Public Health’s (IDPH’s) diabetes prevention and control efforts is available at

Measles and Immune Amnesia

Studies published in Science Immunology found that the highly contagious and potentially fatal measles virus can cause immune amnesia. Immune amnesia results in removing antibodies that had protected patients from other illnesses. The measles virus wipes out 11-73% of patients’ protective antibodies putting them at risk of viral and bacterial strains they were previously immune to.

The biggest takeaway of this study is that measles is really much more detrimental to the immune system and overall childhood health than previously recognized,” Michael Mina, MD, PhD, assistant professor of epidemiology at Harvard T. H. Chan School of Public Health and one of the study’s lead authors. “It not only destroys overall immune function for a few weeks as children recover from the measles virus – something that has been known for a long time – but this study shows that it also prevents children’s ability to defend against pathogens they should have been equipped to deal with over the long term,” he says. “This study really drives home the real importance of measles vaccination.”

Measles is easily preventable. One vaccine dose is 93% effective in preventing the disease. The two doses that are recommended by the Advisory Committee on Immunization Practices (ACIP) make the vaccine 97% effective.

In light of these new studies, protecting your children from vaccine-preventable illnesses like measles is even more important to protect their health. Vulnerable people count on herd immunity as well to reduce their risk of acquiring diseases from others in their communities. Herd immunity is attained when a sufficient percentage of a population is immune to an infectious disease either through vaccination and/or previous exposure to that illness. Vulnerable people include young children, senior citizens, pregnant women, and immune-compromised individuals.

Shelby County Public Health encourages all residents to follow the ACIP immunization recommendations for adults and children including the measles vaccine. For more information about immunizations or the diseases they prevent, please contact your health care provider or go to   

Director of Community Health

Full-time position (40 hours per week). Works Monday through Friday 8:00 am to 5:00 pm. Some call required. Directs, assesses, plans, implements, and evaluates delivery of patient care to clients in the Community Health settings. Provides administrative direction to development and evaluation of all department staff, programs and services, and maintains operations aspects in collaboration with administrative support services. Maintains all clinical, financial and statistical records and reports required in Community Health. Ensures health care services are available to all county residents by administering county, state and federal funding for public health, and assessing health needs within the community. Maintains knowledge of local, state and federal legislation and rules/regulations regarding public health nursing practice, home health agencies, hospice agencies, behavioral health care and health care administration. Prepares and is accountable for Community Health capital, operating and personnel budget. Prepares grant applications. Provides administrative direction and assures patient billing, grant brochures and claims and general bookkeeping tasks. Participates in the development, implementation, interpretation and evaluation of departmental goals, policies and procedures, standards of practice and new programs. Minimum of three years in home care/hospice nursing experience recommended, part of which has been in a supervisory capacity. Has demonstrated ability in nursing practice and competence in management and leadership skills. Considerable experience with grants and contracts preferred. Has familiarity with principles related to death, dying, grief, bereavement and commitment to the hospice concept. Must be Registered Nurse with Baccalaureate degree in Nursing with current Iowa license.