Extended Care RN
Miles City, Montana
Peaks Region - 2600 Wilson Street , Holy Rosary Hospital

RN - Extended Care

Location: Miles City, Montana
Contract Length: 13 weeks
Shift: Day
Hours per Day: 12
Hours per Week: 36

Job Summary

• Provide holistic nursing care focusing on the individual’s role within their family, culture, and society.
• Utilize the nursing process: assessment, diagnosis, planning, implementation, and evaluation.
• Advocate for residents by ensuring they and/or their representatives have adequate information to make health decisions.
• Coordinate total care to help residents achieve or maintain their highest practicable level of function.
• Maintain quality of resident care in compliance with legal and professional standards.
• Serve as a role model to other healthcare team members.

Essential Duties and Responsibilities

Assessment & Planning

• Complete age-specific admission history, physical assessments, and nursing care plans for assigned residents.
• Analyze clinical data (labs, x-rays, diagnostics) to develop individualized care plans.
• Identify and document residents at risk for nutritional and functional decline.
• Recognize and report signs of neglect or abuse (child, domestic, elder).
• Set priorities and review daily care plans in collaboration with residents, families, and healthcare team.
• Delegate tasks based on resident needs and staff competencies.
• Communicate with physicians to coordinate medical and nursing care plans.

Implementation

• Demonstrate competence in technical nursing skills.
• Manage urgent and emergent resident care situations proactively.
• Administer medications and IVs according to scope of practice and policy.

Evaluation

• Document nursing interventions, resident responses, and outcomes.
• Revise care plans based on ongoing evaluation.
• Assess responses to interventions against age-appropriate norms.

Patient Education & Continuum of Care

• Identify and document learning needs of residents and families; provide education accordingly.
• Identify discharge planning needs and coordinate discharge activities.
• Document responses to education and discharge instructions.
• Maintain knowledge of CMS regulations, Medicare skilled care, and MDS criteria to ensure compliant documentation.
• Incorporate resident preferences into care delivery.
• Supervise, coach, counsel, and evaluate assigned CNA staff.

Required Qualifications

• Valid RN license in Montana
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum of 1 year of skilled nursing experience, including experience within the last year
• Experience in long term care nursing
• BLS certification issued by the American Heart Association

Additional Information

• This position requires active participation in quality improvement processes and alignment with organizational core values.