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: Night
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.
• Ensure quality of resident care meets legal and professional standards.
• Serve as a role model to other healthcare team members.

Essential Duties and Responsibilities

• 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 appropriately based on resident needs and staff knowledge.
• Communicate with physicians to coordinate medical and nursing care plans.
• Demonstrate competence in technical nursing skills, including medication and IV administration.
• Manage urgent and emergent resident care situations proactively.
• Document nursing interventions, resident responses, and outcomes.
• Evaluate and revise care plans as resident needs change.
• Provide education to residents and families based on assessed learning needs.
• Coordinate discharge planning and related activities.
• Maintain compliance with CMS regulations, Medicare skilled care, and MDS criteria.
• Supervise, coach, counsel, and evaluate assigned CNA staff.

Required Qualifications

• Valid Registered Nurse (RN) license in Montana
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN) from an accredited school
• Minimum of 1 year of skilled nursing experience, with experience within the last year
• BLS certification issued by the American Heart Association

Physical Demands

• Frequent lifting and carrying up to 50 lbs.
• Occasional lifting of objects over 100 lbs.
• Requires stamina for standing, walking, and other physical activities throughout the shift.

Additional Information

• No preferred skills or certifications beyond the required qualifications listed.
• Prior travel experience is not specified or required.