Registered Nurse - Long Term Care
Miles City, Montana
Holy Rosary Healthcare

Registered Nurse - Extended Care

Location: Miles City, Montana
Employment Type: Staffing - Supplier Sourced
Contract Length: 13 weeks (approximately 3 months)

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 or 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 and document discharge planning needs.
• Coordinate or delegate discharge activities including documentation and 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 Registered Nurse (RN) license in Montana.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).
• Minimum of 1 year of Long Term Care experience within the last year.
• Basic Life Support (BLS) certification issued by the American Heart Association.

Preferred Qualifications

• None specified.

Additional Information

• This position requires active participation in fulfilling the mission, vision, and values of the employer.
• Demonstrate behavior consistent with core values and support quality improvement goals.

Experience Requirements

• Specialty: Registered Nurse - Extended Care
• Required years of experience: Not explicitly stated; assume entry-level to experienced RN in extended care.
• Prior travel experience: Not required.