Extended Care Registered Nurse
Miles City, Montana
Holy Rosary Healthcare

Registered Nurse (RN) - Extended Care

Location: Miles City, Montana
Employment Type: Staffing - Supplier Sourced
Contract Length: Approximately 14 weeks (96 days ≈ 14 weeks)

Job Summary

• Provide holistic nursing care focusing on the individual’s role in 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 for 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.

Core Values

• Active participation in fulfilling the mission, vision, and values of the facility.
• Demonstrate behavior consistent with core values and support quality improvement goals.

Essential Duties and Responsibilities

Assessment & Planning

• Complete holistic, age-specific admission history, physical assessments, and nursing care plans.
• Analyze clinical data (labs, x-rays, diagnostics) to create 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

• Perform technical nursing skills competently.
• 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.
• Evaluate and revise care plans based on resident needs and responses.
• Assess 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 for medications, activity, wound care, and follow-up.
• Maintain knowledge of CMS regulations, Medicare skilled care, and MDS criteria to ensure compliant documentation.
• Incorporate resident preferences into care delivery and delegate tasks appropriately.
• Supervise, coach, counsel, and evaluate assigned CNA staff.

Required Skills & Experience

• Ability to read and write sufficiently to fulfill documentation requirements.
• Physical demands include standing, walking, sitting, pushing (100+ lbs.), pulling (100+ lbs.), lifting, carrying, stooping, kneeling, crouching, reaching, filing, typing, talking, hearing, and color vision.
• Frequent lifting/carrying up to 50 lbs., occasional lifting over 100 lbs.

Preferred Skills & Experience

• None specified.