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

Job Title

RN - Extended Care

Location

Miles City, Montana

Employment Details

• Contract Length: 13 weeks
• Shift: Day
• Hours per Day: 12
• Hours per Week: 36

Job Summary

• Provide holistic, age-specific 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 care meets legal and professional standards.
• Serve as a role model to other healthcare team members.

Essential Duties and Responsibilities

• Complete admission history, physical assessments, and nursing care plans for assigned residents.
• Analyze clinical data (labs, x-rays, diagnostics) to create 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 collaboratively 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.
• Perform technical nursing skills competently.
• Manage urgent and emergent resident care situations proactively.
• Administer medications and IVs per scope of practice and policy.
• 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 documentation.
• 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 Qualifications

• Valid Registered Nurse (RN) license in Montana
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing from an accredited school
• Basic Life Support (BLS) certification issued by the American Heart Association
• Minimum of 1 year of skilled nursing experience within the last year
• Experience in Long Term Care settings