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RN - LTC

Job in Miles City, Custer County, Montana, 59301, USA
Listing for: Holy Rosary Healthcare - IM
Full Time position
Listed on 2026-07-27
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Nursing Home
Job Description & How to Apply Below

Registered Nurse

The RN utilizes an interpersonal process that focuses on the total individual and their role in their family, culture, and society. The RN utilizes the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation. The RN fulfills a resident advocacy role by ensuring the resident and/or their representative has adequate information to make health decisions. The RN coordinates total care and works with the resident to achieve or maintain their highest practicable level of function.

The RN is guided by substantial specialized knowledge of nursing based on physiological and psychological sciences. The RN ensures that the quality of resident care meets legal and professional standards and acts as a role model to other members of the healthcare team. This position requires full understanding and active participation in fulfilling the mission, vision, and values of the organization.

The associate will demonstrate behavior consistent with the core values. The associates shall support the organization's goals and direction of the quality improvement process. Completes holistic, age-specific admission history, physical assessment, and nursing plan of care on all assigned residents in an ongoing manner to monitor for deviations. Analyzes and incorporates clinical data to formulate an individualized plan of care.

Identifies and documents residents at risk for nutritional and functional status. Identifies and reports signs/symptoms of neglect/abuse related to any form of abuse. Sets priorities for and reviews daily plan of care in collaboration with residents, families, significant others, and other healthcare disciplines. Delegates to team members based on resident needs, continuity of care, staff, and knowledge. Communicates with physicians to ensure coordination of medical and nursing plans of care.

Demonstrates competence in performing technical skills. Recognizes and demonstrates the ability to manage urgent/emergent resident care situations. Demonstrates knowledge and technical competence in the preparation and administration of medications and IVs per scope of practice and policy. Documents nursing interventions, residents' responses to care, and outcomes. Evaluates data to revise the plan of care to meet the changing needs of residents.

Evaluates responses to interventions against expected norms for age and development. Identifies and documents resident/family learning needs and provides education based on assessment in collaboration with residents, families, and interdisciplinary team members. Identifies and documents discharge planning needs and coordinates or delegates discharge activities. Completes or validates discharge documents and instructions related to medications, activity, wound care, and follow-up appointments.

Documents resident/family responses to education. Maintains working knowledge of regulations to support and reflect compliance in documentation. Incorporates resident needs and preferences into organized, efficient delivery of care by a team assigned for daily cares and delegates tasks appropriately. Supervises, coaches, counsels, and evaluates the performance of assigned staff. Physical demands include standing, walking, sitting, pushing, pulling, lifting, carrying, stooping, kneeling, crouching, reaching, filing, typing, and talking.

Lifting objects over 100 lbs. with frequent lifting/carrying up to 50 lbs. is required.

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