Registered Nurse (RN) - House Supervisor PRN

Lifepoint Health•Missoula, MT

About The Position

The RN House Supervisor provides administrative and clinical leadership for all acute care nursing units during off-hours. The position serves as the primary decision-maker for hospital-wide operations, matching staffing levels to patient acuity and coordinating admissions, transfers, and discharges to support efficient patient flow. The House Supervisor coordinates hospital-wide bed management and determines appropriate patient placement by level of care, adjusts staffing in real time in response to patient volumes and acuity, and manages staffing issues such as sick calls and agency staff. The role also coordinates Rapid Response Teams and Code Blues, resolves immediate concerns involving patients, families, and physicians as the on-site administrative representative, and monitors units for compliance with Joint Commission safety standards and hospital policies. This is a PRN position with 12-hour shifts, a minimum of four shifts per month, and a primary night shift, with occasional day shifts. Shifts may include weekends and holidays; there is no call requirement.

Requirements

  • Current Montana RN license or Compact RN License with Montana endorsement.
  • Bachelor of Science in Nursing (BSN) from an accredited nursing school.
  • BCLS certification.
  • ACLS certification.
  • Four to five years of bedside nursing experience.

Nice To Haves

  • PALS certification.
  • One year of nurse management or house supervisor experience.

Responsibilities

  • Provide administrative and clinical leadership for acute care nursing units during off-hours.
  • Serve as the primary decision-maker for hospital-wide operations.
  • Coordinate hospital-wide bed management and determine appropriate patient placement based on level of care.
  • Adjust unit staffing in real time based on patient volumes and acuity, including managing sick calls and agency staff.
  • Serve as the first responder and coordinator for Rapid Response Teams and Code Blues across acute care floors.
  • Resolve immediate concerns between patients, families, and physicians as the on-site administrative representative.
  • Monitor units for compliance with Joint Commission safety standards and hospital policies.
  • Coordinate admissions, transfers, and discharges to support efficient patient flow.

Benefits

  • Medical, dental, and vision coverage options for full-time and part-time employees.
  • Life, accident, critical illness, and hospital indemnity insurance.
  • Short- and long-term disability coverage.
  • Paid family leave and paid time off.
  • Higher education and certification tuition assistance.
  • Loan assistance.
  • 401(k) retirement package with company match.
  • Mental, physical, and financial wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
  • Ongoing learning and career advancement opportunities.
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